Section 590.20 Definitions

Section 590

TITLE 77: PUBLIC HEALTH

CHAPTER I: DEPARTMENT OF PUBLIC HEALTH

SUBCHAPTER h: GRANTS, LOANS, SCHOLARSHIPS, AND WAIVERS FOR HEALTH CARE PROFESSIONAL STUDENTS, PATHOLOGISTS, AND PROVIDERS

PART 590 UNDERSERVED HEALTH CARE PROVIDER WORKFORCE CODE

SECTION 590.20 DEFINITIONS

Section

590.20  Definitions

When used in this Part, the following terms have the meanings

ascribed in this Section:

"Academic year" means

September 1 in one year through August 31 of the next year, or as otherwise

defined by the accredited school.

"Accredited family medicine

residency" means a training program meeting the requirements of the

Accreditation Council for Graduate Medical Education, or the Committee on

Postdoctoral Training of the American Osteopathic Association.

"Accredited medical

school" means a college or university at which a Doctor of Medicine (M.D.)

degree or a Doctor of Osteopathic Medicine (D.O.) degree is earned.  For an

M.D., the college or university is accredited by the Liaison Committee on

Medical Education (http://lcme.org/).  For a D.O., the college or university is

accredited by the Commission on Osteopathic College Accreditation

(https://www.osteopathic.org/inside-aoa/accreditation/COM-accreditation/Pages/default.aspx).

"Act" means the Underserved

Health Care Provider Workforce Act [110 ILCS 935].

"Administrative law

judge" or "ALJ" shall have the meaning ascribed in 77 Ill. Adm.

Code 100 (Practice and Procedure in Administrative Hearings).

"Advanced practice registered

nurse" or "APRN" means a person who has met the qualifications

for a certified nurse midwife (CNM), certified nurse practitioner (CNP);

certified registered nurse anesthetist (CRNA); or clinical nurse specialist

(CNS) and has been licensed by the Department of Financial and Professional

Regulation. (Section 50-10 of the Nurse Practice Act)

"Authorized

representative" means a person who has authority to act on behalf of the

legal entity or person that is an applicant or grantee

idwife (CNM), certified nurse practitioner (CNP);

certified registered nurse anesthetist (CRNA); or clinical nurse specialist

(CNS) and has been licensed by the Department of Financial and Professional

Regulation. (Section 50-10 of the Nurse Practice Act)

"Authorized

representative" means a person who has authority to act on behalf of the

legal entity or person that is an applicant or grantee.  Authorized representatives

are:  for a corporation, any of its officers or members of its board of

directors; for a limited liability company, any of its managers or members; for

a partnership, any of its general partners; and for a sole proprietor, the

individual who is the sole proprietor.

"Board certified

physician" means a physician who has passed a medical specialty

examination and who has maintained certification of that specialty from a

nationally recognized medical specialty board certification body.

"Board eligible

physician" means a physician who has completed the requirements for

admission to a medical specialty board examination but has not yet taken and

passed the examination.

"Breach of service

obligation" means failure for any reason to begin or complete all of a

contractual service commitment.

"Business day" means

Monday through Friday.  It does not include a federal or State government

declared holiday, Saturday or Sunday.

"Calendar day" means all

days in a month or prescribed time frame.  It includes weekends and federal or

State government declared holidays.

"Center" means the

Center for Rural Health of the Illinois Department of Public Health.

"Certified U.S. Mail"

means U.S. Mail for which proof of delivery is obtained.

"Children's Health Insurance

Program" or "CHIP" means health coverage that is provided to

eligible children, through the Illinois Department of Healthcare and Family

Services.

"Chiropractic

physician" means a chiropractic physician as defined in the Medical

Practice Act of 1987

llinois Department of Public Health.

"Certified U.S. Mail"

means U.S. Mail for which proof of delivery is obtained.

"Children's Health Insurance

Program" or "CHIP" means health coverage that is provided to

eligible children, through the Illinois Department of Healthcare and Family

Services.

"Chiropractic

physician" means a chiropractic physician as defined in the Medical

Practice Act of 1987.

(Section 3.11 of the Act)

"Commercial loans" means

loans made by banks, credit unions, savings and loan associations, insurance

companies, and other licensed financial institutions.

"Committee" means the

Advisory Committee for Residency Programs.

(Section 3.03 of the Act)

"Community-based organization"

means a locally organized and locally recognized group of individuals whose

goals include efforts to lawfully maintain or increase the availability of

health care in their community.

"Construction" means the

establishment of a new building (including the installation of fixed

equipment), or completion of shell space in an existing building.

"Construction costs" or

"Modernization costs" means expenses from a construction contract.

"Continuous attendance"

means enrollment in an accredited medical school for an entire academic year

and for the total duration of time it takes the student to complete medical

education, up to the maximum number of years the recipient is eligible to receive

the scholarship.  Continuous attendance shall be deemed to have been broken if

the student goes more than 12 months without successfully completing a

medical-related course from an accredited medical school.

"Default" means failure

to meet all legal obligations or conditions of a loan.

"Deferment" means the

temporary delay or postponement of a scholarship recipient's continuous

attendance or service obligation or an educational loan repayment recipient's

service obligation.

"Department" means

the Illinois Department of Public Health

ing a

medical-related course from an accredited medical school.

"Default" means failure

to meet all legal obligations or conditions of a loan.

"Deferment" means the

temporary delay or postponement of a scholarship recipient's continuous

attendance or service obligation or an educational loan repayment recipient's

service obligation.

"Department" means

the Illinois Department of Public Health.

(Section 3.01 of the Act)

"Designated Shortage

Area" means an area designated by the Director as a physician shortage

area, a medically underserved area

or a health professional shortage area

,

or a critical health manpower shortage area as defined by the United States

Department of Health, Education and Welfare, or as further defined by the

Department to enable it to effectively fulfill the purpose stated in Section 2

of the Act.  Such areas may include the following:

an urban or rural area which is

a rational area for the delivery of health services;

a population group;

a public or nonprofit private

medical facility; or

a government-owned, privately

owned, independent, or provider-based Rural Health Clinic or hospital that

accepts Medicaid, Medicare, the State's Children's Health Insurance Program,

private insurance, and self-pay.

(Section 3.04 of the Act)

"Direct patient care"

means care of a patient provided by an eligible health care provider.  It may

involve any aspect of the health care of a patient, including diagnostic and

treatment services; support services such as laboratory, radiologic, and

pharmacy; counseling; in-service for self-care; patient education; and

administration of medication.

"Director" means the

Director of the Illinois Department of Public Health.

(Section 3.02 of the

Act)

"Disabled" shall have

the meaning ascribed in Section (2)(A)(2.1) of the Business Enterprise for

Minorities, Females and Persons with Disabilities Act.

"Disability" shall have

the meaning ascribed in Section 1-103(I) of the Illinois Human Rights Act

ducation; and

administration of medication.

"Director" means the

Director of the Illinois Department of Public Health.

(Section 3.02 of the

Act)

"Disabled" shall have

the meaning ascribed in Section (2)(A)(2.1) of the Business Enterprise for

Minorities, Females and Persons with Disabilities Act.

"Disability" shall have

the meaning ascribed in Section 1-103(I) of the Illinois Human Rights Act.

"Due diligence" means

action taken toward the completion of a project with the diligence and

foresight that persons of ordinary prudence and care would exercise under

similar circumstances.

"Data Universal Numbering

System" or "DUNS" is a system that assigns a unique numeric

identifier, referred to as a DUNS number, to a single business entity.

"Educational loan repayment

award" or "award" means the amount of funding awarded to a

recipient based upon reasonable educational expenses, up to a maximum

established by the program.

"Eligible health care

provider" means a primary care physician, general surgeon, emergency

medicine physician, obstetrician, anesthesiologist, chiropractic physician, advanced

practice registered nurse, or physician assistant who accepts Medicaid,

Medicare, the State's Children's Health Insurance Program, private insurance,

and self-pay.

(Section 3.09 of the Act)

"Eligible medical student"

means a person who meets all of the following qualifications:

He or she is an Illinois

resident at the time of application for a scholarship;

He or she is studying medicine

in

an accredited

medical school located in Illinois or studying

chiropractic medicine in a chiropractic college or institution in Illinois;

He or she exhibits financial

need as determined by the Department; and

He or she agrees to practice

full-time,

at a Department approved site, located

in a Designated

Shortage Area

in Illinois

as a primary care physician, general surgeon, emergency

medicine physician, obstetrician, or chiropractic physician one year for each

year he or she is a scholarship recipient

or institution in Illinois;

He or she exhibits financial

need as determined by the Department; and

He or she agrees to practice

full-time,

at a Department approved site, located

in a Designated

Shortage Area

in Illinois

as a primary care physician, general surgeon, emergency

medicine physician, obstetrician, or chiropractic physician one year for each

year he or she is a scholarship recipient.

(Section 3.07 of the Act)

"Emergency medicine

physician" means a physician licensed to practice medicine in Illinois

under the Medical Practice Act of 1987 with a specialty dedicated to the care

and treatment of acutely ill or injured patients who need immediate medical

attention.

"Equipment" means tangible

personal property of a non-consumable nature that may be acquired by a

purchase, lease purchase, or installment contract that has a value exceeding

$100.

"Equipment costs" means the

cost of movable capital equipment that is not in a construction or renovation

contract.

"Federally Qualified Health

Center" or "FQHC" means a health center funded under section 330

of the Public Health Service Act (42 U.S.C. 254b).

"Federally Qualified Health

Center Look-Alike" or "FQHC Look-Alike" means an organization

that meets the requirements for receiving a grant under section 330 of the

Public Health Service Act but does not receive federal grants under that

authority.

"Federal poverty level as published

in the Federal Register" means the poverty level population figures

published annually in the Federal Register.  The Federal Register may be found

at the website:  https://www.federalregister.gov/.

"Fellowship" means

optional medical training, usually one year, completed after residency

training.

"Fiscal year" means the

financial operating year of Illinois State government.  It begins on July 1 and

ends on June 30 of the next calendar year.

"Fixed equipment" means

assets that are usually attached and integral to the building's function

at the website:  https://www.federalregister.gov/.

"Fellowship" means

optional medical training, usually one year, completed after residency

training.

"Fiscal year" means the

financial operating year of Illinois State government.  It begins on July 1 and

ends on June 30 of the next calendar year.

"Fixed equipment" means

assets that are usually attached and integral to the building's function.

"Forbearance" means the postponement

of loan payments by a lender for a temporary period to give the borrower time

to make up overdue payments.

"Full-time

practice" means a recipient works a minimum of 40 hours per week, for a

minimum of 45 weeks per year, at a medical facility located in a designated

shortage area in Illinois.  For general surgeons and emergency medicine

physicians, full-time practice means working a minimum of 32 hours per week,

for a minimum of 45 weeks per year, at a medical facility located in a

designated shortage area in Illinois.

"Funding period" means

the time frame during which grant funds are to be expended by the grantee

(usually corresponding with the Department's fiscal year).

"General surgeon" means

a physician licensed to practice medicine in Illinois under the Medical

Practice Act of 1987 after successful completion of an accredited surgical

residency program, with a specialty in the diagnosis, preoperative, operative,

and postoperative surgical management of a patient.

"Good academic standing"

means a student is matriculating with the rest of that student's class, as

determined by the student's medical school.

"Government loans" means

loans made by federal, State, county or city agencies authorized to make those

loans.

"Grant" means funds

awarded under the Act.

"Grantor agency"

means

any agency of State government which dispenses grant funds

t of a patient.

"Good academic standing"

means a student is matriculating with the rest of that student's class, as

determined by the student's medical school.

"Government loans" means

loans made by federal, State, county or city agencies authorized to make those

loans.

"Grant" means funds

awarded under the Act.

"Grantor agency"

means

any agency of State government which dispenses grant funds.

(Section 2(a) of the Illinois Grant Funds Recovery Act)

"Grant Agreement" or

"agreement" means the agreement entered into between the Department

and the grantee setting forth the terms and conditions of a scholarship or

educational loan repayment award.

"Grant funds"

means

public funds dispensed

by the Department

to any person or

entity for obligation, expenditure or use for a specific purpose.

(Section

2(b) of the Illinois Grant Funds Recovery Act)

"Grantee" means a

person

or entity which may use grant funds.

(Section 2(c) of the Illinois Grant

Funds Recovery Act)

"Health Professional Shortage

Area Score" or "HPSA score" means the HPSA shortage severity

score calculated by the U.S. Department of Health and Human Services (HHS).

"Hospital" means a

location defined in and licensed under the Hospital Licensing Act [210 ILCS 85].

"Illinois resident"

means a person who is a resident of Illinois at the time of application for a

Medical Student Scholarship or educational loan repayment award and who is a

citizen or national of the United States.

"Legal holiday" means a

holiday set by statute, during which government working hours are suspended.

"Lender"

means the commercial or government entity that made the qualifying loan.

"Matriculation fees" means

the actual educational expenses charged to all students by the various medical

schools. These fees are charged to offset the expenses incurred by the school

in areas such as the application and enrollment processing, library use,

mandatory health insurance, and student activities

nded.

"Lender"

means the commercial or government entity that made the qualifying loan.

"Matriculation fees" means

the actual educational expenses charged to all students by the various medical

schools. These fees are charged to offset the expenses incurred by the school

in areas such as the application and enrollment processing, library use,

mandatory health insurance, and student activities.

"Medicaid" means a

health insurance program for individuals with limited income and limited

financial assets.  The Medicaid program is jointly administered and funded by

the federal and State government.

"Medical school" means

any private or public nonprofit school in Illinois that provides education

leading to a doctor of medicine or doctor of osteopathy degree, that is

approved by the Illinois Department of Financial and Professional Regulation,

pursuant to the Medical Practice Act of 1987, and that is accredited by the Liaison

Committee on Medical Education (http://lcme.org/) or the Commission on

Osteopathic College Accreditation

(https://www.osteopathic.org/inside-aoa/accreditation/COM-accreditation/Pages/default.aspx).

"Medical facility"

means a facility for the delivery of health services and includes a hospital,

State mental health institution, public health center, outpatient medical

facility, rehabilitation facility, long term care facility, community mental

health center, migrant health center, community health center,

rural health

clinic,

or State correctional institution.

(Section 3.08 of the Act)

"Medical student" means an

individual studying medicine in an accredited medical school located in

Illinois or an individual studying chiropractic medicine in a chiropractic

college or institution in Illinois.

"Medically underserved

area" or "MUA" means a location designated by the U.S.

Department of Health and Human Services based on the availability of primary

care physicians, demographic characteristics, and health status of the

residents of a service area

ted medical school located in

Illinois or an individual studying chiropractic medicine in a chiropractic

college or institution in Illinois.

"Medically underserved

area" or "MUA" means a location designated by the U.S.

Department of Health and Human Services based on the availability of primary

care physicians, demographic characteristics, and health status of the

residents of a service area.  The designation is used to identify areas in need

of additional health care services.  MUAs can be found at:

https://data.hrsa.gov/tools/shortage-area/mua-find.

"Medically underserved

population" or "MUP" means individuals who:

reside in an HHS designated Health

Professional Shortage Area or a medically underserved area;

who are designated a medically

underserved population by HHS; or

who reside in an area designated

by the Department as underserved.

"Medicare" means the

federal government's health insurance program for:  people who are 65 or older;

certain younger people with disabilities; and people with End-Stage Renal

Disease (permanent kidney failure requiring dialysis or a transplant, sometimes

called ESRD).

"Metropolitan Statistical

Area" or "MSA" means one or more adjacent counties that have at

least one urban core area of at least 50,000 population, plus adjacent

territory that has a high degree of social and economic integration with the

core, as measured by commuting ties.

"Modernization" means

alteration, renovation, upgrading, or improvement of an existing building.

"Null and void" means an

application submitted to the Department has no legal force and is invalid.

"Obligation" or

"Obligated" means a requirement for a grantee to make future payments

from grant funds that result from financial transactions that have occurred

with vendors or other entities in relation to the grantee's activities.

"Obstetrician" means a

physician licensed to practice medicine in Illinois under the Medical Practice

Act of 1987 with a specialty dedicated to pregnancy, childbirth and the

postpartum period

ans a requirement for a grantee to make future payments

from grant funds that result from financial transactions that have occurred

with vendors or other entities in relation to the grantee's activities.

"Obstetrician" means a

physician licensed to practice medicine in Illinois under the Medical Practice

Act of 1987 with a specialty dedicated to pregnancy, childbirth and the

postpartum period.

"Official transcript"

means transcripts that have been received directly from the institution or have

been issued to the applicant or recipient in a sealed envelope, which shall

remain sealed until its arrival at the Department.  The transcript shall

include the institution's official seal, the date the transcript was issued,

and the registrar's signature.  The transcript will be verifiable by the

Department.

"Part-time practice"

means a recipient works a minimum of 20 hours per week, but no more than 39

hours per week, for a minimum of 45 weeks per year, at a medical facility

located in a designated shortage area in Illinois.  For general surgeons and

emergency medicine physicians, part-time practice means working a minimum of 16

hours per week but no more than 24 hours per week, for a minimum of 45 weeks

per year, at a medical facility located in a designated shortage area in

Illinois.

"Physician assistant"

means an individual licensed under the Physician Assistant Practice Act of 1987

[225 ILCS 95].

"Practice location"

means the physical location where the eligible health care provider practices

predominately.  For full-time eligible health care providers, this means

working at least 21 hours per week at this location.  For general surgeons and

emergency medicine physicians, this means working at least 17 hours per week at

this location.  For part-time providers, this means working at least 11 hours

per week at this location.  For part-time providers who are general surgeons

and emergency medicine physicians, this means working at least nine hours per

week at this location

1 hours per week at this location.  For general surgeons and

emergency medicine physicians, this means working at least 17 hours per week at

this location.  For part-time providers, this means working at least 11 hours

per week at this location.  For part-time providers who are general surgeons

and emergency medicine physicians, this means working at least nine hours per

week at this location.

"Primary care" means

health care that encompasses prevention services, basic diagnostic and

treatment services, and support services, including laboratory, radiologic, and

pharmacy.

"Primary care

physician" means a person licensed to practice medicine in all of its

branches under the Medical Practice Act of 1987 with a specialty in Family

Practice, Internal Medicine, Obstetrics and Gynecology, or Pediatrics as

defined by recognized standards of professional medical practice.

(Section

3.05 of the Act)

"Private insurance"

means a health insurance plan sold by the private health insurance industry.

This involves employer-sponsored plans and private coverage purchased outside

of the workplace from the individual and family health insurance marketplace.

"Project completion"

means that the project has concluded based on the project objectives and within

the time frame requirements in the Grant Agreement.

"Qualifying loan" means

government or commercial loans used for tuition and reasonable educational and

living expenses related to the medical degree that was obtained by the

recipient prior to the recipient's application for loan repayment.  These loans

shall be contemporaneous with the education received.

"Rational area" means

the geographic area surrounding a physician's office, a hospital or a clinic,

from which the residents of the geographic area may be reasonably expected to

seek health care from the physician, hospital or clinic located within that

geographic area.

"Real property" means

lands, structures, buildings, and anything that is affixed to them

aneous with the education received.

"Rational area" means

the geographic area surrounding a physician's office, a hospital or a clinic,

from which the residents of the geographic area may be reasonably expected to

seek health care from the physician, hospital or clinic located within that

geographic area.

"Real property" means

lands, structures, buildings, and anything that is affixed to them.  Real

property does not include items that can be moved, including equipment and

furniture.

"Reasonable educational

expenses" means the actual costs for education, exclusive of tuition.

These costs include, but are not limited to, matriculation fees, books,

supplies, clinical travel, educational equipment, materials, board

certification, or licensing examinations.  These costs shall not exceed the

estimated standard budget for expenses for the degree program and for the years

of enrollment.

"Reasonable living

expenses" means room and board, transportation and commuting costs.  These

expenses shall not exceed the estimated standard budget for the recipient's

degree program and for the years of enrollment.

"Recipient" means a

medical student receiving funds from the Illinois Medical Student Scholarship Program

or an eligible health care provider receiving educational loan repayment funds.

"Residency matching

process" means the U.S. National Resident Matching Program that

coordinates the matching of medical students with the hospitals and residency

training programs in the medical students' selected specialty. The matching

application process usually lasts from June through September of one year, with

match announcements made in March of the following year.

"Residency program"

means a program accredited by the Accreditation Council for Graduate Medical

Education

(http://www.acgme.org/)

or the Committee on Postdoctoral

training of the American Osteopathic Association

(http://www.osteopathic.org/inside-aoa/accreditation/postdoctor-training-approval/Pages/default.aspx)

ember of one year, with

match announcements made in March of the following year.

"Residency program"

means a program accredited by the Accreditation Council for Graduate Medical

Education

(http://www.acgme.org/)

or the Committee on Postdoctoral

training of the American Osteopathic Association

(http://www.osteopathic.org/inside-aoa/accreditation/postdoctor-training-approval/Pages/default.aspx)

.

(Section 3.06 of the Act)

"Residency training"

means the years of graduate medical education that follow medical school and that

train the new physician in his or her chosen specialty (e.g., family medicine,

pediatrics).

"Rural" means any

geographic area not located in a U.S. Bureau of the Census Metropolitan

Statistical Area; or a county located within a Metropolitan Statistical Area

but having a population of 60,000 or less; or a community located within a

Metropolitan Statistical Area but having a population of 2,500 or less.

"Rural Health Clinic"

means a clinic that is located in a rural area designated as a shortage area,

is not a rehabilitation agency or a facility primarily for the care and

treatment of mental diseases and provides primary care and routine laboratory

services to medically underserved populations.

"Self-pay" means a

patient who pays for their health-related service in absence of insurance to

cover the medical or surgical procedure performed.

"Service obligation"

means an eligible health care provider who practices full-time or part-time at

a medical facility in a designated shortage area in Illinois.  For medical

student scholarship recipients, the physician must work

one year for each

year he or she is a scholarship recipient.

(Section 3.07(d) of the Act)

For educational loan repayment recipients, the

eligible

health care provider

must work full-time for two years or part-time for

four years at a medical facility in a designated shortage area in Illinois for

the initial grant term.

"Shell space" means

space constructed to meet future needs

ian must work

one year for each

year he or she is a scholarship recipient.

(Section 3.07(d) of the Act)

For educational loan repayment recipients, the

eligible

health care provider

must work full-time for two years or part-time for

four years at a medical facility in a designated shortage area in Illinois for

the initial grant term.

"Shell space" means

space constructed to meet future needs.  It is space enclosed by an exterior

building shell, but otherwise unfinished inside.

"Submission of

application" means that a complete grant, scholarship or educational loan

repayment application has been received by the Department by the established

deadline.  Submission does not mean that the application is postmarked by the

established submission deadline but arrives at the Department on a later date.

"Supplant" means to

replace, to take the place of, or to supersede.  As used in this Part, grant

funds cannot be used to replace or supersede other sources of funding.

"Supplies" means a

general purpose consumable item that commonly has a shorter life span than

equipment, and that is stocked for recurring use.

"Supplies expense" means

the actual costs incurred for general purpose consumable items that have a

shorter life span than equipment and that are stocked for recurring use.

"Suspension" means an

action by the Department to suspend a recipient's participation in Department

grant and loan repayment programs for a specified period of time.

"Termination for cause" means

termination of

employment caused by the eligible health care provider's personal dishonesty,

willful misconduct, breach of fiduciary duty, intentional failure to perform

stated duties, or the willful violation of any law, rule or regulation, any of

which results in material loss to the employer.

"Termination

without cause" means termination of the eligible health care provider's

employment for the convenience of the employer.

"Toll" or

"Tolling" means to pause, postpone or suspend the running of a

defined time period

iary duty, intentional failure to perform

stated duties, or the willful violation of any law, rule or regulation, any of

which results in material loss to the employer.

"Termination

without cause" means termination of the eligible health care provider's

employment for the convenience of the employer.

"Toll" or

"Tolling" means to pause, postpone or suspend the running of a

defined time period.

"Total and permanent

disability" means a physical or mental impairment, disease, or loss of a

permanent nature that prevents employment with or without reasonable

accommodation.

"Travel" means the

actual cost incurred by a grantee's employees to travel to fulfill specific job

requirements.  These costs could include air travel, local transportation, per

diem, mileage allowance and lodging.

"Tuition" means the

established charges of a medical school for instruction at that institution.

"United States citizen"

means an individual born in the United States; Puerto Rico (on or after April

11, 1899); the Canal Zone or the Republic of Panama (on or after February 26,

1904); the Virgin Islands (on or after January 17, 1917); Guam (after April 11,

1899); or the Commonwealth of the Northern Mariana Islands (on or after

November 4, 1986); foreign-born children, under age 18, residing in the U.S.

with their birth or adoptive parents, at least one of whom is a U.S. citizen by

birth or naturalization; and individuals granted citizenship status by the U.S.

Department of Homeland Security, Customs and Immigration Service. (See https://www.uscis.gov/policy-manual/volume-12-part-a-chapter-2#footnote-6)

"Urban" means any

geographic area that does not meet the definition of "rural" in this Section.

"Waiver" means to

permanently relieve a scholarship or educational loan repayment recipient's

continuous attendance or service obligation, expressly put forth in writing.