283—24.5 (261) Waivers.
	   24.5(1) Service commitment area. The commission may waive the requirement that the physician practice in the same service commitment area for all 60 months. The physician must request a waiver from the commission in writing.
	   24.5(2) Full-time employment. The commission may waive the requirement that the physician be employed full-time if the physician demonstrates exceptional circumstances. The physician must request a waiver from the commission in writing. If a waiver request is granted by the commission, the agreement will be amended to provide an allowance for part-time employment. The 60-month employment obligation will be proportionally extended to ensure the physician is employed in a service commitment area for the equivalent of 60 full-time months.
	   24.5(3) Postponement of physician employment. The physician obligation to engage in practice in accordance with 24.3(5) may be postponed for no more than two years from the time full-time practice was to commence. The physician must request a waiver from the commission in writing for one of the following purposes:
	      a.    	 Active duty service in the armed forces, the armed forces military reserve, or the national guard.
	      b.    	 Service in Volunteers in Service to America or the federal Peace Corps.
	      c.    	 A service commitment to the United States Public Health Service Commissioned Corps.
	      d.    	 A period of religious missionary work conducted by an organization exempt from federal income taxation pursuant to Section 501(c)(3) of the Internal Revenue Code.
The physician obligation to engage in practice in accordance with 24.3(5) may be postponed for a period exceeding two years for any period of temporary medical incapacity, including leave approved under the Family and Medical Leave Act, during which the physician is unable to engage in full-time practice. The physician must request a waiver from the commission in writing.
	   24.5(4) Satisfaction of physician employment. All obligations under the rural Iowa primary care loan repayment program are considered to be satisfied when any of the following conditions are met:
	      a.    	 All terms of the agreement are met.
	      b.    	 The person who entered into the agreement dies.
	      c.    	 The person who entered into the agreement, due to permanent disability, is unable to meet the requirements of these rules.
	      d.    	 The person who entered into the agreement has no remaining eligible loan balance to repay.
[ARC 1320C, IAB 2/19/14, effective 3/26/14]