; and (2) by adding at the end the following: (c) Notwithstanding any other provision of law, beginning with the year of the date of enactment of the Restoring Accountability in the Indian Health Service Act of 2018 , each employee or provider described in subsection (a) who enters into a contract with the Service on or after the date of such implementation shall, as a condition of employment, annually participate in and complete such training program. For purposes of the preceding sentence, participation in such training program may not be considered complete for the year involved until the individual satisfies each requirement, including testing, if applicable, of the training program for such year, as specified by the Secretary. . 108. Staffing demonstration project Title VIII of the Indian Health Care Improvement Act ( 25 U.S.C. 1671 et seq.) is amended by adding at the end the following: 833. Staffing demonstration project (a) In general The Secretary, acting through the Service, shall establish a demonstration project that authorizes the Service to provide federally managed Service units with additional staffing resources with the goal that the resources become self-sustaining. (b) Selection In selecting Service units for participation, the Secretary shall consider whether a Service unit services an Indian Tribe that— (1) has utilized or contributed substantial tribal funds to construct a health facility used by the Service or identified in the master plan for the Service unit; (2) is located in a State or States with Medicaid reimbursements plans or policies that will increase the likelihood that the staffing resources provided will be self-sustaining