; and (2) by striking states and inserting States and tribal lands . 3. Substantially underserved trust areas Section 306F of the Rural Electrification Act of 1936 ( 7 U.S.C. 936f ) is amended by adding at the end the following: (e) Refinancing loans in substantially underserved trust areas Notwithstanding any other provision of this Act, the Secretary or a designee of the Secretary may make or guarantee a loan to refinance a loan made to any person who has applied for, or has outstanding, a loan or loan guarantee from the Rural Utilities Service for a project under an eligible program, to improve or continue the availability of projects that serve communities in substantially underserved trust areas. . 4. Distance learning and telemedicine grants on Indian reservations Section 2333(d)(5) of the Food, Agriculture, Conservation, and Trade Act of 1990 ( 7 U.S.C. 950aaa–2(d)(5) ) is amended by inserting (including on and off an Indian reservation) after geographical diversity .