; and (B) to apply to such a compact or contract unless expressly agreed to by the Indian Tribe. (7) Effective dates (A) In general Except as provided in subparagraph (B), this subsection shall take effect on October 1, 2019. (B) Regulations, applications, and reports Effective on the date of the enactment of the Restoring Accountability in the Indian Health Service Act of 2018 , the Secretary may— (i) prescribe regulations for carrying out this subsection; and (ii) accept and consider applications submitted under paragraph (3)(C)(i). . 104. Clarification regarding eligibility for Indian Health Service loan repayment program Section 108 of the Indian Health Care Improvement Act ( 25 U.S.C. 1616a ) is amended— (1) by amending subparagraph (B) of subsection (b)(1) to read as follows: (B) have— (i) (I) a degree in a health profession; and (II) a license to practice a health profession in a State; or (ii) (I) a master's degree in business administration with an emphasis in health care management (as defined by the Secretary), health administration, hospital administration, or public health; and (II) a license or certification to practice in the field of business administration, health administration, hospital administration, or public health in a State, if the Secretary determines such license or certification necessary for the Indian health program to which the individual will be assigned; (iii) maintain credentials as determined by the system described in section 102; and (iv) participate in the training described in section 107; ; (2) by amending clause (iii) of subsection (f)(1)(B) to read as follows: (iii) to serve for a time period (referred to in this section as the period of obligated service ) equal to— (I) 2 years or such longer period as the individual may agree to serve in the full-time practice of such individual’s profession in an Indian health program to which the individual may be assigned by the Secretary