defined in section 1861(aa)(4)). (viii) A nonprofit organization described in section 501(c)(3) of the Internal Revenue Code of 1986, a labor organization, or an entity with shared labor-management oversight, that has a demonstrated history of providing health profession training to eligible individuals. (ix) An entity recognized by a State, Indian tribe, or tribal organization as qualified to train doulas or midwives, if midwives or doulas, as the case may be, are permitted to practice medicine in the State involved. (x) An opioid treatment program (as defined in section 1861(iii)(2)) and other high quality comprehensive addiction care providers. (B) Eligible individual The term eligible individual means an individual whose income does not exceed 138 percent of the Federal poverty level. (C) Midwife The term midwife means a midwife who meets, at a minimum, the international definition of the midwife and global standards for midwifery education as established by the International Confederation of Midwives. (D) Tribally-recognized midwife The term tribally-recognized midwife means an individual who is recognized by an Indian tribe (as defined in section 4 of the Indian Health Care Improvement Act) to practice midwifery for the tribe. (6) Appropriation Out of any funds in the Treasury of the United States not otherwise appropriated, there are appropriated to the Secretary to carry out this subsection $10,000,000 for fiscal year 2024. . 3. Effective date The amendment made by this Act shall take effect on October 1, 2023.