HR 536

112th CONGRESS
1st Session

H. R. 536

To amend the Indian Health Care Improvement Act to revise and extend that Act, and for other purposes.

IN THE HOUSE OF REPRESENTATIVES

February 8, 2011

Mr. COLE (for himself, Mr. DUNCAN of South Carolina, Ms. FOXX, and Mr. SMITH of Nebraska) introduced the following bill; which was referred to the Committee on Natural Resources, and in addition to the Committees on Energy and Commerce, Ways and Means, and the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned


A BILL

To amend the Indian Health Care Improvement Act to revise and extend that Act, and for other purposes.

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

TITLE I--INDIAN HEALTH CARE IMPROVEMENT ACT REAUTHORIZATION AND AMENDMENTS

Subtitle A--Indian Health Manpower

Subtitle B--Health Services

Subtitle C--Health Facilities

Subtitle D--Access to Health Services

Subtitle E--Health Services for Urban Indians

Subtitle F--Organizational Improvements

Subtitle G--Behavioral Health Programs

Subtitle H--Miscellaneous

TITLE II--AMENDMENTS TO OTHER ACTS AND MISCELLANEOUS PROVISIONS

TITLE I--INDIAN HEALTH CARE IMPROVEMENT ACT REAUTHORIZATION AND AMENDMENTS

SEC. 101. REAUTHORIZATION.

`SEC. 825. AUTHORIZATION OF APPROPRIATIONS.

SEC. 102. FINDINGS.

SEC. 103. DECLARATION OF NATIONAL INDIAN HEALTH POLICY.

`SEC. 3. DECLARATION OF NATIONAL INDIAN HEALTH POLICY.

SEC. 104. DEFINITIONS.

Subtitle A--Indian Health Manpower

SEC. 111. COMMUNITY HEALTH AIDE PROGRAM.

`SEC. 119. COMMUNITY HEALTH AIDE PROGRAM.

SEC. 112. HEALTH PROFESSIONAL CHRONIC SHORTAGE DEMONSTRATION PROGRAMS.

`SEC. 123. HEALTH PROFESSIONAL CHRONIC SHORTAGE DEMONSTRATION PROGRAMS.

SEC. 113. EXEMPTION FROM PAYMENT OF CERTAIN FEES.

`SEC. 124. EXEMPTION FROM PAYMENT OF CERTAIN FEES.

Subtitle B--Health Services

SEC. 121. INDIAN HEALTH CARE IMPROVEMENT FUND.

`SEC. 201. INDIAN HEALTH CARE IMPROVEMENT FUND.

SEC. 122. CATASTROPHIC HEALTH EMERGENCY FUND.

`SEC. 202. CATASTROPHIC HEALTH EMERGENCY FUND.

SEC. 123. DIABETES PREVENTION, TREATMENT, AND CONTROL.

`SEC. 204. DIABETES PREVENTION, TREATMENT, AND CONTROL.

SEC. 124. OTHER AUTHORITY FOR PROVISION OF SERVICES; SHARED SERVICES FOR LONG-TERM CARE.

`SEC. 205. OTHER AUTHORITY FOR PROVISION OF SERVICES.

`SEC. 822. SHARED SERVICES FOR LONG-TERM CARE.

SEC. 125. REIMBURSEMENT FROM CERTAIN THIRD PARTIES OF COSTS OF HEALTH SERVICES.

`SEC. 206. REIMBURSEMENT FROM CERTAIN THIRD PARTIES OF COSTS OF HEALTH SERVICES.

SEC. 126. CREDITING OF REIMBURSEMENTS.

`SEC. 207. CREDITING OF REIMBURSEMENTS.

SEC. 127. BEHAVIORAL HEALTH TRAINING AND COMMUNITY EDUCATION PROGRAMS.

SEC. 128. CANCER SCREENINGS.

SEC. 129. PATIENT TRAVEL COSTS.

`SEC. 213. PATIENT TRAVEL COSTS.

SEC. 130. EPIDEMIOLOGY CENTERS.

`SEC. 214. EPIDEMIOLOGY CENTERS.

SEC. 131. INDIAN YOUTH GRANT PROGRAM.

SEC. 132. AMERICAN INDIANS INTO PSYCHOLOGY PROGRAM.

`SEC. 217. AMERICAN INDIANS INTO PSYCHOLOGY PROGRAM.

SEC. 133. PREVENTION, CONTROL, AND ELIMINATION OF COMMUNICABLE AND INFECTIOUS DISEASES.

`SEC. 218. PREVENTION, CONTROL, AND ELIMINATION OF COMMUNICABLE AND INFECTIOUS DISEASES.

SEC. 134. METHODS TO INCREASE CLINICIAN RECRUITMENT AND RETENTION ISSUES.

`SEC. 221. LICENSING.

`SEC. 106. CONTINUING EDUCATION ALLOWANCES.

SEC. 135. LIABILITY FOR PAYMENT.

`SEC. 222. LIABILITY FOR PAYMENT.

SEC. 136. OFFICES OF INDIAN MEN'S HEALTH AND INDIAN WOMEN'S HEALTH.

`SEC. 223. OFFICES OF INDIAN MEN'S HEALTH AND INDIAN WOMEN'S HEALTH.

SEC. 137. CONTRACT HEALTH SERVICE ADMINISTRATION AND DISBURSEMENT FORMULA.

`SEC. 226. CONTRACT HEALTH SERVICE ADMINISTRATION AND DISBURSEMENT FORMULA.

Subtitle C--Health Facilities

SEC. 141. HEALTH CARE FACILITY PRIORITY SYSTEM.

`(aa) to provide advice and recommendations for policies and procedures of the programs funded pursuant to facilities appropriations; and

`(bb) to address other facilities issues.

`(aa) to review the health care facilities construction priority system; and

`(bb) to make recommendations to the Facilities Appropriation Advisory Board for revising the priority system.

`(aa) the methodology and criteria used by the Service in determining the needs and establishing the ranking of the facilities needs; and

`(bb) such other information as the Secretary determines to be appropriate.

SEC. 142. PRIORITY OF CERTAIN PROJECTS PROTECTED.

SEC. 143. INDIAN HEALTH CARE DELIVERY DEMONSTRATION PROJECTS.

`SEC. 307. INDIAN HEALTH CARE DELIVERY DEMONSTRATION PROJECTS.

`(aa) the burden on Contract Health Services; or

`(bb) the need for emergency room visits.

SEC. 144. TRIBAL MANAGEMENT OF FEDERALLY OWNED QUARTERS.

`SEC. 309. TRIBAL MANAGEMENT OF FEDERALLY OWNED QUARTERS.

SEC. 145. OTHER FUNDING, EQUIPMENT, AND SUPPLIES FOR FACILITIES.

`SEC. 311. OTHER FUNDING, EQUIPMENT, AND SUPPLIES FOR FACILITIES.

SEC. 146. INDIAN COUNTRY MODULAR COMPONENT FACILITIES DEMONSTRATION PROGRAM.

`SEC. 312. INDIAN COUNTRY MODULAR COMPONENT FACILITIES DEMONSTRATION PROGRAM.

SEC. 147. MOBILE HEALTH STATIONS DEMONSTRATION PROGRAM.

`SEC. 313. MOBILE HEALTH STATIONS DEMONSTRATION PROGRAM.

Subtitle D--Access to Health Services

SEC. 151. TREATMENT OF PAYMENTS UNDER SOCIAL SECURITY ACT HEALTH BENEFITS PROGRAMS.

`SEC. 401. TREATMENT OF PAYMENTS UNDER SOCIAL SECURITY ACT HEALTH BENEFITS PROGRAMS.

SEC. 152. PURCHASING HEALTH CARE COVERAGE.

`SEC. 402. PURCHASING HEALTH CARE COVERAGE.

SEC. 153. GRANTS TO AND CONTRACTS WITH THE SERVICE, INDIAN TRIBES, TRIBAL ORGANIZATIONS, AND URBAN INDIAN ORGANIZATIONS TO FACILITATE OUTREACH, ENROLLMENT, AND COVERAGE OF INDIANS UNDER SOCIAL SECURITY ACT HEALTH BENEFIT PROGRAMS AND OTHER HEALTH BENEFITS PROGRAMS.

`SEC. 404. GRANTS TO AND CONTRACTS WITH THE SERVICE, INDIAN TRIBES, TRIBAL ORGANIZATIONS, AND URBAN INDIAN ORGANIZATIONS TO FACILITATE OUTREACH, ENROLLMENT, AND COVERAGE OF INDIANS UNDER SOCIAL SECURITY ACT HEALTH BENEFIT PROGRAMS AND OTHER HEALTH BENEFITS PROGRAMS.

SEC. 154. SHARING ARRANGEMENTS WITH FEDERAL AGENCIES.

`SEC. 405. SHARING ARRANGEMENTS WITH FEDERAL AGENCIES.

SEC. 155. ELIGIBLE INDIAN VETERAN SERVICES.

`SEC. 407. ELIGIBLE INDIAN VETERAN SERVICES.

SEC. 156. NONDISCRIMINATION UNDER FEDERAL HEALTH CARE PROGRAMS IN QUALIFICATIONS FOR REIMBURSEMENT FOR SERVICES.

`SEC. 408. NONDISCRIMINATION UNDER FEDERAL HEALTH CARE PROGRAMS IN QUALIFICATIONS FOR REIMBURSEMENT FOR SERVICES.

SEC. 157. ACCESS TO FEDERAL INSURANCE.

`SEC. 409. ACCESS TO FEDERAL INSURANCE.

SEC. 158. GENERAL EXCEPTIONS.

`SEC. 410. GENERAL EXCEPTIONS.

SEC. 159. NAVAJO NATION MEDICAID AGENCY FEASIBILITY STUDY.

`SEC. 411. NAVAJO NATION MEDICAID AGENCY FEASIBILITY STUDY.

Subtitle E--Health Services for Urban Indians

SEC. 161. FACILITIES RENOVATION.

SEC. 162. TREATMENT OF CERTAIN DEMONSTRATION PROJECTS.

`SEC. 512. TREATMENT OF CERTAIN DEMONSTRATION PROJECTS.

SEC. 163. REQUIREMENT TO CONFER WITH URBAN INDIAN ORGANIZATIONS.

`SEC. 514. CONFERRING WITH URBAN INDIAN ORGANIZATIONS.

`SEC. 502. CONTRACTS WITH, AND GRANTS TO, URBAN INDIAN ORGANIZATIONS.

SEC. 164. EXPANDED PROGRAM AUTHORITY FOR URBAN INDIAN ORGANIZATIONS.

`SEC. 515. EXPANDED PROGRAM AUTHORITY FOR URBAN INDIAN ORGANIZATIONS.

SEC. 165. COMMUNITY HEALTH REPRESENTATIVES.

`SEC. 516. COMMUNITY HEALTH REPRESENTATIVES.

SEC. 166. USE OF FEDERAL GOVERNMENT FACILITIES AND SOURCES OF SUPPLY; HEALTH INFORMATION TECHNOLOGY.

`SEC. 517. USE OF FEDERAL GOVERNMENT FACILITIES AND SOURCES OF SUPPLY.

`SEC. 518. HEALTH INFORMATION TECHNOLOGY.

Subtitle F--Organizational Improvements

SEC. 171. ESTABLISHMENT OF THE INDIAN HEALTH SERVICE AS AN AGENCY OF THE PUBLIC HEALTH SERVICE.

`SEC. 601. ESTABLISHMENT OF THE INDIAN HEALTH SERVICE AS AN AGENCY OF THE PUBLIC HEALTH SERVICE.

SEC. 172. OFFICE OF DIRECT SERVICE TRIBES.

`SEC. 603. OFFICE OF DIRECT SERVICE TRIBES.

SEC. 173. NEVADA AREA OFFICE.

`SEC. 604. NEVADA AREA OFFICE.

Subtitle G--Behavioral Health Programs

SEC. 181. BEHAVIORAL HEALTH PROGRAMS.

`TITLE VII--BEHAVIORAL HEALTH PROGRAMS

`Subtitle A--General Programs

`SEC. 701. DEFINITIONS.

`SEC. 702. BEHAVIORAL HEALTH PREVENTION AND TREATMENT SERVICES.

`SEC. 703. MEMORANDA OF AGREEMENT WITH THE DEPARTMENT OF INTERIOR.

`SEC. 704. COMPREHENSIVE BEHAVIORAL HEALTH PREVENTION AND TREATMENT PROGRAM.

`SEC. 705. MENTAL HEALTH TECHNICIAN PROGRAM.

`SEC. 706. LICENSING REQUIREMENT FOR MENTAL HEALTH CARE WORKERS.

`SEC. 707. INDIAN WOMEN TREATMENT PROGRAMS.

`SEC. 708. INDIAN YOUTH PROGRAM.

`SEC. 709. INPATIENT AND COMMUNITY-BASED MENTAL HEALTH FACILITIES DESIGN, CONSTRUCTION, AND STAFFING.

`SEC. 710. TRAINING AND COMMUNITY EDUCATION.

`SEC. 711. BEHAVIORAL HEALTH PROGRAM.

`SEC. 712. FETAL ALCOHOL SPECTRUM DISORDERS PROGRAMS.

`SEC. 713. CHILD SEXUAL ABUSE PREVENTION AND TREATMENT PROGRAMS.

`SEC. 714. DOMESTIC AND SEXUAL VIOLENCE PREVENTION AND TREATMENT.

`SEC. 715. BEHAVIORAL HEALTH RESEARCH.

`Subtitle B--Indian Youth Suicide Prevention

`SEC. 721. FINDINGS AND PURPOSE.

`SEC. 722. DEFINITIONS.

`SEC. 723. INDIAN YOUTH TELEMENTAL HEALTH DEMONSTRATION PROJECT.

`SEC. 724. SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION GRANTS.

`(aa) the Indian population of the affected State; bears to

`(bb) the total population of the affected State; and

`SEC. 725. USE OF PREDOCTORAL PSYCHOLOGY AND PSYCHIATRY INTERNS.

`SEC. 726. INDIAN YOUTH LIFE SKILLS DEVELOPMENT DEMONSTRATION PROGRAM.

Subtitle H--Miscellaneous

SEC. 191. CONFIDENTIALITY OF MEDICAL QUALITY ASSURANCE RECORDS; QUALIFIED IMMUNITY FOR PARTICIPANTS.

`SEC. 805. CONFIDENTIALITY OF MEDICAL QUALITY ASSURANCE RECORDS; QUALIFIED IMMUNITY FOR PARTICIPANTS.

SEC. 192. LIMITATION ON USE OF FUNDS APPROPRAITED TO THE INDIAN HEALTH SERVICE.

SEC. 193. ARIZONA, NORTH DAKOTA, AND SOUTH DAKOTA AS CONTRACT HEALTH SERVICE DELIVERY AREAS; ELIGIBILITY OF CALIFORNIA INDIANS.

`SEC. 808. ARIZONA AS CONTRACT HEALTH SERVICE DELIVERY AREA.

`SEC. 808A. NORTH DAKOTA AND SOUTH DAKOTA AS CONTRACT HEALTH SERVICE DELIVERY AREA.

`SEC. 809. ELIGIBILITY OF CALIFORNIA INDIANS.

SEC. 194. METHODS TO INCREASE ACCESS TO PROFESSIONALS OF CERTAIN CORPS.

`SEC. 812. NATIONAL HEALTH SERVICE CORPS.

SEC. 195. HEALTH SERVICES FOR INELIGIBLE PERSONS.

`SEC. 813. HEALTH SERVICES FOR INELIGIBLE PERSONS.

SEC. 196. ANNUAL BUDGET SUBMISSION.

`SEC. 826. ANNUAL BUDGET SUBMISSION.

SEC. 197. PRESCRIPTION DRUG MONITORING.

`SEC. 827. PRESCRIPTION DRUG MONITORING.

SEC. 198. TRIBAL HEALTH PROGRAM OPTION FOR COST SHARING.

`SEC. 828. TRIBAL HEALTH PROGRAM OPTION FOR COST SHARING.

SEC. 199. DISEASE AND INJURY PREVENTION REPORT.

`SEC. 829. DISEASE AND INJURY PREVENTION REPORT.

SEC. 200. OTHER GAO REPORTS.

`SEC. 830. OTHER GAO REPORTS.

SEC. 201. TRADITIONAL HEALTH CARE PRACTICES.

`SEC. 831. TRADITIONAL HEALTH CARE PRACTICES.

SEC. 202. DIRECTOR OF HIV/AIDS PREVENTION AND TREATMENT.

`SEC. 832. DIRECTOR OF HIV/AIDS PREVENTION AND TREATMENT.

TITLE II--AMENDMENTS TO OTHER ACTS AND MISCELLANEOUS PROVISIONS

SEC. 201. ELIMINATION OF SUNSET FOR REIMBURSEMENT FOR ALL MEDICARE PART B SERVICES FURNISHED BY CERTAIN INDIAN HOSPITALS AND CLINICS.

SEC. 202. INCLUDING COSTS INCURRED BY AIDS DRUG ASSISTANCE PROGRAMS AND INDIAN HEALTH SERVICE IN PROVIDING PRESCRIPTION DRUGS TOWARD THE ANNUAL OUT-OF-POCKET THRESHOLD UNDER PART D.

SEC. 203. PROHIBITION OF USE OF FEDERAL FUNDS FOR ABORTION.

SEC. 204. REAUTHORIZATION OF NATIVE HAWAIIAN HEALTH CARE PROGRAMS.

END