,,ii #aacth ,,congress #ast ,session ,s4 #aege ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,october #af1 #bjac,mr4 ,begich 7for himself1 ,mr4 ,baucus1 ,mr4 ,udall of ,new ,mexico1 and ,mr4 ,schatz7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to correct inconsistencies in the definitions relating to ,native ,americans in the ,patient ,protection and ,affordable ,care ,act4 #a4 ,technical corrections to ,,ppaca 7a7 ,definition of ,indian ,section #acjd of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjbd7 is amended by adding at the end the following3 7f7 ,indian 7#a7 ,in general ,in this title1 the term ,indian means any individual-- 7,a7 described in paragraph 7#ac7 or 7#bh7 of section #d of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afjc72 7,b7 who is eligible for health services provided by the ,indian ,health ,service under section #hji of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afgi72 7,c7 who is of ,indian descent and belongs to the ,indian community served by the local facilities and program of the ,indian ,health ,service2 or 7,d7 who is described in paragraph 7#b74 7#b7 ,included individuals ,the following individuals shall be considered to be an ,indian3 7,a7 ,a member of a ,federally-recognized ,indian tribe4 7,b7 ,a resident of an urban center who meets #a or more of the following #d criteria3 7i7 ,membership in a tribe1 band1 or other organized group of ,indians1 including those tribes1 bands1 or groups terminated since #aidj and those recognized now or in the future by the ,state in which they reside1 or being a descendant1 in the first or second degree1 of any such member4 7ii7 ,is an ,eskimo or ,aleut or other ,alaska ,native4 7iii7 ,is considered by the ,secretary of the ,interior to be an ,indian for any purpose4 7iv7 ,is determined to be an ,indian under regulations promulgated by the ,secretary4 7,c7 ,an individual who is considered by the ,secretary of the ,interior to be an ,indian for any purpose4 7,d7 ,an individual who is considered by the ,secretary to be an ,indian for purposes of eligibility for ,indian health care services1 including as a ,california ,indian1 ,eskimo1 ,aleut1 or other ,alaska ,native4 4 7b7 ,conforming amendments 7#a7 ,affordable choices health benefit plans ,section #acaa7;c77#f77;,d7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjca7;c77#f77;,d77 is amended by striking section #d of the ,indian ,health ,care ,improvement ,act and inserting section #acjd7;f74 7#b7 ,reduced cost-sharing for individuals enrolling in qualified health plans ,section #adjb7;d7 of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjga7;d77 is amended-- 7,a7 in paragraph 7#a71 in the matter preceding subparagraph 7,a71 by striking section #d7;d7 of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #dej;b7d77 and inserting section #acjd7;f72 and 7,b7 in paragraph 7#b71 in the matter preceding subparagraph 7,a71 by striking 7as so defined7 and inserting 7as defined in section #acjd7;f774 7#c7 ,exemption from penalty for not maintaining minimum essential coverage ,section #ejjj;,a7e7 of the ,internal ,revenue ,code of #aihf is amended by striking paragraph 7#c7 and inserting the following3 7#c7 ,indians ,any applicable individual who is an ,indian 7as defined in section #acjd7;f7 of the ,patient ,protection and ,affordable ,care ,act74 4