,,ii  #aad? ,,congress  #a/ ,session    
,s4 #baad  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #a1 #bjae,ms4  
,murk[ski 7= h]self1 ,mr4 ,sullivan1 &  
,mr4 ,s*atz7 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,f9ance  ,a ,,bill  ,to   
correct inconsi/5cies 9 ! def9itions    
relat+ to ,native ,am]icans 9 ! ,pati5t 
,protection & ,af=dable ,c>e ,act4  #a4 
,te*nical corrections to ,,ppaca  7a7   
,def9ition ( ,indian ,section #acjd ( ! 
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahjbd7 is am5d$ by 
add+ at ! end ! foll[+3  7f7 ,indian    
7#a7 ,9 g5]al ,9 ?is title1 ! t]m       
,indian means any individual--  7,a7    
describ$ 9 p>agraph 7#ac7 or 7#bh7 (    
section #d ( ! ,indian ,heal? ,c>e      
,improvem5t ,act 7#be ,u4,s4,c4 #afjc72 
7,b7 :o is eligible = heal? s]vices     
provid$ by ! ,indian ,heal? ,s]vice "u  
section #hji ( ! ,indian ,heal? ,c>e    
,improvem5t ,act 7#be ,u4,s4,c4 #afgi72 
7,c7 :o is ( ,indian desc5t & belongs to

 ! ,indian community s]v$ by ! local    
facilities & program ( ! ,indian ,heal? 
,s]vice2 or  7,d7 :o is describ$ 9      
p>agraph 7#b74  7#b7 ,includ$           
individuals ,! foll[+ individuals %all  
be consid]$ to be an ,indian3  7,a7 ,a  
memb] ( a ,f$]ally-recogniz$ ,indian    
tribe4  7,b7 ,a resid5t ( an urban c5t] 
:o meets #a or m ( ! foll[+ #d crit]ia3 
7i7 ,memb]%ip 9 a tribe1 b&1 or o!r     
organiz$ gr\p ( ,indians1 includ+ ^?    
tribes1 b&s1 or gr\ps t]m9at$ s9ce #aidj
 & ^? recogniz$ n[ or 9 ! future by !   
,/ate 9 :i* !y reside1 or be+ a         
desc5dant1 9 ! fir/ or second degree1 ( 
any su* memb]4  7ii7 ,is an ,eskimo or  
,aleut or o!r ,alaska ,native4  7iii7   
,is consid]$ by ! ,secret>y ( ! ,int]ior
 to be an ,indian = any purpose4  7iv7  
,is det]m9$ to be an ,indian "u         
regulations promulgat$ by ! ,secret>y4  
7,c7 ,an individual :o is consid]$ by ! 
,secret>y ( ! ,int]ior to be an ,indian 
= any purpose4  7,d7 ,an individual :o  
is consid]$ by ! ,secret>y to be an     

,indian = purposes ( eligibility =      
,indian heal? c>e s]vices1 includ+ z a  
,cali=nia ,indian1 ,eskimo1 ,aleut1 or  
o!r ,alaska ,native4  4  7b7 ,con=m+    
am5dm5ts  7#a7 ,af=dable *oices heal?   
b5efit plans ,section #acaa7;c77#f77;,d7
 ( ! ,pati5t ,protection & ,af=dable    
,c>e ,act 7#db ,u4,s4,c4                
#ahjca7;c77#f77;,d77 is am5d$ by /rik+  
section #d ( ! ,indian ,heal? ,c>e      
,improvem5t ,act & ins]t+ section       
#acjd7;f74  7#b7 ,r$uc$ co/-%>+ =       
individuals enroll+ 9 qualifi$ heal?    
plans ,section #adjb7;d7 ( ! ,pati5t    
,protection & ,af=dable ,c>e ,act 7#db  
,u4,s4,c4 #ahjga7;d77 is am5d$--  7,a7 9
 p>agraph 7#a71 9 ! matt] prec$+        
subp>agraph 7,a71 by /rik+ section      
#d7;d7 ( ! ,indian ,self-,det]m9ation & 
,education ,assi/ance ,act 7#be         
,u4,s4,c4 #dej;b7d77 & ins]t+ section   
#acjd7;f72 &  7,b7 9 p>agraph 7#b71 9 ! 
matt] prec$+ subp>agraph 7,a71 by /rik+ 
7z s def9$7 & ins]t+ 7z def9$ 9 section 
#acjd7;f774  7#c7 ,exemption f p5alty = 

n ma9ta9+ m9imum ess5tial cov]age       
,section #ejjj;,a7e7 ( ! ,int]nal       
,rev5ue ,code ( #aihf is am5d$ by /rik+ 
p>agraph 7#c7 & ins]t+ ! foll[+3  7#c7  
,indians ,any applicable individual :o  
is an ,indian 7z def9$ 9 section        
#acjd7;f7 ( ! ,pati5t ,protection &     
,af=dable ,c>e ,act74  4