,i #aafth ,,congress #ast ,session ,h4 ,r4 #decc ,,in ,,the ,,house ,,of ,,representatives ,september #bf1 #bjai,mr4 ,pallone 7for himself and ,mr4 ,ruiz7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committees on ,ways and ,means1 and ,natural ,resources1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to amend the ,public ,health ,service ,act to improve behavioral health outcomes for ,american ,indians and ,alaskan ,natives1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,native ,health ,access ,improvement ,act of #bjai4 #b4 ,special behavioral health program for ,indians ,part ,a of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is amended by adding at the end the following new section3 #ejf;,b4 ,special behavioral health program for ,indians 7a7 ,in general ,the ,director of the ,indian ,health ,service1 in coordination with the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall award grants for providing services in accordance with subsection 7b7 for the prevention and treatment of mental health and substance use disorders4 7b7 ,services through ,indian health facilities ,for purposes of subsection 7a71 services are provided in accordance with this subsection if the services are provided through any of the following entities3 7#a7 ,the ,indian ,health ,service4 7#b7 ,an ,indian health program operated by an ,indian tribe or tribal organization pursuant to a contract1 grant1 cooperative agreement1 or compact with the ,indian ,health ,service pursuant to the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecja et seq474 7#c7 ,an urban ,indian health program operated by an urban ,indian organization pursuant to a grant or contract with the ,indian ,health ,service pursuant to title ,v of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afea et seq474 7c7 ,reports ,each grantee under this section shall submit reports at such time1 in such manner1 and containing such information as the ,director of the ,indian ,health ,service may require4 7d7 ,technical assistance center 7#a7 ,establishment ,the ,director of the ,indian ,health ,service1 in coordination with the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall establish a technical assistance center 7directly or by contract or cooperative agreement7-- 7,a7 to provide technical assistance to grantees under this section2 and 7,b7 to collect and evaluate information on the program carried out under this section4 7#b7 ,consultation ,the technical assistance center shall consult with grantees under this section for purposes of developing evaluation measures and data submission requirements for purposes of the collection and evaluation of information under paragraph 7#a77;,b74 7#c7 ,data submission ,as a condition on receipt of a grant under this section1 an applicant shall agree to submit data consistent with the data submission requirements developed pursuant to paragraph 7#b74 7e7 ,funding 7#a7 ,in general ,for the purpose of making grants under this section1 there is authorized to be appropriated1 and there is appropriated1 out of any money in the ,treasury not otherwise appropriated1 #aej1jjj1jjj for each of fiscal years #bjbj through #bjbd4 7#b7 ,technical assistance center ,of the amount made available to carry out this section for each of fiscal years #bjbj through #bjbd1 the ,director of the ,indian ,health ,service shall allocate a percentage of such amount1 to be determined by the ,director in consultation with ,indian tribes1 for the technical assistance center under subsection 7d74 7f7 ,definitions ,in this section1 the terms ,indian health program1 ,indian tribe1 tribal organization1 and urban ,indian organization have the meanings given those terms in section #d of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afjc74 4 #c4 ,indian defined in ,,ppaca 7a7 ,indian defined in ,,ppaca 7#a7 ,in general ,section #acjd of the ,patient ,protection and ,affordable ,care ,act 7#db ,u4,s4,c4 #ahjbd7 is amended by adding at the end the following new subsection3 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 ,for purposes of this title1 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 one or more of the following four 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 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 7#b7 ,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-- 7i7 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 7ii7 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 following new paragraph3 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 7#c7 ,effective date ,the amendments made by this subsection shall apply with respect to plan years beginning on or after ,january #a1 #bjba4 7b7 ,technical amendments ,section #d of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afjc7 is amended-- 7#a7 in paragraph 7#ac71 by striking as defined in subsection 7d7 hereof and inserting as defined in paragraph 7#ad72 and 7#b7 in paragraph 7#bh7-- 7,a7 by striking as defined in subsection 7g7 hereof and inserting as defined in paragraph 7#bg72 and 7,b7 by striking subsection 7c77#a7 through 7#d7 and inserting subparagraphs 7,a7 through 7,d7 of paragraph 7#ac74