,i #aaf? ,,congress #a/ ,session ,h4 ,r4 #decc ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #bf1 #bjai,mr4 ,pallone 7= himself & ,mr4 ,ruiz7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ,ways & ,means1 & ,natural ,res\rces1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to am5d ! ,public ,heal? ,s]vice ,act to improve behavioral heal? outcomes = ,am]ican ,indians & ,alaskan ,natives1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,native ,heal? ,access ,improvem5t ,act ( #bjai4 #b4 ,special behavioral heal? program = ,indians ,"p ,a ( title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$ by add+ at ! end ! foll[+ new section3 #ejf;,b4 ,special behavioral heal? program = ,indians 7a7 ,9 g5]al ,! ,director ( ! ,indian ,heal? ,s]vice1 9 coord9ation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all aw>d grants = provid+ s]vices 9 accordance ) subsection 7b7 = ! prev5tion & treatm5t ( m5tal heal? & sub/ance use disord]s4 7b7 ,s]vices ?r\gh ,indian heal? facilities ,= purposes ( subsection 7a71 s]vices are provid$ 9 accordance ) ?is subsection if ! s]vices are provid$ ?r\gh any ( ! foll[+ entities3 7#a7 ,! ,indian ,heal? ,s]vice4 7#b7 ,an ,indian heal? program op]at$ by an ,indian tribe or tribal organization pursuant to a contract1 grant1 coop]ative agreem5t1 or compact ) ! ,indian ,heal? ,s]vice pursuant to ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecja et seq474 7#c7 ,an urban ,indian heal? program op]at$ by an urban ,indian organization pursuant to a grant or contract ) ! ,indian ,heal? ,s]vice pursuant to title ,v ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afea et seq474 7c7 ,reports ,ea* grantee "u ?is section %all submit reports at su* "t1 9 su* mann]1 & conta9+ su* in=mation z ! ,director ( ! ,indian ,heal? ,s]vice may require4 7d7 ,te*nical assi/ance c5t] 7#a7 ,e/abli%m5t ,! ,director ( ! ,indian ,heal? ,s]vice1 9 coord9ation ) ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all e/abli% a te*nical assi/ance c5t] 7directly or by contract or coop]ative agreem5t7-- 7,a7 to provide te*nical assi/ance to grantees "u ?is section2 & 7,b7 to collect & evaluate in=mation on ! program c>ri$ out "u ?is section4 7#b7 ,consultation ,! te*nical assi/ance c5t] %all consult ) grantees "u ?is section = purposes ( develop+ evaluation measures & data submission requirem5ts = purposes ( ! collection & evaluation ( in=mation "u p>agraph 7#a77;,b74 7#c7 ,data submission ,z a condition on receipt ( a grant "u ?is section1 an applicant %all agree to submit data consi/5t ) ! data submission requirem5ts develop$ pursuant to p>agraph 7#b74 7e7 ,fund+ 7#a7 ,9 g5]al ,= ! purpose ( mak+ grants "u ?is section1 !re is au?oriz$ to be appropriat$1 & !re is appropriat$1 out ( any money 9 ! ,treasury n o!rwise appropriat$1 #aej1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd4 7#b7 ,te*nical assi/ance c5t] ,( ! am\nt made available to c>ry out ?is section = ea* ( fiscal ye>s #bjbj ?r\gh #bjbd1 ! ,director ( ! ,indian ,heal? ,s]vice %all allocate a p]c5tage ( su* am\nt1 to be det]m9$ by ! ,director 9 consultation ) ,indian tribes1 = ! te*nical assi/ance c5t] "u subsection 7d74 7f7 ,def9itions ,9 ?is section1 ! t]ms ,indian heal? program1 ,indian tribe1 tribal organization1 & urban ,indian organization h ! mean+s giv5 ^? t]ms 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc74 4 #c4 ,indian def9$ 9 ,,ppaca 7a7 ,indian def9$ 9 ,,ppaca 7#a7 ,9 g5]al ,section #acjd ( ! ,pati5t ,protection & ,af=dable ,c>e ,act 7#db ,u4,s4,c4 #ahjbd7 is am5d$ by add+ at ! end ! foll[+ new subsection3 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 ,= purposes ( ?is title1 ! 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 "o or m ( ! foll[+ f\r 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$ 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 7#b7 ,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$-- 7i7 9 p>agraph 7#a71 9 ! matt] prec$+ 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 & 7ii7 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[+ new p>agraph3 7#c7 ,indians ,any applicable individual :o is an ,indian 7z def9$ 9 section #acjd7;f7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act74 4 7#c7 ,effective date ,! am5dm5ts made by ?is subsection %all apply ) respect to plan ye>s beg9n+ on or aft] ,janu>y #a1 #bjba4 7b7 ,te*nical am5dm5ts ,section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act 7#be ,u4,s4,c4 #afjc7 is am5d$-- 7#a7 9 p>agraph 7#ac71 by /rik+ z def9$ 9 subsection 7d7 h]e( & ins]t+ z def9$ 9 p>agraph 7#ad72 & 7#b7 9 p>agraph 7#bh7-- 7,a7 by /rik+ z def9$ 9 subsection 7g7 h]e( & ins]t+ z def9$ 9 p>agraph 7#bg72 & 7,b7 by /rik+ subsection 7c77#a7 ?r\gh 7#d7 & ins]t+ subp>agraphs 7,a7 ?r\gh 7,d7 ( p>agraph 7#ac74