,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #ahhh  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #ab1 #bjba ,mr4  
,ruiz introduc$ ! foll[+ bill2 :i* 0    
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to am5d title     
,,xix ( ! ,social ,security ,act to     
require a ,f$]al m$ical assi/ance       
p]c5tage ( #ajj p]c5t = ,indian heal?   
c>e provid]s1 & = o!r purposes4  #a4    
,%ort title ,?is ,act may be cit$ z !   
,improv+ ,access to ,indian ,heal?      
,s]vices ,act4  #b4 ,ext5sion ( full    
f$]al m$ical assi/ance p]c5tage to      
,indian heal? c>e provid]s ,section     
#aije ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif;d7 is am5d$--  7#a7 9   
subsection 7a71 by am5d+ p>agraph 7#i7  
to read z foll[s3  7#i7 cl9ic s]vices   
furni%$ by or "u ! direction ( a        
physician1 )\t reg>d to :e!r ! cl9ic    
itself is adm9i/]$ by a physician1      
includ+--  7,a7 su* s]vices furni%$     
outside ! cl9ic by cl9ic p]sonnel to an 
eligible individual :o does n reside 9 a

 p]man5t dwell+ or does n h a fix$ home 
or mail+ address2 &  7,b7 su* s]vices   
furni%$ outside ! cl9ic by any ,indian  
,heal? ,s]vice facility1 a heal? program
 or facility op]at$ by a tribe or tribal
 organization "u ! ,indian              
,self-,det]m9ation ,act 7,public ,law   
#ic-fch71 or an urban ,indian           
organization receiv+ funds "u title ,v (
 ! ,indian ,heal? ,c>e ,improvem5t ,act2
  2 &  7#b7 9 subsection 7b71 by ins]t+ 
aft] ,papa ,ola ,lokahi "u section #h ( 
su* ,act ! foll[+3 2 ! ,f$]al m$ical    
assi/ance p]c5tage %all also be #ajj p] 
c5tum ) respect to am\nts exp5d$ z      
m$ical assi/ance = s]vices :i* are      
receiv$ by an ,indian ,heal? ,s]vice    
facility1 a heal? program or facility   
op]at$ by a tribe or tribal organization
 "u ! ,indian ,self-,det]m9ation ,act   
7,public ,law #ic-fch71 or an urban     
,indian organization receiv+ funds "u   
title ,v ( ! ,indian ,heal? ,c>e        
,improvem5t ,act4