,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #bcgf  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #bi1 #bjbc,mr4   
,grijalva 7= himself1 ,ms4 ,moore (     
,wiscons91 ,ms4 ,/ansbury1 & ,ms4       
,port]7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,ov]sight &   
,acc\ntability1 & 9 addition to !       
,committees on ,natural ,res\rces1 &    
,en]gy & ,comm]ce1 = 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 ! ,indian  
,heal? ,c>e ,improvem5t ,act & title #e 
( ! ,unit$ ,/ates ,code to facilitate   
p>ticipation 9 ,f$]al b5efits programs1 
& = o!r purposes4  #a4 ,am5dm5ts to     
,indian ,heal? ,c>e ,improvem5t ,act    
,section #dji ( ! ,indian ,heal? ,c>e   
,improvem5t ,act 7#be ,u4,s4,c4 #afdg;b7
 is am5d$-- 7#a7 by /rik+ or an urban   
,indian organization c>ry+ out programs 
"u title ,v ( ?is ,act & ins]t+ 1 an    
urban ,indian organization c>ry+ out    

programs "u title ,v ( ?is ,act1 or a   
,tribal ,college or ,univ]sity z def9$ 9
 section #caf7;b77#c7 ( ! ,high]        
,education ,act ( #aife 7#bj ,u4,s4,c4  
#ajei;c7b77#c7712  7#b7 by /rik+ or     
urban ,indian organization1 "u *apt] #hi
 & ins]t+ 1 urban ,indian organization1 
or ,tribal ,college or ,univ]sity1 "u   
*apt] #hi2  7#c7 by /rik+ or urban      
,indian organization1 are curr5tly      
deposit$ & ins]t+ 1 urban ,indian       
organization1 or ,tribal ,college or    
,univ]sity1 are curr5tly deposit$ 2 &   
7#d7 by add+ at ! end ! foll[+3 ,9      
addition1 employees ( su* ,indian tribe1
 tribal organization1 urban ,indian     
organization1 or ,tribal ,college or    
,univ]sity %all be entitl$ to pur*ase   
cov]age1 rights1 & b5efits "u *apt]s    
#hi;,a & #hi;,b ( su* title if ! ,indian
 tribe1 tribal organization1 urban      
,indian organization1 or ,tribal        
,college or ,univ]sity det]m9es t !     
employee is eligible1 & ! necess>y      
employee d$uctions or direct paym5t = ! 

cov]age1 rights1 & b5efits = ! p]iod (  
employm5t ) su* ,indian tribe or tribal 
organization1 urban ,indian             
organization1 or ,tribal ,college or    
,univ]sity are curr5tly deposit$ 9      
accordance ) requirem5ts "u su* *apt]s4 
#b4 ,tribal ,insurance ,adm9i/rative    
,acc\nt ,section #hiji ( title #e1      
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+3  7h7 ,tribal ,insurance
 ,adm9i/rative ,acc\nt  7#a7  7,a7 ,!re 
is e/abli%$ 9 ! ,fund a ,tribal         
,insurance ,adm9i/rative ,acc\nt 79 ?is 
subsection ref]r$ to z ! ,acc\nt74 ,!   
adm9i/rative fee *>g$ to ea* tribal     
employ] t pur*ases cov]age1 rights1 &   
b5efits = its employees "u section #dji 
( ! ,indian ,heal? ,improvem5t ,act 7#be
 ,u4,s4,c4 #afdg;b7 %all be collect$ by 
! ,(fice ( ,p]sonnel ,managem5t1 or o!r 
entity z au?oriz$ by ! ,director ( !    
,(fice1 = ! adm9i/ration ( ! ,tribal    
,,fehb ,program4 ,all su* fees collect$ 
%all be paid into ! ,acc\nt4  7,b7 ,!   
adm9i/rative fee "u subp>agraph 7,a7    

%all be det]m9$ annually by ! ,(fice &  
%all be *>g$ 9 addition to any premium =
 ea* enrollm5t ( a tribal employee4 ,!  
adm9i/rative fee--  7i7 %all be a       
p]c5tage1 z det]m9$ by ! ,(fice1 ( !    
weight$ av]age mon?ly premium calculat$ 
) consid]ation to all plans & options & 
! total numb] ( enrollees enroll$ 9 all 
plans & options2 &  7ii7 %all n exce$ #c
 p]c5t ( ! applicable av]age mon?ly     
premium4  7#b7 ,! ,acc\nt %all be       
available to ! ,(fice1 )\t fiscal ye>   
limitation1 = reasonable exp5ses incurr$
 by ! ,(fice = ! adm9i/ration ( !       
,tribal ,,fehb ,program4  4