,i  #aahth ,,congress  #b;d ,session    
,h4 ,r4 #geaf  ,,in ,,the ,,house ,,of  
,,representatives  ,march #a1 #bjbd,mr4 
,johnson of ,south ,dakota 7for himself1
 ,ms4 ,schrier1 ,mrs4 ,rodgers of       
,washington1 ,ms4 ,leger ,fernandez1 and
 ,mr4 ,zinke7 introduced the following  
bill2 which was referred to the         
,committee on ,natural ,resources1 and  
in addition to the ,committee on ,energy
 and ,commerce1 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 ,indian ,health
 ,care ,improvement ,act to address     
liability for payment of charges or     
costs associated with provision of      
purchased_/referred care services1 and  
for other purposes4  #a4 ,short title   
,this ,act may be cited as the          
,purchased and ,referred ,care          
,improvement ,act of #bjbd4  #b4        
,changes to liability for payment       

,section #bbb of the ,indian ,health    
,care ,improvement ,act 7#be ,u4,s4,c4  
#afbau7 is amended-- 7#a7 in subsection 
7a7-- 7,a7 by striking ,a patient and   
inserting ,notwithstanding any other    
provision of law1 a patient2  7,b7 by   
striking contract health care and       
inserting or has received               
purchased_/referred care2 and  7,c7 by  
inserting or were after that are2  7#b7 
in subsection 7b7-- 7,a7 by striking    
contract care each place it appears and 
inserting purchased_/referred care2     
7,b7 by striking contract health care   
and inserting purchased_/referred care2 
7,c7 by inserting 1 notwithstanding any 
other provision of law1 after by the    
,service that2 and  7,d7 by inserting to
 any provider1 debt collector1 or any   
other person after is not liable2  7#c7 
in subsection 7c71 by inserting 1 the   
debt collector1 or any other person1 as 
applicable after the provider2 and  7#d7
 by adding at the end the following3    
7d7 ,reimbursement  7#a7 ,in general    

,not later than #abj days after the date
 of enactment of this subsection1 the   
,service shall establish and implement  
procedures to allow a patient that paid 
out-of-pocket for purchased_/referred   
care services authorized by the ,service
 under this ,act to be reimbursed by the
 ,service for that payment not later    
than #cj days after the patient submits 
documentation to the ,service pursuant  
to paragraph 7#b74  7#b7 ,submitting    
documentation ,the ,service shall accept
 documentation from a patient seeking   
reimbursement under paragraph 7#a7 that 
was submitted-- 7,a7 electronically2 or 
7,b7 in-person at a ,service facility4  
4