,,ib ,union ,calendar ,no4 #gdh #aahth ,,congress #b;d ,session ,h4 ,r4 #geaf ,report ,no4 #aah-iaf1 ,part ,i ,,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 ,december #ah1 #bjbd;,additional sponsors3 ,mr4 ,newhouse1 ,ms4 ,davids of ,kansas1 ,mr4 ,davis of ,north ,carolina1 ,mr4 ,cole1 ,ms4 ,stansbury1 ,mrs4 ,peltola1 and ,mr4 ,neguse ,december #ah1 #bjbd,reported from the ,committee on ,natural ,resources with an amendment,strike out all after the enacting clause and insert the part printed in italic ,december #ah1 #bjbd;,committee on ,energy and ,commerce discharged2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed,for text of introduced bill1 see copy of bill as introduced on ,march #a1 #bjbd ,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 7a7 ,in general ,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 law or any agreement1 form1 or other written or electronic document signed by a patient1 a patient2 and 7,b7 by striking contract health care and inserting purchased_/referred care2 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 law or any agreement1 form1 or other written or electronic document signed by a patient1 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 the enactment of this subsection and in consultation with ,indian ,tribes1 the ,secretary 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 ,secretary 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 7#c7 ,effect ,the preceding provisions of this subsection shall not apply to purchased_/referred care service furnished under a purchased_/referred care services program operated by an ,indian ,tribe under an ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecja et seq47 compact or contract unless expressly agreed to by the ,indian ,tribe4 7e7 ,updating authorities ,not later than #ahj days of the enactment of this subsection and in consultation with ,indian ,tribes1 the ,secretary shall update applicable provisions of and exhibits to the ,indian ,health ,manual1 contracts with providers1 and other relevant documents and administrative authorities to incorporate the provisions of this section4 4 7b7 ,application ,the amendments made by this section shall apply to purchased_/referred care services authorized by the ,indian ,health ,service furnished on1 before1 or after the date of the enactment of this ,act4 #c4 ,technical amendments 7a7 ,definitions ,section #d7e7 of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afjc7 is amended by striking the paragraph designation and heading and all that follows through means and inserting the following3 7#e7 ,purchased_/referred care ,the term purchased_/referred care means 4 7b7 ,technical amendments ,the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afja et seq47 is amended by striking contract health service each place it appears 7regardless of casing and typeface and including in the headings7 and inserting purchased_/referred care 7with appropriate casing and typeface74 7c7 ,updating authorities ,the ,secretary of ,health and ,human ,services is directed to ensure that the ,indian ,health ,manual and all other relevant rules1 guidance1 manuals1 and other materials are revised such that contract health service1 each place it appears 7regardless of casing and typeface and including in the headings7 is revised to read purchased_/referred care 7with appropriate casing and typeface74 ,december #ah1 #bjbd,reported from the ,committee on ,natural ,resources with an amendment,december #ah1 #bjbd;,committee on ,energy and ,commerce discharged2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed