,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #hiee  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,july #i1 #bjbd,mr4   
,johnson ( ,s\? ,dakota introduc$ !     
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,natural ,res\rces1 & 9   
addition to ! ,committee on ,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 to ensure t1 :5ev] !   
,indian ,heal? ,s]vice und]takes an     
inve/igation into ! pr(essional conduct 
( a lic5see ( a ,/ate1 ! ,s]vice        
notifies ! relevant ,/ate m$ical bo>d1 &
 = o!r purposes4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,,ihs ,provid]     
,integrity ,act4  #b4 ,notification (   
inve/igation reg>d+ pr(essional conduct2
 submission ( records ,title ,,viii ( ! 
,indian ,heal? ,c>e ,improvem5t ,act    
7#be ,u4,s4,c4 #afga et seq47 is am5d$  
by add+ at ! end ! foll[+3  #hcc4       

,notification ( inve/igation reg>d+     
pr(essional conduct2 submission (       
records  7a7 ,report ,n lat] ?an #ad    
cal5d> days aft] ! date on :i* ! ,s]vice
 und]takes an inve/igation into !       
pr(essional conduct ( a lic5see ( a     
,/ate1 ! ,secret>y1 act+ ?r\gh !        
,s]vice1 %all notify ! relevant ,/ate   
m$ical bo>d ( ! inve/igation4  7b7      
,submission ( records ,n lat] ?an #ad   
cal5d> days aft] ! date on :i* ! ,s]vice
 g5]ates records relat+ to an           
inve/igation conduct$ by ! ,s]vice into 
! pr(essional conduct ( a lic5see ( a   
,/ate1 ! ,secret>y1 act+ ?r\gh !        
,s]vice1 %all provide ! records to !    
relevant ,/ate m$ical bo>d4  4  #c4     
,fitness ( heal? c>e provid]s  7a7 ,9   
g5]al ,title ,,viii ( ! ,indian ,heal?  
,c>e ,improvem5t ,act is am5d$ by ins]t+
 aft] section #hjb 7#be ,u4,s4,c4 #afgb7
 ! foll[+3  #hjc4 ,fitness ( heal? c>e  
provid]s  7a7 ,additional requirem5ts = 
hir+ ( heal? c>e provid]s by ,s]vice ,z 
"p ( ! hir+ process = ea* heal? c>e     

provid] position at ! ,s]vice aft] !    
date ( enactm5t ( ! ,,ihs ,provid]      
,integrity ,act1 ! ,director %all       
require f ! m$ical bo>d ( ea* ,/ate 9   
:i* ! heal? c>e provid] has or _h a     
m$ical lic5se-- 7#a7 in=mation on any   
violation ( ! requirem5ts ( ! m$ical    
lic5se ( ! heal? c>e provid] dur+ !     
#bj-ye> p]iod end+ on ! date on :i* !   
heal? c>e provid] is be+ consid]$ = a   
position at ! ,s]vice2 &  7#b7 in=mation
 on :e!r ! heal? c>e provid] has ent]$  
into any settlem5t agreem5t = a         
discipl9>y *>ge relat+ to ! practice (  
m$ic9e by ! heal? c>e provid]4  7b7     
,provision ( in=mation on ,s]vice heal? 
c>e provid]s to ,/ate m$ical bo>ds      
,not)/&+ section #eeb;a ( title #e1     
,unit$ ,/ates ,code1 ) respect to ea*   
heal? c>e provid] ( ! ,s]vice :o has    
violat$ a requirem5t ( ! m$ical lic5se (
 ! heal? c>e provid]1 ! ,director %all  
provide to ! m$ical bo>d ( ea* ,/ate 9  
:i* ! heal? c>e provid] is lic5s$       
detail$ in=mation ) respect to !        

violation1 reg>dless ( :e!r ! m$ical    
bo>d has =mally reque/$ t in=mation4  4 
7b7 ,report on compliance by ,indian    
,heal? ,s]vice ) reviews ( heal? c>e    
provid]s leav+ ,s]vice or transf]r+ to  
o!r facilities ,n lat] ?an #ahj days    
aft] ! date ( enactm5t ( ?is ,act1 !    
,director ( ! ,indian ,heal? ,s]vice    
%all submit to ! ,committee on ,indian  
,affairs ( ! ,s5ate & ! ,committee on   
,natural ,res\rces ( ! ,h\se (          
,repres5tatives a report on ! compliance
 by ! ,indian ,heal? ,s]vice ) ! policy 
( ! ,indian ,heal? ,s]vice-- 7#a7 to    
conduct a review ( ea* heal? c>e provid]
 ( ! ,indian ,heal? ,s]vice :o transf]s 
to ano!r m$ical facility ( ! ,indian    
,heal? ,s]vice1 resigns1 retires1 or is 
t]m9at$ to det]m9e :e!r !re are any     
conc]ns1 compla9ts1 or allegations (    
violations relat+ to ! m$ical practice (
 ! heal? c>e provid]2 &  7#b7 to take   
appropriate action ) respect to any     
conc]n1 compla9t1 or allegation describ$
 9 subp>agraph 7,a74