,,ii  #aah? ,,congress  #b;d ,session   
,s4 #cgig  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #ab1 #bjbd,mr4
 ,r\nds 7= himself1 ,ms4 ,cantwell1 ,mr4
 ,?une1 ,mr4 ,hoev51 & ,mrs4 ,murray7   
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,indian ,affairs  ,a ,,bill  ,to am5d ! 
,indian ,heal? ,c>e ,improvem5t ,act to 
address liability = paym5t ( *>ges or   
co/s associat$ ) provision (            
pur*as$_/ref]r$ c>e s]vices1 & = o!r    
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,pur*as$ & ,ref]r$ ,c>e    
,improvem5t ,act4  #b4 ,*anges to       
liability = paym5t ,section #bbb ( !    
,indian ,heal? ,c>e ,improvem5t ,act    
7#be ,u4,s4,c4 #afbau7 is am5d$-- 7#a7 9
 subsection 7a7-- 7,a7 by /rik+ ,a      
pati5t & ins]t+ ,not)/&+ any o!r        
provision ( law1 a pati5t2  7,b7 by     
/rik+ contract heal? c>e & ins]t+       
pur*as$_/ref]r$ c>e2 &  7,c7 by ins]t+  
to any provid]1 ?ird p>ty debt          
collector1 or any o!r p]son aft] %all n 

be liable2  7#b7 9 subsection 7b7-- 7,a7
 by /rik+ contract c>e ea* place x      
appe>s & ins]t+ pur*as$_/ref]r$ c>e2    
7,b7 by /rik+ contract heal? c>e &      
ins]t+ pur*as$_/ref]r$ c>e2  7,c7 by    
ins]t+ 1 not)/&+ any o!r provision (    
law1 aft] by ! ,s]vice t2 &  7,d7 by    
ins]t+ to any provid]1 ?ird p>ty debt   
collector1 or any o!r p]son aft] is n   
liable2  7#c7 9 subsection 7c71 by      
ins]t+ 1 ! ?ird p>ty debt collector1 or 
any o!r p]son1 z applicable aft] !      
provid]2 &  7#d7 by add+ at ! end !     
foll[+3  7d7 ,reimbursem5t  7#a7 ,9     
g5]al ,n lat] ?an #abj days aft] ! date 
( enactm5t ( ?is subsection1 ! ,s]vice  
%all e/abli% & implem5t proc$ures to    
all[ a pati5t t paid directly =         
pur*as$_/ref]r$ c>e s]vices au?oriz$ by 
! ,s]vice "u ?is ,act to be reimburs$ by
 ! pur*as$_/ref]r$ c>e program = t      
paym5t n lat] ?an #cj days aft] ! pati5t
 submits docum5tation to ! ,s]vice      
pursuant to p>agraph 7#b74  7#b7        
,submitt+ docum5tation ,! ,s]vice %all  

accept docum5tation f a pati5t seek+    
reimbursem5t "u p>agraph 7#a7 t 0       
submitt$-- 7,a7 electronically2 or  7,b7
 9-p]son at a ,indian heal? program4  4