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S.556
Indian Health Care Improvement Act Reauthorization of 2003 (Introduced in Senate)
Beginning
March 6, 2003
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
TITLE I--REAUTHORIZATION AND REVISIONS OF THE INDIAN HEALTH CARE IMPROVEMENT ACT
SEC. 101. AMENDMENT TO THE INDIAN HEALTH CARE IMPROVEMENT ACT.
`SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
`SEC. 3. DECLARATION OF HEALTH OBJECTIVES.
`TITLE I--INDIAN HEALTH, HUMAN RESOURCES AND DEVELOPMENT
`SEC. 102. GENERAL REQUIREMENTS.
`SEC. 103. HEALTH PROFESSIONS RECRUITMENT PROGRAM FOR INDIANS.
`SEC. 104. HEALTH PROFESSIONS PREPARATORY SCHOLARSHIP PROGRAM FOR INDIANS.
`SEC. 105. INDIAN HEALTH PROFESSIONS SCHOLARSHIPS.
`SEC. 106. AMERICAN INDIANS INTO PSYCHOLOGY PROGRAM.
`SEC. 107. INDIAN HEALTH SERVICE EXTERN PROGRAMS.
`SEC. 108. CONTINUING EDUCATION ALLOWANCES.
`SEC. 109. COMMUNITY HEALTH REPRESENTATIVE PROGRAM.
`SEC. 110. INDIAN HEALTH SERVICE LOAN REPAYMENT PROGRAM.
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`SEC. 111. SCHOLARSHIP AND LOAN REPAYMENT RECOVERY FUND.
`SEC. 112. RECRUITMENT ACTIVITIES.
`SEC. 113. TRIBAL RECRUITMENT AND RETENTION PROGRAM.
`SEC. 114. ADVANCED TRAINING AND RESEARCH.
`SEC. 115. NURSING PROGRAMS; QUENTIN N. BURDICK AMERICAN INDIANS INTO NURSING PROGRAM.
`SEC. 116. TRIBAL CULTURE AND HISTORY.
`SEC. 117. INMED PROGRAM.
`SEC. 118. HEALTH TRAINING PROGRAMS OF COMMUNITY COLLEGES.
`SEC. 119. RETENTION BONUS.
`SEC. 120. NURSING RESIDENCY PROGRAM.
`SEC. 121. COMMUNITY HEALTH AIDE PROGRAM FOR ALASKA.
`SEC. 122. TRIBAL HEALTH PROGRAM ADMINISTRATION.
`SEC. 123. HEALTH PROFESSIONAL CHRONIC SHORTAGE DEMONSTRATION PROJECT.
`SEC. 125. NATIONAL HEALTH SERVICE CORPS.
`SEC. 126. SUBSTANCE ABUSE COUNSELOR EDUCATION DEMONSTRATION PROJECT.
`SEC. 127. MENTAL HEALTH TRAINING AND COMMUNITY EDUCATION.
`SEC. 128. AUTHORIZATION OF APPROPRIATIONS.
`TITLE II--HEALTH SERVICES
`SEC. 201. INDIAN HEALTH CARE IMPROVEMENT FUND.
`SEC. 202. CATASTROPHIC HEALTH EMERGENCY FUND.
`SEC. 203. HEALTH PROMOTION AND DISEASE PREVENTION SERVICES.
`SEC. 204. DIABETES PREVENTION, TREATMENT, AND CONTROL.
`SEC. 205. SHARED SERVICES.
`SEC. 206. HEALTH SERVICES RESEARCH.
`SEC. 207. MAMMOGRAPHY AND OTHER CANCER SCREENING.
`SEC. 208. PATIENT TRAVEL COSTS.
`SEC. 209. EPIDEMIOLOGY CENTERS.
`SEC. 210. COMPREHENSIVE SCHOOL HEALTH EDUCATION PROGRAMS.
`SEC. 211. INDIAN YOUTH PROGRAM.
`SEC. 212. PREVENTION, CONTROL, AND ELIMINATION OF COMMUNICABLE AND INFECTIOUS DISEASES.
`SEC. 213. AUTHORITY FOR PROVISION OF OTHER SERVICES.
`SEC. 214. INDIAN WOMEN'S HEALTH CARE.
`SEC. 215. ENVIRONMENTAL AND NUCLEAR HEALTH HAZARDS.
`SEC. 216. ARIZONA AS A CONTRACT HEALTH SERVICE DELIVERY AREA.
`SEC. 216A. NORTH DAKOTA AS A CONTRACT HEALTH SERVICE DELIVERY AREA.
`SEC. 216B. SOUTH DAKOTA AS A CONTRACT HEALTH SERVICE DELIVERY AREA.
`SEC. 217. CALIFORNIA CONTRACT HEALTH SERVICES DEMONSTRATION PROGRAM.
`SEC. 218. CALIFORNIA AS A CONTRACT HEALTH SERVICE DELIVERY AREA.
`SEC. 219. CONTRACT HEALTH SERVICES FOR THE TRENTON SERVICE AREA.
`SEC. 220. PROGRAMS OPERATED BY INDIAN TRIBES AND TRIBAL ORGANIZATIONS.
`SEC. 222. AUTHORIZATION FOR EMERGENCY CONTRACT HEALTH SERVICES.
`SEC. 223. PROMPT ACTION ON PAYMENT OF CLAIMS.
`SEC. 224. LIABILITY FOR PAYMENT.
`SEC. 225. AUTHORIZATION OF APPROPRIATIONS.
`TITLE III--FACILITIES
`SEC. 301. CONSULTATION, CONSTRUCTION AND RENOVATION OF FACILITIES; REPORTS.
`SEC. 302. SAFE WATER AND SANITARY WASTE DISPOSAL FACILITIES.
`SEC. 303. PREFERENCE TO INDIANS AND INDIAN FIRMS.
`SEC. 304. SOBOBA SANITATION FACILITIES.
`SEC. 305. EXPENDITURE OF NONSERVICE FUNDS FOR RENOVATION.
`SEC. 306. FUNDING FOR THE CONSTRUCTION, EXPANSION, AND MODERNIZATION OF SMALL AMBULATORY CARE FACILITIES.
`SEC. 307. INDIAN HEALTH CARE DELIVERY DEMONSTRATION PROJECT.
`SEC. 308. LAND TRANSFER.
`SEC. 310. LOANS, LOAN GUARANTEES AND LOAN REPAYMENT.
`SEC. 311. TRIBAL LEASING.
`SEC. 312. INDIAN HEALTH SERVICE/TRIBAL FACILITIES JOINT VENTURE PROGRAM.
`SEC. 313. LOCATION OF FACILITIES.
`SEC. 314. MAINTENANCE AND IMPROVEMENT OF HEALTH CARE FACILITIES.
`SEC. 315. TRIBAL MANAGEMENT OF FEDERALLY-OWNED QUARTERS.
`SEC. 316. APPLICABILITY OF BUY AMERICAN REQUIREMENT.
`SEC. 317. OTHER FUNDING FOR FACILITIES.
`SEC. 318. AUTHORIZATION OF APPROPRIATIONS.
`TITLE IV--ACCESS TO HEALTH SERVICES
`SEC. 401. TREATMENT OF PAYMENTS UNDER MEDICARE PROGRAM.
`SEC. 402. TREATMENT OF PAYMENTS UNDER MEDICAID PROGRAM.
`SEC. 404. GRANTS TO AND FUNDING AGREEMENTS WITH THE SERVICE, INDIAN TRIBES OR TRIBAL ORGANIZATIONS, AND URBAN INDIAN ORGANIZATIONS.
`SEC. 405. DIRECT BILLING AND REIMBURSEMENT OF MEDICARE, MEDICAID, AND OTHER THIRD PARTY PAYORS.
`SEC. 406. REIMBURSEMENT FROM CERTAIN THIRD PARTIES OF COSTS OF HEALTH SERVICES.
`SEC. 407. CREDITING OF REIMBURSEMENTS.
`SEC. 408. PURCHASING HEALTH CARE COVERAGE.
`SEC. 410. PAYOR OF LAST RESORT.
`SEC. 411. RIGHT TO RECOVER FROM FEDERAL HEALTH CARE PROGRAMS.
`SEC. 412. TUBA CITY DEMONSTRATION PROJECT.
`SEC. 413. ACCESS TO FEDERAL INSURANCE.
`SEC. 414. CONSULTATION AND RULEMAKING.
`SEC. 415. LIMITATIONS ON CHARGES.
`SEC. 416. LIMITATION ON SECRETARY'S WAIVER AUTHORITY.
`SEC. 417. WAIVER OF MEDICARE AND MEDICAID SANCTIONS.
`SEC. 418. MEANING OF `REMUNERATION' FOR PURPOSES OF SAFE HARBOR PROVISIONS; ANTITRUST IMMUNITY.
`SEC. 419. CO-INSURANCE, CO-PAYMENTS, DEDUCTIBLES AND PREMIUMS.
`SEC. 420. INCLUSION OF INCOME AND RESOURCES FOR PURPOSES OF MEDICALLY NEEDY MEDICAID ELIGIBILITY.
`SEC. 421. ESTATE RECOVERY PROVISIONS.
`SEC. 422. MEDICAL CHILD SUPPORT.
`SEC. 423. PROVISIONS RELATING TO MANAGED CARE.
`SEC. 424. NAVAJO NATION MEDICAID AGENCY.
`SEC. 425. INDIAN ADVISORY COMMITTEES.
`SEC. 426. AUTHORIZATION OF APPROPRIATIONS.
`TITLE V--HEALTH SERVICES FOR URBAN INDIANS
`SEC. 502. CONTRACTS WITH, AND GRANTS TO, URBAN INDIAN ORGANIZATIONS.
`SEC. 503. CONTRACTS AND GRANTS FOR THE PROVISION OF HEALTH CARE AND REFERRAL SERVICES.
`SEC. 504. CONTRACTS AND GRANTS FOR THE DETERMINATION OF UNMET HEALTH CARE NEEDS.
`SEC. 505. EVALUATIONS; RENEWALS.
`SEC. 506. OTHER CONTRACT AND GRANT REQUIREMENTS.
`SEC. 507. REPORTS AND RECORDS.
`SEC. 508. LIMITATION ON CONTRACT AUTHORITY.
`SEC. 510. OFFICE OF URBAN INDIAN HEALTH.
`SEC. 511. GRANTS FOR ALCOHOL AND SUBSTANCE ABUSE RELATED SERVICES.
`SEC. 512. TREATMENT OF CERTAIN DEMONSTRATION PROJECTS.
`SEC. 513. URBAN NIAAA TRANSFERRED PROGRAMS.
`SEC. 514. CONSULTATION WITH URBAN INDIAN ORGANIZATIONS.
`SEC. 515. FEDERAL TORT CLAIMS ACT COVERAGE.
`SEC. 516. URBAN YOUTH TREATMENT CENTER DEMONSTRATION.
`SEC. 517. USE OF FEDERAL GOVERNMENT FACILITIES AND SOURCES OF SUPPLY.
`SEC. 518. GRANTS FOR DIABETES PREVENTION, TREATMENT AND CONTROL.
`SEC. 519. COMMUNITY HEALTH REPRESENTATIVES.
`SEC. 521. AUTHORIZATION OF APPROPRIATIONS.
`TITLE VI--ORGANIZATIONAL IMPROVEMENTS
`SEC. 601. ESTABLISHMENT OF THE INDIAN HEALTH SERVICE AS AN AGENCY OF THE PUBLIC HEALTH SERVICE.
`SEC. 602. AUTOMATED MANAGEMENT INFORMATION SYSTEM.
`SEC. 603. AUTHORIZATION OF APPROPRIATIONS.
`TITLE VII--BEHAVIORAL HEALTH PROGRAMS
`SEC. 701. BEHAVIORAL HEALTH PREVENTION AND TREATMENT SERVICES.
`SEC. 702. MEMORANDUM OF AGREEMENT WITH THE DEPARTMENT OF THE INTERIOR.
`SEC. 703. COMPREHENSIVE BEHAVIORAL HEALTH PREVENTION AND TREATMENT PROGRAM.
`SEC. 704. MENTAL HEALTH TECHNICIAN PROGRAM.
`SEC. 705. LICENSING REQUIREMENT FOR MENTAL HEALTH CARE WORKERS.
`SEC. 706. INDIAN WOMEN TREATMENT PROGRAMS.
`SEC. 707. INDIAN YOUTH PROGRAM.
`SEC. 708. INPATIENT AND COMMUNITY-BASED MENTAL HEALTH FACILITIES DESIGN, CONSTRUCTION AND STAFFING ASSESSMENT.
`SEC. 709. TRAINING AND COMMUNITY EDUCATION.
`SEC. 710. BEHAVIORAL HEALTH PROGRAM.
`SEC. 711. FETAL ALCOHOL DISORDER FUNDING.
`SEC. 712. CHILD SEXUAL ABUSE AND PREVENTION TREATMENT PROGRAMS.
`SEC. 713. BEHAVIORAL MENTAL HEALTH RESEARCH.
`SEC. 715. AUTHORIZATION OF APPROPRIATIONS.
`TITLE VIII--MISCELLANEOUS
`SEC. 803. PLAN OF IMPLEMENTATION.
`SEC. 804. AVAILABILITY OF FUNDS.
`SEC. 805. LIMITATION ON USE OF FUNDS APPROPRIATED TO THE INDIAN HEALTH SERVICE.
`SEC. 806. ELIGIBILITY OF CALIFORNIA INDIANS.
`SEC. 807. HEALTH SERVICES FOR INELIGIBLE PERSONS.
`SEC. 808. REALLOCATION OF BASE RESOURCES.
`SEC. 809. RESULTS OF DEMONSTRATION PROJECTS.
`SEC. 810. PROVISION OF SERVICES IN MONTANA.
`SEC. 812. TRIBAL EMPLOYMENT.
`SEC. 814. NATIONAL BI-PARTISAN COMMISSION ON INDIAN HEALTH CARE ENTITLEMENT.
`SEC. 815. APPROPRIATIONS; AVAILABILITY.
`SEC. 816. AUTHORIZATION OF APPROPRIATIONS.
TITLE II--CONFORMING AMENDMENTS TO THE SOCIAL SECURITY ACT
Subtitle A--Medicare
SEC. 201. LIMITATIONS ON CHARGES.
SEC. 202. QUALIFIED INDIAN HEALTH PROGRAM.
`QUALIFIED INDIAN HEALTH PROGRAM
Subtitle B--Medicaid
SEC. 211. STATE CONSULTATION WITH INDIAN HEALTH PROGRAMS.
SEC. 212. FMAP FOR SERVICES PROVIDED BY INDIAN HEALTH PROGRAMS.
SEC. 213. INDIAN HEALTH SERVICE PROGRAMS.
`INDIAN HEALTH SERVICE PROGRAMS
Subtitle C--State Children's Health Insurance Program
SEC. 221. ENHANCED FMAP FOR STATE CHILDREN'S HEALTH INSURANCE PROGRAM.
SEC. 222. DIRECT FUNDING OF STATE CHILDREN'S HEALTH INSURANCE PROGRAM.
`SEC. 2111. DIRECT FUNDING OF INDIAN HEALTH PROGRAMS.
Subtitle D--Authorization of Appropriations
SEC. 231. AUTHORIZATION OF APPROPRIATIONS.
TITLE III--MISCELLANEOUS PROVISIONS
SEC. 302. SEVERABILITY PROVISIONS.
SEC. 303. EFFECTIVE DATE.
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