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![handle is hein.congrecreports/crptxabyg0001 and id is 1 raw text is: AUT-ENTICATED
US. GOVERNMENT
INFORMATION
GPO
115TH CONGRESS REPT. 115-1065
2d Session HOUSE OF REPRESENTATIVES Part 1
RESTORING ACCOUNTABILITY IN THE INDIAN HEALTH
SERVICE ACT OF 2018
DECEMBER 3, 2018.-Ordered to be printed
Mr. BISHOP of Utah, from the Committee on Natural Resources,
submitted the following
REPORT
[To accompany H.R. 5874]
[Including cost estimate of the Congressional Budget Office]
The Committee on Natural Resources, to whom was referred the
bill (H.R. 5874) to amend the Indian Health Care Improvement Act
to improve the recruitment and retention of employees in the In-
dian Health Service, restore accountability in the Indian Health
Service, improve health services, and for other purposes, having
considered the same, report favorably thereon without amendment
and recommend that the bill do pass.
PURPOSE OF THE BILL
The purpose of H.R. 5874 is to amend the Indian Health Care
Improvement Act to improve the recruitment and retention of em-
ployees in the Indian Health Service, restore accountability in the
Indian Health Service, and improve health services.
BACKGROUND AND NEED FOR LEGISLATION
The Indian Health Service (IHS) is an agency within the U.S.
Department of Health and Human Services (HHS) which provides
healthcare to approximately 2.2 million American Indians and
Alaska Natives (AI/ANs) through 662 hospitals, clinics, and health
stations on or near Indian reservations. The agency is
headquartered in Rockville, Maryland, and is composed of 12 re-
gions, or Areas, each with a separate headquarters.1 The agency
offers direct-service healthcare, meaning care provided by federal
'The twelve areas of the IHS include: Alaska, Albuquerque, Bemidji, Billings, California,
Great Plains, Nashville, Navajo, Oklahoma, Phoenix, Portland and Tucson.
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