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U.S. GOVERNMENT
INFORMATION
Op
Calendar No. 388
116TH CONGRESS REPORT
1st Session J SENATE 116-180
HEALTH CARE ACCESS FOR URBAN NATIVE VETERANS
ACT OF 2019
DECEMBER 18, 2019.-Ordered to be printed
Mr. HOEVEN, from the Committee on Indian Affairs,
submitted the following
REPORT
[To accompany S. 2365]
[Including cost estimate of the Congressional Budget Office]
The Committee on Indian Affairs, to which referred the bill, S.
2365, to amend the Indian Health Care Improvement Act to author-
ize urban Indian organizations to enter into arrangements for the
sharing of medical services and facilities, and for other purposes,
having considered the same, reports favorably thereon without
amendment and recommends that the bill do pass.
PURPOSE
The bill is intended to authorize the U.S. Departments of Vet-
erans Affairs (VA) and Defense (DOD) to enter into reimbursement
agreements with urban Indian organizations (UIOs) for direct
health care services provided to eligible beneficiaries of either De-
partment.
BACKGROUND AND NEED FOR LEGISLATION
The Indian Health Service (IHS) provides primary health care
and public health services to an estimated 2.6 million American In-
dians and Alaska Natives through a network of 605 facilities lo-
cated in 37 states. Operation of these facilities fall into one of three
categories of health care facilities: federally-operated, Tribally-oper-
ated, and UIO-operated.1 UlOs operate 40 facilities and serve more
'Under the Indian Relocation Act of 1956, Native communities saw federal policy push mas-
sive numbers of Tribal members off the reservation to urban centers for the first time. By the
Continued
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