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                   116TH CONGRESS                                  [REPT. 116-569
                      2d Session    HOUSE  OF  REPRESENTATIVES         Part 1





                   PROPER AND REIMBURSED CARE FOR NATIVE VETERANS
                                                ACT


                     NOVEMBER 16, 2020.-Committed to the Committee of the Whole House on the
                                  State of the Union and ordered to be printed


                        Mr. GRIJALVA, from the Committee on Natural Resources,
                                       submitted the following


                                          R  E  P  O  R  T

                                          [To accompany H.R. 6237]

                            [Including cost estimate of the Congressional Budget Office]
                     The Committee  on Natural Resources, to whom was  referred the
                   bill (H.R. 6237) to amend the Indian Health Care Improvement Act
                   to clarify the requirement of the Department of Veterans Affairs
                   and the  Department  of Defense to reimburse the Indian  Health
                   Service for certain health care services, having considered the
                   same,  reports favorably thereon without  amendment and rec-
                   ommends  that the bill do pass.
                                        PURPOSE  OF THE BILL
                     The purpose  of H.R. 6237 is to amend the Indian Health  Care
                   Improvement  Act to clarify the requirement of the Department of
                   Veterans Affairs and the Department of Defense to reimburse the
                   Indian Health Service for certain health care services.
                               BACKGROUND   AND NEED  FOR LEGISLATION
                     The  Indian Health  Service (IHS) system  delivers health care
                   through direct services provided in IHS, tribal, and urban health
                   facilities to approximately 2.6 million American Indians and Alaska
                   Natives (AI/AN). However, IHS and  tribal facilities are not always
                   able to directly provide all the necessary health care services. In
                   order to bridge this gap, the Purchased/Referred Care (PRC) pro-
                   gram  was created, which authorizes the purchase of services from
                   a network of private providers when care is not available at IHS


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