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![handle is hein.congrecreports/crptxadol0001 and id is 1 raw text is: AUTHENTICATED
U.S. GOVERNMENT
INFORMATION
GP
116TH CONGRESS [REPT. 116-599
2d Session HOUSE OF REPRESENTATIVES Part 1
HEALTH CARE ACCESS FOR URBAN NATIVE
VETERANS ACT
NOVEMBER 19, 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. 4153]
[Including cost estimate of the Congressional Budget Office]
The Committee on Natural Resources, to whom was referred the
bill (H.R. 4153) to amend the Indian Health Care Improvement Act
to authorize urban Indian organizations to enter into arrangements
for the sharing of medical services and facilities, and for other pur-
poses, having considered the same, reports favorably thereon with-
out amendment and recommends that the bill do pass.
PURPOSE OF THE BILL
The purpose of H.R. 4153 is to amend the Indian Health Care
Improvement Act to authorize urban Indian organizations to enter
into arrangements for the sharing of medical services and facilities,
and for other purposes.
BACKGROUND AND NEED FOR LEGISLATION
The Health Care Access for Urban Native Veterans Act ensures
that Native American veterans have equal access to health care-
regardless of their location of residence following their military
service-by expanding Department of Veterans Affairs (VA) fund-
ing to include urban Indian health centers.
Since the 1950s, the Indian Health Service (IHS) has acted as
the primary federal agency responsible for providing health care to
federally recognized Indian and Alaska Native communities
through its various federally and tribally operated facilities. More
recently, to accommodate the large populations of tribal members
located in urban areas (approximately 70 percent of American Indi-
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