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H. Rept. 114-882 1 (2016-12-20)

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                   114TH CONGRESS                                  [REPT. 114-882
                      2d Session    HOUSE OF REPRESENTATIVES            Part 1







                    HELPING ENSURE ACCOUNTABILITY, LEADERSHIP, AND
                               TRUST IN TRIBAL HEALTHCARE ACT



                                  DECEMBER 20, 2016.-Ordered to be printed



                      Mr. BRADY of Texas, from the Committee on Ways and Means,
                                        submitted the following


                                           REPORT

                                             together with

                                        ADDITIONAL VIEWS

                                        [To accompany H.R. 5406]

                     The Committee on Ways and Means, to whom was referred the
                   bill (H.R. 5406) to amend the Indian Health Care Improvement Act
                   to improve access to tribal health care by providing for systemic In-
                   dian Health Service workforce and funding allocation reforms, and
                   for other purposes, having considered the same, report favorably
                   thereon with an amendment and recommend that the bill as
                   amended do pass.

                                              CONTENTS
                                                                                Page
                      I. SUMMARY AND BACKGROUND   ...............................................................  13
                           A. Purpose  and  Sum m ary  .....................................................................  13
                           B. Background  and  Need  for Legislation  .............................................  13
                           C. Legislative  H istory  ............................................................................  13
                     II. EXPLANATION OF THE BILL ..................................................................  14
                           A. Exclusion from Gross Income for Certain Payments Made Under
                              Indian Health Service Loan Repayment Program (sec. 201 of
                              the bill and  sec. 108(f)(4) of the  Code)  ..........................................  14
                    III. VOTES OF THE COMM ITTEE ....................................................................  15
                    IV. BUDGET EFFECTS  OF THE BILL ............................................................  16
                           A. Committee Estimate of Budgetary Effects ......................................  16
                           B. Statement Regarding New Budget Authority and Tax Expendi-
                              tures ................................................................................................  16
                           C. Cost Estimate Prepared by the Congressional Budget Office .......  16
                     V. OTHER MATTERS TO BE DISCUSSED UNDER THE RULES OF
                         TH E H O U SE  ..............................................................................................  16
                           A. Committee Oversight Findings and Recommendations .................  16
                           B. Statement of General Performance Goals and Objectives .............  17
                      69-006

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