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US. GOVERNMENT
INFORMATION
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                     118TH CONGRESS                                        REPT. 118-916
                        2d Session      HOUSE   OF REPRESENTATIVES             Part 1







                                   PURCHASED AND REFERRED CARE
                                       IMPROVEMENT ACT OF 2024



                     DECEMBER 18, 2024.-Committed to the Committee of the Whole House on the State
                                        of the Union and ordered to be printed



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


                                               REPORT

                                             [To accompany H.R. 7516]

                       The  Committee   on Natural  Resources,  to whom  was  referred the
                     bill (H.R. 7516) to amend  the Indian Health  Care  Improvement   Act
                     to address liability for payment  of charges or costs associated with
                     provision of  purchased/referred  care  services, and  for other pur-
                     poses, having  considered  the same,  reports favorably thereon  with
                     an amendment and recommends that the bill as amended do pass.
                       The  amendment is   as follows:
                       Strike all after the enacting clause and insert the following:

                     SECTION 1. SHORT TITLE.
                       This Act may be cited as the Purchased and Referred Care Improvement Act of
                     2024.
                     SEC. 2. CHANGES TO LIABILITY FOR PAYMENT.
                       (a) IN GENERAL.-Section 222 of the Indian Health Care Improvement Act (25
                     U.S.C. 1621u) is amended-
                          (1) in subsection (a)-
                              (A) by striking A patient and inserting Notwithstanding any other pro-
                            vision of law or any agreement, form, or other written or electronic docu-
                            ment signed by a patient, a patient; and
                              (B) by striking contract health care and inserting purchased/referred
                            care;
                          (2) in subsection (b)-
                              (A) by striking contract care each place it appears and inserting pur-
                            chased/referred care;
                              (B) by striking contract health care and inserting purchased/referred
                            care;
                              (C) by inserting , notwithstanding any other provision of law or any
                            agreement, form, or other written or electronic document signed by a pa-
                            tient, after by the Service that; and
                              (D) by inserting to any provider, debt collector, or any other person
                            after is not liable;


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