I 

118TH CONGRESS 

2D SESSION H. R. 10078 

To amend the Indian Health Care Improvement Act to establish within 

the Indian Health Service an Office of Graduate Medical Education 

Programs, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

OCTOBER 29, 2024 

Ms. STANSBURY (for herself, Mr. GRIJALVA, Ms. PINGREE, and Ms. LEGER

FERNANDEZ) introduced the following bill; which was referred to the 

Committee on Natural Resources, and in addition to the Committee on 

Energy and Commerce, for a period to be subsequently determined by the 

Speaker, in each case for consideration of such provisions as fall within 

the jurisdiction of the committee concerned 

A BILL 

To amend the Indian Health Care Improvement Act to establish within the Indian Health Service an Office of Graduate Medical Education Programs, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘IHS Provider Expan5 sion Act’’. 


ssavage on LAPJG3WLY3PROD with BILLS
2 

•HR 10078 IH

1 SEC. 2. INDIAN HEALTH SERVICE OFFICE OF GRADUATE 

2 MEDICAL EDUCATION PROGRAMS. 

3 Title I of the Indian Health Care Improvement Act 

4 (25 U.S.C. 1611 et seq.) is amended by adding at the end 

5 the following: 

6 ‘‘SEC. 125. OFFICE OF GRADUATE MEDICAL EDUCATION 

7 PROGRAMS. 

8 ‘‘(a) ESTABLISHMENT.—The Secretary, acting 

9 through the Service, (in this section referred to as the 

10 ‘Secretary’) shall establish within the Service an Office of 

11 Graduate Medical Education Programs (in this section re12 ferred to as the ‘Office’). 

13 ‘‘(b) DUTIES.—The Office shall have the following 

14 duties: 

15 ‘‘(1) To create a pipeline for future health care 

16 professionals, paraprofessionals, and other health-re17 lated professionals (as identified by the Secretary) to 

18 participate in residency and fellowship programs. 

19 ‘‘(2) To oversee current residency and fellow20 ship programs at facilities of the Service and facili21 tate the establishment of additional residency pro22 grams that support recruitment and retention of 

23 health care professionals, paraprofessionals, and 

24 other health-related professionals (as identified by 

25 the Secretary) working at such facilities. 


ssavage on LAPJG3WLY3PROD with BILLS
3 

•HR 10078 IH

1 ‘‘(3) To serve as the central hub for residency 

2 programs at facilities of the Service. 

3 ‘‘(4) To work in consultation or coordination 

4 with academic institutions. 

5 ‘‘(5) To coordinate medical student and elective 

6 rotational and education track programs. 

7 ‘‘(c) INTERAGENCY WORKING GROUP.— 

8 ‘‘(1) IN GENERAL.—The Secretary, in consulta9 tion with the Secretary of Veterans Affairs, the Sec10 retary of Labor, the Administrator of the Health Re11 sources and Services Administration, and the Ad12 ministrator of the Centers for Medicare & Medicaid 

13 Services, shall establish an interagency working 

14 group (in this subsection referred to as the ‘working 

15 group’) to assist the Secretary in establishing the 

16 Office under subsection (a), including by— 

17 ‘‘(A) supporting the implementation of the 

18 Office; and 

19 ‘‘(B) developing long-term planning for 

20 long-term sustainability of the Office. 

21 ‘‘(2) QUARTERLY REPORTS.—Not later than 

22 the date that is 120 days after the date of enact23 ment of this section, and every 3 months thereafter, 

24 the working group shall submit to Congress a report 

25 on the activities of the working group. 


ssavage on LAPJG3WLY3PROD with BILLS
4 

•HR 10078 IH

1 ‘‘(3) TERMINATION.—The working group shall 

2 terminate on the date that is 10 years after the date 

3 of enactment of this section. 

4 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—Subject 

5 to the availability of appropriations, there is authorized 

6 to be appropriated to carry out this section, not less 

7 than— 

8 ‘‘(1) $4,000,000 for fiscal year 2026; and 

9 ‘‘(2) $4,000,000 for each subsequent fiscal 

10 year.’’. 

Æ 


ssavage on LAPJG3WLY3PROD with BILLS