II 

117TH CONGRESS 

1ST SESSION S. 2226 

To amend the Indian Health Care Improvement Act to authorize a special 

behavioral health program for Indians, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

JUNE 24, 2021 

Ms. SMITH (for herself, Mr. CRAMER, Mr. TESTER, Mr. LUJA ́N, Ms. WARREN, 

and Ms. CORTEZ MASTO) introduced the following bill; which was read 

twice and referred to the Committee on Indian Affairs 

A BILL 

To amend the Indian Health Care Improvement Act to authorize a special behavioral health program for Indians, 

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 ‘‘Native Behavioral 

5 Health Access Improvement Act of 2021’’. 


kjohnson on DSK79L0C42PROD with BILLS
2 

•S 2226 IS

1 SEC. 2. SPECIAL BEHAVIORAL HEALTH PROGRAM FOR IN2 DIANS. 

3 (a) IN GENERAL.—Subtitle A of title VII of the In4 dian Health Care Improvement Act (25 U.S.C. 1665 et 

5 seq.) is amended by adding at the end the following: 

6 ‘‘SEC. 716. SPECIAL BEHAVIORAL HEALTH PROGRAM FOR 

7 INDIANS. 

8 ‘‘(a) DEFINITION OF ELIGIBLE ENTITY.—In this sec9 tion, the term ‘eligible entity’ means— 

10 ‘‘(1) any health program administered directly 

11 by the Service; 

12 ‘‘(2) a Tribal health program; and 

13 ‘‘(3) an urban Indian health program operated 

14 by an urban Indian organization pursuant to a grant 

15 or contract with the Service under title V. 

16 ‘‘(b) FORMULA GRANTS.— 

17 ‘‘(1) IN GENERAL.—The Director of the Service 

18 (referred to in this section as the ‘Director’) shall 

19 award grants to eligible entities, in amounts deter20 mined pursuant to the formula described in para21 graph (2), to be used by the eligible entity to provide 

22 services for the prevention of, treatment of, and re23 covery from mental health and substance use dis24 orders. 

25 ‘‘(2) FORMULA DESCRIBED.—The Director, in 

26 consultation with Indian Tribes and urban Indian 


kjohnson on DSK79L0C42PROD with BILLS
3 

•S 2226 IS

1 organizations, shall develop a formula to determine 

2 the amount of a grant under paragraph (1). 

3 ‘‘(c) TECHNICAL ASSISTANCE AND PROGRAM EVAL4 UATION.— 

5 ‘‘(1) IN GENERAL.—The Director shall— 

6 ‘‘(A) provide technical assistance to grant7 ees under this section; and 

8 ‘‘(B) collect and evaluate information on 

9 the program carried out under this section. 

10 ‘‘(2) CONSULTATION.—The Director shall con11 sult with eligible entities for purposes of developing 

12 evaluation measures and data submission and re13 porting requirements for purposes of the collection 

14 and evaluation of information under paragraph 

15 (1)(B). 

16 ‘‘(3) DATA SUBMISSION AND REPORTING.—As a 

17 condition on receipt of a grant under this section, an 

18 applicant shall agree to submit data and reports 

19 consistent with the data submission and reporting 

20 requirements developed under paragraph (2). 

21 ‘‘(d) FUNDING.—For the purpose of making grants 

22 under this section, there is authorized to be appropriated, 

23 and there is appropriated, out of any money in the Treas24 ury not otherwise appropriated, $200,000,000 for each of 

25 fiscal years 2022 through 2026.’’. 


kjohnson on DSK79L0C42PROD with BILLS
4 

•S 2226 IS

1 (b) TECHNICAL AMENDMENT.—Section 4(26) of the 

2 Indian Health Care Improvement Act (25 U.S.C. 

3 1603(26)) is amended by striking ‘‘(25 U.S.C. 450b)’’ and 

4 inserting ‘‘(25 U.S.C. 5304)’’. 

Æ 


kjohnson on DSK79L0C42PROD with BILLS