To amend the Indian Health Care Improvement Act and title 5 of the United States Code to facilitate participation in Federal benefits programs, and for other purposes.

Subjects: Native Americans


<html><body><pre>[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2376 Introduced in House (IH)]

&lt;DOC&gt;






118th CONGRESS
  1st Session
                                H. R. 2376

  To amend the Indian Health Care Improvement Act and title 5 of the 
  United States Code to facilitate participation in Federal benefits 
                   programs, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 29, 2023

 Mr. Grijalva (for himself, Ms. Moore of Wisconsin, Ms. Stansbury, and 
 Ms. Porter) introduced the following bill; which was referred to the 
   Committee on Oversight and Accountability, and in addition to the 
Committees on Natural Resources, and 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 and title 5 of the 
  United States Code to facilitate participation in Federal benefits 
                   programs, and for other purposes.

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

SECTION 1. AMENDMENTS TO INDIAN HEALTH CARE IMPROVEMENT ACT.

    Section 409 of the Indian Health Care Improvement Act (25 U.S.C. 
1647b) is amended--
            (1) by striking ``or an urban Indian organization carrying 
        out programs under title V of this Act'' and inserting ``, an 
        urban Indian organization carrying out programs under title V 
        of this Act, or a Tribal College or University as defined in 
        section 316(b)(3) of the Higher Education Act of 1965 (20 
        U.S.C. 1059c(b)(3)),'';
            (2) by striking ``or urban Indian organization, under 
        chapter 89'' and inserting ``, urban Indian organization, or 
        Tribal College or University, under chapter 89'';
            (3) by striking ``or urban Indian organization, are 
        currently deposited'' and inserting ``, urban Indian 
        organization, or Tribal College or University, are currently 
        deposited'' ; and
            (4) by adding at the end the following: ``In addition, 
        employees of such Indian tribe, tribal organization, urban 
        Indian organization, or Tribal College or University shall be 
        entitled to purchase coverage, rights, and benefits under 
        chapters 89A and 89B of such title if the Indian tribe, tribal 
        organization, urban Indian organization, or Tribal College or 
        University determines that the employee is eligible, and the 
        necessary employee deductions or direct payment for the 
        coverage, rights, and benefits for the period of employment 
        with such Indian tribe or tribal organization, urban Indian 
        organization, or Tribal College or University are currently 
        deposited in accordance with requirements under such 
        chapters.''

SEC. 2. TRIBAL INSURANCE ADMINISTRATIVE ACCOUNT.

    Section 8909 of title 5, United States Code, is amended by adding 
at the end the following:
    ``(h) Tribal Insurance Administrative Account.--
            ``(1)(A) There is established in the Fund a Tribal 
        Insurance Administrative Account (in this subsection referred 
        to as the `Account)'. The administrative fee charged to each 
        tribal employer that purchases coverage, rights, and benefits 
        for its employees under section 409 of the Indian Health 
        Improvement Act (25 U.S.C. 1647b) shall be collected by the 
        Office of Personnel Management, or other entity as authorized 
        by the Director of the Office, for the administration of the 
        Tribal FEHB Program. All such fees collected shall be paid into 
        the Account.
            ``(B) The administrative fee under subparagraph (A) shall 
        be determined annually by the Office and shall be charged in 
        addition to any premium for each enrollment of a tribal 
        employee. The administrative fee--
                    ``(i) shall be a percentage, as determined by the 
                Office, of the weighted average monthly premium 
                calculated with consideration to all plans and options 
                and the total number of enrollees enrolled in all plans 
                and options; and
                    ``(ii) shall not exceed 3 percent of the applicable 
                average monthly premium.
            ``(2) The Account shall be available to the Office, without 
        fiscal year limitation, for reasonable expenses incurred by the 
        Office for the administration of the Tribal FEHB Program.''.
                                 &lt;all&gt;
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