SEC. 2. NOTIFICATION OF INVESTIGATION REGARDING 
PROFESSIONAL CONDUCT; SUBMISSION OF 
RECORDS. 
Title VIII of the Indian Health Care Improvement 
Act (25 U.S.C. 1671 et seq.) is amended by adding at 
the end the following: 
‘‘SEC. 833. NOTIFICATION OF INVESTIGATION REGARDING 
PROFESSIONAL CONDUCT; SUBMISSION OF 
RECORDS. 
‘‘(a) REPORT.—Not later than 14 calendar days after 
the date on which the Service undertakes an investigation 
into the professional conduct of a licensee of a State, the 
Secretary, acting through the Service, shall notify the rel-
evant State medical board of the investigation. 
‘‘(b) SUBMISSION OF RECORDS.—Not later than 14 
calendar days after the date on which the Service gen-
erates records relating to an investigation conducted by 
the Service into the professional conduct of a licensee of 
a State, the Secretary, acting through the Service, shall 
provide the records to the relevant State medical board.’’. 
SEC. 3. FITNESS OF HEALTH CARE PROVIDERS. 
(a) IN GENERAL.—Title VIII of the Indian Health 
Care Improvement Act is amended by inserting after sec-
tion 802 (25 U.S.C. 1672) the following: 
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‘‘SEC. 803. FITNESS OF HEALTH CARE PROVIDERS. 
‘‘(a) ADDITIONAL REQUIREMENTS FOR HIRING OF 
HEALTH CARE PROVIDERS BY SERVICE.—As part of the 
hiring process for each health care provider position at 
the Service after the date of enactment of the IHS Pro-
vider Integrity Act, the Director shall require from the 
medical board of each State in which the health care pro-
vider has or had a medical license— 
‘‘(1) information on any violation of the re-
quirements of the medical license of the health care 
provider during the 20-year period ending on the 
date on which the health care provider is being con-
sidered for a position at the Service; and 
‘‘(2) information on whether the health care 
provider has entered into any settlement agreement 
for a disciplinary charge relating to the practice of 
medicine by the health care provider. 
‘‘(b) PROVISION
OF
INFORMATION
ON
SERVICE 
HEALTH
CARE
PROVIDERS
TO
STATE
MEDICAL 
BOARDS.—Notwithstanding section 552a of title 5, United 
States Code, with respect to each health care provider of 
the Service who has violated a requirement of the medical 
license of the health care provider, the Director shall pro-
vide to the medical board of each State in which the health 
care provider is licensed detailed information with respect 
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to the violation, regardless of whether the medical board 
has formally requested that information.’’. 
(b) REPORT ON COMPLIANCE BY INDIAN HEALTH 
SERVICE WITH REVIEWS OF HEALTH CARE PROVIDERS 
LEAVING SERVICE OR TRANSFERRING TO OTHER FACILI-
TIES.—Not later than 180 days after the date of enact-
ment of this Act, the Director of the Indian Health Service 
shall submit to the Committee on Indian Affairs of the 
Senate and the Committee on Natural Resources of the 
House of Representatives a report on the compliance by 
the Indian Health Service with the policy of the Indian 
Health Service— 
(1) to conduct a review of each health care pro-
vider of the Indian Health Service who transfers to 
another medical facility of the Indian Health Serv-
ice, resigns, retires, or is terminated to determine 
whether there are any concerns, complaints, or alle-
gations of violations relating to the medical practice 
of the health care provider; and 
(2) to take appropriate action with respect to 
any concern, complaint, or allegation described in 
subparagraph (A). 
Æ 
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