125 
fornia contract health services delivery area described in 
section 218 with respect to high cost contract care cases. 
‘‘(c) ADMINISTRATIVE EXPENSES.—Not more than 5 
percent of the amounts provided to the CRIHB under this 
section for any fiscal year may be for reimbursement for 
administrative expenses incurred by the CRIHB during 
such fiscal year. 
‘‘(d) LIMITATION ON PAYMENT.—No payment may 
be made for treatment provided hereunder to the extent 
payment may be made for such treatment under the In-
dian Catastrophic Health Emergency Fund described in 
section 202 or from amounts appropriated or otherwise 
made available to the California contract health service de-
livery area for a fiscal year. 
‘‘(e) ADVISORY BOARD.—There is established an ad-
visory board which shall advise the CRIHB in carrying 
out this section. The advisory board shall be composed of 
representatives, selected by the CRIHB, from not less 
than 8 Tribal Health Programs serving California Indians 
covered under this section at least one half of whom of 
whom are not affiliated with the CRIHB. 
‘‘SEC. 218. CALIFORNIA AS A CONTRACT HEALTH SERVICE 
DELIVERY AREA. 
‘‘The State of California, excluding the counties of 
Alameda, Contra Costa, Los Angeles, Marin, Orange, Sac-
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ramento, San Francisco, San Mateo, Santa Clara, Kern, 
Merced, Monterey, Napa, San Benito, San Joaquin, San 
Luis Obispo, Santa Cruz, Solano, Stanislaus, and Ven-
tura, shall be designated as a contract health service deliv-
ery area by the Service for the purpose of providing con-
tract health services to California Indians. However, any 
of the counties listed herein may only be included in the 
contract health services delivery area if funding is specifi-
cally provided by the Service for such services in those 
counties. 
‘‘SEC. 219. CONTRACT HEALTH SERVICES FOR THE TREN-
TON SERVICE AREA. 
‘‘(a) AUTHORIZATION
FOR SERVICES.—The Sec-
retary, acting through the Service, is directed to provide 
contract health services to members of the Turtle Moun-
tain Band of Chippewa Indians that reside in the Trenton 
Service Area of Divide, McKenzie, and Williams counties 
in the State of North Dakota and the adjoining counties 
of Richland, Roosevelt, and Sheridan in the State of Mon-
tana. 
‘‘(b) NO EXPANSION OF ELIGIBILITY.—Nothing in 
this section may be construed as expanding the eligibility 
of members of the Turtle Mountain Band of Chippewa In-
dians for health services provided by the Service beyond 
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the scope of eligibility for such health services that applied 
on May 1, 1986. 
‘‘SEC. 220. PROGRAMS OPERATED BY INDIAN TRIBES AND 
TRIBAL ORGANIZATIONS. 
‘‘The Service shall provide funds for health care pro-
grams and facilities operated by Tribal Health Programs 
on the same basis as such funds are provided to programs 
and facilities operated directly by the Service. 
‘‘SEC. 221. LICENSING. 
‘‘Health care professionals employed by a Tribal 
Health Program shall, if licensed in any State, be exempt 
from the licensing requirements of the State in which the 
Tribal Health Program performs the services described in 
its contract or compact under the Indian Self-Determina-
tion and Education Assistance Act (25 U.S.C. 450 et 
seq.). 
‘‘SEC. 222. NOTIFICATION OF PROVISION OF EMERGENCY 
CONTRACT HEALTH SERVICES. 
‘‘With respect to an elderly Indian or an Indian with 
a disability receiving emergency medical care or services 
from a non-Service provider or in a non-Service facility 
under the authority of this Act, the time limitation (as 
a condition of payment) for notifying the Service of such 
treatment or admission shall be 30 days. 
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‘‘SEC. 223. PROMPT ACTION ON PAYMENT OF CLAIMS. 
‘‘(a) DEADLINE FOR RESPONSE.—The Service shall 
respond to a notification of a claim by a provider of a 
contract care service with either an individual purchase 
order or a denial of the claim within 5 working days after 
the receipt of such notification. 
‘‘(b) EFFECT
OF UNTIMELY RESPONSE.—If the 
Service fails to respond to a notification of a claim in ac-
cordance with subsection (a), the Service shall accept as 
valid the claim submitted by the provider of a contract 
care service. 
‘‘(c) DEADLINE FOR PAYMENT OF VALID CLAIM.— 
The Service shall pay a valid contract care service claim 
within 30 days after the completion of the claim. 
‘‘SEC. 224. LIABILITY FOR PAYMENT. 
‘‘(a) NO PATIENT LIABILITY.—A patient who re-
ceives contract health care services that are authorized by 
the Service shall not be liable for the payment of any 
charges or costs associated with the provision of such serv-
ices. 
‘‘(b) NOTIFICATION.—The Secretary shall notify a 
contract care provider and any patient who receives con-
tract health care services authorized by the Service that 
such patient is not liable for the payment of any charges 
or costs associated with the provision of such services not 
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later than 5 business days after receipt of a notification 
of a claim by a provider of contract care services. 
‘‘(c) NO RECOURSE.—Following receipt of the notice 
provided under subsection (b), or, if a claim has been 
deemed accepted under section 223(b), the provider shall 
have no further recourse against the patient who received 
the services. 
‘‘SEC. 225. OFFICE OF INDIAN MEN’S HEALTH. 
‘‘(a) ESTABLISHMENT.—The Secretary shall estab-
lish within the Service an office to be known as the ‘Office 
of Indian Men’s Health’ (referred to in this section as the 
‘Office’). 
‘‘(b) DIRECTOR.— 
‘‘(1) IN GENERAL.—The Office shall be headed 
by a Director, to be appointed by the Secretary. 
‘‘(2) DUTIES.—The Director shall coordinate 
and promote the status of the health of Indian men 
in the United States. 
‘‘(c) REPORT.—Not later than 2 years after the date 
of enactment of the Indian Health Care Improvement Act 
Amendments of 2006, the Secretary, acting through the 
Director of the Office, shall submit to Congress a report 
describing— 
‘‘(1) any activity carried out by the Director as 
of the date on which the report is prepared; and 
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