188 
lished under this subsection, including any 
agreements with States that may be necessary to 
provide for direct billing under a program under 
a title of the Social Security Act. 
‘‘(B) COORDINATION
OF
INFORMATION.— 
The Service shall provide the Administrator of 
the Centers for Medicare & Medicaid Services 
with copies of the lists submitted to the Service 
under paragraph (2)(C), enrollment data regard-
ing patients served by the Service (and by Tribal 
Health Programs, to the extent such data is 
available to the Service), and such other infor-
mation as the Administrator may require for 
purposes of administering title XVIII, XIX, or 
XXI of the Social Security Act. 
‘‘(4) WITHDRAWAL FROM PROGRAM.—A Tribal 
Health Program that bills directly under the program 
established under this subsection may withdraw from 
participation in the same manner and under the 
same conditions that an Indian Tribe or Tribal Orga-
nization may retrocede a contracted program to the 
Secretary under the authority of the Indian Self-De-
termination and Education Assistance Act (25 U.S.C. 
450 et seq.). All cost accounting and billing authority 
under the program established under this subsection 
VerDate Aug 31 2005 
00:07 Jun 07, 2008
Jkt 069200
PO 00000
Frm 00188
Fmt 6652
Sfmt 6203
E:\BILLS\H1328.RH
H1328
jbell on PROD1PC69 with BILLS
189 
shall be returned to the Secretary upon the Sec-
retary’s acceptance of the withdrawal of participation 
in this program. 
‘‘(5) TERMINATION
FOR
FAILURE
TO
COMPLY 
WITH REQUIREMENTS.—The Secretary may terminate 
the participation of a Tribal Health Program or in 
the direct billing program established under this sub-
section if the Secretary determines that the Program 
has failed to comply with the requirements of para-
graph (2). The Secretary shall provide a Tribal 
Health Program with notice of a determination that 
the Program has failed to comply with any such re-
quirement and a reasonable opportunity to correct 
such noncompliance prior to terminating the Pro-
gram’s participation in the direct billing program es-
tablished under this subsection. 
‘‘(e) RELATED PROVISIONS UNDER THE SOCIAL SECU-
RITY ACT.—For provisions related to subsections (c) and 
(d), see sections 1880, 1911, and 2107(e)(1)(D) of the Social 
Security Act. 
VerDate Aug 31 2005 
00:07 Jun 07, 2008
Jkt 069200
PO 00000
Frm 00189
Fmt 6652
Sfmt 6203
E:\BILLS\H1328.RH
H1328
jbell on PROD1PC69 with BILLS
190 
‘‘SEC. 402. GRANTS TO AND CONTRACTS WITH THE SERV-
ICE, 
INDIAN 
TRIBES, 
TRIBAL 
ORGANIZA-
TIONS, AND URBAN INDIAN ORGANIZATIONS 
TO FACILITATE OUTREACH, ENROLLMENT, 
AND COVERAGE OF INDIANS UNDER SOCIAL 
SECURITY ACT HEALTH BENEFIT PROGRAMS 
AND OTHER HEALTH BENEFITS PROGRAMS. 
‘‘(a) INDIAN TRIBES AND TRIBAL ORGANIZATIONS.— 
From funds appropriated to carry out this title in accord-
ance with section 416, the Secretary, acting through the 
Service, shall make grants to or enter into contracts with 
Indian Tribes and Tribal Organizations to assist such 
Tribes and Tribal Organizations in establishing and ad-
ministering programs on or near reservations and trust 
lands to assist individual Indians— 
‘‘(1) to enroll for benefits under a program estab-
lished under title XVIII, XIX, or XXI of the Social 
Security Act and other health benefits programs; and 
‘‘(2) with respect to such programs for which the 
charging of premiums and cost sharing is not prohib-
ited under such programs, to pay premiums or cost 
sharing for coverage for such benefits, which may be 
based on financial need (as determined by the Indian 
Tribe or Tribes or Tribal Organizations being served 
based on a schedule of income levels developed or im-
VerDate Aug 31 2005 
00:07 Jun 07, 2008
Jkt 069200
PO 00000
Frm 00190
Fmt 6652
Sfmt 6203
E:\BILLS\H1328.RH
H1328
jbell on PROD1PC69 with BILLS
191 
plemented by such Tribe, Tribes, or Tribal Organiza-
tions). 
‘‘(b) CONDITIONS.—The Secretary, acting through the 
Service, shall place conditions as deemed necessary to effect 
the purpose of this section in any grant or contract which 
the Secretary makes with any Indian Tribe or Tribal Orga-
nization pursuant to this section. Such conditions shall in-
clude requirements that the Indian Tribe or Tribal Organi-
zation successfully undertake— 
‘‘(1) to determine the population of Indians eli-
gible for the benefits described in subsection (a); 
‘‘(2) to educate Indians with respect to the bene-
fits available under the respective programs; 
‘‘(3) to provide transportation for such indi-
vidual Indians to the appropriate offices for enroll-
ment or applications for such benefits; and 
‘‘(4) to develop and implement methods of im-
proving the participation of Indians in receiving ben-
efits under such programs. 
‘‘(c) APPLICATION
TO URBAN INDIAN ORGANIZA-
TIONS.— 
‘‘(1) IN GENERAL.—The provisions of subsection 
(a) shall apply with respect to grants and other fund-
ing to Urban Indian Organizations with respect to 
populations served by such organizations in the same 
VerDate Aug 31 2005 
00:07 Jun 07, 2008
Jkt 069200
PO 00000
Frm 00191
Fmt 6652
Sfmt 6203
E:\BILLS\H1328.RH
H1328
jbell on PROD1PC69 with BILLS
192 
manner they apply to grants and contracts with In-
dian Tribes and Tribal Organizations with respect to 
programs on or near reservations. 
‘‘(2) REQUIREMENTS.—The Secretary shall in-
clude in the grants or contracts made or provided 
under paragraph (1) requirements that are— 
‘‘(A) consistent with the requirements im-
posed by the Secretary under subsection (b); 
‘‘(B) appropriate to Urban Indian Organi-
zations and Urban Indians; and 
‘‘(C) necessary to effect the purposes of this 
section. 
‘‘(d) FACILITATING COOPERATION.—The Secretary, 
acting through the Centers for Medicare & Medicaid Serv-
ices, shall take such steps as are necessary to facilitate co-
operation with, and agreements between, States and the 
Service, Indian Tribes, Tribal Organizations, or Urban In-
dian Organizations with respect to the provision of health 
care items and services to Indians under the programs es-
tablished under title XVIII, XIX, or XXI of the Social Secu-
rity Act. 
‘‘(e) AGREEMENTS RELATING TO IMPROVING ENROLL-
MENT OF INDIANS UNDER SOCIAL SECURITY ACT HEALTH 
BENEFITS PROGRAMS.—For provisions relating to agree-
ments between the Secretary, acting through the Service, 
VerDate Aug 31 2005 
00:07 Jun 07, 2008
Jkt 069200
PO 00000
Frm 00192
Fmt 6652
Sfmt 6203
E:\BILLS\H1328.RH
H1328
jbell on PROD1PC69 with BILLS