123 
or near reservations and Indian communities as a result 
of environmental hazards which may result in chronic or 
life threatening health problems, such as nuclear resource 
development, petroleum contamination, and contamination 
of water source and of the food chain. Such studies shall 
include— 
‘‘(1) an evaluation of the nature and extent of 
health problems caused by environmental hazards 
currently exhibited among Indians and the causes of 
such health problems; 
‘‘(2) an analysis of the potential effect of ongo-
ing and future environmental resource development 
on or near reservations and Indian communities, in-
cluding the cumulative effect over time on health; 
‘‘(3) an evaluation of the types and nature of 
activities, practices, and conditions causing or affect-
ing such health problems, including uranium mining 
and milling, uranium mine tailing deposits, nuclear 
power plant operation and construction, and nuclear 
waste disposal; oil and gas production or transpor-
tation on or near reservations or Indian commu-
nities; and other development that could affect the 
health of Indians and their water supply and food 
chain; 
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‘‘(4) a summary of any findings and rec-
ommendations provided in Federal and State stud-
ies, reports, investigations, and inspections during 
the 5 years prior to the date of enactment of the In-
dian Health Care Improvement Act Amendments of 
2007 that directly or indirectly relate to the activi-
ties, practices, and conditions affecting the health or 
safety of such Indians; and 
‘‘(5) the efforts that have been made by Federal 
and State agencies and resource and economic devel-
opment companies to effectively carry out an edu-
cation program for such Indians regarding the 
health and safety hazards of such development. 
‘‘(b) HEALTH CARE PLANS.—Upon completion of 
such studies, the Secretary and the Service shall take into 
account the results of such studies and develop health care 
plans to address the health problems studied under sub-
section (a). The plans shall include— 
‘‘(1) methods for diagnosing and treating Indi-
ans currently exhibiting such health problems; 
‘‘(2) preventive care and testing for Indians 
who may be exposed to such health hazards, includ-
ing the monitoring of the health of individuals who 
have or may have been exposed to excessive amounts 
of radiation or affected by other activities that have 
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125 
had or could have a serious impact upon the health 
of such individuals; and 
‘‘(3) a program of education for Indians who, 
by reason of their work or geographic proximity to 
such nuclear or other development activities, may ex-
perience health problems. 
‘‘(c) SUBMISSION OF REPORT AND PLAN TO CON-
GRESS.—The Secretary and the Service shall submit to 
Congress the study prepared under subsection (a) no later 
than 18 months after the date of enactment of the Indian 
Health Care Improvement Act Amendments of 2007. The 
health care plan prepared under subsection (b) shall be 
submitted in a report no later than 1 year after the study 
prepared under subsection (a) is submitted to Congress. 
Such report shall include recommended activities for the 
implementation of the plan, as well as an evaluation of 
any activities previously undertaken by the Service to ad-
dress such health problems. 
‘‘(d) INTERGOVERNMENTAL TASK FORCE.— 
‘‘(1) ESTABLISHMENT; MEMBERS.—There is es-
tablished an Intergovernmental Task Force to be 
composed of the following individuals (or their des-
ignees): 
‘‘(A) The Secretary of Energy. 
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126 
‘‘(B) The Secretary of the Environmental 
Protection Agency. 
‘‘(C) The Director of the Bureau of Mines. 
‘‘(D) The Assistant Secretary for Occupa-
tional Safety and Health. 
‘‘(E) The Secretary of the Interior. 
‘‘(F) The Secretary of Health and Human 
Services. 
‘‘(G) The Director of the Indian Health 
Service. 
‘‘(2) DUTIES.—The Task Force shall— 
‘‘(A) identify existing and potential oper-
ations related to nuclear resource development 
or other environmental hazards that affect or 
may affect the health of Indians on or near a 
reservation or in an Indian community; and 
‘‘(B) enter into activities to correct exist-
ing health hazards and ensure that current and 
future health problems resulting from nuclear 
resource or other development activities are 
minimized or reduced. 
‘‘(3) CHAIRMAN; MEETINGS.—The Secretary of 
Health and Human Services shall be the Chairman 
of the Task Force. The Task Force shall meet at 
least twice each year. 
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‘‘(e) HEALTH SERVICES TO CERTAIN EMPLOYEES.— 
In the case of any Indian who— 
‘‘(1) as a result of employment in or near a 
uranium mine or mill or near any other environ-
mental hazard, suffers from a work-related illness or 
condition; 
‘‘(2) is eligible to receive diagnosis and treat-
ment services from an Indian Health Program; and 
‘‘(3) by reason of such Indian’s employment, is 
entitled to medical care at the expense of such mine 
or mill operator or entity responsible for the environ-
mental hazard, the Indian Health Program shall, at 
the request of such Indian, render appropriate med-
ical care to such Indian for such illness or condition 
and may be reimbursed for any medical care so ren-
dered to which such Indian is entitled at the expense 
of such operator or entity from such operator or en-
tity. Nothing in this subsection shall affect the 
rights of such Indian to recover damages other than 
such amounts paid to the Indian Health Program 
from the employer for providing medical care for 
such illness or condition. 
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