I 
110TH CONGRESS 
1ST SESSION H. R. 1328 
To amend the Indian Health Care Improvement Act to revise and extend 
that Act. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 6, 2007 
Mr. PALLONE (for himself, Mr. RAHALL, Mr. YOUNG of Alaska, Mr. KILDEE, 
Mr. GEORGE
MILLER
of California, Mr. FALEOMAVAEGA, Mrs. 
CHRISTENSEN, Mr. GRIJALVA, Mr. BOREN, Mr. HINCHEY, Mr. KEN-
NEDY, Mr. KIND, Mr. INSLEE, Mr. BACA, Mr. UDALL of New Mexico, 
Mr. RENZI, Mr. WU, Mr. CONYERS, Mr. OBERSTAR, Mr. THOMPSON of 
California, Mr. WAXMAN, Mr. COLE of Oklahoma, Mr. BOSWELL, Ms. 
HERSETH, Mr. ENGEL, Mr. KAGEN, Ms. BORDALLO, Mrs. BONO, Mr. 
MORAN of Virginia, Mr. MCDERMOTT, Mr. HONDA, Mr. FILNER, Mr. 
MCKEON, and Ms. SOLIS) introduced the following bill; which was re-
ferred to the Committee on Natural Resources, and in addition to the 
Committees on Energy and Commerce and Ways and Means, for a period 
to be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To amend the Indian Health Care Improvement Act to revise 
and extend that Act. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Indian Health Care Improvement Act Amendments of 
2007’’. 
(b) TABLE OF CONTENTS.—The table of contents of 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I—AMENDMENTS TO INDIAN LAWS 
Sec. 101. Indian Health Care Improvement Act amended. 
Sec. 102. Soboba sanitation facilities. 
Sec. 103. Native American Health and Wellness Foundation. 
TITLE II—IMPROVEMENT OF INDIAN HEALTH CARE PROVIDED 
UNDER THE SOCIAL SECURITY ACT 
Sec. 201. Expansion of payments under Medicare, Medicaid, and SCHIP for all 
covered services furnished by Indian Health Programs. 
Sec. 202. Increased outreach to Indians under Medicaid and SCHIP and im-
proved cooperation in the provision of items and services to In-
dians under Social Security Act health benefit programs. 
Sec. 203. Additional provisions to increase outreach to, and enrollment of, Indi-
ans in SCHIP and Medicaid. 
Sec. 204. Premiums and cost sharing protections under Medicaid, eligibility de-
terminations under Medicaid and SCHIP, and protection of 
certain Indian property from Medicaid estate recovery. 
Sec. 205. Nondiscrimination in qualifications for payment for services under 
Federal health care programs. 
Sec. 206. Consultation on Medicaid, SCHIP, and other health care programs 
funded under the Social Security Act involving Indian Health 
Programs and Urban Indian Organizations. 
Sec. 207. Exclusion waiver authority for affected Indian Health Programs and 
safe harbor transactions under the Social Security Act. 
Sec. 208. Rules applicable under Medicaid and SCHIP to managed care entities 
with respect to Indian enrollees and Indian health care pro-
viders and Indian managed care entities. 
Sec. 209. Annual report on Indians served by Social Security Act health benefit 
programs. 
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TITLE I—AMENDMENTS TO 
INDIAN LAWS 
SEC. 101. INDIAN HEALTH CARE IMPROVEMENT ACT 
AMENDED. 
(a) IN GENERAL.—The Indian Health Care Improve-
ment Act (25 U.S.C. 1601 et seq.) is amended to read 
as follows: 
‘‘SEC. 1. SHORT TITLE; TABLE OF CONTENTS. 
‘‘(a) SHORT TITLE.—This Act may be cited as the 
‘Indian Health Care Improvement Act’. 
‘‘(b) TABLE OF CONTENTS.—The table of contents 
for this Act is as follows: 
‘‘Sec. 1. Short title; table of contents. 
‘‘Sec. 2. Findings. 
‘‘Sec. 3. Declaration of national Indian health policy. 
‘‘Sec. 4. Definitions. 
‘‘TITLE I–INDIAN HEALTH, HUMAN RESOURCES, AND 
DEVELOPMENT 
‘‘Sec. 101. Purpose. 
‘‘Sec. 102. Health professions recruitment program for Indians. 
‘‘Sec. 103. Health professions preparatory scholarship program for Indians. 
‘‘Sec. 104. Indian health professions scholarships. 
‘‘Sec. 105. American Indians Into Psychology Program. 
‘‘Sec. 106. Scholarship programs for Indian Tribes. 
‘‘Sec. 107. Indian Health Service extern programs. 
‘‘Sec. 108. Continuing education allowances. 
‘‘Sec. 109. Community Health Representative Program. 
‘‘Sec. 110. Indian Health Service Loan Repayment Program. 
‘‘Sec. 111. Scholarship and Loan Repayment Recovery Fund. 
‘‘Sec. 112. Recruitment activities. 
‘‘Sec. 113. Indian recruitment and retention program. 
‘‘Sec. 114. Advanced training and research. 
‘‘Sec. 115. Quentin N. Burdick American Indians Into Nursing Program. 
‘‘Sec. 116. Tribal cultural orientation. 
‘‘Sec. 117. INMED Program. 
‘‘Sec. 118. Health training programs of community colleges. 
‘‘Sec. 119. Retention bonus. 
‘‘Sec. 120. Nursing residency program. 
‘‘Sec. 121. Community Health Aide Program. 
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‘‘Sec. 122. Tribal Health Program administration. 
‘‘Sec. 123. Health professional chronic shortage demonstration programs. 
‘‘Sec. 124. National Health Service Corps. 
‘‘Sec. 125. Substance abuse counselor educational curricula demonstration pro-
grams. 
‘‘Sec. 126. Behavioral health training and community education programs. 
‘‘Sec. 127. Authorization of appropriations. 
‘‘TITLE II–HEALTH SERVICES 
‘‘Sec. 201. Indian Health Care Improvement Fund. 
‘‘Sec. 202. Catastrophic Health Emergency Fund. 
‘‘Sec. 203. Health promotion and disease prevention services. 
‘‘Sec. 204. Diabetes prevention, treatment, and control. 
‘‘Sec. 205. Shared services for long-term care. 
‘‘Sec. 206. Health services research. 
‘‘Sec. 207. Mammography and other cancer screening. 
‘‘Sec. 208. Patient travel costs. 
‘‘Sec. 209. Epidemiology centers. 
‘‘Sec. 210. Comprehensive school health education programs. 
‘‘Sec. 211. Indian youth program. 
‘‘Sec. 212. Prevention, control, and elimination of communicable and infectious 
diseases. 
‘‘Sec. 213. Authority for provision of other services. 
‘‘Sec. 214. Indian women’s health care. 
‘‘Sec. 215. Environmental and nuclear health hazards. 
‘‘Sec. 216. Arizona as a contract health service delivery area. 
‘‘Sec. 216A. North Dakota and South Dakota as contract health service deliv-
ery area. 
‘‘Sec. 217. California contract health services program. 
‘‘Sec. 218. California as a contract health service delivery area. 
‘‘Sec. 219. Contract health services for the Trenton service area. 
‘‘Sec. 220. Programs operated by Indian Tribes and Tribal Organizations. 
‘‘Sec. 221. Licensing. 
‘‘Sec. 222. Notification of provision of emergency contract health services. 
‘‘Sec. 223. Prompt action on payment of claims. 
‘‘Sec. 224. Liability for payment. 
‘‘Sec. 225. Office of Indian Men’s Health. 
‘‘Sec. 226. Authorization of appropriations. 
‘‘TITLE III–FACILITIES 
‘‘Sec. 301. Consultation; construction and renovation of facilities; reports. 
‘‘Sec. 302. Sanitation facilities. 
‘‘Sec. 303. Preference to Indians and Indian firms. 
‘‘Sec. 304. Expenditure of non-Service funds for renovation. 
‘‘Sec. 305. Funding for the construction, expansion, and modernization of small 
ambulatory care facilities. 
‘‘Sec. 306. Indian health care delivery demonstration project. 
‘‘Sec. 307. Land transfer. 
‘‘Sec. 308. Leases, contracts, and other agreements. 
‘‘Sec. 309. Study on loans, loan guarantees, and loan repayment. 
‘‘Sec. 310. Tribal leasing. 
‘‘Sec. 311. Indian Health Service/tribal facilities joint venture program. 
‘‘Sec. 312. Location of facilities. 
‘‘Sec. 313. Maintenance and improvement of health care facilities. 
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