IB 
Union Calendar No. 492 
116TH CONGRESS 
2D SESSION 
H. R. 4153 
[Report No. 116–599, Part I] 
To amend the Indian Health Care Improvement Act to authorize urban 
Indian organizations to enter into arrangements for the sharing of med-
ical services and facilities, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
AUGUST 2, 2019 
Mr. KHANNA (for himself, Mr. GOSAR, Ms. HAALAND, Mr. GIANFORTE, Mr. 
LUJA´N, Mr. YOUNG, Ms. MOORE, Mr. BACON, Mr. TONKO, and Mr. 
ESTES) introduced the following bill; which was referred to the Com-
mittee on Natural Resources, and in addition to the Committee on En-
ergy and Commerce, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 
NOVEMBER 19, 2020 
Additional sponsors: Mr. GALLEGO, Mr. BLUMENAUER, Mr. KILMER, Mr. 
HASTINGS, Mr. O’HALLERAN, Mr. COOK, Ms. ROYBAL-ALLARD, Mr. 
FITZPATRICK, Mrs. KIRKPATRICK, Mrs. RODGERS of Washington, Mr. 
COLE, Ms. DEGETTE, Mr. AGUILAR, Mr. MULLIN, Mr. JOYCE of Ohio, 
Ms. SEWELL of Alabama, Mr. KILDEE, and Ms. KENDRA S. HORN of 
Oklahoma 
NOVEMBER 19, 2020 
Reported from the Committee on Natural Resources 
NOVEMBER 19, 2020 
Committee on Energy and Commerce discharged; committed to the Committee 
of the Whole House on the State of the Union and ordered to be printed 
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A BILL 
To amend the Indian Health Care Improvement Act to au-
thorize urban Indian organizations to enter into arrange-
ments for the sharing of medical services and facilities, 
and for other purposes. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Health Care Access 
for Urban Native Veterans Act’’. 
SEC. 2. SHARING ARRANGEMENTS WITH FEDERAL AGEN-
CIES. 
Section 405 of the Indian Health Care Improvement 
Act (25 U.S.C. 1645) is amended— 
(1) in subsection (a)(1), by inserting ‘‘urban In-
dian organizations,’’ before ‘‘and tribal organiza-
tions’’; and 
(2) in subsection (c)— 
(A) by inserting ‘‘urban Indian organiza-
tion,’’ before ‘‘or tribal organization’’; and 
(B) by inserting ‘‘an urban Indian organi-
zation,’’ before ‘‘or a tribal organization’’. 
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Union Calendar No. 492 
116TH CONGRESS 
2D SESSION 
H. R. 4153 
[Report No. 116–599, Part I] 
A BILL 
To amend the Indian Health Care Improvement 
Act to authorize urban Indian organizations to 
enter into arrangements for the sharing of med-
ical services and facilities, and for other pur-
poses. 
NOVEMBER 19, 2020 
Reported from the Committee on Natural Resources 
NOVEMBER 19, 2020 
Committee on Energy and Commerce discharged; com-
mitted to the Committee of the Whole House on the 
State of the Union and ordered to be printed 
VerDate Sep 11 2014 
20:31 Nov 19, 2020
Jkt 019200
PO 00000
Frm 00004
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Sfmt 6651
E:\BILLS\H4153.RH
H4153
pamtmann on DSKBC07HB2PROD with BILLS