SEC. 2. SPECIAL BEHAVIORAL HEALTH PROGRAM FOR IN-
DIANS. 
Part A of title V of the Public Health Service Act 
(42 U.S.C. 290aa et seq.) is amended by adding at the 
end the following new section: 
‘‘SEC. 506B. SPECIAL BEHAVIORAL HEALTH PROGRAM FOR 
INDIANS. 
‘‘(a) IN GENERAL.—The Director of the Indian 
Health Service, in coordination with the Assistant Sec-
retary for Mental Health and Substance Use, shall award 
grants for providing services in accordance with subsection 
(b) for the prevention and treatment of mental health and 
substance use disorders. 
‘‘(b) SERVICES THROUGH INDIAN HEALTH FACILI-
TIES.—For purposes of subsection (a), services are pro-
vided in accordance with this subsection if the services are 
provided through any of the following entities: 
‘‘(1) The Indian Health Service. 
‘‘(2) An Indian health program operated by an 
Indian tribe or tribal organization pursuant to a 
contract, grant, cooperative agreement, or compact 
with the Indian Health Service pursuant to the In-
dian Self-Determination and Education Assistance 
Act (25 U.S.C. 5301 et seq.). 
‘‘(3) An urban Indian health program operated 
by an urban Indian organization pursuant to a grant 
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or contract with the Indian Health Service pursuant 
to title V of the Indian Health Care Improvement 
Act (25 U.S.C. 1651 et seq.). 
‘‘(c) REPORTS.—Each grantee under this section 
shall submit reports at such time, in such manner, and 
containing such information as the Director of the Indian 
Health Service may require. 
‘‘(d) TECHNICAL ASSISTANCE CENTER.— 
‘‘(1) ESTABLISHMENT.—The Director of the 
Indian Health Service, in coordination with the As-
sistant Secretary for Mental Health and Substance 
Use, shall establish a technical assistance center (di-
rectly or by contract or cooperative agreement)— 
‘‘(A) to provide technical assistance to 
grantees under this section; and 
‘‘(B) to collect and evaluate information on 
the program carried out under this section. 
‘‘(2) CONSULTATION.—The technical assistance 
center shall consult with grantees under this section 
for purposes of developing evaluation measures and 
data submission requirements for purposes of the 
collection and evaluation of information under para-
graph (1)(B). 
‘‘(3) DATA SUBMISSION.—As a condition on re-
ceipt of a grant under this section, an applicant 
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shall agree to submit data consistent with the data 
submission requirements developed under paragraph 
(2). 
‘‘(e) FUNDING.— 
‘‘(1) IN GENERAL.—For the purpose of making 
grants under this section, there is authorized to be 
appropriated, and there is appropriated, out of any 
money in the Treasury not otherwise appropriated, 
$150,000,000 for each of fiscal years 2018 through 
2022. 
‘‘(2) TECHNICAL ASSISTANCE CENTER.—Of the 
amount made available to carry out this section for 
each of fiscal years 2018 through 2022, the Director 
of the Indian Health Service shall allocate a percent-
age of such amount, to be determined by the Direc-
tor in consultation with Indian tribes, for the tech-
nical assistance center under subsection (d). 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) INDIAN
HEALTH
PROGRAM.—The term 
‘Indian health program’ has the meaning given that 
term in section 4 of the Indian Health Care Im-
provement Act (25 U.S.C. 1603). 
‘‘(2) INDIAN TRIBE.—The term ‘Indian tribe’ 
has the meaning given that term in section 4 of the 
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Indian Health Care Improvement Act (25 U.S.C. 
1603). 
‘‘(3) TRIBAL ORGANIZATION.—The term ‘tribal 
organization’ has the meaning given that term in 
section 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 5304). 
‘‘(4) URBAN INDIAN ORGANIZATION.—The term 
‘urban Indian organization’ has the meaning given 
the term ‘Urban Indian organization’ in section 4 of 
the Indian Health Care Improvement Act (25 U.S.C. 
1603).’’. 
SEC. 3. INDIAN DEFINED IN PPACA. 
(a) DEFINITION OF INDIAN.—Section 1304 of the 
Patient Protection and Affordable Care Act (42 U.S.C. 
18024) is amended by adding at the end the following new 
subsection: 
‘‘(f) INDIAN.— 
‘‘(1) IN GENERAL.—In this title, the term ‘In-
dian’ means any individual— 
‘‘(A) described in paragraph (13) or (28) 
of section 4 of the Indian Health Care Improve-
ment Act (25 U.S.C. 1603); 
‘‘(B) who is eligible for health services pro-
vided by the Indian Health Service under sec-
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tion 809 of the Indian Health Care Improve-
ment Act (25 U.S.C. 1679); 
‘‘(C) who is of Indian descent and belongs 
to the Indian community served by the local fa-
cilities and program of the Indian Health Serv-
ice; or 
‘‘(D) who is described in paragraph (2). 
‘‘(2) INCLUDED INDIVIDUALS.—For purposes of 
this title, the following individuals shall be consid-
ered to be an ‘Indian’: 
‘‘(A) A member of a federally recognized 
Indian tribe. 
‘‘(B) A resident of an urban center who 
meets one or more of the following four criteria: 
‘‘(i) Membership in a Tribe, band, or 
other organized group of Indians, including 
those Tribes, bands, or groups terminated 
since 1940 and those recognized as of the 
date of the enactment of the Health Eq-
uity and Accountability Act of 2016 or 
later by the State in which they reside, or 
being a descendant, in the first or second 
degree, of any such member. 
‘‘(ii) Is an Eskimo or Aleut or other 
Alaska Native. 
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‘‘(iii) Is considered by the Secretary of 
the Interior to be an Indian for any pur-
pose. 
‘‘(iv) Is determined to be an Indian 
under regulations promulgated by the Sec-
retary. 
‘‘(C) An individual who is considered by 
the Secretary of the Interior to be an Indian for 
any purpose. 
‘‘(D) An individual who is considered by 
the Secretary to be an Indian for purposes of 
eligibility for Indian health care services, includ-
ing as a California Indian, Eskimo, Aleut, or 
other Alaska Native.’’. 
(b) TECHNICAL AMENDMENTS.—Section 4 of the In-
dian Health Care Improvement Act (25 U.S.C. 1603) is 
amended— 
(1) in paragraph (13), by striking ‘‘as defined 
in subsection (d) hereof’’ and inserting ‘‘as defined 
in paragraph (14)’’; and 
(2) in paragraph (28)— 
(A) by striking ‘‘as defined in subsection 
(g) hereof’’ and inserting ‘‘as defined in para-
graph (27)’’; and 
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(B) by striking ‘‘subsection (c)(1) through 
(4)’’ and inserting ‘‘subparagraphs (A) through 
(D) of paragraph (13)’’. 
(c) CONFORMING AMENDMENTS.— 
(1) AFFORDABLE
CHOICES
HEALTH
BENEFIT 
PLANS.—Section 1311(c)(6)(D) of the Patient Pro-
tection and Affordable Care Act (42 U.S.C. 
18031(c)(6)(D)) is amended by striking ‘‘section 4 
of the Indian Health Care Improvement Act’’ and 
inserting ‘‘section 1304(f)’’. 
(2) REDUCED COST-SHARING FOR INDIVIDUALS 
ENROLLING IN QUALIFIED HEALTH PLANS.—Section 
1402(d) of the Patient Protection and Affordable 
Care Act (42 U.S.C. 18071(d)) is amended— 
(A) in paragraph (1), in the matter pre-
ceding subparagraph (A), by striking ‘‘section 
4(d) of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 450b(d))’’ and 
inserting ‘‘section 1304(f)’’; and 
(B) in paragraph (2), in the matter pre-
ceding subparagraph (A), by striking ‘‘(as so 
defined)’’ and inserting ‘‘(as defined in section 
1304(f))’’. 
(3) EXEMPTION
FROM
PENALTY
FOR
NOT 
MAINTAINING
MINIMUM
ESSENTIAL
COVERAGE.— 
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Section 5000A(e) of the Internal Revenue Code of 
1986 is amended by striking paragraph (3) and in-
serting the following new paragraph: 
‘‘(3) INDIANS.—Any applicable individual who 
is an Indian (as defined in section 1304(f) of the 
Patient Protection and Affordable Care Act).’’. 
Æ 
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