I 
118TH CONGRESS 
2D SESSION H. R. 10078 
To amend the Indian Health Care Improvement Act to establish within 
the Indian Health Service an Office of Graduate Medical Education 
Programs, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 29, 2024 
Ms. STANSBURY (for herself, Mr. GRIJALVA, Ms. PINGREE, and Ms. LEGER 
FERNANDEZ) introduced the following bill; which was referred to the 
Committee on Natural Resources, and in addition to the Committee on 
Energy 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 
A BILL 
To amend the Indian Health Care Improvement Act to estab-
lish within the Indian Health Service an Office of Grad-
uate Medical Education Programs, and for other pur-
poses. 
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 ‘‘IHS Provider Expan-
sion Act’’. 
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SEC. 2. INDIAN HEALTH SERVICE OFFICE OF GRADUATE 
MEDICAL EDUCATION PROGRAMS. 
Title I of the Indian Health Care Improvement Act 
(25 U.S.C. 1611 et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 125. OFFICE OF GRADUATE MEDICAL EDUCATION 
PROGRAMS. 
‘‘(a) 
ESTABLISHMENT.—The 
Secretary, 
acting 
through the Service, (in this section referred to as the 
‘Secretary’) shall establish within the Service an Office of 
Graduate Medical Education Programs (in this section re-
ferred to as the ‘Office’). 
‘‘(b) DUTIES.—The Office shall have the following 
duties: 
‘‘(1) To create a pipeline for future health care 
professionals, paraprofessionals, and other health-re-
lated professionals (as identified by the Secretary) to 
participate in residency and fellowship programs. 
‘‘(2) To oversee current residency and fellow-
ship programs at facilities of the Service and facili-
tate the establishment of additional residency pro-
grams that support recruitment and retention of 
health care professionals, paraprofessionals, and 
other health-related professionals (as identified by 
the Secretary) working at such facilities. 
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‘‘(3) To serve as the central hub for residency 
programs at facilities of the Service. 
‘‘(4) To work in consultation or coordination 
with academic institutions. 
‘‘(5) To coordinate medical student and elective 
rotational and education track programs. 
‘‘(c) INTERAGENCY WORKING GROUP.— 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with the Secretary of Veterans Affairs, the Sec-
retary of Labor, the Administrator of the Health Re-
sources and Services Administration, and the Ad-
ministrator of the Centers for Medicare & Medicaid 
Services, shall establish an interagency working 
group (in this subsection referred to as the ‘working 
group’) to assist the Secretary in establishing the 
Office under subsection (a), including by— 
‘‘(A) supporting the implementation of the 
Office; and 
‘‘(B) developing long-term planning for 
long-term sustainability of the Office. 
‘‘(2) QUARTERLY
REPORTS.—Not later than 
the date that is 120 days after the date of enact-
ment of this section, and every 3 months thereafter, 
the working group shall submit to Congress a report 
on the activities of the working group. 
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‘‘(3) TERMINATION.—The working group shall 
terminate on the date that is 10 years after the date 
of enactment of this section. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—Subject 
to the availability of appropriations, there is authorized 
to be appropriated to carry out this section, not less 
than— 
‘‘(1) $4,000,000 for fiscal year 2026; and 
‘‘(2) $4,000,000 for each subsequent fiscal 
year.’’. 
Æ 
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