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    <number>465</number>
    <updateDate>2023-01-11T13:35:50Z</updateDate>
    <updateDateIncludingText>2023-01-11T13:35:50Z</updateDateIncludingText>
    <originChamber>Senate</originChamber>
    <type>S</type>
    <introducedDate>2017-02-28</introducedDate>
    <congress>115</congress>
    <committees>
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        <systemCode>slia00</systemCode>
        <name>Indian Affairs Committee</name>
        <chamber>Senate</chamber>
        <type>Other</type>
        <activities>
          <item>
            <name>Markup by</name>
            <date>2018-09-26T18:30:34Z</date>
          </item>
          <item>
            <name>Hearings by</name>
            <date>2017-11-08T19:30:36Z</date>
          </item>
          <item>
            <name>Referred to</name>
            <date>2017-02-28T16:43:42Z</date>
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    <actions>
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        <actionDate>2018-09-26</actionDate>
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            <systemCode>slia00</systemCode>
            <name>Indian Affairs Committee</name>
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        <sourceSystem>
          <name>Senate</name>
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        <text>Committee on Indian Affairs. Ordered to be reported with an amendment in the nature of a substitute favorably.</text>
        <type>Committee</type>
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      <item>
        <actionDate>2017-11-08</actionDate>
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            <systemCode>slia00</systemCode>
            <name>Indian Affairs Committee</name>
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        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Committee on Indian Affairs. Hearings held. Hearings printed: S.Hrg. 115-236.</text>
        <type>Committee</type>
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      <item>
        <actionDate>2017-02-28</actionDate>
        <committees>
          <item>
            <systemCode>slia00</systemCode>
            <name>Indian Affairs Committee</name>
          </item>
        </committees>
        <sourceSystem>
          <name>Senate</name>
        </sourceSystem>
        <text>Read twice and referred to the Committee on Indian Affairs.</text>
        <type>IntroReferral</type>
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      <item>
        <actionDate>2017-02-28</actionDate>
        <text>Introduced in Senate</text>
        <type>IntroReferral</type>
        <actionCode>10000</actionCode>
        <sourceSystem>
          <code>9</code>
          <name>Library of Congress</name>
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    <sponsors>
      <item>
        <bioguideId>R000605</bioguideId>
        <fullName>Sen. Rounds, Mike [R-SD]</fullName>
        <firstName>Mike</firstName>
        <lastName>Rounds</lastName>
        <party>R</party>
        <state>SD</state>
        <isByRequest>N</isByRequest>
      </item>
    </sponsors>
    <cosponsors>
      <item>
        <bioguideId>L000575</bioguideId>
        <fullName>Sen. Lankford, James [R-OK]</fullName>
        <firstName>James</firstName>
        <lastName>Lankford</lastName>
        <party>R</party>
        <state>OK</state>
        <sponsorshipDate>2017-03-08</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>M000303</bioguideId>
        <fullName>Sen. McCain, John [R-AZ]</fullName>
        <firstName>JOHN</firstName>
        <lastName>MCCAIN</lastName>
        <party>R</party>
        <state>AZ</state>
        <middleName>SIDNEY</middleName>
        <sponsorshipDate>2017-03-29</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <cboCostEstimates>
      <item>
        <pubDate>2018-11-30T16:12:00Z</pubDate>
        <title>S. 465, Independent Outside Audit of the Indian Health Service Act of 2018</title>
        <url>https://www.cbo.gov/publication/54854</url>
        <description>As ordered reported by the Senate Committee on Indian Affairs on September 26, 2018</description>
      </item>
    </cboCostEstimates>
    <policyArea>
      <name>Native Americans</name>
    </policyArea>
    <subjects>
      <legislativeSubjects>
        <item>
          <name>Accounting and auditing</name>
        </item>
        <item>
          <name>Computers and information technology</name>
        </item>
        <item>
          <name>Congressional oversight</name>
        </item>
        <item>
          <name>Department of Health and Human Services</name>
        </item>
        <item>
          <name>Executive agency funding and structure</name>
        </item>
        <item>
          <name>Government studies and investigations</name>
        </item>
        <item>
          <name>Health facilities and institutions</name>
        </item>
        <item>
          <name>Health information and medical records</name>
        </item>
        <item>
          <name>Health personnel</name>
        </item>
        <item>
          <name>Health programs administration and funding</name>
        </item>
        <item>
          <name>Health technology, devices, supplies</name>
        </item>
        <item>
          <name>Indian social and development programs</name>
        </item>
        <item>
          <name>Medicaid</name>
        </item>
        <item>
          <name>Minority health</name>
        </item>
        <item>
          <name>Public contracts and procurement</name>
        </item>
      </legislativeSubjects>
      <policyArea>
        <name>Native Americans</name>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2017-02-28</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2017-10-27T18:45:48Z</updateDate>
        <text><![CDATA[ <p><b>Independent Outside Audit of the Indian Health Service Act of 2017</b></p> <p>This bill requires the Department of Health and Human Services to contract with private entities to assess the health care delivery systems and financial management of the Indian Health Service (IHS). The assessment must address IHS issues including:</p> <ul> <li>the demographics and health care needs of the patient population,</li> <li>health care capabilities and resources,</li> <li>staffing levels at medical facilities and the productivity of each health care provider,</li> <li>information technology strategies related to providing health care,</li> <li>business processes,</li> <li>the competency of leadership regarding specified issues,</li> <li>tracking patients eligible for other federal health care programs, and</li> <li> the number of procurement contracts and awards under the Buy Indian Act. </li> </ul>]]></text>
      </summary>
    </summaries>
    <title>Independent Outside Audit of the Indian Health Service Act of 2017</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <title>Independent Outside Audit of the Indian Health Service Act of 2017</title>
      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <title>A bill to provide for an independent outside audit of the Indian Health Service.</title>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
      </item>
      <item>
        <titleType>Short Titles as Introduced</titleType>
        <title>Independent Outside Audit of the Indian Health Service Act of 2017</title>
      </item>
    </titles>
    <textVersions>
      <item>
        <type>Introduced in Senate</type>
        <date>2017-02-28T05:00:00Z</date>
        <formats>
          <item>
            <url>https://www.govinfo.gov/content/pkg/BILLS-115s465is/xml/BILLS-115s465is.xml</url>
          </item>
        </formats>
      </item>
    </textVersions>
    <latestAction>
      <actionDate>2018-09-26</actionDate>
      <text>Committee on Indian Affairs. Ordered to be reported with an amendment in the nature of a substitute favorably.</text>
    </latestAction>
  </bill>
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    <dc:language>EN</dc:language>
    <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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