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    <number>1418</number>
    <updateDate>2025-05-14T14:16:33Z</updateDate>
    <updateDateIncludingText>2025-05-14T14:16:33Z</updateDateIncludingText>
    <originChamber>House</originChamber>
    <originChamberCode>H</originChamberCode>
    <type>HR</type>
    <introducedDate>2025-02-18</introducedDate>
    <congress>119</congress>
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      <constitutionalAuthorityStatementText>&lt;pre&gt;[Congressional Record Volume 171, Number 32 (Tuesday, February 18, 2025)][House]From the Congressional Record Online through the Government Publishing Office [&lt;a href="https://www.gpo.gov"&gt;www.gpo.gov&lt;/a&gt;]By Mr. JOHNSON of South Dakota:H.R. 1418.Congress has the power to enact this legislation pursuantto the following:Article I, Section 8 of the U.S. Constitution[Page H723]&lt;/pre&gt;</constitutionalAuthorityStatementText>
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        <name>Energy and Commerce Committee</name>
        <chamber>House</chamber>
        <type>Standing</type>
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            <name>Referred To</name>
            <date>2025-02-18T18:01:20Z</date>
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        <name>Natural Resources Committee</name>
        <chamber>House</chamber>
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            <name>Referred To</name>
            <date>2025-02-18T18:01:15Z</date>
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        <actionDate>2025-02-18</actionDate>
        <text>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.</text>
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        <actionDate>2025-02-18</actionDate>
        <text>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.</text>
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        <text>Introduced in House</text>
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    <sponsors>
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        <bioguideId>J000301</bioguideId>
        <fullName>Rep. Johnson, Dusty [R-SD-At Large]</fullName>
        <firstName>Dusty</firstName>
        <lastName>Johnson</lastName>
        <party>R</party>
        <state>SD</state>
        <isByRequest>N</isByRequest>
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    </sponsors>
    <cosponsors>
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        <bioguideId>S001216</bioguideId>
        <fullName>Rep. Schrier, Kim [D-WA-8]</fullName>
        <firstName>Kim</firstName>
        <lastName>Schrier</lastName>
        <party>D</party>
        <state>WA</state>
        <district>8</district>
        <sponsorshipDate>2025-02-18</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>N000191</bioguideId>
        <fullName>Rep. Neguse, Joe [D-CO-2]</fullName>
        <firstName>Joe</firstName>
        <lastName>Neguse</lastName>
        <party>D</party>
        <state>CO</state>
        <district>2</district>
        <sponsorshipDate>2025-02-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>N000189</bioguideId>
        <fullName>Rep. Newhouse, Dan [R-WA-4]</fullName>
        <firstName>Dan</firstName>
        <lastName>Newhouse</lastName>
        <party>R</party>
        <state>WA</state>
        <district>4</district>
        <sponsorshipDate>2025-02-21</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001053</bioguideId>
        <fullName>Rep. Cole, Tom [R-OK-4]</fullName>
        <firstName>Tom</firstName>
        <lastName>Cole</lastName>
        <party>R</party>
        <state>OK</state>
        <district>4</district>
        <sponsorshipDate>2025-02-24</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>B001322</bioguideId>
        <fullName>Rep. Baumgartner, Michael [R-WA-5]</fullName>
        <firstName>Michael</firstName>
        <lastName>Baumgartner</lastName>
        <party>R</party>
        <state>WA</state>
        <district>5</district>
        <sponsorshipDate>2025-02-24</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>D000230</bioguideId>
        <fullName>Rep. Davis, Donald G. [D-NC-1]</fullName>
        <firstName>Donald</firstName>
        <lastName>Davis</lastName>
        <party>D</party>
        <state>NC</state>
        <middleName>G.</middleName>
        <district>1</district>
        <sponsorshipDate>2025-02-27</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>L000273</bioguideId>
        <fullName>Rep. Leger Fernandez, Teresa [D-NM-3]</fullName>
        <firstName>Teresa</firstName>
        <lastName>Leger Fernandez</lastName>
        <party>D</party>
        <state>NM</state>
        <district>3</district>
        <sponsorshipDate>2025-03-14</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
    </cosponsors>
    <policyArea>
      <name>Native Americans</name>
    </policyArea>
    <subjects>
      <legislativeSubjects/>
      <policyArea>
        <name>Native Americans</name>
        <updateDate>2025-05-08T19:00:12Z</updateDate>
      </policyArea>
    </subjects>
    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2025-02-18</actionDate>
        <actionDesc>Introduced in House</actionDesc>
        <updateDate>2025-05-14T14:15:00Z</updateDate>
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          <text>&lt;p&gt;&lt;strong&gt;Purchased and Referred Care Improvement Act of 2025&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;This bill specifies that the Indian Health Service (IHS) must reimburse patients for their out-of-pocket costs for authorized purchased/referred care services within 30 days. (The IHS provides medical and dental services directly to American Indian and Alaska Native patients whenever possible. However, when services are not available, IHS beneficiaries may be referred to private providers. This is called purchased/referred care.)&lt;/p&gt;&lt;p&gt;Specifically, the bill requires the Department of Health and Human Services (HHS) to establish and implement procedures to allow a patient who paid out of pocket for purchased/referred care services authorized by the IHS to be reimbursed by the IHS for that payment no later than 30 days after the patient submits required documentation.&amp;nbsp;&lt;/p&gt;&lt;p&gt;Additionally, the bill requires HHS to&amp;nbsp;update applicable provisions of and exhibits to the Indian Health Manual, contracts with providers, and other relevant documents and administrative authorities to incorporate the provisions of the bill.&lt;/p&gt;&lt;p&gt;The bill also replaces statutory references to &lt;em&gt;contract health service&lt;/em&gt; with &lt;em&gt;purchased/referred care&lt;/em&gt;.&lt;/p&gt;</text>
        </cdata>
      </summary>
    </summaries>
    <title>Purchased and Referred Care Improvement Act of 2025</title>
    <titles>
      <item>
        <titleType>Display Title</titleType>
        <titleTypeCode>45</titleTypeCode>
        <title>Purchased and Referred Care Improvement Act of 2025</title>
        <updateDate>2025-03-17T12:53:28Z</updateDate>
      </item>
      <item>
        <titleType>Short Title(s) as Introduced</titleType>
        <titleTypeCode>101</titleTypeCode>
        <title>Purchased and Referred Care Improvement Act of 2025</title>
        <updateDate>2025-03-17T12:53:22Z</updateDate>
        <billTextVersionName>Introduced in House</billTextVersionName>
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      </item>
      <item>
        <titleType>Official Title as Introduced</titleType>
        <titleTypeCode>6</titleTypeCode>
        <title>To amend the Indian Health Care Improvement Act to address liability for payment of charges or costs associated with provision of purchased/referred care services, and for other purposes.</title>
        <updateDate>2025-03-17T12:48:24Z</updateDate>
        <billTextVersionName>Introduced in House</billTextVersionName>
        <billTextVersionCode>IH</billTextVersionCode>
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    </titles>
    <textVersions>
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        <type>Introduced in House</type>
        <date>2025-02-18T05:00:00Z</date>
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            <url>https://www.govinfo.gov/content/pkg/BILLS-119hr1418ih/xml/BILLS-119hr1418ih.xml</url>
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    <latestAction>
      <actionDate>2025-02-18</actionDate>
      <text>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.</text>
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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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