Purchased and Referred Care Improvement Act
S. 3797118th Congress

Purchased and Referred Care Improvement Act

Introduced in the SenateSen. Mike Rounds (R-SD)17 sections · 1 min read
Version: is · Apr 20, 2026

Section 1. Short title

This Act may be cited as the Purchased and Referred Care Improvement Act.

Section 2. Changes to liability for payment

Section 222 of the Indian Health Care Improvement Act (25 U.S.C. 1621u) is amended—

(1) in subsection (a)—

(A) by striking A patient and inserting Notwithstanding any other provision of law, a patient;

(B) by striking contract health care and inserting purchased/referred care; and

(C) by inserting to any provider, third party debt collector, or any other person after shall not be liable;

(2) in subsection (b)—

(A) by striking contract care each place it appears and inserting purchased/referred care;

(B) by striking contract health care and inserting purchased/referred care;

(C) by inserting, notwithstanding any other provision of law, after by the Service that; and

(D) by inserting to any provider, third party debt collector, or any other person after is not liable;

(3) in subsection (c), by inserting, the third party debt collector, or any other person, as applicable after the provider; and

(4) by adding at the end the following:

(1) In general

Not later than 120 days after the date of enactment of this subsection, the Service shall establish and implement procedures to allow a patient that paid directly for purchased/referred care services authorized by the Service under this Act to be reimbursed by the purchased/referred care program for that payment not later than 30 days after the patient submits documentation to the Service pursuant to paragraph (2).

(2) Submitting documentation

The Service shall accept documentation from a patient seeking reimbursement under paragraph (1) that was submitted—

(A) electronically; or

(B) in-person at a Indian health program.

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