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S. 699 Senate Native Americans

Purchased and Referred Care Improvement Act of 2025

Introduced
Feb 24, 2025
Sponsor
Sen. Rounds, Mike (R-SD)
View on Congress.gov (opens in a new tab)

STAGE 2 OF 8 — COMMITTEE CONSIDERATION

Currently in the Senate. Last action: committee on indian affairs. hearings held on Feb 4, 2026.

  1. Senate Introduced in Senate Feb 24, 2025
  2. Senate Read twice and referred to the Committee on Indian Affairs. Feb 24, 2025
  3. Senate Committee on Indian Affairs. Hearings held. Feb 4, 2026

Cosponsors

5

Subjects

Health care costs and insuranceHealth care coverage and accessIndian social and development programsMinority health

Committees

  • Indian Affairs Committee
    • [Hearings By (full committee), Feb 4, 2026]
    • [Referred To, Feb 24, 2025]

Summary

Purchased and Referred Care Improvement Act of 2025This 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.)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. Additionally, the bill requires HHS to 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.The bill also replaces statutory references to contract health service with purchased/referred care.

[Summary as of: Introduced in Senate]

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