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S. 1055 Senate Native Americans

Indian Health Service Emergency Claims Parity Act

Introduced
Mar 13, 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 Mar 13, 2025
  2. Senate Read twice and referred to the Committee on Indian Affairs. Mar 13, 2025
  3. Senate Committee on Indian Affairs. Hearings held. Feb 4, 2026

Cosponsors

1

Subjects

Emergency medical services and trauma careHealth 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, Mar 13, 2025]

Summary

Indian Health Service Emergency Claims Parity ActThis bill extends from 72 hours to 15 days the time period to notify the Purchased/Referred Care (PRC) program of emergency medical care received from a non-Indian Health Service (IHS) medical provider or at a non-IHS medical facility. This bill does not apply to individuals who are elderly or disabled, who continue to have a 30-day notification requirement for emergency services.The IHS provides medical and dental services directly to American Indian and Alaska Native patients whenever possible. The PRC program pays for medical or dental care that is provided away from an IHS or tribal health care facility. The PRC program must be notified of requests for authorization of payment for health care services from a non-IHS provider.Currently in emergency cases, the patient, an individual on behalf of the patient, or the medical care provider must, within 72 hours after the beginning of treatment for the condition or after admission to a health care facility, notify a PRC authorizing official of the need for the emergency medical care. This bill instead allows the patient, other individual, or provider to notify PRC within 15 days of the treatment or admission.

[Summary as of: Introduced in Senate]

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