To promote transparency and quality in the Service.

SA 4031. Mr. COBURN submitted an amendment intended to be proposed by
him to the bill S. 1200, to amend the Indian Health Care Improvement
Act to revise and extend the Act; which was ordered to lie on the
table; as follows:

At the appropriate place in title VIII of the Indian Health
Care Improvement Act (as amended by section 101), insert the
following:

``SEC. 8__. GAO ASSESSMENT.

``Not later than 1 year after the date of enactment of the
Indian Health Care Improvement Act Amendments of 2008, the
Comptroller General of the United States shall

[[Page S988]]

conduct, and submit to Congress a report describing the
results of, an assessment of--
``(1) the average wait time of patients in the Service;
``(2) the extent of rationing of health care services in
the Service;
``(3) the average per capita health care spending on
Indians eligible for health care services through the
Service;
``(4) the overall health outcomes in Indians, as compared
to the overall health outcomes of other residents of the
United States;
``(5) patient satisfaction of Indians receiving health care
services through the Service;
``(6) the total amount of funds of the Service expended
for--
``(A) direct medical care; and
``(B) administrative expenses;
``(7) the health care coverage options available to Indians
receiving health care services through the Service;
``(8) the health care services options available to
Indians; and
``(9) the health care provider options available to
Indians.
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