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S. 4869Senate118th Congress (2023-2025)In Committee

Indian Health Service Emergency Claims Parity Act

Sponsored by Mike RoundsSen. Mike Rounds (R-SD)
Introduced July 30, 2024

AI-Generated Summary

Updated January 20, 2026 at 6:18 PM UTC

The Indian Health Service Emergency Claims Parity Act changes how emergency medical care provided by non‑IHS providers is reported. It requires that the Indian Health Service be notified of such emergency treatment within 15 days, except for elderly or disabled Indian patients who are covered under a separate rule. The changes affect Indian patients receiving emergency care and the IHS’s contract‑health billing process.

Key Provisions

  • Adds a general requirement that the IHS be notified within 15 days when an Indian receives emergency care from a non‑Service provider or facility.
  • Specifies that this 15‑day notification rule does not apply to elderly or disabled Indians, who are addressed in a separate subsection.
  • Rewords the existing subsection to clarify it applies specifically to elderly or disabled Indians.

Legislative Activity

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2 earlier actions
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Indian Affairs.

July 30, 2024

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SenateIntro Referral

Introduced in Senate

July 30, 2024

SenateIntro Referral

July 30, 2024

SenateIntro Referral

Read twice and referred to the Committee on Indian Affairs.

July 30, 2024

Bill Text

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Introduced in SenateIssued July 30, 2024

II

118th CONGRESS

2d Session

S. 4869

IN THE SENATE OF THE UNITED STATES

July 30, 2024

Mr. Rounds (for himself and Ms. Cortez Masto) introduced the following bill; which was read twice and referred to the Committee on Indian Affairs

A BILL

To amend the Indian Health Care Improvement Act to modify the notification requirement for emergency contract health services for certain beneficiaries, and for other purposes.

1.

Short title

This Act may be cited as the Indian Health Service Emergency Claims Parity Act.

2.

Authorization for emergency contract health services

Section 406 of the Indian Health Care Improvement Act (25 U.S.C. 1646) is amended—

(1)

by striking With respect to and inserting the following:

(b)

Elderly or disabled Indians

With respect to

; and

(2)

by inserting before subsection (b) (as so designated) the following:

(a)

In general

Except as provided in subsection (b), with respect to an Indian receiving emergency medical care or services from a non-Service provider or in a non-Service facility under the authority of this Act, the time limitation (as a condition of payment) for notifying the Service of such treatment or admission shall be 15 days.

.