[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"current-user-roles":3,"user-subscription":3,"bill:119-hr-1418":4},null,{"bill":5,"indexable":178,"summaries":179,"cosponsors":185,"cosponsorSlugs":223,"actions":231,"amendments":257,"amendmentSponsorSlugs":258,"linkages":259,"sponsorSlug":260},{"statusDate":6,"sponsor":7,"updateDate":14,"cboCostEstimates":15,"originChamber":16,"congress":17,"isByRequest":18,"title":19,"createdAt":20,"committeeReports":21,"cosponsorCount":22,"onBehalfOfSponsor":3,"adminOverride":3,"amendmentCount":23,"actionCount":24,"popularTitle":3,"laws":3,"billType":25,"introducedDate":6,"committees":26,"congressGovUrl":27,"constitutionalAuthority":28,"policyArea":29,"deletedAt":3,"latestAction":30,"billNumber":32,"cosponsorCountIncludingWithdrawn":22,"status":33,"shortTitle":19,"officialTitle":34,"keyMilestoneCount":35,"subjects":36,"updatedAt":39,"policyAreaLower":40,"searchTokens":41,"committeeCodes":177},"2025-02-18",{"firstName":8,"lastName":9,"fullName":10,"state":11,"party":12,"bioguideId":13},"Dusty","Johnson","Rep. Johnson, Dusty [R-SD-At Large]","SD","R","J000301","2025-05-14T14:16:33Z",[],"House",119,false,"Purchased and Referred Care Improvement Act of 2025","2026-05-11T16:09:39.753Z",[],7,0,4,"hr",[],"https:\u002F\u002Fwww.congress.gov\u002Fbill\u002F119th-congress\u002Fhouse-bill\u002F1418","\u003Cpre>\n[Congressional Record Volume 171, Number 32 (Tuesday, February 18, 2025)]\n[House]\nFrom the Congressional Record Online through the Government Publishing Office [\u003Ca href=\"https:\u002F\u002Fwww.gpo.gov\">www.gpo.gov\u003C\u002Fa>]\nBy Mr. JOHNSON of South Dakota:\nH.R. 1418.\nCongress has the power to enact this legislation pursuant\nto the following:\nArticle I, Section 8 of the U.S. Constitution\n[Page H723]\n\u003C\u002Fpre>","Native Americans",{"date":6,"text":31},"Referred to the Committee on Natural Resources, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.",1418,"in_committee","To amend the Indian Health Care Improvement Act to address liability for payment of charges or costs associated with provision of purchased\u002Freferred care services, and for other purposes.",2,[37,38],"Health care costs and insurance","Indian social and development programs","2026-05-23T08:49:32.193Z","native americans",[42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,99,100,101,102,103,104,105,106,107,108,109,110,111,112,113,114,115,116,117,118,119,120,121,122,123,124,125,126,127,128,129,130,131,132,133,134,135,136,137,138,139,140,141,142,143,144,145,146,147,148,149,150,151,152,153,154,155,156,157,158,159,160,161,162,163,164,165,166,167,168,169,170,171,172,173,174,175,176],"purchased","pu","pur","purc","purch","purcha","purchas","purchase","and","referred","re","ref","refe","refer","referr","referre","care","ca","car","improvement","im","imp","impr","impro","improv","improve","improvem","improveme","improvemen","act","of","2025","20","202","to","amend","am","ame","amen","the","indian","in","ind","indi","india","health","he","hea","heal","healt","address","ad","add","addr","addre","addres","liability","li","lia","liab","liabi","liabil","liabili","liabilit","for","payment","pa","pay","paym","payme","paymen","charges","ch","cha","char","charg","charge","or","costs","co","cos","cost","associated","as","ass","asso","assoc","associ","associa","associat","associate","with","wi","wit","provision","pr","pro","prov","provi","provis","provisi","provisio","services","se","ser","serv","servi","servic","service","other","ot","oth","othe","purposes","purp","purpo","purpos","purpose","rep","johnson","jo","joh","john","johns","johnso","dusty","du","dus","dust","sd","at","large","la","lar","larg",[],true,[180],{"versionCode":181,"actionDate":6,"actionDesc":182,"text":183,"updateDate":184},"00","Introduced in House","\u003Cp>\u003Cstrong>Purchased and Referred Care Improvement Act of 2025\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>This bill specifies that the Indian Health Service (IHS) must reimburse patients for their out-of-pocket costs for authorized purchased\u002Freferred 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\u002Freferred care.)\u003C\u002Fp>\u003Cp>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\u002Freferred 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. \u003C\u002Fp>\u003Cp>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.\u003C\u002Fp>\u003Cp>The bill also replaces statutory references to \u003Cem>contract health service\u003C\u002Fem> with \u003Cem>purchased\u002Freferred care\u003C\u002Fem>.\u003C\u002Fp>","2025-05-14T14:15:00Z",[186,193,199,205,210,216,219],{"bioguideId":187,"fullName":188,"party":189,"state":190,"district":191,"sponsorshipDate":192,"isOriginalCosponsor":18,"withdrawn":18,"sponsorshipWithdrawnDate":3},"L000273","Rep. Leger Fernandez, Teresa [D-NM-3]","D","NM","3","2025-03-14",{"bioguideId":194,"fullName":195,"party":189,"state":196,"district":197,"sponsorshipDate":198,"isOriginalCosponsor":18,"withdrawn":18,"sponsorshipWithdrawnDate":3},"D000230","Rep. Davis, Donald G. [D-NC-1]","NC","1","2025-02-27",{"bioguideId":200,"fullName":201,"party":12,"state":202,"district":203,"sponsorshipDate":204,"isOriginalCosponsor":18,"withdrawn":18,"sponsorshipWithdrawnDate":3},"C001053","Rep. Cole, Tom [R-OK-4]","OK","4","2025-02-24",{"bioguideId":206,"fullName":207,"party":12,"state":208,"district":209,"sponsorshipDate":204,"isOriginalCosponsor":18,"withdrawn":18,"sponsorshipWithdrawnDate":3},"B001322","Rep. Baumgartner, Michael [R-WA-5]","WA","5",{"bioguideId":211,"fullName":212,"party":189,"state":213,"district":214,"sponsorshipDate":215,"isOriginalCosponsor":18,"withdrawn":18,"sponsorshipWithdrawnDate":3},"N000191","Rep. Neguse, Joe [D-CO-2]","CO","2","2025-02-21",{"bioguideId":217,"fullName":218,"party":12,"state":208,"district":203,"sponsorshipDate":215,"isOriginalCosponsor":18,"withdrawn":18,"sponsorshipWithdrawnDate":3},"N000189","Rep. Newhouse, Dan [R-WA-4]",{"bioguideId":220,"fullName":221,"party":189,"state":208,"district":222,"sponsorshipDate":6,"isOriginalCosponsor":178,"withdrawn":18,"sponsorshipWithdrawnDate":3},"S001216","Rep. Schrier, Kim [D-WA-8]","8",{"L000273":224,"D000230":225,"C001053":226,"B001322":227,"N000191":228,"N000189":229,"S001216":230},"teresa-leger-fernandez","donald-g-davis","tom-cole","michael-baumgartner","joe-neguse","dan-newhouse","kim-schrier",[232,242,248,253],{"actionDate":6,"actionDateTime":3,"text":31,"type":233,"actionCode":234,"sourceSystem":235,"committees":237,"recordedVotes":3,"calendarNumber":3,"sequenceIndex":241,"isKeyMilestone":18},"IntroReferral","H11100",{"code":35,"name":236},"House floor actions",[238],{"name":239,"systemCode":240},"Natural Resources Committee","hsii00",1,{"actionDate":6,"actionDateTime":3,"text":31,"type":233,"actionCode":234,"sourceSystem":243,"committees":244,"recordedVotes":3,"calendarNumber":3,"sequenceIndex":23,"isKeyMilestone":18},{"code":35,"name":236},[245],{"name":246,"systemCode":247},"Energy and Commerce Committee","hsif00",{"actionDate":6,"actionDateTime":3,"text":182,"type":233,"actionCode":249,"sourceSystem":250,"committees":3,"recordedVotes":3,"calendarNumber":3,"sequenceIndex":35,"isKeyMilestone":178},"Intro-H",{"code":251,"name":252},9,"Library of Congress",{"actionDate":6,"actionDateTime":3,"text":182,"type":233,"actionCode":254,"sourceSystem":255,"committees":3,"recordedVotes":3,"calendarNumber":3,"sequenceIndex":256,"isKeyMilestone":178},"1000",{"code":251,"name":252},3,[],{},[],"dusty-johnson"]