Indian Health Care Amendments of 1984

openUnited States· United States Congress· EN

Introduced

18 November 1983

Last action

22 October 1984 · President

Status

Pocket Vetoed by President.

Summary

Indian Health Care Amendments of 1983 - Title I: Indian Health Manpower - Amends the Indian Health Care Improvement Act to authorize appropriations for specified Indian health programs for FY 1985 - 1988, including scholarship programs. Provides that the active duty services obligation incurred by the recipient of an Indian Health Scholarship shall be met by service in the Indian Health Service or in specified programs under the Indian Health Care Improvement Act. Title II: Health Services - Extends from seven to 11 years the fiscal year period during which the Secretary of Health and Human Services is authorized to expend certain appropriated funds and to employ personnel in order to eliminate backlogs in Indian health care services. Extends the authorization for specified appropriations for health services from FY 1985 - 1988. Title III: Health Facilities - Extends the authorization for specified appropriations for hospitals, health centers and staff housing from FY 1981 - 1988. Extends from seven to 11 years the fiscal year period during which the Secretary is authorized to expend specified sums for health facilities and safe water and sanitary waste disposal facilities. Title IV: Access to Health Services - Extends the authorization for specified appropriations for grants and contracts with tribal organizations' from FY 1985-1988. Amends the Social Security Act to make any provider of the Indian Health Service eligible for Medicare and Medicaid payments. Title V: Urban Indian Health Services - Directs the Secretary to contract with urban Indian organizations to administer health services programs in urban areas. Details eligibility criteria for such programs. Prescribes reporting and recording procedures for urban Indian organizations which receive or expend funds under this Title. Authorizes appropriations. Authorizes the Secretary to enter into contracts with urban Indian organizations to determine the health status and unmet health care needs of urban Indians in affected urban areas. Delineates the requirements of such contracts. Requires the Secretary to: (1) develop evaluation procedures for the performance of contracts; and (2) conduct annual onsite evaluations of each contracting urban Indian organization. Prescribes guidelines for the renewal of health care or referral services contracts. Prohibits renewal of contracts for determination of unmet health needs. Requires certain reports to Congress. Authorizes appropriations for FY 1985 - 1988. Title VI: Health Services for Rural Indians - Directs the Secretary to contract with Indian organizations to administer health services programs in rural areas. Details eligibility criteria for such programs. Authorizes appropriations for FY 1985 - 1988. Requires the Secretary to review the rural Indian health services program and to submit an assessment report to the Congress with recommendations for further legislation. Title VII: Miscellaneous - Repeals the requirement that the Secretary conduct a study of the health hazards faced by Indians as a result of a nuclear resource development on or near Indian reservations and communities. Extends from FY 1984 to FY 1988 the time during which Arizona is designated as a contract health service delivery area. Authorizes appropriations for FY 1985 - 1988. Extends eligibility for health services of specified Indians in the State of California from FY 1984 - 1988. Repeals the personnel ceilings demonstration project. Requires the Secretary to: (1) complete within one year implementation of a program to prevent and control hepatitis-B in Alaska; (2) report to the Congress about the status of such program; and (3) request budget authority for a hepatitis-B control program in Alaska for FY 1985 - 1989. Requires the Secretary to submit an analytical report to the Congress regarding the impact that implementation of clinical care priorities would have had upon the delivery of clinical health care services during FY 1980 - 1983. Prohibits the Secretary from modifying any clinical health care service provided before passage of this Act. Title VIII: Organizational Improvements - Establishes the Indian Health Service in the Department of Health and Human Services. Makes the Assistant Secretary of Health and Human Services for Indian Health the administrator of the Indian Health Service. Transfers to such Assistant Secretary the functions currently performed by the Director of the Indian Health Service. Establishes an Indian Health Advisory Board comprised of Indians or Alaska Natives. Authorizes appropriations for FY 1985 - 1988. Title IX: Payment for Health Care - Entitles to reimbursement authorized providers of medical or health services for the costs incurred in providing such services to eligible Indians. Prescribes procedures for payment. Authorizes appropriations for FY 1985 - 1988. Authorizes the Secretary to negotiate a health services contract upon a determination that negotiation is necessary to assure delivery of health services at locations at least 100 miles from the residences of a substantial majority of the Indian population to be served.

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Timeline

18 November 1983
Introduced
Read twice and referred to the Committee on Indian Affairs.
Source: IntroReferral
18 November 1983
Introduced
Introduced in Senate
Source: IntroReferral
29 February 1984
Committee
Committee on Indian Affairs. Hearings held.
Source: Committee
9 May 1984
Reported
Committee on Indian Affairs. Ordered to be reported with an amendment in the nature of a substitute favorably.
Source: Committee
22 May 1984
Reported
Committee on Indian Affairs. Reported to Senate by Senator Andrews with an amendment in the nature of a substitute. With written report No. 98-471.
Source: Committee
22 May 1984
Reported
Committee on Indian Affairs. Reported to Senate by Senator Andrews with an amendment in the nature of a substitute. With written report No. 98-471.
Source: Committee
22 May 1984
Calendars
Placed on Senate Legislative Calendar under General Orders. Calendar No. 907.
Source: Calendars
12 September 1984
Floor
Measure laid before Senate by unanimous consent.
Source: Floor
12 September 1984
Passed
Passed/agreed to in Senate: Passed Senate with amendments by Voice Vote.
Source: Floor
24 September 1984
Floor
Called up by House by Unanimous Consent.
Source: Floor
24 September 1984
ResolvingDifferences
House Requested a Conference and Speaker Appointed Conferees: Udall, McNulty, Gejdenson, Richardson, Young (AK), McCain, Dingell, Waxman, Scheuer, Luken, Broyhill, Madigan.
Source: ResolvingDifferences
24 September 1984
ResolvingDifferences
House Insisted on its Amendments by Unanimous Consent.
Source: ResolvingDifferences
24 September 1984
NotUsed
Resolving differences -- House actions: House Insisted on its Amendments by Unanimous Consent.
Source: NotUsed
24 September 1984
Floor
House Incorporated H.R.4567 in This Measure as an Amendment.
Source: Floor
24 September 1984
Passed
Passed House (Amended) by Voice Vote.
Source: Floor
24 September 1984
Passed
Passed/agreed to in House: Passed House (Amended) by Voice Vote.
Source: Floor
25 September 1984
Passed
Conferees agreed to file conference report.
Source: ResolvingDifferences
25 September 1984
Passed
Senate disagreed to the House amendments by Voice Vote.
Source: Floor
25 September 1984
Passed
Resolving differences -- Senate actions: Senate disagreed to the House amendments by Voice Vote.
Source: NotUsed
25 September 1984
Passed
Conference committee actions: Conferees agreed to file conference report.
Source: ResolvingDifferences
2 October 1984
ResolvingDifferences
Conference Report 98-1126 Filed in House.
Source: ResolvingDifferences
2 October 1984
ResolvingDifferences
Conference report filed: Conference Report 98-1126 Filed in House.
Source: ResolvingDifferences
3 October 1984
Passed
Senate agreed to conference report by Voice Vote.
Source: ResolvingDifferences
3 October 1984
Passed
Conference report agreed to in Senate: Senate agreed to conference report by Voice Vote.
Source: ResolvingDifferences
4 October 1984
Passed
Conference report agreed to in House: House Agreed to Conference Report by Voice Vote.
Source: ResolvingDifferences
4 October 1984
Passed
House Agreed to Conference Report by Voice Vote.
Source: ResolvingDifferences
10 October 1984
Floor
Presented to President.
Source: Floor
10 October 1984
President
Presented to President.
Source: President
10 October 1984
Floor
Measure Signed in Senate.
Source: Floor
22 October 1984
President
Pocket Vetoed by President.
Source: President
22 October 1984
President
Pocket Vetoed by President.
Source: President

Votes

No vote records are attached yet.

Versions

No version snapshots stored. Document URLs remain at the source.

Documents

5 official files

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Conference report filed in House
summary · EN · 2 October 1984
Open at official source
Passed House amended
summary · EN · 24 September 1984
Open at official source
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Passed Senate amended
summary · EN · 12 September 1984
Open at official source
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Reported to Senate with amendment(s)
summary · EN · 22 May 1984
Open at official source
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Introduced in Senate
summary · EN · 18 November 1983
Open at official source
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Related records

Sources

PoliticalRepo is an index and interpretation layer, not the authoritative legal source.

Official source: https://www.congress.gov/bill/98th-congress/senate-bill/2166
Open data entity: https://api.congress.gov/v3/bill/98/s/2166
us · 98-s-2166 · source updated 20 June 2025