Indian Health Care Amendments of 1984

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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Documents

5 official files

• Conference report filed in House

  summary · EN · 2 October 1984

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• Passed House amended

  summary · EN · 24 September 1984

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• Passed Senate amended

  summary · EN · 12 September 1984

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• Reported to Senate with amendment(s)

  summary · EN · 22 May 1984

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• Introduced in Senate

  summary · EN · 18 November 1983

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