# 119-hr-1418: Purchased and Referred Care Improvement Act of 2025

119-hr-1418, Purchased and Referred Care Improvement Act of 2025, is a 119th Congress bill sponsored by Rep. Johnson, Dusty [R-SD-At Large] (R-SD); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-hr-1418
- As of: 2025-12-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1418
- Congress: 119
- Title: Purchased and Referred Care Improvement Act of 2025
- Status: introduced
- Introduced: 2025-02-18
- Sponsor: Rep. Johnson, Dusty [R-SD-At Large] (R-SD)
- Cosponsors: 7
- Policy area: Native Americans
- Touches household money: yes
- Last recorded action: 2025-12-21

## Summary

**Guaranteed 30-day reimbursement for out-of-pocket purchased/referred care** is the bill's core aim. It would shift financial responsibility away from patients for Indian Health Service purchased/referred care and create a clear, timebound process and consistent terminology. - Patients and families: would be protected from liability to providers or debt collectors for IHS-authorized purchased/referred care and could be reimbursed for out-of-pocket payments within 30 days after submitting required documentation in person or electronically. - Indian Health Service and providers: would have to establish reimbursement procedures within 120 days and update the Indian Health Manual, provider contracts, and related guidance within 180 days. The bill also replaces the phrase "contract health service" with "purchased/referred care" across the statute. - Tribal programs: reimbursements would not cover purchased/referred care furnished under a tribe's Self-Determination compact or contract unless the tribe expressly agrees to participate.

## Cosponsors (7)

- Rep. Schrier, Kim [D-WA-8] (D-WA), 2025-02-18T00:00:00.000Z
- Rep. Neguse, Joe [D-CO-2] (D-CO), 2025-02-21T00:00:00.000Z
- Rep. Newhouse, Dan [R-WA-4] (R-WA), 2025-02-21T00:00:00.000Z
- Rep. Cole, Tom [R-OK-4] (R-OK), 2025-02-24T00:00:00.000Z
- Rep. Baumgartner, Michael [R-WA-5] (R-WA), 2025-02-24T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2025-02-27T00:00:00.000Z
- Rep. Leger Fernandez, Teresa [D-NM-3] (D-NM), 2025-03-14T00:00:00.000Z

## Provisions PRIA read

- No patient bills for Indian Health Service care: benefit, medium. If enacted, patients using Indian Health Service purchased or referred care would not owe these bills to providers or debt collectors. This would hold even if a patient signed a form agreeing to pay. If you already paid for approved care, the Service would reimburse you within 30 days after you sub…

## Related bills

- 119-hr-7148: Consolidated Appropriations Act, 2026
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025
- 119-hr-2102: Major Richard Star Act
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hr-5371: Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026
- 119-hr-1383: Secure Rural Schools Reauthorization Act of 2025

## Sources
- [119-hr-1418 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1418)

## Related
- [119-hr-7148: Consolidated Appropriations Act, 2026](https://policyrisk.com/legislation/119-hr-7148)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-5371: Continuing Appropriations, Agriculture, Legislative Branch, Military Constructi…](https://policyrisk.com/legislation/119-hr-5371)
- [119-hr-1383: Secure Rural Schools Reauthorization Act of 2025](https://policyrisk.com/legislation/119-hr-1383)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1418 (as of 2025-12-21).