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119-s-1055119th CongressWALLET

Indian Health Service Emergency Claims Parity Act

Sponsored By: Senator Rounds, Mike [R-SD]

Passed Senate

Summary

Extends the emergency claims notification deadline to 15 days. This bill would change the time window for notifying the Indian Health Service Purchased/Referred Care (PRC) program from 72 hours to 15 days when an American Indian or Alaska Native receives emergency care from a non-IHS provider or at a non-IHS facility.

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  • Patients (non-elderly, non-disabled): Gives those individuals up to 15 days to notify PRC about emergency care received off-site, easing the current 72-hour requirement.
  • Elderly or disabled Indians: Retain a separate 30-day notification rule for emergency services.
  • Providers, family members, or others filing on behalf of patients: Gain more time to submit PRC notices after an emergency, reducing immediate paperwork pressure on clinicians and families.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

15-day notice for Indian Health Service emergency care

If enacted, this would set a 15-day deadline to tell the Indian Health Service when an eligible Indian gets emergency care from a non-Service provider or is admitted to a non-Service facility. Notice within 15 days would be required for the Service to pay for that care. A separate rule would still apply to elderly or disabled Indians.

Sponsors & CoSponsors

Sponsor

Rounds, Mike [R-SD]

SD • R

Cosponsors

  • Sen. Cortez Masto, Catherine [D-NV]

    NV • D

    Sponsored 3/13/2025

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov
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