Purchased and Referred Care Improvement Act of 2025

No bills for Indian Health referrals

If enacted, you would not be responsible for paying bills for purchased or referred care approved by the Indian Health Service. The Service could not hold you liable to providers, debt collectors, or others, and would have to notify you and the provider within 5 business days after it gets a provider claim. The Secretary would have to set up procedures within 120 days to reimburse patients who paid out-of-pocket, and pay within 30 days after you submit required documentation online or in person. Those reimbursement rules would not apply to tribe-run purchased/referred care programs under an ISDEAA contract or compact unless the tribe expressly agrees. The rules would apply to care given on, before, or after the date the law is enacted.