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Purchased and Referred Care Improvement Act of 2025
2/11/2026, 3:13 PM
Summary of Bill S 699
Bill 119 s 699, also known as the Indian Health Care Improvement Act, aims to make changes to how liability for payment of charges or costs associated with purchased/referred care services is addressed. The bill seeks to ensure that Native American individuals receiving healthcare services through the Indian Health Service are not burdened with unexpected costs or charges.
The main purpose of the bill is to clarify and streamline the process for payment of purchased/referred care services, which are services provided to Native Americans by non-Indian Health Service providers. The bill aims to improve transparency and accountability in the payment process, ensuring that Native Americans are not left with unexpected bills or charges.
In addition to addressing liability for payment of charges, the bill also includes provisions for improving access to healthcare services for Native Americans, including expanding telehealth services and increasing funding for mental health and substance abuse treatment programs. Overall, Bill 119 s 699 seeks to improve the quality and accessibility of healthcare services for Native Americans while also addressing issues related to payment and liability for care services.
The main purpose of the bill is to clarify and streamline the process for payment of purchased/referred care services, which are services provided to Native Americans by non-Indian Health Service providers. The bill aims to improve transparency and accountability in the payment process, ensuring that Native Americans are not left with unexpected bills or charges.
In addition to addressing liability for payment of charges, the bill also includes provisions for improving access to healthcare services for Native Americans, including expanding telehealth services and increasing funding for mental health and substance abuse treatment programs. Overall, Bill 119 s 699 seeks to improve the quality and accessibility of healthcare services for Native Americans while also addressing issues related to payment and liability for care services.
Read the Full Bill
Current Status of Bill S 699
Bill S 699 is currently in the status of Bill Introduced since February 24, 2025. Bill S 699 was introduced during Congress 119 and was introduced to the Senate on February 24, 2025. Bill S 699's most recent activity was Committee on Indian Affairs. Hearings held. as of February 4, 2026
Bipartisan Support of Bill S 699
Total Number of Sponsors
1Democrat Sponsors
0Republican Sponsors
1Unaffiliated Sponsors
0Total Number of Cosponsors
3Democrat Cosponsors
2Republican Cosponsors
1Unaffiliated Cosponsors
0Policy Area and Potential Impact of Bill S 699
Primary Policy Focus
Native AmericansAlternate Title(s) of Bill S 699
A bill to amend the Indian Health Care Improvement Act to address liability for payment of charges or costs associated with the provision of purchased/referred care services, and for other purposes.
A bill to amend the Indian Health Care Improvement Act to address liability for payment of charges or costs associated with the provision of purchased/referred care services, and for other purposes.
Comments

Saige Jacobson
589
11 months ago
I'm not sure how this will affect me, but it seems like this bill is trying to address some important issues with healthcare for Native Americans. It's sad that there are still so many challenges in accessing quality care for indigenous communities. Did you know that this bill also includes provisions for mental health services for Native Americans?
Sponsors and Cosponsors of S 699
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