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TABLE OF CONTENTS for Side-by-Side of S. <strong>17</strong>90 (as introduced (IS) and reported out of SCIA (RS) as it amends current law (CL)), H.R. 2708 as amended by H.R. 3962, S<strong>12</strong>00, and National Steering Committee with NotesPg #Side bySide CL § USCS. <strong>17</strong>90 RS/HCR Amdmt2923 amIHCIA in S.<strong>17</strong>90 RS HCRAmdmt 29232923 Am #if diff from<strong>17</strong>90 RSIHCIA in S.<strong>17</strong>90 IS S. <strong>17</strong>90 amHR 2708/ HR3962 HR 1328 ResHR 1328E&C S. <strong>12</strong>00 NSC NotesIndian health care improvement fund 58 201 1621 201 <strong>12</strong>1 am 201 CL 201 201 201 201 201Catastrophic Health Emergency Fund 61 202 1621a. 202 <strong>12</strong>2 am 202 CL 226 202 202 202 202 Subsec. (b)(2)(A) ‐ see question.Health promotion and disease prevention 63 203 1621b. 203 CL 203 CL 202 203 203 203 203 Subsec. (a) ‐ see note.servicesDiabetes prevention, treatment, and control 64 204 1621c. 204 <strong>12</strong>3 am 204 101(c)(1)am (c)(1)203 204 204 204 204 Subsec. (b) ‐ see Note A.Also see note, re: dialysis.Hospice care feasibility study 69 205 1621d. ‐‐ <strong>12</strong>4(a)(1)<strong>12</strong>1 (a)(1)See new S. <strong>17</strong>90 IHCIA 205struckstruckOther authority for provision of services 67 ‐‐ n/a 205 <strong>12</strong>4(a)(1)205 <strong>12</strong>1 (a)(1) 2<strong>12</strong> 213 213 213 213addedaddedReimbursement from certain third parties of 70 206 1621e. 206 <strong>12</strong>5 am 206 <strong>12</strong>2 am 403 403 403 403 406 Subsec. (a) S. <strong>17</strong>90 is PREFERRED VERSION.costs ofCrediting of reimbursements 74 207 1621f. 207 <strong>12</strong>6 am 207 <strong>12</strong>3 am 404 404 404 404 407Health services research 75 208 1621g. 208 CL 208 CL 205 206 206 206 206Mental health prevention and treatment76 209 1621h. 209 CL 209 CLservices(a) National Plan for Indian health services 76 209(a) 1621h(a) 209(a) CL 209(a) CL This subsec should have been deleted. Itwas amended by Sec. 181 as 702(b) in thenew Title VII.(b) Memorandum of agreement 76 209(b) 1621h(b) 209(b) CL 209(b) CL This subsec should have been deleted. Itwas amended by Sec. 181 as 703 in the newTitle VII.(c) Community mental health plan 76 209(c) 1621h(c) 209(c) CL 209(c) CL This subsec should have been deleted. Itwas amended by Sec. 181 as 702(d) in thenew Title VII.(d) Mental health training and community 76 209(d) 1621h(d) 209(d) <strong>12</strong>7 am 209(d) <strong>12</strong>4 am <strong>12</strong>6 <strong>12</strong>6 <strong>12</strong>6 <strong>12</strong>6 <strong>12</strong>7education programs(e) Staffing 78 209(e) 1621h(e) 209(d)(5) CL 209(d)(5) CL <strong>12</strong>6(e) <strong>12</strong>6(e) <strong>12</strong>6(e) <strong>12</strong>6(e) <strong>12</strong>7(e) This subsec should have been deleted sinceit now appears as 209(d)(5), as amended bySec. <strong>12</strong>4.(f) Staff recruitment and retention 78 209(f) 1621h(f) 209(f) CL 209(f) CL ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ This subsec should either be deleted or thenumbering and internal cross‐referencesneed to be updated.(g) Mental health technician program 78 209(g) 1621h(g) 209(g) CL 209(g) CL This subsec should have been deleted. Itwas amended by Sec. 181 as a new sec. 705in the new Title VII.(h) mental health research 79 209(h) 1621h(h) 209(h) CL 209(h) CL This subsec should have been deleted. Itwas amended by Sec. 181 as a new sec. 715in the new Title VII.(i) Facilities assessment 79 209(i) 1621h(i) 209(i) CL 209(i) CL This subsec should have been deleted. Itwas amended by Sec. 181 as 702(f) in thenew Title VII.(j) Annual report 79 209(j) 1621h(j) 209(j) CL 209(j) CL ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ See note.(k) Mental health demonstration grant program 79 209(k) 1621h(k) 209(k) CL 209(k) CL This subsec should have been deleted. Itwas amended by Sec. 181 as 711 in the newTitle VII.(l ) licensing requirement for mental healthworker79 209(l ) 1621h(l ) 209(l ) CL 209(l ) CL This subsec should have been deleted. Itwas amended by Sec. 181 as 706 in the newTitle VII.(m) Intermediate adolescent mental healthservices80 209(m) 1621h(m) 209(m) CL 209(m) CL This subsec should have been deleted. Itwas amended by Sec. 181 as 708(c) in thenew Title VII.Managed care feasibility study 80 210 1621i. 210 CL 210 CL 405 405 405 405 408 See note.Prepared by: Sonosky, Chambers, Sachsen, Miller Munson LLP, 302 Gold St., Ste. 201, Juneau, AK 99801 - (907)586-5880 <strong>12</strong>/<strong>17</strong>/09 - myra@sonoskyjuneau.comPage 2 of 13


TABLE OF CONTENTS for Side-by-Side of S. <strong>17</strong>90 (as introduced (IS) and reported out of SCIA (RS) as it amends current law (CL)), H.R. 2708 as amended by H.R. 3962, S<strong>12</strong>00, and National Steering Committee with NotesPg #Side bySide CL § USCS. <strong>17</strong>90 RS/HCR Amdmt2923 amIHCIA in S.<strong>17</strong>90 RS HCRAmdmt 29232923 Am #if diff from<strong>17</strong>90 RSIHCIA in S.<strong>17</strong>90 IS S. <strong>17</strong>90 amHR 2708/ HR3962 HR 1328 ResHR 1328E&C S. <strong>12</strong>00 NSC Notes80 211 1621j. 211 CL 211 CL 2<strong>17</strong> 218 218 2<strong>17</strong> 2<strong>17</strong> See note. H.R. 3962 amended sec. 2<strong>17</strong> ofH.R. 2708.California contract health servicesdemonstration programCoverage of screening mammography 80 2<strong>12</strong> 1621k. 2<strong>12</strong> <strong>12</strong>8 am 2<strong>12</strong> <strong>12</strong>5 am 206 207 207 207 207Patient travel costs 81 213 1621l. 213 <strong>12</strong>9 am 213 <strong>12</strong>6 am 207 208 208 208 208Epidemiology centers 82 214 1621m. 214 130 am 214 <strong>12</strong>7 am 208 209 209 209 209Comprehensive school health educationprograms83 215 1621n. 215 CL 215 CL 209 210 210 210 210 (g) ‐ see Note re: expired appropriationssubsec.Indian youth grant program 87 216 1621o. 216 131 am216 CL 210 211 211 211 211 (b) ‐ RS corrected a cross‐cite(b)(2)American Indians Into Psychology Program 89 2<strong>17</strong> 1621p. 2<strong>17</strong> 132 am 2<strong>17</strong> CL 105 105 105 105 106Prevention, control, and elimination oftuberculosis90 218 1621q. 218 133 am 218 <strong>12</strong>8 am 211 2<strong>12</strong> 2<strong>12</strong> 2<strong>12</strong> 2<strong>12</strong>Contract health services payment study 92 219 1621r. 219 CL 219 CL ‐‐ ‐‐ ‐‐ ‐‐ ‐‐Prompt action on payment of claims 94 220 1621s. 220 CL 220 CL 223 224 224 223 223Demonstration of electronic claims processing 96 221 1621t. ‐‐ 134(a) struck‐‐ <strong>12</strong>9(a) ‐‐ ‐‐ ‐‐ ‐‐ ‐‐CL 221struck CL221Licensing 96 ‐‐ n/a 221 134(a) added221 <strong>12</strong>9(a) 221 222 222 221 221new 221added new221Liability for payment 96 222 1621u. 222 135 am 222 CL 224 225 225 224 224 See note re: limitation of CL.Office of Indian men's health and women's 96 223 1621v. 223 136 am 223 130 am 223health care(a) office of men's health 96 ‐‐ n/a 223(a) 136 am 223(a) 130 am 223 225 226` 226 225 ‐‐(b) office of women's health 97 223 1621v. 223(b) 136 am 223(b) 130 am 213 214 214 214 214Authorization of appropriations 97 224 1621w. ‐‐ 101(b)(6)‐‐ 101(b)(6) 227 227 227 226 225repealed224.repealed224.Limitation on use of funds . 97 225 1621x. 225 CL 225 CLContract health service disbursement formula 97 ‐‐ n/a 226 137 addednew 226226 131 addednew 226S. <strong>17</strong>90 RS is different from that in ISConsultation; closure of facilities; reports 98 301 1631 301 141 am 301 CL 301 301 301 301 301 See note to (e) and (g), which appearredundantfunds appropriated subject to section 450foftitle 25105 301(d) 1631(d) 301(g) 141 ampriority of certain projects 105 301(g) 142 am ‐‐ S. <strong>17</strong>90 RS Sec. 142 includes this newsubsection, which was NOT included in<strong>Amendment</strong> 2923 to the HCR bill.Safe water and sanitary waste disposal facilities 105 302 1632 302 CL 302 CL 302 302 302 302 302Preference to Indians and Indian firms 1<strong>12</strong> 303 1633 303 CL 303 CL 303 303 303 303 303Soba Sanitation Facilities 113 304 notcodified304 CL 304 CL ‐‐ Title II, 102 Title II, 102 Title II,102304 H.R. 3962, as amended, deleted Sec. 102 ofTitle II of H.R. 2708.Expenditure of non Service funds for renovation 114 305 1634 305 CL 305 CL 304 304 304 304 305[Repealed] 101(c) 1635Grant program for the construction, expansion, 115 306 1636 306 CL 306 CL 305 305 305 305 306andPrepared by: Sonosky, Chambers, Sachsen, Miller Munson LLP, 302 Gold St., Ste. 201, Juneau, AK 99801 - (907)586-5880 <strong>12</strong>/<strong>17</strong>/09 - myra@sonoskyjuneau.comPage 3 of 13


TABLE OF CONTENTS for Side-by-Side of S. <strong>17</strong>90 (as introduced (IS) and reported out of SCIA (RS) as it amends current law (CL)), H.R. 2708 as amended by H.R. 3962, S<strong>12</strong>00, and National Steering Committee with NotesPg #Side bySide CL § USCS. <strong>17</strong>90 RS/HCR Amdmt2923 amIHCIA in S.<strong>17</strong>90 RS HCRAmdmt 29232923 Am #if diff from<strong>17</strong>90 RSIHCIA in S.<strong>17</strong>90 IS S. <strong>17</strong>90 amHR 2708/ HR3962 HR 1328 ResHR 1328E&C S. <strong>12</strong>00 NSC NotesIndian health care delivery demonstration 118 307 1637 307 143 am 307 142 307 141 am 307 306 306 306 306 307 S. <strong>17</strong>90 RS is different from that in ISprojectLand transfer <strong>12</strong>3 308 1638 308 CL 308 CL 307 307 307 307 308Tribal management of Federally owned quarters <strong>12</strong>4 ‐‐ n/a 309 144 added 143 309 142 addednew 309314 314 314 314 315Authorization of appropriations <strong>12</strong>5 309 1638a. ‐‐ 101(b)(6)repealed CL309‐‐ 101(b)(6)repealed CL309Applicability of Buy American requirement <strong>12</strong>5 310 1638b. 310 101(c)(3) am 310 101(c)(3)amOther funding, equipment, and supplies for <strong>12</strong>6 ‐‐ n/a 311 145 am 144 311 143 addedfacilitiesnew 3113<strong>17</strong> 3<strong>17</strong> 3<strong>17</strong> 3<strong>17</strong> 318315 315 315 315 316316 316 316 316 3<strong>17</strong> S. <strong>17</strong>90 RS has differences from that in IS.LOOK closely at (c)(2).Indian country modular component facilitiesdemonstration program<strong>12</strong>7 ‐‐ n/a 3<strong>12</strong> 146 added 145 ‐‐ 144 addednew 3<strong>12</strong>‐‐ ‐‐ ‐‐ ‐‐ ‐‐Mobile health stations demonstration program <strong>12</strong>9 ‐‐ n/a 313 147 146 ‐‐ 145 addednew 313‐‐ ‐‐ ‐‐ ‐‐ ‐‐Study on loans, loan guarantees, and loanrepaymentMaintenance and improvement of health carefacilitiesCrediting of money collected for meals served atIndian Health Service facilitiesTreatment of payments under medicare SocialSecurity Act health benefits programs131 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 309 309 309 309 310134 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 313 313 313 313 314‐‐ 1638d. ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐135 401; 402 1641 401 151 am 401 401 151 am 401 401 401 401 401 401(a) disregard of medicare, medicaid, and CHIPpayments in determining appropriations135 401(a);402(b)1641(a);1642(b)401(a) 151 am 401 401(a) 151 am 401 401(a) 401(a) 401(a) 401(a) 401(a)(b) nonpreferential treatment 135 401(b) 1641(b) 401(b) 151 am 401 401(b) 151 am 401 401(b) 401(b) 401(b) 401(b) 401(b) See note re: typo(c) use of funds 136 402(a) 1642(a) 401(c) 151 am 401;402; 405401(c) 151 am 401;402; 405401(c) 401(c) 401(c) 401(c) 402(a)(d) direct billing 137 405 1645 401(d) 151 am 401,401(d) 151 am 401, 401(d) 401(d) 401(d) 401(d) 405405405Treatment of payments under medicaid136 402 1642 401 151 am 401 401 151 am 401 401 401 401 401 402 CL 402 now part of sec. 401programDirect billing of medicare, medicaid, and other 137 405 1645 401(d) 154 am; see401(d) 154 am; see 401(d) 401(d) 401(d) 401(d) 405401(d)401(d)Purchasing health care coverage 142 ‐‐ n/a 402 152 addednew 402402 152 addednew 402405 405 405 405 408Report; Amount and use of funds reimbursed<strong>through</strong> medicareGrants to and contracts with tribal organizations(re: outreach, enrollment and SSA coverage)143 403 1643 403 CL 403 CL 401(d)(2) 401(d)(2) 401(d)(2) 401(d)(2)144 404 1644 404 153 am 404 404 153 am 404 402 402 402 402 404Sharing arrangements with Federal agencies 146 816 1680f 405 154 am 816 405 154 am 816 406 406 406 406 409 See note to 816Prepared by: Sonosky, Chambers, Sachsen, Miller Munson LLP, 302 Gold St., Ste. 201, Juneau, AK 99801 - (907)586-5880 <strong>12</strong>/<strong>17</strong>/09 - myra@sonoskyjuneau.comPage 4 of 13


TABLE OF CONTENTS for Side-by-Side of S. <strong>17</strong>90 (as introduced (IS) and reported out of SCIA (RS) as it amends current law (CL)), H.R. 2708 as amended by H.R. 3962, S<strong>12</strong>00, and National Steering Committee with NotesPg #Side bySide CL § USCS. <strong>17</strong>90 RS/HCR Amdmt2923 amIHCIA in S.<strong>17</strong>90 RS HCRAmdmt 29232923 Am #if diff from<strong>17</strong>90 RSIHCIA in S.<strong>17</strong>90 IS S. <strong>17</strong>90 amHR 2708/ HR3962 HR 1328 ResHR 1328E&C S. <strong>12</strong>00 NSC Notes161 504 1654 504 CL 504 CL 504 504 504 504 504Contracts and grants for determination ofunmetEvaluations; renewals 162 505 1655 505 CL 505 CL 505 505 505 505 505Other contract and grant requirements 163 506 1656 506 CL 506 CL 506 506 506 506 506Reports and records 164 507 1657 507 CL 507 CL 507 507 507 507 507Limitation on contract authority 165 508 1658 508 CL 508 CL 508 508 508 508 508Facilities renovation 166 509 1659 509 161 am 509 CL 509 509 509 509 509Urban Health Programs Branch 167 510 1660 510 CL 510 CL 510 510 510 510 510Grants for alcohol and substance abuse related 168 511 1660a. 511 CL 511 CL 511 511 511 511 511servicesTreatment of certain demonstration projects 168 5<strong>12</strong> 1660b. 5<strong>12</strong> 162 am 5<strong>12</strong> CL 5<strong>12</strong> 5<strong>12</strong> 5<strong>12</strong> 5<strong>12</strong> 5<strong>12</strong>Appropriations [for demo projects] 169 5<strong>12</strong>(c) 1660b(c) ‐‐ 101(b)(8)repealed5<strong>12</strong>(c)‐‐ 101(b)(8)repealed5<strong>12</strong>(c)‐‐ ‐‐ ‐‐ ‐‐ ‐‐Urban NIAAA transferred programs 169 513 1660c. 513 CL 513 CL 513 513 513 513 513Conferring with urban Indian organizations <strong>17</strong>0 ‐‐ n/a 514 163(a) added514 161(a) 515 514 514 514 514new 514added newExpanded program authority for urban Indianorganizations514<strong>17</strong>0 ‐‐ n/a 515 164 added 515 162 addednew 515521(b) ‐‐ ‐‐ ‐‐ ‐‐Community health representatives <strong>17</strong>0 ‐‐ n/a 516 165 516 163 addednew 516518 5<strong>17</strong> 5<strong>17</strong> 5<strong>17</strong> 519Use of federal government facilities and sources <strong>17</strong>1 ‐‐ ‐‐ 5<strong>17</strong> 166 added ‐‐ ‐‐ 504 ‐‐ ‐‐ ‐‐ 5<strong>17</strong>of supplyHealth information technology <strong>17</strong>2 ‐‐ ‐‐ 518 166 added ‐‐ ‐‐ 522 ‐‐ ‐‐ ‐‐ ‐‐Authorization of appropriations <strong>17</strong>2 514 1660d. ‐‐ 101(b)(9)‐‐ 101(b)(9) 521 520 520 520 521repealed 514repealed514Urban youth treatment center demonstration <strong>17</strong>2 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 516 515 ‐‐ 515 516Grants for diabetes prevention, treatment, and <strong>17</strong>3 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 5<strong>17</strong> 516 516 516 518controlEligibility for services <strong>17</strong>3 520 519Effective date ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 519 518 518 518 ‐‐Federal tort claims act coverage <strong>17</strong>4 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 515Regulations <strong>17</strong>5 520Establishment of the Indian Health Service as an <strong>17</strong>5 601 1661 601 <strong>17</strong>1 am 601 601 <strong>17</strong>1 am 601 601 601 601 601 601agency of Public Health ServiceAutomated management information system <strong>17</strong>8 602 1662 602 CL 602 CL 602 602 602 602 602Office of direct service tribes <strong>17</strong>9 ‐‐ n/a 603 <strong>17</strong>2 addednew 603Nevada area office <strong>17</strong>9 ‐‐ n/a 604 <strong>17</strong>3 addednew 604Authorization of appropriations . 180 603 1663 ‐‐ 101(b)(10)repealed 603603 <strong>17</strong>2 addednew 603604 <strong>17</strong>3 addednew 604‐‐ 101(b)(10)repealed603‐‐ ‐‐ ‐‐ ‐‐ ‐‐‐‐ ‐‐ ‐‐ ‐‐ ‐‐ RS is different from IS.603 603 603 603 603Prepared by: Sonosky, Chambers, Sachsen, Miller Munson LLP, 302 Gold St., Ste. 201, Juneau, AK 99801 - (907)586-5880 <strong>12</strong>/<strong>17</strong>/09 - myra@sonoskyjuneau.comPage 6 of 13


TABLE OF CONTENTS for Side-by-Side of S. <strong>17</strong>90 (as introduced (IS) and reported out of SCIA (RS) as it amends current law (CL)), H.R. 2708 as amended by H.R. 3962, S<strong>12</strong>00, and National Steering Committee with NotesPg #Side bySide CL § USCS. <strong>17</strong>90 RS/HCR Amdmt2923 amIHCIA in S.<strong>17</strong>90 RS HCRAmdmt 2923Definitions 180 ‐‐ n/a 701 181 addednew 70<strong>12</strong>923 Am #if diff from<strong>17</strong>90 RSIHCIA in S.<strong>17</strong>90 IS S. <strong>17</strong>90 am701 181 addednew 701HR 2708/ HR3962 HR 1328 ResHR 1328E&C S. <strong>12</strong>00 NSC Notes716 715 715 7<strong>17</strong> 714 (6) and (8) are duplicates of sec. 4(9) and(21), respectively. Both should probably bedeleted from sec. 701 since they apply morebroadly than in Title VII.RS struck definition of "systems of care".Indian Health Service responsibilities 183 701;702(a) 1665 ‐‐ 181 struck ‐‐ 181 struck ‐‐ ‐‐ ‐‐ ‐‐ ‐‐Behavioral health prevention and treatment 183 209 1621h 702 181 am 702 181 am 701 701 701 701 701services(a) Purposes 183 ‐‐ P.L. 101‐630 am 209702(a) 181 am 702(a) 181 am 701(a) 701(a) 701(a) 701(a) 701(a) (a)(3) See , note.(b) Plans 184 209(a) 1621h(a) 702(b) 181 am 702(b) 181 am 701(b) 701(b) 701(b) 701(b) 701(b) Amended 209(a); see note to that subsec.(b)(A)(i) ‐ see note.(c) Programs 185 ‐‐ n/a 702(c) 181 am 702(c) 181 am 701(a) 701(a) 701(a) 701(a) 701(a)(d) Community behavioral health plan 187 209(c) 1621h(c) 702(d) 181 am 702(d) 181 am 701(d) 701(d) 701(d) 701(d) 701(d) Amended 209(c); see note to that subsec.(e) Coordination for availability of services 188 ‐‐ n/a 702(e) 181 am702(e) 181 am 701(e) 701(e) 701(e) 701(e) 701(e)addedadded(f) Mental health care need assessment 188 209(i) 1621h(i) 702(f) 181 am 702(f) 181 am 701(f) 701(f) 701(f) 701(f) 701(f) Amended 209(i); see note to that subsec.Memorandum of Agreement with the188 209(b) 1621h(b) 703 181 am 703 181 am 702 702 702 702 702 Amended 209(b); see note to that subsec.Department of InteriorComprehensive behavioral health prevention 191 702(a) 1665a(a) 704 181 am as704 181 am as 703 703 703 703 703and treatment programnew 704new 704Mental health technicain program 192 209(g) 1621h(g) 705 181 am asnew 705705 181 am asnew 705705 705 705 705 705 Amended 209(g); see note to that subsec.(d) ‐ See note.Licensing requirement for mental health care 194 209(l ) 1621h(l ) 706 181 am as706 181 am as 705 705 705 705 705 Amended 209(l ); see note to that subsec.workersnew 706new 706Indian women treatment program 194 703 1665b 707 181 am as a707 181 am as a 706 706 706 706 706new 707new 707Indian Health Service youth program 195 704 1665c. 708 181 am as anew 708708 181 am as anew 708707 707 707 707 707 RS changed reference to systems of care in(c)(1).Inpatient and community‐based mental healthfacilities design, construction, and staffing200 ‐‐ n/a 709 181 added 709 181 added 709 709 709 709 316Training and community education 200 705 1665d. 710 181 am 705as new 710Behavioral health program 202 209(k) 1621h(k) 711 181 am as anew 711Fetal alcohol syndrome and fetal alcohol effect 203 708 1665g. 7<strong>12</strong> 181 am as agrantsnew 7<strong>12</strong>Child sexual abuse treatment programs 206 819 1680i. 713 181 am 819as new 713710 181 am 705as new 710711 181 am as anew 71<strong>17</strong><strong>12</strong> 181 am as anew 7<strong>12</strong>713 181 am 819as new 713710 710 710 710 709 (c)(1) ‐ see note.RS made changes noted in (e).711 711 711 711 710 Amended 209(k); see note to that subsec.7<strong>12</strong> 7<strong>12</strong> 7<strong>12</strong> 7<strong>12</strong> 711 (a)(1) ‐ See note.713 713 713 713 7<strong>12</strong> Amended 819; see note to that subsec.Title ‐ see Note, RS is different from IS.See, new (a)(2) and (b)(5), which wasstruck.Prepared by: Sonosky, Chambers, Sachsen, Miller Munson LLP, 302 Gold St., Ste. 201, Juneau, AK 99801 - (907)586-5880 <strong>12</strong>/<strong>17</strong>/09 - myra@sonoskyjuneau.comPage 7 of 13


TABLE OF CONTENTS for Side-by-Side of S. <strong>17</strong>90 (as introduced (IS) and reported out of SCIA (RS) as it amends current law (CL)), H.R. 2708 as amended by H.R. 3962, S<strong>12</strong>00, and National Steering Committee with NotesDomestic and sexual violence prevention andtreatmentPg #Side bySide CL § USCS. <strong>17</strong>90 RS/HCR Amdmt2923 amIHCIA in S.<strong>17</strong>90 RS HCRAmdmt 2923208 ‐‐ n/a 714 181 addednew 7142923 Am #if diff from<strong>17</strong>90 RSIHCIA in S.<strong>17</strong>90 IS S. <strong>17</strong>90 am714 181 addednew 714HR 2708/ HRHR 13283962 HR 1328 Res E&C S. <strong>12</strong>00 NSC Notes714 ‐‐ ‐‐ 714 ‐‐ RS is different from IS. See, (a)(2) and (b).Behavioral health research 209 209(h) 1621h(h) 715 181 am as anew 715715 181 am as anew 715715 714 714 716 713 Amended 209(h); see note to that subsec.(a)(2) ‐ Also see note.Subtitle B ‐ Indian youth suicide prevention 210 ‐‐ n/a Subtitle B 181 addednew subtitleSubtitle B181 addednewsubtitle‐‐ ‐‐ ‐‐ ‐‐ ‐‐Findings and Purpose 210 ‐‐ n/a 721 181 addednew 721Definitions 2<strong>12</strong> ‐‐ n/a 722 181 addednew 722721 181 addednew 72<strong>17</strong>22 181 addednew 722‐‐ ‐‐ ‐‐ ‐‐ ‐‐‐‐ ‐‐ ‐‐ ‐‐ ‐‐ See Notes. RS is different from IS.Indian youth telemental health demonstrationproject213 ‐‐ n/a 723 181 addednew 723723 181 addednew 723708 708 708 708 See notesSubstance abuse and mental health servicesadministration grants2<strong>17</strong> ‐‐ n/a 724 181 addednew 724724 181 addednew 724‐‐ ‐‐ ‐‐ ‐‐ ‐‐ RS is different from IS.Use of predoctoral psychology and psychiatryinterns220 ‐‐ n/a 725 181 addednew 725725 181 addednew 725‐‐ ‐‐ ‐‐ ‐‐ ‐‐ RS is different from IS.Indian youth life skills developmentdemonstration project220 ‐‐ n/a 726 181 addednew 726726 181 addednew 726‐‐ ‐‐ ‐‐ ‐‐ ‐‐ RS is different from IS.(c) grants for model programs 702(c) 1665a(c) ‐‐ 181 did notinclude‐‐ 181 did notinclude‐‐ ‐‐ ‐‐ ‐‐ ‐‐Gallup alcohol and substance abuse treatmentcenter225 706 1665e. ‐‐ 181 did notinclude‐‐ 181 did notinclude‐‐ ‐‐ ‐‐ ‐‐ ‐‐Reports 226 707 1665f. ‐‐ 181 did notinclude‐‐ 181 did notinclude‐‐ ‐‐ ‐‐ ‐‐ ‐‐Pueblo substance abuse treatment project forSan Juan227 709 1665h. ‐‐ 181 did notinclude‐‐ 181 did notinclude‐‐ ‐‐ ‐‐ ‐‐ ‐‐Thunder Child Treatment Center 228 710 1665i. ‐‐ 181 did notinclude‐‐ 181 did notinclude‐‐ ‐‐ ‐‐ ‐‐ ‐‐Substance abuse counselor educationdemonstration projectGila River alcohol and substance abusetreatment facility228 711 1665j. ‐‐ 181 did notinclude230 7<strong>12</strong> 1665k. ‐‐ 181 did notinclude‐‐ 181 did notinclude‐‐ 181 did notinclude<strong>12</strong>5 <strong>12</strong>5 <strong>12</strong>5 <strong>12</strong>5 <strong>12</strong>6 It appears this section may have beeninadvertantly deleted. In S. <strong>12</strong>00 and theHouse bills it was moved to Title I as a newsec. <strong>12</strong>5. See note.‐‐ ‐‐ ‐‐ ‐‐ ‐‐Alaska Native drug and alcohol abusedemonstration project230 713 1665l. ‐‐ 181 did notinclude‐‐ 181 did notinclude‐‐ ‐‐ ‐‐ ‐‐ ‐‐Prepared by: Sonosky, Chambers, Sachsen, Miller Munson LLP, 302 Gold St., Ste. 201, Juneau, AK 99801 - (907)586-5880 <strong>12</strong>/<strong>17</strong>/09 - myra@sonoskyjuneau.comPage 8 of 13


TABLE OF CONTENTS for Side-by-Side of S. <strong>17</strong>90 (as introduced (IS) and reported out of SCIA (RS) as it amends current law (CL)), H.R. 2708 as amended by H.R. 3962, S<strong>12</strong>00, and National Steering Committee with NotesPg #Side bySide CL § USCS. <strong>17</strong>90 RS/HCR Amdmt2923 amIHCIA in S.<strong>17</strong>90 RS HCRAmdmt 2923Authorization of appropriations 231 714 1665m. ‐‐ 181 did notinclude2923 Am #if diff from<strong>17</strong>90 RSIHCIA in S.<strong>17</strong>90 IS S. <strong>17</strong>90 am‐‐ 181 did notincludeHR 2708/ HRHR 13283962 HR 1328 Res E&C S. <strong>12</strong>00 NSC Notes7<strong>17</strong> 716 716 7<strong>17</strong> 715Testimony by Service employees in cases of rapeand sexual assault231 ‐‐ n/a ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 715 ‐‐Reports 231 801 1671 801 CL 801 CL 801 801 801 801 801 see notes.Regulations 234 802 1672 801 CL 801 CL 802 802 802 802 802 S. <strong>17</strong>90 does not provide for negotiatedrulemaking.Plan of implementation 235 803 1673 ‐‐ ‐‐ ‐‐ ‐‐ 803 803 803 803 803repealed repealedLeases with Indian tribes 235 804 1674 804 CL 804 CL 308 308 308 308 309Confidentiality of medical quality assurancerecords; qualified immunity for participants236 ‐‐ n/a 805 191 addsnew 805Availability of funds 241 805 1675 see new 825 101(b)(11)repealedLimitation on use of funds appropriated to theIndian805 191 addsnew 805see new825101(b)(11)repealed8<strong>12</strong> 814 814? 814 HR 3962, renumbered sec. 814 from HR<strong>17</strong>08.816(c) 804 815 804 804 In S. <strong>17</strong>90 the substantive provision wasmoved to sec. 825. H.R. 3962 renumberedHR 2708 sec. 818.241 806 1676 806 CL 806 CL 804 805 804 805 805Nuclear resource development health hazards 242 807 1677 807 CL 807 CL 214 215 215 215 215 CL does not address other environmentalhealth hazards, which the other versions do.Treatment of certain services and benefits 244 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ H.R. 3962 deleted sec. 807 from H.R. 2708.Arizona as a contract health service deliveryarea246 808 1678 808 192(1) am 808 192(1) am 215 216 216 216 216North Dakota and South Dakota as contracthealth service delivery area246 ‐‐ n/a 808A 192(2) addsnew 808A808A192(2) addsnew 808A216 2<strong>17</strong> 2<strong>17</strong> 216AEligibility of California Indians 246 809 1679 809 192(3) am809 192(3) am 805 806 805 806 806 RS is different than IS. See, (a)(4).809809California as a contract health service delivery 248 810 1680 810 CL 810 CL 218 219 219 218 218areaContract health facilities 248 811 1680a. 811 CL 811 CL 220 221 221 220 220National Health Service Corps 248 8<strong>12</strong> 1680b. 8<strong>12</strong> 193 am 8<strong>12</strong> 8<strong>12</strong> 193 am 8<strong>12</strong> <strong>12</strong>4 <strong>12</strong>4 <strong>12</strong>4 <strong>12</strong>5Health services for ineligible persons 249 813 1680c. 813 194 am 813 813 194 am 813 806 807 806 807 807Infant and maternal mortality; fetal alcoholsyndromeContract health services for the Trenton serviceareaIndian Health Service and Department ofVeterans Affairs health facilities and services253 814 1680d. 814 CL 814 CL ‐‐ ‐‐ ‐‐ ‐‐ ‐‐254 815 1680e. 815 CL 815 CL 219 220 220 219 219254 816 1680f. 816; also see405CL816; alsosee 405CLThis subsec should have been deleted. Itwas amended by Sec. 155 as 405.Reallocation of base resources 254 8<strong>17</strong> 1680g. 8<strong>17</strong> CL 8<strong>17</strong> CL 807 808 807 808 808 HR 3962, renumbered sec. 808 from HR<strong>17</strong>08.Demonstration projects for tribal managementof health care services255 818 1680h. 818 CL 818 CL ‐‐ ‐‐ ‐‐ ‐‐ ‐‐Prepared by: Sonosky, Chambers, Sachsen, Miller Munson LLP, 302 Gold St., Ste. 201, Juneau, AK 99801 - (907)586-5880 <strong>12</strong>/<strong>17</strong>/09 - myra@sonoskyjuneau.comPage 9 of 13


TABLE OF CONTENTS for Side-by-Side of S. <strong>17</strong>90 (as introduced (IS) and reported out of SCIA (RS) as it amends current law (CL)), H.R. 2708 as amended by H.R. 3962, S<strong>12</strong>00, and National Steering Committee with NotesPg #Side bySide CL § USCS. <strong>17</strong>90 RS/HCR Amdmt2923 amIHCIA in S.<strong>17</strong>90 RS HCRAmdmt 29232923 Am #if diff from<strong>17</strong>90 RSIHCIA in S.HR 2708/ HR<strong>17</strong>90 IS S. <strong>17</strong>90 am 3962 HR 1328 ResIHS/tribal facilities joint venture program 256 818(e) 1680h(e) 818(e) CL 818(e) CL 311 311 311 3<strong>12</strong> 3<strong>12</strong>HR 1328E&C S. <strong>12</strong>00 NSC NotesChild sexual abuse treatment programs 258 819 1680i. 819, but alsosee 713CL819, butalso see713Tribal leasing 258 820 1680j. 820 CL 820 CL 310 310 310 310 311CLThis subsec should have been deleted. See,Sec. 181, and the new sec. 713, which wasdrafted from this section.Home and community based caredemonstration project258 821 1680k. ‐‐ <strong>12</strong>1(a)(2)repealed 821‐‐ <strong>12</strong>1(a)(2)repealed821‐‐ ‐‐ ‐‐ ‐‐ ‐‐ Portions of this were incorporated into S.<strong>17</strong>90, sec. 205.Shared services demonstrtion project 260 822 1680l. 822 <strong>12</strong>1(b) am 822 <strong>12</strong>1(b) am 204 205 205 205 205Results of demonstration projects 262 823 1680m. 823 CL 823 CL 808 809 808 809 809 HR 3962, renumbered sec. 809 from HR<strong>17</strong>08.Priority for Indian reservations 262 824 1680n. CL CLAuthorization of appropriations 263 825 1680o. 825 101(a) am825825 101(a) am825816 816 815 821 818 HR 3962, renumbered sec. 818 from HR<strong>17</strong>08.Annual budget submission 263 ‐‐ n/a 826 195 addednew 826826 195 addednew 826‐‐ ‐‐ ‐‐ ‐‐ ‐‐Prescription drug monitoring 263 ‐‐ n/a 827 196 addednew 827Tribal health program option for cost sharing 263 ‐‐ ‐‐ 828 197 addednew 828Disease and injury prevention report 265 ‐‐ ‐‐ 829 198 addednew 829Other GAO reports 265 ‐‐ ‐‐ 830 199 added anew 830GAO report on coordination of services 265 ‐‐ ‐‐ 830(a) 199 added anew 830(a)‐‐ ‐‐‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 816 ‐‐‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 820 ‐‐GAO study and report on payments for contracthealth services265 ‐‐ ‐‐ 830(b) 199 addednew 830(b)‐‐ ‐‐ Sec. 3104 ‐‐ ‐‐ Sec. 105 HR 3962, renumbered Title II Sec. 104 fromH.R. 2708.Traditional health care practices 266 ‐‐ ‐‐ 831 199A addednew 831Director of HIV/AIDS prevention and treatment 267 ‐‐ ‐‐ 832 199 B addednew 832Limitation on new spending authority 267 ‐‐ PL 100‐713,Sec. 4Provision of services in Montana 268 ‐‐ PL 100‐713Sec. 7<strong>12</strong>Moratorium 268 ‐‐ PL 100‐713Sec. 719Severability provisions 269 ‐‐ PL 100‐713,Sec. 801‐‐ ‐‐ ‐‐ ‐‐ 816(b) 815 815(b) 819 8<strong>17</strong>‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 810 809 810 811 HR 3962, renumbered sec. 810 from HR<strong>17</strong>08. The manager's amendment to HR3962 deleted this section from HR 2708.‐‐ ‐‐ ‐‐ ‐‐ 809 811 810 ‐‐ 8<strong>12</strong> HR 3962, renumbered sec. 811 from HR<strong>17</strong>08.‐‐ ‐‐ ‐‐ ‐‐ 810 8<strong>12</strong> 811 8<strong>12</strong> 815 HR 3962, renumbered sec. 8<strong>12</strong> from HR<strong>17</strong>08.Prepared by: Sonosky, Chambers, Sachsen, Miller Munson LLP, 302 Gold St., Ste. 201, Juneau, AK 99801 - (907)586-5880 <strong>12</strong>/<strong>17</strong>/09 - myra@sonoskyjuneau.comPage 10 of 13


TABLE OF CONTENTS for Side-by-Side of S. <strong>17</strong>90 (as introduced (IS) and reported out of SCIA (RS) as it amends current law (CL)), H.R. 2708 as amended by H.R. 3962, S<strong>12</strong>00, and National Steering Committee with NotesPg #Side bySide CL § USCS. <strong>17</strong>90 RS/HCR Amdmt2923 amIHCIA in S.<strong>17</strong>90 RS HCRAmdmt 29232923 Am #if diff from<strong>17</strong>90 RSIHCIA in S.<strong>17</strong>90 IS S. <strong>17</strong>90 amHR 2708/ HR3962 HR 1328 ResHR 1328E&C S. <strong>12</strong>00 NSC NotesUse of patient safety organizations 270 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 811 ‐‐ 813 ‐‐ ‐‐ HR 3962, renumbered sec. 813 from HR<strong>17</strong>08.Sense of Congress regarding law enforcementand methamphetamine issues in Indian country270 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 814 ‐‐ ‐‐ 815 ‐‐ HR 3962, renumbered sec. 816 from HR<strong>17</strong>08.Claremore Indian hospital 270 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 813 ‐‐ ‐‐ ‐‐ ‐‐ HR 3962, renumbered sec. 815 from HR<strong>17</strong>08.Permitting implementation <strong>through</strong> contractswith tribal health programs270 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 815 ‐‐ 814 ‐‐ ‐‐ HR 3962, renumbered sec. 8<strong>17</strong> from HR<strong>17</strong>08.Establishment of national bipartisan commission 270 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 813 8<strong>12</strong> 813 816on Indian health careTribal employment 276 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 811 813Testing for sexually transmitted diseases in 276 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 8<strong>17</strong> ‐‐cases of sexual violenceStudy on tobacco‐related disease anddisproportionate health effects on tribalpopulations277 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 818 ‐‐References 277 ‐‐ PL 100‐713,Sec. 3‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 810Prime vendor 278 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 814Rate of pay 278 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ Sec. 101(b) & Sec. 101(b) & Sec. 101(b) ‐‐ ‐‐ This section is found in Sec. 101 of the(c) (c) & (c)House billsNative American health and wellnessfoundation280 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ Sec. 3103 Sec. 103 Sec. 103 Sec. 103 HR 3962, renumbered Title II Sec. 103 fromH.R. 2708.Modification of term [re: urban Indian] 285 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ Sec. 104286GAO study of membership criteria for federally 286 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ Sec. 106recognized Indian tribesGAO study of tribal justice systems 286 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ Sec. 107Exclusion waiver authority 287 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ Sec. 207(a) Sec. 426207(a)Solicitation of proposals for safe harbors underthe Social Security Act for facilities of Indianhealth programs and urban Indian organizations288 ‐‐ ‐‐ ‐‐ ‐‐ n/a Sec. 201 amSSASec. 3203 Sec. 207(b) Sec. 206 Sec.207(b)427 HR 3962, renumbered Title II, Sec. 205 fromHR <strong>17</strong>08.Annual report regarding Indians served byhealth benefits programs under Social SecurityActIncluding costs of Service [and other entities] inproviding prescription drugs toward out ofpocket threshold under Part D290 ‐‐ ‐‐ ‐‐ ‐‐ n/a Sec. 202 amSSA291 ‐‐ ‐‐ ‐‐ ‐‐ n/a Sec. 203 amSSASec. 3204 Sec. 209 Sec. 208 Sec. 209 ‐‐ HR 3962, renumbered Title II, Sec. 206 fromHR <strong>17</strong>08.‐‐ ‐‐ ‐‐ ‐‐ ‐‐Medicare amendments 292 ‐‐ ‐‐ n/a Sec. 201 n/a Sec. 204 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐Expansion of payments under medicare,medicaid, and CHIP for all covered servicesfurnished by Indian health programs292 ‐‐ ‐‐ ‐‐ ‐‐ n/a Sec. 205 Sec. 3201 Sec. 201 Sec. 201 Sec. 201 422 HR 3962, renumbered Title II, Sec. 201 fromHR <strong>17</strong>08.Reauthorization of Native Hawaiian health careprograms297 ‐‐ ‐‐ n/a Sec. 202 n/a Sec. 206 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐Prepared by: Sonosky, Chambers, Sachsen, Miller Munson LLP, 302 Gold St., Ste. 201, Juneau, AK 99801 - (907)586-5880 <strong>12</strong>/<strong>17</strong>/09 - myra@sonoskyjuneau.comPage 11 of 13


TABLE OF CONTENTS for Side-by-Side of S. <strong>17</strong>90 (as introduced (IS) and reported out of SCIA (RS) as it amends current law (CL)), H.R. 2708 as amended by H.R. 3962, S<strong>12</strong>00, and National Steering Committee with NotesIncreased outreach to Indians under medicaidand SCHIP and improved cooperation inprovision of items and services under SSA healthbenefit programsAdditional provisions to increase outreach to,and enrollment of, Indians in SCHIP andmedicaidPremiums and cost sharing protections undermedicaid, eligibility determinations undermedicaid and SCHIP, and protection of certainIndian property from medicaid estate recoveryNondiscrimination in qualifications for paymentfor services under federal health care programsConsultation on medicaid, SCHIP, and otherhealth care programs funding under the SSAinvolving Indian health programs and urbanIndian organizationsRules applicable under medicaid and SCHIP tomanaged care entities with respect to Indianenrollees and Indian health care providers andIndian managed care entitiesDevelopment of recommendations to improveinterstate coordination of medicaid and SCHIPcoverage of Indian children and other childrenwho are out of their state of residency becauseof educaitonal or other needsEstablishment of national child welfare resourcecentr for tribesAdjustment to the medicare advantagestabilization fundMoratorium on implementation of changes tocase management and targeted casemanagement payment requirements undermedicaidIncreased civil money penalties and criminalfines and medicare fraud and abusePg #Side bySide CL § USCS. <strong>17</strong>90 RS/HCR Amdmt2923 amIHCIA in S.<strong>17</strong>90 RS HCRAmdmt 29232923 Am #if diff from<strong>17</strong>90 RSIHCIA in S.HR 2708/ HRHR 1328<strong>17</strong>90 IS S. <strong>17</strong>90 am 3962 HR 1328 Res E&C S. <strong>12</strong>00 NSC Notes297 ‐‐ ‐‐ n/a ‐‐ ‐‐ Sec. 202 Sec. 202 Sec. 202 404(e) H.R. 3962 deleted Sec. 202 from H.R. 2708.299 ‐‐ ‐‐ n/a ‐‐ Sec. 3202 Sec. 203 Sec. 203 Sec. 203 405 HR 3962, renumbered Title II, Sec. 203 fromHR <strong>17</strong>08.302 n/a ARRA, Sec.5006(a), (b),(c)‐‐ Sec. 204 Sec. 204 Sec. 204 428305 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ Sec. 205 ‐‐ Sec. 205 ‐‐ See, S. <strong>17</strong>90 Sec. 156, which added a newsec. 408 that is the equivalent of thissection. H.R. 3962 deleted section 204 fromH.R. 2708.307 ‐‐ ‐‐ ARRA Sec.5006(e)308 ‐‐ ‐‐ ARRA Sec.5006(d)‐‐ Sec. 206 Sec. 205 Sec. 206 431,414‐‐ Sec. 208 Sec. 207 Sec. 207 429316 ‐‐ ‐‐ ‐‐ ‐‐ Sec. 3205 ‐‐ ‐‐ Sec. 210 ‐‐ HR 3962, renumbered Title II, Sec. 207 fromHR <strong>17</strong>08.3<strong>17</strong> ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ Sec. 211 ‐‐3<strong>17</strong> ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ Sec. 2<strong>12</strong> ‐‐3<strong>17</strong> ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ Sec. 213 ‐‐319 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ Sec. 214 ‐‐Increased sentences for felonies involving 320 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ Sec. 215 ‐‐medicare fraud and abuseResolution of apology to Native people of the 321 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ Sec. 301 ‐‐United StatesThrough the Indian Health Service 324 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 421Medicaid federally qualified health center 324 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 418payments[<strong>Amendment</strong>s to SSA sec. 1880] 325 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 416Limitations on charges 327 ‐‐ ‐‐ ‐‐ MMA ‐‐ ‐‐ ‐‐ ‐‐ 415 Medicare Like Rates adopted in MedicareModernization ActPrepared by: Sonosky, Chambers, Sachsen, Miller Munson LLP, 302 Gold St., Ste. 201, Juneau, AK 99801 - (907)586-5880 <strong>12</strong>/<strong>17</strong>/09 - myra@sonoskyjuneau.comPage <strong>12</strong> of 13


TABLE OF CONTENTS for Side-by-Side of S. <strong>17</strong>90 (as introduced (IS) and reported out of SCIA (RS) as it amends current law (CL)), H.R. 2708 as amended by H.R. 3962, S<strong>12</strong>00, and National Steering Committee with NotesPg #Side bySide CL § USCS. <strong>17</strong>90 RS/HCR Amdmt2923 amIHCIA in S.<strong>17</strong>90 RS HCRAmdmt 29232923 Am #if diff from<strong>17</strong>90 RSIHCIA in S.<strong>17</strong>90 IS S. <strong>17</strong>90 amHR 2708/ HR3962 HR 1328 ResCHAP medicare reimbursement 327 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 416(d)Provider based status 327 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 416(e)Visiting nurse services 328 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 416(f)Qualified Indian health program 328 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 4<strong>17</strong>CHIP FMAP 332 ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ 423Repeal of facilities survey and reportingrequirement332 PL 101‐630Sec. 506Report on third‐party payment collections ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ ‐‐ Sec. 2 ‐‐ ‐‐Billing of Indians by Indian Health Service . 1681Subrogation of claims by Indian Health Service . 1682HR 1328E&C S. <strong>12</strong>00 NSC NotesrepealedContracts for provision of personal services inIndian Health1638cPrepared by: Sonosky, Chambers, Sachsen, Miller Munson LLP, 302 Gold St., Ste. 201, Juneau, AK 99801 - (907)586-5880 <strong>12</strong>/<strong>17</strong>/09 - myra@sonoskyjuneau.comPage 13 of 13

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