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HR 4533 116th Congress House Native Americans Alaska Natives and Hawaiians Comprehensive health care Drug, alcohol, tobacco use Health care costs and insurance Health care coverage and access Health programs administration and funding Health promotion and preventive care Indian social and development programs Mental health Minority health

Native Health Access Improvement Act of 2019

Introduced: September 26, 2019 Introduced by: Pallone, Frank Democratic · New Jersey See on congress.gov
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This bill died when the 116th Congress ended
It never became law before the 116th Congress (2019–2020) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 5 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Oct 7, 2019
Referred to the Subcommittee for Indigenous Peoples of the United States.
Sep 27, 2019
Referred to the Subcommittee on Health.
Sep 26, 2019
Referred to the Subcommittee on Health.
Sep 26, 2019
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Natural Resources, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Sep 26, 2019
Introduced in House
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 Plain-English summary Congressional Research Service

Native Health Access Improvement Act of 2019

This bill establishes a grant program for Indian health facilities and expands the applicability of certain federal health care provisions to American Indians and Alaska Natives.

Specifically, the bill provides funds for and requires the Indian Health Service (IHS) to award grants to Indian health facilities for the prevention and treatment of mental health and substance use disorders. The IHS must establish a technical assistance center for grantees.

The bill defines Indian for purposes of health insurance reform, exchanges, and subsidies to include individuals of Indian descent who are members of an Indian community served by the IHS and individuals considered by the Department of Health and Human Services to be Indian for purposes of eligibility for Indian health care services. Individuals included in the definition are eligible for special monthly enrollment periods on health insurance exchanges and elimination of cost sharing under individual health coverage for those whose income is not more than 300% of the poverty line. Under current law, only members of Indian tribes are eligible for these benefits.

The bill also exempts Indians, as defined by the bill, from the tax penalty for not maintaining minimum essential health coverage.

What's happening now October 7, 2019

Referred to the Subcommittee for Indigenous Peoples of the United States.

 Related & companion bills 1
  • S 3126 Related bill Native Behavioral Health Access Improvement Act of 2019
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 6
 Cosponsors 1
All 1 Democratic 1
D
Ruiz, Raul
California · Sep 26, 2019
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 4533: Native Health Access Improvement Act of 2019. 116th Congress. Open America. https://openamerica.io/bill/116-HR-4533/
MLA
"H.R. 4533: Native Health Access Improvement Act of 2019." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-HR-4533/.
Bluebook (legal)
H.R. 4533, 116th Cong. (2026), https://openamerica.io/bill/116-HR-4533/.
Markdown link
[H.R. 4533: Native Health Access Improvement Act of 2019](https://openamerica.io/bill/116-HR-4533/)
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