Las Vegas, Nev. – U.S. Senators Catherine Cortez Masto (D-Nev.) and Mike Rounds (R-S.D.), members of the Senate Committee on Indian Affairs, reintroduced legislation to extend the reporting deadline for Indian Health Service (IHS) patients who seek emergency care outside of IHS facilities. The IHS Emergency Claims Parity Act would extend the emergency notification requirements of IHS’s Purchased and Referred Care (PRC) program from within 72 hours to 15 days.
“Medical emergencies are emergencies – people can’t choose when and where they occur,” said Cortez Masto. “In a crisis, IHS patients should be able to seek care at the closest hospital without worrying about having to fill out burdensome paperwork after an emergency.”
IHS beneficiaries are subject to a number of restrictive rules when seeking outside care; however, few of these rules are as problematic as the emergency reporting deadline. Currently, in emergency cases, the patient must notify the PRC office within 72 hours of receiving outside care. Native American patients determined to be elderly or disabled are given 30 days to notify the IHS of emergency medical care received from non-IHS medical providers or at non-IHS medical facilities.
The IHS Emergency Claims Parity Act would increase the window for timely consideration of emergency care payments to 15 days for all IHS beneficiaries. This excludes reporting requirements for patients considered to be elderly or disabled, which will stay at 30 days.
You can find the full text of the legislation here.
Senator Cortez Masto has long been a champion for Tribal communities and led efforts to provide Native American communities across Nevada with access to quality health care. Last year, the Senate passed her legislation to make it easier for IHS to recruit and retain medical workers. She helped secure over $1 billion in coronavirus relief funding for the Indian Health Service to combat the pandemic and $125 million in additional funding for Tribes and urban Indian health organizations within the Substance Abuse and Mental Health Services Administration to address the mental health needs of Native communities. She has also cosponsored legislation to help address health disparities for Native Americans in urban areas and expand access to physician training to address the state-wide doctor shortage. The Senator has continuously highlighted the ongoing crisis of missing and murdered Indigenous women (MMIW), and she was instrumental in passing Not Invisible Act and Savanna’s Act into law.
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