Page:United States Statutes at Large Volume 102 Part 5.djvu/832

 102 STAT. 4838

Contracts.

Reports.

PUBLIC LAW 100-713—NOV. 23, 1988

SEC. 719. (a) During the period of the moratorium imposed by Public Law 100-446 on implementation of the final rule published in the Federal Register on September 16, 1987, by the Health Resources and Services Administration of the Public Health Service, relating to eligibility for the health care services of the Indian Health Service, the Indian Health Service shall provide services pursuant to the criteria for eligibility for such services that were in effect on September 15, 1987, subject to the provisions of section 709 of the Indian Health Care Improvement Act, as amended by this Act G>) The Secretary of Health and Human Services, acting through the Indian Health Service, shall, by contract or any other means, conduct a study to determine the impact of the final rule described in subsection (a) and of any other proposed rules which would change the eligibility criteria for medical services provided by the Indian Health Service. (c) The study conducted under subsection (b) shall include— (1) full participation and consultation with Indian and Alaskan Native tribal governments and representatives of urban Indian health care programs; (2) statistics for each of the service areas of the Indian Health Service on the number of Indians who are currently eligible for the services of the Indian Health Service; (3) statistics for each of the service areas of the Indian Health Service on the number of Indians who would be eligible for such services if the final rule described in subsection (a), or any alternative rule changing eligibility, were implemented; (4) consideration of the financial impact of such final rule or any other proposed rule on the contract health care budget and on the clinical services budget of the Indian Health Service; (5) consideration of the health status, cultural, social, and economic impact on Indian reservations and urban Indian populations of such final rule or any other rule changing the eligibility criteria; (6) consideration of the alternatives, if any, that would be available to those Indians who would not be eligible for such services by reason of any such final rule; and (7) consideration of the program changes that the Indian Health Service would be required to make if the eligibility requirements for such services that were in efiect on September 15, 1987, were modified. (d) The Secretary of Health and Human Services shall submit to the Congress a report on the study required under subsection (b). (e) Before submitting to Congress the report on the study required under subsection (b), the Secretary of Health and Human Services shall provide Indian tribes, Alaska Native villages and urban Indian health care programs an opportunity to comment on the report and shall incorporate the comments of such Indian groups into the report. (0 There are hereby authorized to be appropriated such sums as are necessary to carry out the provisions of this section.

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