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H.R. 4843: Native CARE Act of 2014

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H.R. 4843: Native CARE Act of 2014

113th Congress · introduced 2014-06-11 · Health · Latest: Referred to the Subcommittee Indian and Alaska Native Affairs.

federal

Follow this bill, step by step

  1. Where it came from: introduced 2014-06-11 · official record
  2. Who proposed it: Rep. McCollum, Betty [D-MN-4] · what a sponsor is
  3. What happened next: no floor votes in our records yet. Why?
  4. Where it stands now: Referred to the Subcommittee Indian and Alaska Native Affairs. Not final yet: this can still change. We check for updates every day.
  5. If it becomes law and spends money: follow the money to money laws, then agencies and contracts and grants.

What does this mean?

Official title

Native CARE Act of 2014

Plain summary

Native Contract and Rate Expenditure Act of 2014 or the Native CARE Act of 2014 - Amends title XVIII (Medicare) of the Social Security Act to remove the restriction to hospitals furnishing inpatient Medicare services and allow all service providers to participate under: (1) the Purchased/Referred Care program (formerly called the contract health services program) funded and operated by the Indian Health Service (IHS), and (2) any program funded by IHS and operated by an urban Indian organization. Prohibits Medicare payment for an item or service furnished by a supplier unless the supplier agrees to participate under both such programs. Prohibits any reduction, offset, or limitation to any appropriations made to IHS under the Indian Health Care Improvement Act, the Snyder Act, or any other provision of law as a result of this Act. Directs the Secretary of Health and Human Services (HHS), acting through the Director of IHS, to study the impact of this Act on access to care under the IHS Purchased/Referred Care program.

Congressional Research Service summary (Introduced in House), quoted unchanged (nonpartisan). Read the source.

What a vote does

A “Yea” vote

If it passes both chambers and is signed, it becomes law.

A “Nay” vote

If it is not passed, current law stays as it is.

PSI Sci description of the legislative step (not an opinion).

What does this mean? (plain words)

Official text

Native CARE Act of 2014

Source: Congressional Research Service summary (Introduced in House)

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The strongest published arguments

Arguments for (supporters)

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Alternatives

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How did my representative vote? · This bill's floor votes

Officials and money

Sponsor: Rep. McCollum, Betty [D-MN-4] · 19 cosponsors

Cost estimate: No cost estimate published yet.

Cosponsors on this site

Tom Cole (R-OK), Ben Ray Luján (D-NM), Darrell Issa (R-CA), Frank Pallone, Jr. (D-NJ), Jared Huffman (D-CA), David G. Valadao (R-CA), Mark Pocan (D-WI), Rosa L. DeLauro (D-CT), Joe Courtney (D-CT), Michael K. Simpson (R-ID), Chellie Pingree (D-ME)

Sponsor's campaign money: Rep. McCollum, Betty [D-MN-4] reported raising $1.5 million (2025–2026). Details. Shown for context only; it does not mean any donor supported this bill.

No linked floor roll calls in our collected records yet. This does not mean the bill has never had a vote. Check the official bill history.

Words on this page, explained (2)
Appropriation
Money a legislature sets aside by law for a specific purpose. Government agencies may spend public money only as it has been appropriated.
Securities
Financial investments that can be bought and sold, such as stocks and bonds.

Plain meanings written from linked sources. All words.

Sources

Record fed-us-cong113-hr4843 · catalog fed-us-congress-bills-cong113 · updated 2026-11-15 by psicol fed-bills-cong113