H.R. 4533: Native Health Access Improvement Act of 2019

116th Congress · introduced 2019-09-26 · Native Americans · Latest: Referred to the Subcommittee for Indigenous Peoples of the United States.

federal

Follow this bill, step by step

Where it came from: introduced 2019-09-26 · official record
Who proposed it: Rep. Pallone, Frank, Jr. [D-NJ-6] · what a sponsor is
What happened next: no floor votes in our records yet. Why?
Where it stands now: Referred to the Subcommittee for Indigenous Peoples of the United States. Not final yet: this can still change. We check for updates every day.
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 Health Access Improvement Act of 2019

Plain summary

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.

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 Health Access Improvement Act of 2019

Source: Congressional Research Service summary (Introduced in House)

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

Officials and money

Sponsor: Rep. Pallone, Frank, Jr. [D-NJ-6] · 1 cosponsors

Cost estimate: No cost estimate published yet.

Cosponsors on this site

Raul Ruiz (D-CA)

Sponsor's campaign money: Rep. Pallone, Frank, Jr. [D-NJ-6] reported raising $2.8 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 (1)

Bill: A proposed law. It becomes law only if it passes the legislature and is signed by the president or governor (or a veto is overridden).

Plain meanings written from linked sources. All words.

Sources

Congressional Research Service summary (Introduced in House)
Congress.gov
Data: GovInfo BILLSTATUS bulk data (Library of Congress), BILLSTATUS-116hr4533.xml <https://www.govinfo.gov/bulkdata/BILLSTATUS/116/hr>

Record fed-us-cong116-hr4533 · catalog fed-us-congress-bills-cong116 · updated 2026-11-15 by psicol fed-bills-cong116