Sec. 102. Medical credentialing system
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Title I of the Indian Health Care Improvement Act ( 25 U.S.C. 1611 et seq.), as amended by section 101, is further amended by adding at the end the following: By not later than 1 year after the date of enactment of the Restoring Accountability in the Indian Health Service Act of 2018 , the Secretary, acting through the Service and in accordance with the requirements described in subsection (b), shall develop and implement a Service-wide centralized electronic credentialing system (referred to in this section as the credentialing system ) to credential licensed health professionals who seek to provide health care services at any Service unit, including physicians, nurses and physicians assistants.
In implementing the credentialing system, the Secretary— shall not require re-credentialing of licensed health professionals who were credentialed using existing Service policy prior to the date of enactment of the Restoring Accountability in the Indian Health Service Act of 2018 ; and shall— use the credentialing system for all new applications of licensed health professionals and the migration of credentials data that existed prior to implementation into the system; maintain the established timeline for re-credentialing of licensed health professionals who were credentialed prior to implementation, as defined by Service policy; and review credentials for all professionals in the system, based on updated policies, on a not less than yearly basis.
Licensed health professionals whose credentials would not have been approved under the updated policies shall have 90 days to meet the new requirements. In developing the credentialing system under subsection (a), the Secretary shall ensure the following: Credentialing procedures shall be uniform and integrated throughout the Service. With respect to each licensed health professional who successfully completes the credentialing procedures of the credentialing system, the Secretary may authorize each such professional to provide health care services at any Service unit.
Credentialing procedures shall include verification of licensure, education, employment history, and criminal background checks and history. In developing the credentialing system under subsection (a), the Secretary shall consult with Indian Tribes and may also consult with any public or private association of medical providers, any government agency, or other relevant expert, as determined by the Secretary. A licensed health care professional may not provide health care services at any Service unit, unless such professional successfully completes the credentialing procedures of the credentialing system developed under subsection (a).
The Secretary may prescribe such regulations as may be necessary to carry out the provisions of this section. Nothing in this section may be construed— to negatively impact the right of an Indian Tribe to enter into a compact or contract under the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 5304 et seq.); and to apply to such a compact or contract unless expressly agreed to by the Indian Tribe. .
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