Sec. 108. Staffing demonstration program
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Title VIII of the Indian Health Care Improvement Act ( 25 U.S.C. 1671 et seq. ) is amended by adding at the end the following: Not later than 1 year after the date of enactment of the Restoring Accountability in the Indian Health Service Act of 2022 , the Secretary, acting through the Service (referred to in this section as the Secretary ), shall establish a demonstration program (referred to in this section as the demonstration program ) under which the Service may provide Service units with additional staffing resources, with the goal that the resources become self-sustaining.
In selecting Service units for participation in the demonstration program, the Secretary shall consider whether a Service unit services an Indian tribe that— has utilized or contributed substantial Tribal funds to construct a health facility used by the Service or identified in the master plan for the Service unit; is located in 1 or more States with Medicaid reimbursements plans or policies that will increase the likelihood that the staffing resources provided will be self-sustaining; and is operating a health facility described in paragraph
(1)under historical staffing ratios, as determined by the Secretary, that have not been equalized or updated by the Service or any other Service program to reflect current staffing needs. Staffing resources provided to a Service unit under the demonstration program shall be provided for a duration that the Secretary, in consultation with the applicable Indian tribe, determines appropriate, on the condition that each staffing position provided shall be for a period of not less than 3 fiscal years. No staffing resources provided under the demonstration program shall reduce the recurring base funding for staffing for any Indian tribe or Service unit. The demonstration program established under subsection
(a)shall terminate on the date that is 4 years after the date on which the demonstration program is established. Not later than 1 year after the date on which the demonstration program terminates under subsection (e), the Secretary shall submit to the Committee on Indian Affairs and the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Natural Resources and the Committee on Energy and Commerce of the House of Representatives a report describing the demonstration program, including information on— whether the staffing resources provided under the demonstration program resulted in additional revenue for the applicable Service unit sufficient to maintain the staff on a permanent basis; the levels to which the staffing resources provided under the demonstration program reduced the unmet staffing need for the applicable Service unit; and whether the demonstration program could be deployed permanently to reduce unmet staffing needs throughout the Service. .
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Sec. 108
Staffing demonstration program
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