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Improve the delivery and management of medical services for American Indians and Alaska Natives who receive care from outside providers.

One policy goal, tracked across every bill that has carried it.

Known asPurchased and Referred Care Improvement Act of 2025Purchased and Referred Care Improvement Act

What’s happening with Purchased and Referred Care Improvement Act of 2025?

The Purchased and Referred Care Improvement Act of 2025 is currently tracked as S. 699 and has not seen action since the Senate Committee on Indian Affairs held hearings on February 3, 2026. The Senate committee must now decide whether to advance the bill for a vote, but most legislation fails because committees choose not to act on proposals. This bill has remained in committee without further progress for 5 months.

Updated July 9, 2026 · Generated by AI. Always verify with official sources.

Where it stands

Now carried by Purchased and Referred Care Improvement Act of 2025 (S. 699 (119th)) →

Legislative Progress

Senate
House
President
Law

How we got here

Every bill that has carried this goal, oldest first.

  1. Died with Congress · Jan 3, 2025

    Died when the 118th Congress ended without final passage. Bills must be reintroduced under a new number to be revived.

  2. Reintroduced · Jan 3, 2025

    Reintroduced from S. 3797 (118th), which died when its Congress ended.

    S. 3797 (118th)

Vehicles

Who’s behind it

Mike Rounds (R-SD)Wrote and sponsored the current bill.

Coverage