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H.R.5221 / 117th Congress

Urban Indian Health Confer Act

Committee on Indian Affairs. Hearings held. Hearings printed: S.Hrg. 117-530.

Official summary

Version 00 · Introduced in House · Sep 10, 2021

Urban Indian Health Confer Act

This bill requires the Department of Health and Human Services (HHS) to confer with urban Indian organizations regarding health care for American Indians and Alaska Natives living in urban areas.

Currently, only the Indian Health Service (IHS) is required to confer with urban Indian organizations on matters relating to the Indian Health Care Improvement Act. The bill requires HHS to ensure that the IHS and other agencies and offices within HHS confer with urban Indian organizations on (1) matters relating to the Indian Health Care Improvement Act, and (2) other provisions of law relating to health care for American Indians and Alaska Natives.

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Who introduced it

Rep. Grijalva, Raúl M. [D-AZ-3] · D–AZ

Committees

  • Indian Affairs Committee
  • Energy and Commerce Committee
  • Natural Resources Committee
19 cosponsorship records, including any withdrawals

Actions

A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.

  1. Committee on Indian Affairs. Hearings held. Hearings printed: S.Hrg. 117-530.

  2. Received in the Senate and Read twice and referred to the Committee on Indian Affairs.

  3. Motion to reconsider laid on the table Agreed to without objection.

  4. On motion to suspend the rules and pass the bill Agreed to by the Yeas and Nays: (2/3 required): 406 - 17 (Roll no. 343). (text: 11/1/2021 CR H6044)

    House roll call 343 · Individual votes
  5. Passed/agreed to in House: On motion to suspend the rules and pass the bill Agreed to by the Yeas and Nays: (2/3 required): 406 - 17 (Roll no. 343).(text: 11/1/2021 CR H6044)

    House roll call 343 · Individual votes
  6. Considered as unfinished business. (consideration: CR H6095-6096)

  7. At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.

  8. DEBATE - The House proceeded with forty minutes of debate on H.R. 5221.

  9. Considered under suspension of the rules. (consideration: CR H6044-6046)

  10. Ms. Leger Fernandez moved to suspend the rules and pass the bill.

  11. Placed on the Union Calendar, Calendar No. 123.

  12. Committee on Energy and Commerce discharged.

  13. Committee on Energy and Commerce discharged.

  14. Reported by the Committee on Natural Resources. H. Rept. 117-168, Part I.

  15. Reported by the Committee on Natural Resources. H. Rept. 117-168, Part I.

  16. Ordered to be Reported by Unanimous Consent.

  17. Committee Consideration and Mark-up Session Held.

  18. Subcommittee for Indigenous Peoples of the United States Discharged.

  19. Subcommittee Hearings Held.

  20. Referred to the Subcommittee on Health.

  21. Referred to the Subcommittee for Indigenous Peoples of the United States.

  22. Referred to the Committee on Natural Resources, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  23. Referred to the Committee on Natural Resources, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

  24. Introduced in House

  25. Introduced in House

Bill text & related measures

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Related bills identified by Congress.gov

Source last updated: Dec 5, 2025. Consult Congress.gov for the current record.

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Neutral evidence review

Objective

Analyze H.R.5221 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Fairness and public impact

Progressive lens

Examine H.R.5221 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

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Institutions and government scope

Conservative lens

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Individual rights and government power

Liberty lens

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