S. 699 · 119th Congress · pending
Purchased and Referred Care Improvement Act of 2025
Committee on Indian Affairs. Hearings held.
Latest official action 2026-02-04 · In Committee
The bill, briefly
Purchased and Referred Care Improvement Act of 2025 This bill specifies that the Indian Health Service (IHS) must reimburse patients for their out-of-pocket costs for authorized purchased/referred care services within 30 days. (The IHS provides medical and dental services directly to American Indian and Alaska Native patients whenever possible. However, when services are not available, IHS beneficiaries may be referred to private providers. This is called purchased/referred care.) Specifically, the bill requires the Department of Health and Human Services (HHS) to establish and implement procedures to allow a patient who paid out of pocket for purchased/referred care services authorized by the IHS to be reimbursed by the IHS for that payment no later than 30 days after the patient submits required documentation. Additionally, the bill requires HHS to update applicable provisions of and exhibits to the Indian Health Manual, contracts with providers, and other relevant documents and administrative authorities to incorporate the provisions of the bill. The bill also replaces statutory references to contract health service with purchased/referred care .
Congressional Research Service · 2025-02-24
Who reported lobbying on this bill?
Amount spent specifically on this bill: not disclosed
The reports below name this bill and disclose an organization’s overall lobbying expenses or a firm’s client income for the period. They can cover many bills and issues. These amounts are not payments to the bill or its politicians.
No matching lobbying report is imported yet. This is not evidence that no lobbying occurred.
2,409 latest lobbying reports imported. Some source imports are still in progress.
Politicians behind the bill
Sponsors and cosponsors from the official source, limited to members currently in office. Campaign amounts are cycle-wide and are not payments for this bill.
Sponsor
Mike Rounds
Senate · SD · Republican
$1,655,055PAC receipts · 2025–2026
Cosponsor
Maria Cantwell
Senate · WA · Democratic
-$11,500PAC receipts · 2025–2026
Cosponsor
John Thune
Senate · SD · Republican
$857,250PAC receipts · 2025–2026
Cosponsor
Patty Murray
Senate · WA · Democratic
$311,200PAC receipts · 2025–2026
Cosponsor
John Hoeven
Senate · ND · Republican
$270,475PAC receipts · 2025–2026
Cosponsor
Catherine Cortez Masto
Senate · NV · Democratic
$303,134PAC receipts · 2025–2026
5 of 5 source cosponsor records retrieved; only current officials and unwithdrawn sponsorships appear.
PAC donors to the listed sponsors
These are all-cycle contributions to the listed sponsors’ and cosponsors’ campaigns. FEC does not attribute them to this bill. A donation plus sponsorship does not establish why a politician acted.
MORTGAGE BANKERS ASSOCIATION POLITICAL ACTION COMMITTEE (MORPAC)$69,500
NATIONAL PORK PRODUCERS COUNCIL PORK PAC$36,500
Mike Rounds · Sponsor · $6,500
John Thune · Cosponsor · $10,000
John Hoeven · Cosponsor · $10,000
Catherine Cortez Masto · Cosponsor · $10,000
Official PAC recordAMERICAN COUNCIL OF ENGINEERING COMPANIES (ACEC/PAC)$21,000
INTERNATIONAL ASSOCIATION OF FIREFIGHTERS INTERESTED IN REGISTRATION AND EDUCATION PAC$20,000
Mike Rounds · Sponsor · $5,000
John Thune · Cosponsor · $10,000
Patty Murray · Cosponsor · $5,000
Official PAC recordPSYCHOLOGY PAC OF AMERICAN PSYCHOLOGICAL ASSOCIATION SERVICES INC.$20,000
SAMMONS ENTERPRISES INC. POLITICAL ACTION COMMITTEE$19,000
THE FARM CREDIT COUNCIL POLITICAL ACTION COMMITTEE$18,500
Mike Rounds · Sponsor · $7,500
John Thune · Cosponsor · $10,000
John Hoeven · Cosponsor · $1,000
Official PAC recordMINN-DAK FARMERS COOPERATIVE SUGAR PAC (MDSPAC)$18,400
Mike Rounds · Sponsor · $5,000
John Thune · Cosponsor · $5,000
John Hoeven · Cosponsor · $8,400
Official PAC recordAMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS POLITICAL ACTION COMMITTEE$17,500
HUMANA INC. POLITICAL ACTION COMMITTEE$17,500
John Thune · Cosponsor · $10,000
Patty Murray · Cosponsor · $2,500
Catherine Cortez Masto · Cosponsor · $5,000
Official PAC recordHY-VEE INC EMPLOYEES' POLITICAL ACTION COMMITTEE$17,500
Mike Rounds · Sponsor · $5,000
John Thune · Cosponsor · $7,500
Catherine Cortez Masto · Cosponsor · $5,000
Official PAC recordAFLAC POLITICAL ACTION COMMITTEE (AFLAC PAC)$16,500
Mike Rounds · Sponsor · $10,000
Patty Murray · Cosponsor · $1,500
John Hoeven · Cosponsor · $5,000
Official PAC recordAMGEN INC. POLITICAL ACTION COMMITTEE$15,500
Mike Rounds · Sponsor · $5,500
John Thune · Cosponsor · $5,000
Patty Murray · Cosponsor · $2,500
John Hoeven · Cosponsor · $2,500
Official PAC recordAMERICAN CRYSTAL SUGAR COMPANY POLITICAL ACTION COMMITTEE$15,000
CHARTER COMMUNICATIONS INC. POLITICAL ACTION COMMITTEE$15,000
CROP INSURANCE PROFESSIONALS ASSOCIATION PAC-CIPA PAC$15,000
HCA HEALTHCARE, INC. GOOD GOVERNMENT FUND$15,000
Mike Rounds · Sponsor · $5,000
John Thune · Cosponsor · $5,000
Catherine Cortez Masto · Cosponsor · $5,000
Official PAC recordINVESTMENT COMPANY INSTITUTE POLITICAL ACTION COMMITTEE (ICI PAC)$15,000
JOBS OPPORTUNITY NOW POLITICAL ACTION COMMITTEE$15,000
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY POLITICAL ACTION COMMITTEE$15,000
MORGAN STANLEY POLITICAL ACTION COMMITTEE$15,000
Mike Rounds · Sponsor · $2,500
John Thune · Cosponsor · $10,000
Catherine Cortez Masto · Cosponsor · $2,500
Official PAC recordWINE AND SPIRITS WHOLESALERS OF AMERICA, INC. POLITICAL ACTION COMMITTEE$15,000
ELI LILLY AND COMPANY POLITICAL ACTION COMMITTEE$14,500
Mike Rounds · Sponsor · $3,500
John Thune · Cosponsor · $3,500
Patty Murray · Cosponsor · $5,000
John Hoeven · Cosponsor · $2,500
Official PAC recordFMR LLC POLITICAL ACTION COMMITTEE - FEDERAL (FIDELITY PAC)$14,000
NOVO NORDISK INC. PAC (NOVO NORDISK PAC)$13,500
WSP USA INC. PAC$13,500
John Thune · Cosponsor · $7,500
Patty Murray · Cosponsor · $3,500
Catherine Cortez Masto · Cosponsor · $2,500
Official PAC recordINDEPENDENT INSURANCE AGENTS & BROKERS OF AMERICA, INC. POLITICAL ACTION COMMITTEE (INSURPAC)$13,000
ABBVIE POLITICAL ACTION COMMITTEE$12,500
Mike Rounds · Sponsor · $2,500
John Thune · Cosponsor · $5,000
Patty Murray · Cosponsor · $2,500
Catherine Cortez Masto · Cosponsor · $2,500
Official PAC recordCONOCOPHILLIPS SPIRIT PAC$12,500
FRESENIUS MEDICAL CARE HOLDINGS, INC. POLITICAL ACTION COMMITTEE$12,500
John Thune · Cosponsor · $5,000
Patty Murray · Cosponsor · $2,500
Catherine Cortez Masto · Cosponsor · $5,000
Official PAC recordNATIONAL COTTON COUNCIL OF AMERICA COMMITTEE FOR THE ADVANCEMENT OF COTTON$12,500
NATIONAL RURAL ELECTRIC COOPERATIVE ASSOCIATION AMERICA'S ELECTRIC COOPERATIVES PAC$12,500
STRUCTURED FINANCE COALITION POLITICAL ACTION COMMITTEE (STRUCTURED FINANCE PAC)$12,500
VERIZON COMMUNICATIONS, INC. POLITICAL ACTION COMMITTEE (VERIZON PAC)$12,500
THE BOEING COMPANY PAC$12,000
Mike Rounds · Sponsor · $8,500
Patty Murray · Cosponsor · $1,000
Catherine Cortez Masto · Cosponsor · $2,500
Official PAC recordTHE BANK OF NEW YORK MELLON CORPORATION FEDERAL PAC (BNY FEDPAC)$11,500
AMERICAN PHYSICAL THERAPY ASSOCIATION PHYSICAL THERAPY POLITICAL ACTION COMMITTEE (PT-PAC)$11,000
MANAGED FUNDS ASSOCIATION POLITICAL ACTION COMMITTEE$11,000
Mike Rounds · Sponsor · $5,000
John Thune · Cosponsor · $3,500
Catherine Cortez Masto · Cosponsor · $2,500
Official PAC recordNATIONAL TURKEY FEDERATION POLITICAL ACTION COMMITEE/TURPAC$11,000
PRINCIPAL LIFE INSURANCE COMPANY POLITICAL ACTION COMMITTEE$11,000
Mike Rounds · Sponsor · $5,000
John Thune · Cosponsor · $5,000
Catherine Cortez Masto · Cosponsor · $1,000
Official PAC recordThe largest 40 donor totals appear here. Open each politician for their complete, paginated PAC donor list.
What happened after enactment?
This bill is not enacted. Post-enactment results do not apply yet.