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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.
Written by the nonpartisan Congressional Research Service, describing H.R. 5221 as passed House on Nov 2, 2021. It is not the text of the measure; a later amendment may have changed what it does.
House Nov 2, 2021
Urban Indian Health Confer Act
Passed · Two-thirds required
406 Yea 17 Nay 8 not voting
Crossed both parties 17 of 423 voting members broke with their own party: 17 Republicans.
DemocratsRepublicansFilled: YeaRing: NayGrey: not voting or present
431 members on this roll call, from the official House record. Party majorities need at least five voting members, so an independent never counts as breaking with a party.
Signing on is not a vote: a member can cosponsor H.R. 5221 and vote against it. 5 signed when it was filed.
Organizations that named H.R. 5221 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.
4 disclosures name this measure. Retrieved from LDA.gov on 2026-10-04. Senate Office of Public Records cannot vouch for the data or analyses derived from these data after the data have been retrieved from LDA.gov.