Purchased and Referred Care Improvement Act of 2025

This bill amends the Indian Health Care Improvement Act to replace the term "contract health care" with "purchased/referred care" throughout federal law. It ensures patients who pay out-of-pocket for authorized purchased/referred care (such as services arranged by the Indian Health Service) can receive reimbursement from the IHS within 30 days of submitting documentation electronically or in person. The IHS must establish these reimbursement procedures within 120 days and update all relevant documents, including the Indian Health Manual, within 180 days. The changes apply to all purchased/referred care authorized by the IHS after enactment, but do not affect tribal self-determination programs unless tribes agree to the new terms.