; (ii) the quality of care provided through those services, including any training, improvement, or additional oversight required to improve the quality of care; and (iii) whether safer and less costly alternatives to the dental health aide therapist services exist. (D) Consultation In carrying out the study under this paragraph, the neutral panel shall consult with Alaska tribal organizations with respect to the adequacy and accuracy of the study. (3) Report The neutral panel shall submit to the Secretary, the Committee on Indian Affairs of the Senate, and the Committee on Natural Resources of the House of Representatives a report describing the results of the study under paragraph (2), including a description of— (A) any determination of the neutral panel under paragraph (2)(C); and (B) any comments received from Alaska tribal organizations under paragraph (2)(D). (d) Nationalization of Program (1) In general Except as provided in paragraph (2), the Secretary, acting through the Service, may establish a national Community Health Aide Program in accordance with the program under this section, as the Secretary determines to be appropriate. (2) Requirement; exclusion Subject to paragraphs (3) and (4), in establishing a national program under paragraph (1), the Secretary— (A) shall not reduce the amounts provided for the Community Health Aide Program described in subsections (a) and (b)