; and (ii) whether any auditing or evaluation is conducted in accordance with generally accepted accounting principles or other appropriate practices. (14) Whether the Service tracks patients eligible for two or more of either the Medicaid program under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq.), health care received through the Service, or any other Federal health care program (referred to in this section as dual eligible patients ). If so, how dual eligible patients are managed. (15) The number of procurement contracts entered into and awards made by the Service under section 23 of the Act of June 25, 1910 (commonly known as the Buy Indian Act ) ( 25 U.S.C. 47 ), and a comparison of that number, with— (A) the total number of procurement contracts entered into and awards made by the Service during the 5 fiscal years prior to the date of enactment of this Act; and (B) the process used by the Service facilities to ensure compliance with section 23 of the Act of June 25, 1910 (commonly known as the Buy Indian Act ) ( 25 U.S.C. 47 ). (16) Any other items the reputable private entity determines should be addressed in the independent assessment of the Service. (e) Report on assessment (1) Submission to secretary Not later than 240 days after the date a contract is entered into under subsection (b), the entity carrying out the assessment under the contract shall— (A) complete the assessment; and (B) submit to the Secretary a report describing the findings and recommendations of the entity with respect to the assessment. (2) Submission to congress Immediately on receipt of the report under paragraph (1)(B), the Secretary shall submit the report to— (A) the appropriate committees of Congress, including— (i) the Committee on Appropriations of the Senate; and (ii) the Committee on Appropriations of the House of Representatives; (B) the Majority Leader of the Senate; (C) the Minority Leader of the Senate; (D) the Speaker of the House of Representatives