; and (B) (i) an evaluation of the tracking and reporting by the Service of, and response to, patient harm events and patient deaths that result from deferrals and denials of care; and (ii) recommendations relating to how to improve that tracking, reporting, and response. (b) Reporting systems evaluation Not later than 3 years after the date of enactment of this Act, the Inspector General of the Department of Health and Human Services shall— (1) conduct an evaluation of the patient safety incident reporting system of the Service required by the Indian Health Care Improvement Act ( 25 U.S.C. 1601 et seq. ), as of the date of enactment of this Act