; Office of Patient Advocacy (a) Medical chaperones Title II of the Indian Health Care Improvement Act is amended by inserting after section 223 ( 25 U.S.C. 1621v ) the following: 224. Medical chaperones (a) Indian Health Service (1) In general The Secretary, acting through the Service, shall, at the request of a patient of the Service, provide to the patient a medical chaperone, to be present during any medical examination of the patient provided by or through the Service. (2) Requirements The Secretary, acting through the Service, shall— (A) notify patients of the Service of the right to have a medical chaperone present during a medical examination provided by or through the Service; and (B) ensure that the right described in subparagraph (A) is provided to each patient in each Service unit. (b) Other providers of services An Indian tribe, tribal organization, or any other Indian health program may use amounts made available under this Act to provide, at the request of a patient to whom the Indian tribe, tribal organization, or Indian health program is providing health care services, a medical chaperone to the patient, to be present during any medical examination of the patient provided by the Indian tribe or tribal organization. . (b) Indian Health Service Office of Patient Advocacy Title VI of the Indian Health Care Improvement Act ( 25 U.S.C. 1661 et seq. ) (as amended by section 106(a)) is amended by adding at the end the following: 608. Office of Patient Advocacy (a) Definitions In this section: (1) Director The term Director means the Director of the Office. (2) Office The term Office means the Office of Patient Advocacy established by subsection (b). (b) Establishment There is established within the Department an office, to be known as the Office of Patient Advocacy . (c) Director The Office shall be headed by a Director, who shall— (1) be appointed by the Secretary from among individuals qualified to perform the duties of the position