II 

116TH CONGRESS 

2D SESSION S. 4168 

To require the Secretary of Health and Human Services to award additional 

funding through the Sanitation Facilities Construction Program of the 

Indian Health Service, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

JULY 2, 2020 

Ms. SINEMA (for herself and Mr. ROMNEY) introduced the following bill; which 

was read twice and referred to the Committee on Indian Affairs 

A BILL 

To require the Secretary of Health and Human Services 

to award additional funding through the Sanitation Facilities Construction Program of the Indian Health Service, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. INDIAN HEALTH SERVICE SANITATION FACILI4 TIES CONSTRUCTION PROGRAM FUNDING. 

5 (a) FINDINGS.—Congress finds that— 

6 (1) the COVID–19 crisis has highlighted the 

7 lack of infrastructure and sanitation available in Na8 tive communities; 


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1 (2) addressing the Sanitation Facilities Defi2 ciency List of the Division of Sanitation Facilities 

3 and Construction of the Indian Health Service in4 cluded in the report will— 

5 (A) result in investments in necessary 

6 water infrastructure; and 

7 (B) improve health outcomes; and 

8 (3) it is in the interest of the United States, 

9 and it is the policy of the United States, that all ex10 isting and new Indian communities and Indian 

11 homes be provided with safe and adequate water 

12 supply systems and sanitary sewage waste disposal 

13 systems as soon as practicable. 

14 (b) DEFINITIONS.—In this section: 

15 (1) REPORT.—The term ‘‘report’’ means the 

16 fiscal year 2018 report of the Division of Sanitation 

17 Facilities and Construction of the Indian Health 

18 Service entitled ‘‘Annual Report to the Congress of 

19 the United States on Sanitation Deficiency Levels 

20 for Indian Homes and Communities’’. 

21 (2) SECRETARY.—The term ‘‘Secretary’’ means 

22 the Secretary of Health and Human Services, acting 

23 through the Director of the Indian Health Service. 

24 (c) ADDITIONAL FUNDING FOR SANITATION FACILI25 TIES.— 


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1 (1) IN GENERAL.—The Secretary shall award 

2 additional funding under the Sanitation Facilities 

3 Construction Program for the planning, design, con4 struction, modernization, improvement, and renova5 tion of water, sewer, and solid waste sanitation fa6 cilities that are funded, in whole or part, by the In7 dian Health Service through, or provided for in, a 

8 contract or compact with the Indian Health Service 

9 under the Indian Self-Determination and Education 

10 Assistance Act (25 U.S.C. 5301 et seq.). 

11 (2) PRIORITY FOR FUNDING.—In awarding 

12 funding to sanitation facilities under paragraph (1), 

13 the Secretary shall prioritize sanitation facilities 

14 with the highest deficiency level, as established in 

15 the report. 

16 (d) AUTHORIZATION OF APPROPRIATIONS.— 

17 (1) IN GENERAL.—There is authorized to be 

18 appropriated to the Secretary to carry out this sec19 tion $1,335,000,000 for the period of fiscal years 

20 2020 through 2024. 

21 (2) REQUIREMENT.—Amounts made available 

22 under paragraph (1) shall be in addition to any 

23 amounts made available to carry out the purposes 


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1 described in subsection (c)(1) under any other provi2 sion of law. 

Æ 


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