335 
subsection (e)(1) $500,000 for each fiscal year, as ad-
justed to reflect changes in the Consumer Price Index 
for all-urban consumers published by the Department 
of Labor. 
‘‘(2) TRANSFER OF DONATED FUNDS.—The Sec-
retary shall transfer to the Foundation funds held by 
the Department of Health and Human Services under 
the Act of August 5, 1954 (42 U.S.C. 2001 et seq.), 
if the transfer or use of the funds is not prohibited 
by any term under which the funds were donated. 
‘‘SEC. 803. ADMINISTRATIVE SERVICES AND SUPPORT. 
‘‘(a) PROVISION OF SUPPORT BY SECRETARY.—Sub-
ject to subsection (b), during the 5-year period beginning 
on the date on which the Foundation is established, the Sec-
retary— 
‘‘(1) may provide personnel, facilities, and other 
administrative support services to the Foundation; 
‘‘(2) may provide funds for initial operating 
costs and to reimburse the travel expenses of the mem-
bers of the Board; and 
‘‘(3) shall require and accept reimbursements 
from the Foundation for— 
‘‘(A) services provided under paragraph (1); 
and 
‘‘(B) funds provided under paragraph (2). 
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336 
‘‘(b) 
REIMBURSEMENT.—Reimbursements 
accepted 
under subsection (a)(3)— 
‘‘(1) shall be deposited in the Treasury of the 
United States to the credit of the applicable appro-
priations account; and 
‘‘(2) shall be chargeable for the cost of providing 
services described in subsection (a)(1) and travel ex-
penses described in subsection (a)(2). 
‘‘(c) CONTINUATION OF CERTAIN SERVICES.—The Sec-
retary may continue to provide facilities and necessary sup-
port services to the Foundation after the termination of the 
5-year period specified in subsection (a) if the facilities and 
services— 
‘‘(1) are available; and 
‘‘(2) are provided on reimbursable cost basis.’’. 
(b) TECHNICAL AMENDMENTS.—The Indian Self-De-
termination and Education Assistance Act is amended— 
(1) by redesignating the second title V (25 U.S.C. 
458bbb et seq.) as title VII; 
(2) by redesignating sections 501, 502, and 503 
(25 U.S.C. 458bbb, 458bbb–1, 458bbb–2) as sections 
701, 702, and 703, respectively; and 
(3) in subsection (a)(2) of section 702 and para-
graph (2) of section 703 (as redesignated by para-
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graph (2)), by striking ‘‘section 501’’ and inserting 
‘‘section 701’’. 
TITLE II—IMPROVEMENT OF IN-
DIAN 
HEALTH 
CARE 
PRO-
VIDED UNDER THE SOCIAL 
SECURITY ACT 
SEC. 201. EXPANSION OF PAYMENTS UNDER MEDICARE, 
MEDICAID, AND SCHIP FOR ALL COVERED 
SERVICES FURNISHED BY INDIAN HEALTH 
PROGRAMS. 
(a) MEDICAID.— 
(1) EXPANSION TO ALL COVERED SERVICES.— 
Section 1911 of the Social Security Act (42 U.S.C. 
1396j) is amended— 
(A) by amending the section designation 
and heading to read as follows: 
‘‘SEC. 1911. INDIAN HEALTH PROGRAMS.’’; 
and 
(B) by amending subsection (a) to read as 
follows: 
‘‘(a) ELIGIBILITY FOR PAYMENT FOR MEDICAL AS-
SISTANCE.—The Indian Health Service and an Indian 
Tribe, Tribal Organization, or an Urban Indian Organiza-
tion shall be eligible for payment for medical assistance pro-
vided under a State plan or under waiver authority with 
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respect to items and services furnished by the Indian Health 
Service, Indian Tribe, Tribal Organization, or Urban In-
dian Organization if the furnishing of such services meets 
all the conditions and requirements which are applicable 
generally to the furnishing of items and services under this 
title and under such plan or waiver authority.’’. 
(2) COMPLIANCE
WITH
CONDITIONS
AND
RE-
QUIREMENTS.—Subsection (b) of such section is 
amended to read as follows: 
‘‘(b) COMPLIANCE WITH CONDITIONS AND REQUIRE-
MENTS.—A facility of the Indian Health Service or an In-
dian Tribe, Tribal Organization, or an Urban Indian Or-
ganization which is eligible for payment under subsection 
(a) with respect to the furnishing of items and services, but 
which does not meet all of the conditions and requirements 
of this title and under a State plan or waiver authority 
which are applicable generally to such facility, shall make 
such improvements as are necessary to achieve or maintain 
compliance with such conditions and requirements in ac-
cordance with a plan submitted to and accepted by the Sec-
retary for achieving or maintaining compliance with such 
conditions and requirements, and shall be deemed to meet 
such conditions and requirements (and to be eligible for 
payment under this title), without regard to the extent of 
its actual compliance with such conditions and require-
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339 
ments, during the first 12 months after the month in which 
such plan is submitted.’’. 
(3) REVISION
OF
AUTHORITY
TO
ENTER
INTO 
AGREEMENTS.—Subsection (c) of such section is 
amended to read as follows: 
‘‘(c) AUTHORITY TO ENTER INTO AGREEMENTS.—The 
Secretary may enter into an agreement with a State for 
the purpose of reimbursing the State for medical assistance 
provided by the Indian Health Service, an Indian Tribe, 
Tribal Organization, or an Urban Indian Organization (as 
so defined), directly, through referral, or under contracts or 
other arrangements between the Indian Health Service, an 
Indian Tribe, Tribal Organization, or an Urban Indian 
Organization and another health care provider to Indians 
who are eligible for medical assistance under the State plan 
or under waiver authority.’’. 
(4) CROSS-REFERENCES TO SPECIAL FUND FOR 
IMPROVEMENT OF IHS FACILITIES; DIRECT BILLING 
OPTION; 
DEFINITIONS.—Such 
section 
is 
further 
amended by striking subsection (d) and adding at the 
end the following new subsections: 
‘‘(d) SPECIAL FUND FOR IMPROVEMENT OF IHS FA-
CILITIES.—For provisions relating to the authority of the 
Secretary to place payments to which a facility of the In-
dian Health Service is eligible for payment under this title 
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340 
into a special fund established under section 401(c)(1) of 
the Indian Health Care Improvement Act, and the require-
ment to use amounts paid from such fund for making im-
provements in accordance with subsection (b), see subpara-
graphs (A) and (B) of section 401(c)(1) of such Act. 
‘‘(e) DIRECT BILLING.—For provisions relating to the 
authority of a Tribal Health Program or an Urban Indian 
Organization to elect to directly bill for, and receive pay-
ment for, health care items and services provided by such 
Program or Organization for which payment is made under 
this title, see section 401(d) of the Indian Health Care Im-
provement Act. 
‘‘(f) DEFINITIONS.—In this section, the terms ‘Indian 
Health Program’, ‘Indian Tribe’, ‘Tribal Health Program’, 
‘Tribal Organization’, and ‘Urban Indian Organization’ 
have the meanings given those terms in section 4 of the In-
dian Health Care Improvement Act.’’. 
(b) MEDICARE.— 
(1) EXPANSION TO ALL COVERED SERVICES.— 
Section 1880 of such Act (42 U.S.C. 1395qq) is 
amended— 
(A) by amending the section designation 
and heading to read as follows: 
‘‘SEC. 1880. INDIAN HEALTH PROGRAMS.’’; 
and 
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