106 
Notwithstanding any other provision of this Act, 
through the Office of Budget and Program Analysis, the 
Forest Service shall report no later than 30 business days 
following the close of each fiscal quarter all current and 
prior year unobligated balances, by fiscal year, budget line 
item and account, to the House and Senate Committees 
on Appropriations. 
Funds appropriated to the Forest Service shall be 
available to categorically exclude from documentation in 
an environmental assessment or an environmental impact 
statement under the National Environmental Policy Act 
of 1969 (42 U.S.C. 4321 et seq.) a forest management 
activity on National Forest System lands when the pri-
mary purpose of the forest management activity is: (1) 
to address an insect or disease infestation; (2) to reduce 
hazardous fuel loads; (3) to protect a municipal water 
source; (4) to maintain, enhance, or modify critical habitat 
to protect it from catastrophic disturbances; (5) to in-
crease water yield; or (6) any combination of these pur-
poses: Provided, That the land on which the forest man-
agement activity is carried out may not exceed 3,000 
acres. 
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107 
DEPARTMENT OF HEALTH AND HUMAN 
SERVICES 
INDIAN HEALTH SERVICE 
INDIAN HEALTH SERVICES 
For expenses necessary to carry out the Act of Au-
gust 5, 1954 (68 Stat. 674), the Indian Self-Determina-
tion and Education Assistance Act, the Indian Health 
Care Improvement Act, and titles II and III of the Public 
Health Service Act with respect to the Indian Health Serv-
ice, $3,720,690,000, together with payments received dur-
ing the fiscal year pursuant to 42 U.S.C. 238(b) and 
238b, for services furnished by the Indian Health Service: 
Provided, That funds made available to tribes and tribal 
organizations through contracts, grant agreements, or any 
other agreements or compacts authorized by the Indian 
Self-Determination and Education Assistance Act of 1975 
(25 U.S.C. 450), shall be deemed to be obligated at the 
time of the grant or contract award and thereafter shall 
remain available to the tribe or tribal organization without 
fiscal 
year 
limitation: 
Provided 
further, 
That 
$960,831,000 for Purchased/Referred Care, including 
$53,000,000 for the Indian Catastrophic Health Emer-
gency Fund, shall remain available until expended: Pro-
vided further, That of the funds provided, up to 
$37,000,000 shall remain available until expended for im-
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108 
plementation of the loan repayment program under section 
108 of the Indian Health Care Improvement Act: Provided 
further, That of the funds provided, $2,000,000 shall be 
used to supplement funds available for operational costs 
at tribal clinics operated under an Indian Self-Determina-
tion and Education Assistance Act compact or contract 
where health care is delivered in space acquired through 
a full service lease, which is not eligible for maintenance 
and improvement and equipment funds from the Indian 
Health Service, and $6,000,000 shall be for accreditation 
emergencies: Provided further, That the amounts collected 
by the Federal Government as authorized by sections 104 
and 108 of the Indian Health Care Improvement Act (25 
U.S.C. 1613a and 1616a) during the preceding fiscal year 
for breach of contracts shall be deposited to the Fund au-
thorized by section 108A of the Act (25 U.S.C. 1616a- 
1) and shall remain available until expended and, notwith-
standing section 108A(c) of the Act (25 U.S.C. 1616a- 
1(c)), funds shall be available to make new awards under 
the loan repayment and scholarship programs under sec-
tions 104 and 108 of the Act (25 U.S.C. 1613a and 
1616a): Provided further, That the amounts made avail-
able within this account for the Substance Abuse and Sui-
cide Prevention Program, for the Domestic Violence Pre-
vention Program, for the Zero Suicide Initiative, for 
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109 
aftercare pilots at Youth Regional Treatment Centers, to 
improve collections from public and private insurance at 
Indian Health Service and tribally operated facilities, and 
for accreditation emergencies shall be allocated at the dis-
cretion of the Director of the Indian Health Service and 
shall remain available until expended: Provided further, 
That funds provided in this Act may be used for annual 
contracts and grants that fall within 2 fiscal years, pro-
vided the total obligation is recorded in the year the funds 
are appropriated: Provided further, That the amounts col-
lected by the Secretary of Health and Human Services 
under the authority of title IV of the Indian Health Care 
Improvement Act shall remain available until expended for 
the purpose of achieving compliance with the applicable 
conditions and requirements of titles XVIII and XIX of 
the Social Security Act, except for those related to the 
planning, design, or construction of new facilities: Pro-
vided further, That funding contained herein for scholar-
ship programs under the Indian Health Care Improvement 
Act (25 U.S.C. 1613) shall remain available until ex-
pended: Provided further, That amounts received by tribes 
and tribal organizations under title IV of the Indian 
Health Care Improvement Act shall be reported and ac-
counted for and available to the receiving tribes and tribal 
organizations until expended: Provided further, That the 
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110 
Bureau of Indian Affairs may collect from the Indian 
Health Service, tribes and tribal organizations operating 
health facilities pursuant to Public Law 93–638, such in-
dividually identifiable health information relating to dis-
abled children as may be necessary for the purpose of car-
rying out its functions under the Individuals with Disabil-
ities Education Act (20 U.S.C. 1400, et seq.): Provided 
further, That the Indian Health Care Improvement Fund 
may be used, as needed, to carry out activities typically 
funded under the Indian Health Facilities account. 
CONTRACT SUPPORT COSTS 
For payments to tribes and tribal organizations for 
contract support costs associated with Indian Self-Deter-
mination and Education Assistance Act agreements with 
the Indian Health Service for fiscal year 2017, such sums 
as may be necessary: Provided, That notwithstanding any 
other provision of law, no amounts made available under 
this heading shall be available for transfer to another 
budget account. 
INDIAN HEALTH FACILITIES 
For construction, repair, maintenance, improvement, 
and equipment of health and related auxiliary facilities, 
including quarters for personnel; preparation of plans, 
specifications, and drawings; acquisition of sites, purchase 
and erection of modular buildings, and purchases of trail-
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