287 
patient treatment, an aftercare plan has been devel-
oped with the client. An aftercare plan may use such 
resources as a community-based therapeutic group, 
transitional living facilities, a 12-step sponsor, a 
local 12-step or other related support group, and other 
community-based providers. 
‘‘(4) DUAL
DIAGNOSIS.—The term ‘dual diag-
nosis’ means coexisting substance abuse and mental 
illness conditions or diagnosis. Such clients are some-
times referred to as mentally ill chemical abusers 
(MICAs). 
‘‘(5) FETAL
ALCOHOL
DISORDERS.—The term 
‘fetal alcohol disorders’ means fetal alcohol syndrome, 
partial fetal alcohol syndrome and alcohol related 
neurodevelopmental disorder (ARND). 
‘‘(6) FETAL ALCOHOL SYNDROME OR FAS.—The 
term ‘fetal alcohol syndrome’ or ‘FAS’ means a syn-
drome in which, with a history of maternal alcohol 
consumption during pregnancy, the following criteria 
are met: 
‘‘(A) Central nervous system involvement 
such as developmental delay, intellectual deficit, 
microencephaly, or neurologic abnormalities. 
‘‘(B) Craniofacial abnormalities with at 
least 2 of the following: microophthalmia, short 
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palpebral fissures, poorly developed philtrum, 
thin upper lip, flat nasal bridge, and short 
upturned nose. 
‘‘(C) Prenatal or postnatal growth delay. 
‘‘(7) PARTIAL
FAS.—The term ‘partial FAS’ 
means, with a history of maternal alcohol consump-
tion during pregnancy, having most of the criteria of 
FAS, though not meeting a minimum of at least 2 of 
the following: microophthalmia, short palpebral fis-
sures, poorly developed philtrum, thin upper lip, flat 
nasal bridge, and short upturned nose. 
‘‘(8) REHABILITATION.—The term ‘rehabilita-
tion’ means to restore the ability or capacity to en-
gage in usual and customary life activities through 
education and therapy. 
‘‘(9) SUBSTANCE ABUSE.—The term ‘substance 
abuse’ includes inhalant abuse. 
‘‘SEC. 716. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There is authorized to be appropriated such sums as 
may be necessary for each fiscal year through fiscal year 
2017 to carry out the provisions of this title. 
‘‘TITLE VIII—MISCELLANEOUS 
‘‘SEC. 801. REPORTS. 
‘‘For each fiscal year following the date of enactment 
of the Indian Health Care Improvement Act Amendments 
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of 2007, the Secretary shall transmit to Congress a report 
containing the following: 
‘‘(1) A report on the progress made in meeting 
the objectives of this Act, including a review of pro-
grams established or assisted pursuant to this Act and 
assessments and recommendations of additional pro-
grams or additional assistance necessary to, at a 
minimum, provide health services to Indians and en-
sure a health status for Indians, which are at a par-
ity with the health services available to and the health 
status of the general population. 
‘‘(2) A report on whether, and to what extent, 
new national health care programs, benefits, initia-
tives, or financing systems have had an impact on the 
purposes of this Act and any steps that the Secretary 
may have taken to consult with Indian Tribes, Tribal 
Organizations, and Urban Indian Organizations to 
address such impact, including a report on proposed 
changes in allocation of funding pursuant to section 
808. 
‘‘(3) A report on the use of health services by In-
dians— 
‘‘(A) on a national and area or other rel-
evant geographical basis; 
‘‘(B) by gender and age; 
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‘‘(C) by source of payment and type of serv-
ice; 
‘‘(D) comparing such rates of use with rates 
of use among comparable non-Indian popu-
lations; and 
‘‘(E) provided under contracts. 
‘‘(4) A report of contractors to the Secretary on 
Health Care Educational Loan Repayments every 6 
months required by section 110. 
‘‘(5) A general audit report of the Secretary on 
the Health Care Educational Loan Repayment Pro-
gram as required by section 110(n). 
‘‘(6) A report of the findings and conclusions of 
demonstration programs on development of edu-
cational curricula for substance abuse counseling as 
required in section 125(f). 
‘‘(7) A separate statement which specifies the 
amount of funds requested to carry out the provisions 
of section 201. 
‘‘(8) A report of the evaluations of health pro-
motion and disease prevention as required in section 
203(c). 
‘‘(9) A biennial report to Congress on infectious 
diseases as required by section 212. 
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