508 
tribe or tribal organization without fiscal year limitation: 
Provided further, That $634,477,000 for contract medical 
care, including $31,000,000 for the Indian Catastrophic 
Health Emergency Fund, shall remain available until ex-
pended: Provided further, That no less than $36,189,000 
is provided for maintaining operations of the urban Indian 
health program: Provided further, That of the funds pro-
vided, up to $32,000,000 shall remain available until ex-
pended for implementation of the loan repayment program 
under section 108 of the Indian Health Care Improvement 
Act: Provided further, That $16,391,000 is provided for 
the methamphetamine and suicide prevention and treat-
ment initiative and $7,500,000 is provided for the domes-
tic violence prevention initiative and, notwithstanding any 
other provision of law, the amounts available under this 
proviso shall be allocated at the discretion 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 one-year contracts and grants 
which are to be performed in two fiscal years, so long as 
the total obligation is recorded in the year for which the 
funds are appropriated: Provided further, That the 
amounts collected 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 
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509 
expended for the purpose of achieving compliance with the 
applicable conditions and requirements of titles XVIII and 
XIX of the Social Security Act (exclusive of planning, de-
sign, or construction of new facilities): Provided further, 
That funding contained herein, and in any earlier appro-
priations Acts for scholarship programs under the Indian 
Health Care Improvement Act (25 U.S.C. 1613) shall re-
main available until expended: Provided further, That 
amounts received by tribes and tribal organizations under 
title IV of the Indian Health Care Improvement Act shall 
be reported and accounted for and available to the receiv-
ing tribes and tribal organizations until expended: Pro-
vided further, That, notwithstanding any other provision 
of law, of the amounts provided herein, not to exceed 
$282,398,000 shall be for payments to tribes and tribal 
organizations for contract or grant support costs associ-
ated with contracts, grants, self-governance compacts, or 
annual funding agreements between the Indian Health 
Service and a tribe or tribal organization pursuant to the 
Indian Self-Determination Act of 1975, as amended, prior 
to or during fiscal year 2009, of which not to exceed 
$5,000,000 may be used for contract support costs associ-
ated with new or expanded self-determination contracts, 
grants, self-governance compacts, or annual funding 
agreements: Provided further, That the Bureau of Indian 
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510 
Affairs may collect from the Indian Health Service, tribes 
and tribal organizations operating health facilities pursu-
ant to Public Law 93–638, such individually identifiable 
health information relating to disabled children as may be 
necessary for the purpose of carrying out its functions 
under the Individuals with Disabilities 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. 
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-
ers; and for provision of domestic and community sanita-
tion facilities for Indians, as authorized by section 7 of 
the Act of August 5, 1954 (42 U.S.C. 2004a), the Indian 
Self-Determination Act, and the Indian Health Care Im-
provement Act, and for expenses necessary to carry out 
such Acts and titles II and III of the Public Health Serv-
ice Act with respect to environmental health and facilities 
support 
activities 
of 
the 
Indian 
Health 
Service, 
$390,168,000, to remain available until expended: Pro-
vided, That notwithstanding any other provision of law, 
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