be used for contract support costs associated with new or 
expanded self-determination contracts, grants, self-govern-
ance compacts, or annual funding agreements: Provided 
further, That the Bureau of Indian Affairs may collect 
from the Indian Health Service, tribes and tribal organiza-
tions operating health facilities pursuant 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 Improve-
ment Fund may be used, as needed, to carry out activities 
typically funded under the Indian Health Facilities ac-
count. 
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 
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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, 
$443,864,000, to remain available until expended: Pro-
vided, That notwithstanding any other provision of law, 
funds appropriated for the planning, design, construction, 
renovation or expansion of health facilities for the benefit 
of an Indian tribe or tribes may be used to purchase land 
on which such facilities will be located: Provided further, 
That not to exceed $500,000 shall be used by the Indian 
Health Service to purchase TRANSAM equipment from 
the Department of Defense for distribution to the Indian 
Health Service and tribal facilities: Provided further, That 
none of the funds appropriated to the Indian Health Serv-
ice may be used for sanitation facilities construction for 
new homes funded with grants by the housing programs 
of the United States Department of Housing and Urban 
Development: Provided further, That not to exceed 
$2,700,000 from this account and the ‘‘Indian Health 
Services’’ account shall be used by the Indian Health Serv-
ice to obtain ambulances for the Indian Health Service 
and tribal facilities in conjunction with an existing inter-
agency agreement between the Indian Health Service and 
the General Services Administration: Provided further, 
That not to exceed $500,000 shall be placed in a Demoli-
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tion Fund, to remain available until expended, and be used 
by the Indian Health Service for the demolition of Federal 
buildings. 
ADMINISTRATIVE PROVISIONS, INDIAN HEALTH SERVICE 
Appropriations provided in this Act to the Indian 
Health Service shall be available for services as authorized 
by 5 U.S.C. 3109 at rates not to exceed the per diem rate 
equivalent to the maximum rate payable for senior-level 
positions under 5 U.S.C. 5376; hire of passenger motor 
vehicles and aircraft; purchase of medical equipment; pur-
chase of reprints; purchase, renovation and erection of 
modular buildings and renovation of existing facilities; 
payments for telephone service in private residences in the 
field, when authorized under regulations approved by the 
Secretary; uniforms or allowances therefor as authorized 
by 5 U.S.C. 5901–5902; and for expenses of attendance 
at meetings that relate to the functions or activities of the 
Indian Health Service: Provided, That in accordance with 
the provisions of the Indian Health Care Improvement 
Act, non-Indian patients may be extended health care at 
all tribally administered or Indian Health Service facili-
ties, subject to charges, and the proceeds along with funds 
recovered under the Federal Medical Care Recovery Act 
(42 U.S.C. 2651–2653) shall be credited to the account 
of the facility providing the service and shall be available 
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without fiscal year limitation: Provided further, That not-
withstanding any other law or regulation, funds trans-
ferred from the Department of Housing and Urban Devel-
opment to the Indian Health Service shall be administered 
under Public Law 86–121, the Indian Sanitation Facilities 
Act and Public Law 93–638, as amended: Provided fur-
ther, That funds appropriated to the Indian Health Serv-
ice in this Act, except those used for administrative and 
program direction purposes, shall not be subject to limita-
tions directed at curtailing Federal travel and transpor-
tation: Provided further, That none of the funds made 
available to the Indian Health Service in this Act shall 
be used for any assessments or charges by the Department 
of Health and Human Services unless identified in the 
budget justification and provided in this Act, or approved 
by the House and Senate Committees on Appropriations 
through the reprogramming process: Provided further, 
That notwithstanding any other provision of law, funds 
previously or herein made available to a tribe or tribal or-
ganization through a contract, grant, or agreement au-
thorized by title I or title V of the Indian Self-Determina-
tion and Education Assistance Act of 1975 (25 U.S.C. 
450), may be deobligated and reobligated to a self-deter-
mination contract under title I, or a self-governance agree-
ment under title V of such Act and thereafter shall remain 
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available to the tribe or tribal organization without fiscal 
year limitation: Provided further, That none of the funds 
made available to the Indian Health Service in this Act 
shall be used to implement the final rule published in the 
Federal Register on September 16, 1987, by the Depart-
ment of Health and Human Services, relating to the eligi-
bility for the health care services of the Indian Health 
Service until the Indian Health Service has submitted a 
budget request reflecting the increased costs associated 
with the proposed final rule, and such request has been 
included in an appropriations Act and enacted into law: 
Provided further, That with respect to functions trans-
ferred by the Indian Health Service to tribes or tribal or-
ganizations, the Indian Health Service is authorized to 
provide goods and services to those entities on a reimburs-
able basis, including payments in advance with subsequent 
adjustment, and the reimbursements received therefrom, 
along with the funds received from those entities pursuant 
to the Indian Self-Determination Act, may be credited to 
the same or subsequent appropriation account from which 
the funds were originally derived, with such amounts to 
remain available until expended: Provided further, That re-
imbursements for training, technical assistance, or serv-
ices provided by the Indian Health Service will contain 
total costs, including direct, administrative, and overhead 
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