129 
reservation, or in any county that has a common boundary 
with any reservation, in the State of North Dakota or 
South Dakota if such curtailment is due to the provision 
of contract services in such States pursuant to the des-
ignation of such States as a contract health service deliv-
ery area pursuant to subsection (a). 
‘‘SEC. 217. CALIFORNIA CONTRACT HEALTH SERVICES PRO-
GRAM. 
‘‘(a) FUNDING AUTHORIZED.—The Secretary is au-
thorized to fund a program using the California Rural In-
dian Health Board (hereafter in this section referred to 
as the ‘CRIHB’) as a contract care intermediary to im-
prove the accessibility of health services to California Indi-
ans. 
‘‘(b) REIMBURSEMENT CONTRACT.—The Secretary 
shall enter into an agreement with the CRIHB to reim-
burse the CRIHB for costs (including reasonable adminis-
trative costs) incurred pursuant to this section, in pro-
viding medical treatment under contract to California In-
dians described in section 806(a) throughout the Cali-
fornia contract health services delivery area described in 
section 218 with respect to high cost contract care cases. 
‘‘(c) ADMINISTRATIVE EXPENSES.—Not more than 5 
percent of the amounts provided to the CRIHB under this 
section for any fiscal year may be for reimbursement for 
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administrative expenses incurred by the CRIHB during 
such fiscal year. 
‘‘(d) LIMITATION ON PAYMENT.—No payment may 
be made for treatment provided hereunder to the extent 
payment may be made for such treatment under the In-
dian Catastrophic Health Emergency Fund described in 
section 202 or from amounts appropriated or otherwise 
made available to the California contract health service de-
livery area for a fiscal year. 
‘‘(e) ADVISORY BOARD.—There is established an ad-
visory board which shall advise the CRIHB in carrying 
out this section. The advisory board shall be composed of 
representatives, selected by the CRIHB, from not less 
than 8 Tribal Health Programs serving California Indians 
covered under this section at least 1⁄2 of whom of whom 
are not affiliated with the CRIHB. 
‘‘SEC. 218. CALIFORNIA AS A CONTRACT HEALTH SERVICE 
DELIVERY AREA. 
‘‘The State of California, excluding the counties of 
Alameda, Contra Costa, Los Angeles, Marin, Orange, Sac-
ramento, San Francisco, San Mateo, Santa Clara, Kern, 
Merced, Monterey, Napa, San Benito, San Joaquin, San 
Luis Obispo, Santa Cruz, Solano, Stanislaus, and Ven-
tura, shall be designated as a contract health service deliv-
ery area by the Service for the purpose of providing con-
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tract health services to California Indians. However, any 
of the counties listed herein may only be included in the 
contract health services delivery area if funding is specifi-
cally provided by the Service for such services in those 
counties. 
‘‘SEC. 219. CONTRACT HEALTH SERVICES FOR THE TREN-
TON SERVICE AREA. 
‘‘(a) AUTHORIZATION
FOR SERVICES.—The Sec-
retary, acting through the Service, is directed to provide 
contract health services to members of the Turtle Moun-
tain Band of Chippewa Indians that reside in the Trenton 
Service Area of Divide, McKenzie, and Williams counties 
in the State of North Dakota and the adjoining counties 
of Richland, Roosevelt, and Sheridan in the State of Mon-
tana. 
‘‘(b) NO EXPANSION OF ELIGIBILITY.—Nothing in 
this section may be construed as expanding the eligibility 
of members of the Turtle Mountain Band of Chippewa In-
dians for health services provided by the Service beyond 
the scope of eligibility for such health services that applied 
on May 1, 1986. 
‘‘SEC. 220. PROGRAMS OPERATED BY INDIAN TRIBES AND 
TRIBAL ORGANIZATIONS. 
‘‘The Service shall provide funds for health care pro-
grams and facilities operated by Tribal Health Programs 
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