H. R. 2996—42 
Funds appropriated to the Forest Service shall be available 
for interactions with and providing technical assistance to rural 
communities and natural resource-based businesses for sustainable 
rural development purposes. 
Funds appropriated to the Forest Service shall be available 
for payments to counties within the Columbia River Gorge National 
Scenic Area, pursuant to section 14(c)(1) and (2), and section 16(a)(2) 
of Public Law 99–663. 
An eligible individual who is employed in any project funded 
under title V of the Older American Act of 1965 (42 U.S.C. 3056 
et seq.) and administered by the Forest Service shall be considered 
to be a Federal employee for purposes of chapter 171 of title 28, 
United States Code. 
Any funds appropriated to the Forest Service may be used 
to meet the non-Federal share requirement in section 502(c) of 
the Older American Act of 1965 (42 U.S.C. 3056(c)(2)). 
Funds available to the Forest Service, not to exceed 
$55,000,000, shall be assessed for the purpose of performing fire, 
administrative and other facilities maintenance. Such assessments 
shall occur using a square foot rate charged on the same basis 
the agency uses to assess programs for payment of rent, utilities, 
and other support services. 
Notwithstanding any other provision of law, any appropriations 
or funds available to the Forest Service not to exceed $500,000 
may be used to reimburse the Office of the General Counsel (OGC), 
Department of Agriculture, for travel and related expenses incurred 
as a result of OGC assistance or participation requested by the 
Forest Service at meetings, training sessions, management reviews, 
land purchase negotiations and similar non-litigation related mat-
ters. Future budget justifications for both the Forest Service and 
the Department of Agriculture should clearly display the sums 
previously transferred and the requested funding transfers. 
The 19th unnumbered paragraph under heading ‘‘Administra-
tive Provisions, Forest Service’’ in title III of the Department of 
the Interior, Environment, and Related Agencies Appropriations 
Act, 2006, Public Law 109–54, is amended by striking ‘‘2009’’ and 
inserting ‘‘2014’’. 
DEPARTMENT OF HEALTH AND HUMAN SERVICES 
INDIAN HEALTH SERVICE 
INDIAN HEALTH SERVICES 
For expenses necessary to carry out the Act of August 5, 1954 
(68 Stat. 674), the Indian Self-Determination Act, the Indian Health 
Care Improvement Act, and titles II and III of the Public Health 
Service 
Act 
with 
respect 
to 
the 
Indian 
Health 
Service, 
$3,657,618,000, together with payments received during 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 agree-
ments, 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:
H. R. 2996—43 
Provided further, That $779,347,000 for contract medical care, 
including $48,000,000 for the Indian Catastrophic Health Emer-
gency Fund, shall remain available until expended: Provided fur-
ther, That $18,251,000 is provided for Headquarters operations 
and information technology activities and, notwithstanding any 
other provision of law, the amount available under this proviso 
shall be allocated at the discretion of the Director of the Indian 
Health Service: Provided further, That of the funds provided, up 
to 
$32,000,000 
shall 
remain 
available 
until 
expended 
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 treatment initiative and $10,000,000 is provided 
for the domestic 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 annual 
contracts and grants that fall within two fiscal years, provided 
the total obligation is recorded in the year the funds are appro-
priated: Provided further, That the amounts collected by the Sec-
retary of Health and Human Services under the authority of title 
IV of the Indian Health Care Improvement Act shall remain avail-
able 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: Provided further, That 
funding contained herein for scholarship programs under the Indian 
Health Care Improvement Act (25 U.S.C. 1613) shall remain avail-
able 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 receiving tribes and tribal organizations until 
expended: Provided further, That, notwithstanding any other provi-
sion of law, of the amounts provided herein, not to exceed 
$398,490,000 shall be for payments to tribes and tribal organiza-
tions for contract or grant support costs associated 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 2010, of which not to exceed $5,000,000 
may be used for contract support costs associated with new or 
expanded self-determination contracts, grants, self-governance com-
pacts, or annual funding agreements: Provided further, That the 
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 individually identifiable health informa-
tion 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 fur-
ther, That the Indian Health Care Improvement Fund may be 
used, as needed, to carry out activities typically funded under 
the Indian Health Facilities account.
H. R. 2996—44 
INDIAN HEALTH FACILITIES 
For construction, repair, maintenance, improvement, and equip-
ment 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 trailers; and for provision of domestic and commu-
nity sanitation 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 Improvement Act, 
and for expenses necessary to carry out such Acts and titles II 
and III of the Public Health Service Act with respect to environ-
mental health and facilities support activities of the Indian Health 
Service, $394,757,000, to remain available until expended: Provided, 
That notwithstanding any other provision of law, funds appro-
priated for the planning, design, construction, renovation or expan-
sion 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 equip-
ment 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 Service may be 
used for sanitation facilities construction for new homes funded 
with grants by the housing programs of the United States Depart-
ment 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 Service to 
obtain ambulances for the Indian Health Service and tribal facilities 
in conjunction with an existing interagency agreement between 
the Indian Health Service and the General Services Administration: 
Provided further, That not to exceed $500,000 shall be placed in 
a Demolition 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 equip-
ment; purchase 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 author-
ized 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. 
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 facilities, 
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 without fiscal year limitation. 
Notwithstanding any other law or regulation, funds transferred
H. R. 2996—45 
from the Department of Housing and Urban Development 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. 
Funds appropriated to the Indian Health Service in this Act, 
except those used for administrative and program direction pur-
poses, shall not be subject to limitations directed at curtailing 
Federal travel and transportation. 
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. 
Notwithstanding any other provision of law, funds previously 
or herein made available to a tribe or tribal organization through 
a contract, grant, or agreement authorized by title I or title V 
of the Indian Self-Determination and Education Assistance Act 
of 1975 (25 U.S.C. 450), may be deobligated and reobligated to 
a self-determination contract under title I, or a self-governance 
agreement under title V of such Act and thereafter shall remain 
available to the tribe or tribal organization without fiscal year 
limitation. 
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 Department 
of Health and Human Services, relating to the eligibility 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. 
With respect to functions transferred by the Indian Health 
Service to tribes or tribal organizations, the Indian Health Service 
is authorized to provide goods and services to those entities on 
a reimbursable basis, including payments in advance with subse-
quent adjustment. 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. 
Reimbursements for training, technical assistance, or services 
provided by the Indian Health Service will contain total costs, 
including direct, administrative, and overhead associated with the 
provision of goods, services, or technical assistance. 
The appropriation structure for the Indian Health Service may 
not be altered without advance notification to the House and Senate 
Committees on Appropriations. 
NATIONAL INSTITUTES OF HEALTH 
NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES 
For necessary expenses for the National Institute of Environ-
mental Health Sciences in carrying out activities set forth in section 
311(a) of the Comprehensive Environmental Response, Compensa-
tion, and Liability Act of 1980, as amended, and section 126(g)