(g) INTERAGENCY COLLABORATION.—The Secretary 
shall consult with the Director of the Indian Health Serv-
ice regarding agency collaboration, project prioritization, 
and staffing needs to ensure the amounts appropriated 
pursuant to subsection (c) are used in the most effective 
manner to promote access to water and sanitation. 
SEC. 5. INDIAN HEALTH SERVICE. 
(a) DEFINITION OF SECRETARY.—In this section, the 
term ‘‘Secretary’’ means the Secretary of Health and 
Human Services, acting through the Director of the In-
dian Health Service. 
(b) SANITATION FACILITIES CONSTRUCTION PRO-
GRAM.— 
(1) IN
GENERAL.—For purposes of section 
7(a)(1) of the Act entitled ‘‘An Act to transfer the 
maintenance and operation of hospital and health fa-
cilities for Indians to the Public Health Service, and 
for other purposes’’, approved August 5, 1954 (42 
U.S.C. 2004a(a)(1)), the term ‘‘Indian homes, com-
munities, and lands’’ shall include non-commercial 
community structures that are essential to the life of 
an Indian Tribe or to Tribal government services on 
Tribal land providing indispensable educational, 
health, or other community services, such as schools, 
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hospitals, clinics, nursing homes, homes of Tribal 
employees, Tribal offices, and post offices. 
(2) AUTHORIZATION OF APPROPRIATIONS.—In 
addition to amounts otherwise available, there is au-
thorized to be appropriated to the Secretary 
$500,000,000 for each of fiscal years 2026 through 
2030, to remain available until expended, to carry 
out section 7(a)(1) of the Act entitled ‘‘An Act to 
transfer the maintenance and operation of hospital 
and health facilities for Indians to the Public Health 
Service, and for other purposes’’, approved August 
5, 1954 (42 U.S.C. 2004a(a)(1)). 
(c) TECHNICAL ASSISTANCE FUNDING.—In addition 
to amounts otherwise available, there is authorized to be 
appropriated to the Secretary $30,000,000 for each of fis-
cal years 2026 through 2030, to remain available until ex-
pended, for Indian Tribes to enter into contracts for— 
(1) technical assistance; and 
(2) 
activities 
authorized 
under 
section 
302(b)(2) of the Indian Health Care Improvement 
Act (25 U.S.C. 1632(b)(2)). 
(d) OPERATION AND MAINTENANCE FUNDING.— 
(1) IN GENERAL.—The Secretary may provide 
financial assistance for the operation and mainte-
nance of drinking water and sanitation facilities 
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serving Indian Tribes that are owned and operated 
by an Indian Tribe. 
(2) AUTHORIZATION OF APPROPRIATIONS.—In 
addition to amounts otherwise available, there is au-
thorized to be appropriated to the Secretary 
$100,000,000 for each of fiscal years 2026 through 
2030, to remain available until expended, for the op-
eration and maintenance of drinking water and sani-
tation facilities serving Indian Tribes under para-
graph (1). 
(3) PRIORITY
FOR
FUNDING.—In awarding 
funding for the operation and maintenance of drink-
ing water and sanitation facilities under paragraph 
(1), the Secretary shall prioritize drinking water and 
sanitation facilities that the Secretary determines to 
be the most in need of assistance. 
(4) FUTURE FUNDING.—For not less than 5 
fiscal years after the date on which a drinking water 
or sanitation facilities project described in paragraph 
(1) is completed, to the extent to which funds are 
available, the Secretary shall include the completed 
project as eligible for sustained funding support and 
guidance to ensure that— 
(A) the investments in the drinking water 
or sanitation facilities in the scope of the 
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project are adequately maintained and operated 
for the health and welfare of Indian Tribes 
served; 
(B) the infrastructure investment is pro-
tected; and 
(C) the intended health promotion benefit 
is realized. 
SEC. 6. FUNDING FOR NATIVE AMERICAN AFFAIRS TECH-
NICAL ASSISTANCE PROGRAM OF THE BU-
REAU OF RECLAMATION. 
In addition to amounts otherwise available, there is 
authorized to be appropriated to the Secretary of the Inte-
rior $18,000,000 for use, in accordance with section 201 
of the Energy and Water Development Appropriations 
Act, 2003 (43 U.S.C. 373d), for the Native American Af-
fairs Technical Assistance Program of the Bureau of Rec-
lamation for each of fiscal years 2026 through 2030, to 
remain available until expended. 
Æ 
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