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HR 1105 PCS 
funds appropriated for the planning, design, construction 
or renovation of health facilities for the benefit of an In-
dian tribe or tribes may be used to purchase land for sites 
to construct, improve, or enlarge health or related facili-
ties: 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 appro-
priated to the Indian Health Service may be used for sani-
tation facilities construction for new homes funded with 
grants by the housing programs of the United States De-
partment 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 In-
dian Health Service and the General Services Administra-
tion: Provided further, That not to exceed $500,000 shall 
be placed in a Demolition Fund, available until expended, 
to be used by the Indian Health Service for demolition 
of Federal buildings. 
ADMINISTRATIVE PROVISIONS, INDIAN HEALTH SERVICE 
Appropriations in this Act to the Indian Health Serv-
ice shall be available for services as authorized by 5 U.S.C. 
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3109 but at rates not to exceed the per diem rate equiva-
lent 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; purchase of re-
prints; 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 Sec-
retary; and for uniforms or allowances therefor as author-
ized by 5 U.S.C. 5901–5902; and for expenses of attend-
ance at meetings that relate to the functions or activities 
for which the appropriation is made or otherwise con-
tribute to the improved conduct, supervision, or manage-
ment of those functions or activities. 
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 In-
dian 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 trans-
ferred from the Department of Housing and Urban Devel-
opment to the Indian Health Service shall be administered 
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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 purposes, shall not be subject to limitations di-
rected 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 assess-
ments or charges by the Department of Health and 
Human Services unless identified in the budget justifica-
tion and provided in this Act, or approved by the House 
and Senate Committees on Appropriations through the re-
programming process. 
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 
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 
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final rule published in the Federal Register on September 
16, 1987, by the Department of Health and Human Serv-
ices, relating to the eligibility for the health care services 
of the Indian Health Service until the Indian Health Serv-
ice has submitted a budget request reflecting the increased 
costs associated with the proposed final rule, and such re-
quest has been included in an appropriations Act and en-
acted 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 pay-
ment in advance with subsequent adjustment. The reim-
bursements received therefrom, along with the funds re-
ceived from those entities pursuant to the Indian Self-De-
termination Act, may be credited to the same or subse-
quent appropriation account that provided the funding, 
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 tech-
nical assistance. 
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