509 
HR 1105 PCS 
expended for the purpose of achieving compliance with the 
applicable conditions and requirements of titles XVIII and 
XIX of the Social Security Act (exclusive of planning, de-
sign, or construction of new facilities): Provided further, 
That funding contained herein, and in any earlier appro-
priations Acts for scholarship programs under the Indian 
Health Care Improvement Act (25 U.S.C. 1613) shall re-
main available 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 receiv-
ing tribes and tribal organizations until expended: Pro-
vided further, That, notwithstanding any other provision 
of law, of the amounts provided herein, not to exceed 
$282,398,000 shall be for payments to tribes and tribal 
organizations for contract or grant support costs associ-
ated 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 2009, of which not to exceed 
$5,000,000 may be used for contract support costs associ-
ated with new or expanded self-determination contracts, 
grants, self-governance compacts, or annual funding 
agreements: Provided further, That the Bureau of Indian 
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510 
HR 1105 PCS 
Affairs may collect from the Indian Health Service, tribes 
and tribal organizations operating health facilities pursu-
ant 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 Improvement Fund may be used, as needed, 
to carry out activities typically funded under the Indian 
Health Facilities account. 
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 
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, 
$390,168,000, to remain available until expended: Pro-
vided, That notwithstanding any other provision of law, 
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