HR 5386 RH 
for contract medical care shall remain available until Sep-
tember 30, 2008: Provided further, That of the funds pro-
vided, up to $27,000,000, to remain available until ex-
pended, shall be used to carry out the loan repayment pro-
gram under section 108 of the Indian Health Care Im-
provement Act: Provided further, That funds provided in 
this Act may be used for one-year contracts and grants 
which are to be performed in two fiscal years, so long as 
the total obligation is recorded in the year for which the 
funds are appropriated: Provided further, That the 
amounts collected by the Secretary of Health and Human 
Services under the authority of title IV of the Indian 
Health Care Improvement Act shall remain available until 
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-
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HR 5386 RH 
vided further, That, notwithstanding any other provision 
of law, of the amounts provided herein, not to exceed 
$270,316,000 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 2007, 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 agree-
ments: Provided further, That the Bureau of Indian Af-
fairs may collect from the Indian Health Service and 
tribes and tribal organizations operating health facilities 
pursuant to Public Law 93–638 such individually identifi-
able health information relating to disabled children as 
may be necessary for the purpose of carrying out its func-
tions under the Individuals with Disabilities Education 
Act (20 U.S.C. 1400, et seq.). 
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-
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HR 5386 RH 
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, 
$363,573,000, to remain available until expended: Pro-
vided, That notwithstanding any other provision of law, 
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 $1,000,000 from this account 
and the ‘‘Indian Health Services’’ account shall be used 
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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. 
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 which are concerned with the functions 
or activities for which the appropriation is made or which 
will contribute to improved conduct, supervision, or man-
agement of those functions or activities. 
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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 
under Public Law 86–121 (the Indian Sanitation Facili-
ties 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. Personnel ceilings may not be im-
posed on the Indian Health Service nor may any action 
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