HR 2643 PCS 
spect to the Indian Health Service, $3,023,532,000, to re-
main available until September 30, 2009, except as other-
wise provided herein, together with payments received dur-
ing the fiscal year pursuant to 42 U.S.C. 238(b) for serv-
ices furnished by the Indian Health Service: Provided, 
That funds made available to tribes and tribal organiza-
tions through contracts, grant agreements, or any other 
agreements or compacts authorized by the Indian Self-De-
termination 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: Provided further, That up to $18,000,000 
shall remain available until expended, for the Indian Cata-
strophic Health Emergency Fund: Provided further, That 
not less than $561,515,000 shall be for contract medical 
care: Provided further, That of the funds provided, up to 
$32,000,000, to remain available until expended, shall be 
used to carry out the loan repayment program under sec-
tion 108 of the Indian Health Care Improvement Act: Pro-
vided further, That funds provided in this Act may be used 
for one-year contracts and grants which are to be per-
formed in two fiscal years, so long as the total obligation 
is recorded in the year for which the funds are appro-
priated: Provided further, That the amounts collected by 
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HR 2643 PCS 
the Secretary of Health and Human Services under the 
authority of title IV of the Indian Health Care Improve-
ment Act shall remain available until expended for the 
purpose of achieving compliance with the applicable condi-
tions and requirements of titles XVIII and XIX of the So-
cial Security Act (exclusive of planning, design, or con-
struction of new facilities): Provided further, That funding 
contained herein, and in any earlier appropriations Acts 
for scholarship programs under the Indian Health Care 
Improvement Act (25 U.S.C. 1613), shall remain available 
until expended: Provided further, That amounts received 
by tribes and tribal organizations under title IV of the In-
dian 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 provision of law, of the 
amounts provided herein, not to exceed $274,638,000 
shall be for payments to tribes and tribal organizations 
for contract or grant support costs associated with con-
tracts, grants, self-governance compacts or annual funding 
agreements between the Indian Health Service and a tribe 
or tribal organization pursuant to the Indian Self-Deter-
mination Act of 1975, as amended, prior to or during fis-
cal year 2008, of which not to exceed $5,000,000 may be 
used for contract support costs associated with new or ex-
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HR 2643 PCS 
panded self-determination contracts, grants, self-govern-
ance compacts or annual funding agreements: Provided 
further, That the Bureau of Indian Affairs may collect 
from the Indian Health Service and tribes and tribal orga-
nizations 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 Indi-
viduals 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-
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, 
$360,895,000, to remain available until expended: Pro-
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HR 2643 PCS 
vided, That notwithstanding any other provision of law, 
funds appropriated for the planning, design, construction 
or renovation of health facilities for the benefit of a feder-
ally-recognized Indian tribe or tribes may be used to pur-
chase land for sites to construct, improve, or enlarge 
health or related facilities: Provided further, That not to 
exceed $500,000 shall be used by the Indian Health Serv-
ice to purchase TRANSAM equipment from the Depart-
ment 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 Department of Housing and Urban Devel-
opment: Provided further, That not to exceed $1,000,000 
from this account and the ‘‘Indian Health Services’’ ac-
count shall be used by the Indian Health Service to obtain 
ambulances for the Indian Health Service and tribal facili-
ties in conjunction with an existing interagency agreement 
between the Indian Health Service and the General Serv-
ices Administration: 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. 
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HR 2643 PCS 
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. 
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. 
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