290 
‘‘SEC. 715. DEFINITIONS. 
‘‘For the purpose of this title, the following defini-
tions shall apply: 
‘‘(1) ASSESSMENT.—The term ‘assessment’ 
means the systematic collection, analysis, and dis-
semination of information on health status, health 
needs, and health problems. 
‘‘(2) 
ALCOHOL-RELATED 
NEURODEVELOPMENTAL DISORDERS OR ARND.—The 
term ‘alcohol-related neurodevelopmental disorders’ 
or ‘ARND’ means, with a history of maternal alco-
hol consumption during pregnancy, central nervous 
system involvement such as developmental delay, in-
tellectual deficit, or neurologic abnormalities. Behav-
iorally, there can be problems with irritability, and 
failure to thrive as infants. As children become older 
there will likely be hyperactivity, attention deficit, 
language dysfunction, and perceptual and judgment 
problems. 
‘‘(3) BEHAVIORAL HEALTH AFTERCARE.—The 
term ‘behavioral health aftercare’ includes those ac-
tivities and resources used to support recovery fol-
lowing inpatient, residential, intensive substance 
abuse, or mental health outpatient or outpatient 
treatment. The purpose is to help prevent or deal 
with relapse by ensuring that by the time a client or 
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patient is discharged from a level of care, such as 
outpatient treatment, an aftercare plan has been de-
veloped with the client. An aftercare plan may use 
such resources as a community-based therapeutic 
group, transitional living facilities, a 12-step spon-
sor, a local 12-step or other related support group, 
and other community-based providers. 
‘‘(4) DUAL DIAGNOSIS.—The term ‘dual diag-
nosis’ means coexisting substance abuse and mental 
illness conditions or diagnosis. Such clients are 
sometimes referred to as mentally ill chemical abus-
ers (MICAs). 
‘‘(5) FETAL ALCOHOL DISORDERS.—The term 
‘fetal alcohol disorders’ means fetal alcohol syn-
drome, partial fetal alcohol syndrome and alcohol re-
lated neurodevelopmental disorder (ARND). 
‘‘(6) FETAL
ALCOHOL
SYNDROME
OR
FAS.— 
The term ‘fetal alcohol syndrome’ or ‘FAS’ means a 
syndrome in which, with a history of maternal alco-
hol consumption during pregnancy, the following cri-
teria are met: 
‘‘(A) Central nervous system involvement 
such as developmental delay, intellectual deficit, 
microencephaly, or neurologic abnormalities. 
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‘‘(B) Craniofacial abnormalities with at 
least 2 of the following: microophthalmia, short 
palpebral fissures, poorly developed philtrum, 
thin upper lip, flat nasal bridge, and short 
upturned nose. 
‘‘(C) Prenatal or postnatal growth delay. 
‘‘(7) PARTIAL
FAS.—The term ‘partial FAS’ 
means, with a history of maternal alcohol consump-
tion during pregnancy, having most of the criteria of 
FAS, though not meeting a minimum of at least 2 
of the following: microophthalmia, short palpebral 
fissures, poorly developed philtrum, thin upper lip, 
flat nasal bridge, and short upturned nose. 
‘‘(8) REHABILITATION.—The term ‘rehabilita-
tion’ means to restore the ability or capacity to en-
gage in usual and customary life activities through 
education and therapy. 
‘‘(9) SUBSTANCE ABUSE.—The term ‘substance 
abuse’ includes inhalant abuse. 
‘‘SEC. 716. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There is authorized to be appropriated such sums 
as may be necessary for each fiscal year through fiscal 
year 2017 to carry out the provisions of this title. 
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‘‘TITLE VIII—MISCELLANEOUS 
‘‘SEC. 801. REPORTS. 
‘‘For each fiscal year following the date of enactment 
of the Indian Health Care Improvement Act Amendments 
of 2007, the Secretary shall transmit to Congress a report 
containing the following: 
‘‘(1) A report on the progress made in meeting 
the objectives of this Act, including a review of pro-
grams established or assisted pursuant to this Act 
and assessments and recommendations of additional 
programs or additional assistance necessary to, at a 
minimum, provide health services to Indians and en-
sure a health status for Indians, which are at a par-
ity with the health services available to and the 
health status of the general population. 
‘‘(2) A report on whether, and to what extent, 
new national health care programs, benefits, initia-
tives, or financing systems have had an impact on 
the purposes of this Act and any steps that the Sec-
retary may have taken to consult with Indian Tribes, 
Tribal Organizations, and Urban Indian Organiza-
tions to address such impact, including a report on 
proposed changes in allocation of funding pursuant 
to section 808. 
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‘‘(3) A report on the use of health services by 
Indians— 
‘‘(A) on a national and area or other rel-
evant geographical basis; 
‘‘(B) by gender and age; 
‘‘(C) by source of payment and type of 
service; 
‘‘(D) comparing such rates of use with 
rates of use among comparable non-Indian pop-
ulations; and 
‘‘(E) provided under contracts. 
‘‘(4) A report of contractors to the Secretary on 
Health Care Educational Loan Repayments every 6 
months required by section 110. 
‘‘(5) A general audit report of the Secretary on 
the Health Care Educational Loan Repayment Pro-
gram as required by section 110(n). 
‘‘(6) A report of the findings and conclusions of 
demonstration programs on development of edu-
cational curricula for substance abuse counseling as 
required in section 125(f). 
‘‘(7) A separate statement which specifies the 
amount of funds requested to carry out the provi-
sions of section 201. 
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‘‘(8) A report of the evaluations of health pro-
motion and disease prevention as required in section 
203(c). 
‘‘(9) A biennial report to Congress on infectious 
diseases as required by section 212. 
‘‘(10) A report on environmental and nuclear 
health hazards as required by section 215. 
‘‘(11) An annual report on the status of all 
health care facilities needs as required by section 
301(c)(2)(B) and 301(d). 
‘‘(12) Reports on safe water and sanitary waste 
disposal facilities as required by section 302(h). 
‘‘(13) An annual report on the expenditure of 
non-Service funds for renovation as required by sec-
tions 304(b)(2). 
‘‘(14) A report identifying the backlog of main-
tenance and repair required at Service and tribal fa-
cilities required by section 313(a). 
‘‘(15) A report providing an accounting of reim-
bursement funds made available to the Secretary 
under titles XVIII, XIX, and XXI of the Social Se-
curity Act. 
‘‘(16) A report on any arrangements for the 
sharing of medical facilities or services, as author-
ized by section 406. 
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‘‘(17) A report on evaluation and renewal of 
Urban Indian programs under section 505. 
‘‘(18) A report on the evaluation of programs 
as required by section 513(d). 
‘‘(19) A report on alcohol and substance abuse 
as required by section 701(f). 
‘‘(20) A report on Indian youth mental health 
services as required by section 707(h). 
‘‘(21) A report on the reallocation of base re-
sources if required by section 808. 
‘‘SEC. 802. REGULATIONS. 
‘‘(a) DEADLINES.— 
‘‘(1) PROCEDURES.—Not later than 90 days 
after the date of enactment of the Indian Health 
Care Improvement Act Amendments of 2007, the 
Secretary shall initiate procedures under subchapter 
III of chapter 5 of title 5, United States Code, to 
negotiate and promulgate such regulations or 
amendments thereto that are necessary to carry out 
titles II (except section 202) and VII, the sections 
of title III for which negotiated rulemaking is spe-
cifically required, and section 807. Unless otherwise 
required, the Secretary may promulgate regulations 
to carry out titles I, III, IV, and V, and section 202, 
using the procedures required by chapter V of title 
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