185
HR 4578 RS
30 calendar days (not including any day in which either
House of Congress is not in session because of adjournment
of more than three calendar days to a day certain) from
the receipt by the Speaker of the House of Representatives
and the President of the Senate of a full comprehensive re-
port on such project, including the facts and circumstances
relied upon in support of the proposed project.
No funds provided in this Act may be expended by the
Department of Energy to prepare, issue, or process procure-
ment documents for programs or projects for which appro-
priations have not been made.
In addition to other authorities set forth in this Act,
the Secretary may accept fees and contributions from public
and private sources, to be deposited in a contributed funds
account, and prosecute projects using such fees and con-
tributions in cooperation with other Federal, State or pri-
vate agencies or concerns.
DEPARTMENT OF HEALTH AND HUMAN
SERVICES
INDIAN HEALTH SERVICE
INDIAN HEALTH SERVICES
For expenses necessary to carry out the Act of August
5, 1954 (68 Stat. 674), the Indian Self-Determination Act,
the Indian Health Care Improvement Act, and titles II and
III of the Public Health Service Act with respect to the In-
186
HR 4578 RS
dian Health Service, $2,184,421,000, together with pay-
ments received during the fiscal year pursuant to 42 U.S.C.
238(b) for services furnished by the Indian Health Service:
Provided, That funds made available to tribes and tribal
organizations through contracts, grant agreements, or any
other agreements or compacts authorized by the Indian Self-
Determination 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 $12,000,000 shall
remain available until expended, for the Indian Cata-
strophic Health Emergency Fund: Provided further, That
$426,756,000 for contract medical care shall remain avail-
able for obligation until September 30, 2002: Provided fur-
ther, That of the funds provided, up to $17,000,000 shall
be used to carry out the loan repayment program under
section 108 of the Indian Health Care Improvement Act:
Provided further, That funds provided in this Act may be
used for 1-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 the
Secretary of Health and Human Services under the author-
ity of title IV of the Indian Health Care Improvement Act
187
HR 4578 RS
shall remain available until expended for the purpose of
achieving compliance with the applicable conditions and re-
quirements of titles XVIII and XIX of the Social Security
Act (exclusive of planning, design, or construction of new
facilities): Provided further, That funding contained herein,
and in any earlier appropriations Acts for scholarship pro-
grams under the Indian Health Care Improvement Act (25
U.S.C. 1613) shall remain available for obligation until
September 30, 2002: Provided further, That amounts re-
ceived 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 receiving tribes and
tribal organizations until expended: Provided further, That,
notwithstanding any other provision of law, of the amounts
provided herein, not to exceed $243,781,000 shall be for
payments to tribes and tribal organizations for contract or
grant support costs associated with contracts, grants, self-
governance compacts or annual funding agreements between
the Indian Health Service and a tribe or tribal organiza-
tion pursuant to the Indian Self-Determination Act of
1975, as amended, prior to or during fiscal year 2001, of
which not to exceed $10,000,000 may be used for such costs
associated with new and expanded contracts, grants, self-
governance compacts or annual funding agreements: Pro-
vided further, That amounts appropriated to the Indian
188
HR 4578 RS
Health Service shall not be used to pay for contract health
services in excess of the established Medicare and Medicaid
rate for similar services: Provided further, That Indian
tribes and tribal organizations that operate health care pro-
grams under contracts or compacts pursuant to the Indian
Self-Determination and Education Assistance Act of 1975,
Public Law 93–638, as amended, may access prime vendor
rates for the cost of pharmaceutical products on the same
basis and for the same purposes as the Indian Health Serv-
ice may access such products: Provided further, That funds
available for 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, in-
cluding quarters for personnel; preparation of plans, speci-
fications, and drawings; acquisition of sites, purchase and
erection of modular buildings, and purchases of trailers;
and for provision of domestic and community sanitation
facilities for Indians, as authorized by section 7 of the Act
of August 5, 1954 (42 U.S.C. 2004a), the Indian Self-Deter-
mination Act, and the Indian Health Care Improvement
Act, and for expenses necessary to carry out such Acts and
titles II and III of the Public Health Service Act with re-
spect to environmental health and facilities support activi-
189
HR 4578 RS
ties of the Indian Health Service, $349,350,000, to remain
available until expended: Provided, That notwithstanding
any other provision of law, funds appropriated for the plan-
ning, design, construction or renovation of health facilities
for the benefit of an Indian tribe or tribes may be used
to purchase land for sites to construct, improve, or enlarge
health or related facilities: Provided further, That from the
funds appropriated herein, $5,000,000 shall be designated
by the Indian Health Service as a contribution to the
Yukon-Kuskokwim Health Corporation (YKHC) to start a
priority project for the acquisition of land, planning, design
and construction of 79 staff quarters at Bethel, Alaska, sub-
ject to a negotiated project agreement between the YKHC
and the Indian Health Service: Provided further, That this
project shall not be subject to the construction provisions
of the Indian Self-Determination and Education Assistance
Act and shall be removed from the Indian Health Service
priority list upon completion: Provided further, That the
Federal Government shall not be liable for any property
damages or other construction claims that may arise from
YKHC undertaking this project: Provided further, That the
land shall be owned or leased by the YKHC and title to
quarters shall remain vested with the YKHC: Provided fur-
ther, That notwithstanding any provision of law governing
Federal construction, $240,000 of the funds provided herein
190
HR 4578 RS
shall be provided to the Hopi Tribe to reduce the debt in-
curred by the Tribe in providing staff quarters to meet the
housing needs associated with the new Hopi Health Center:
Provided further, That $5,000,000 shall remain available
until expended for the purpose of funding joint venture
health care facility projects authorized under the Indian
Health Care Improvement Act, as amended: Provided fur-
ther, That priority, by rank order, shall be given to tribes
with outpatient projects on the existing Indian Health
Services priority list that have Service-approved planning
documents, and can demonstrate by March 1, 2001, the fi-
nancial capability necessary to provide an appropriate fa-
cility: Provided further, That joint venture funds
unallocated after March 1, 2001, shall be made available
for joint venture projects on a competitive basis giving pri-
ority to tribes that currently have no existing Federally-
owned health care facility, have planning documents meet-
ing Indian Health Service requirements prepared for ap-
proval by the Service and can demonstrate the financial
capability needed to provide an appropriate facility: Pro-
vided further, That the Indian Health Service shall request
additional staffing, operation and maintenance funds for
these facilities in future budget requests: Provided further,
That not to exceed $500,000 shall be used by the Indian
Health Service to purchase TRANSAM equipment from the