price index for all urban consumers (United 
States city average) for the 12-month period 
ending with December of the previous year; 
‘‘(3) establish a procedure for the reimburse-
ment of the portion of the costs that exceeds such 
threshold cost incurred by— 
‘‘(A) Service Units; or 
‘‘(B) whenever otherwise authorized by the 
Service, non-Service facilities or providers; 
‘‘(4) establish a procedure for payment from 
CHEF in cases in which the exigencies of the med-
ical circumstances warrant treatment prior to the 
authorization of such treatment by the Service; and 
‘‘(5) establish a procedure that will ensure that 
no payment shall be made from CHEF to any pro-
vider of treatment to the extent that such provider 
is eligible to receive payment for the treatment from 
any other Federal, State, local, or private source of 
reimbursement for which the patient is eligible. 
‘‘(e) NO OFFSET OR LIMITATION.—Amounts appro-
priated to CHEF under this section shall not be used to 
offset or limit appropriations made to the Service under 
the authority of the Act of November 2, 1921 (25 U.S.C. 
13) (commonly known as the ‘Snyder Act’), or any other 
law. 
VerDate Aug 31 2005 
22:10 Mar 11, 2007
Jkt 059200
PO 00000
Frm 00099
Fmt 6652
Sfmt 6201
E:\BILLS\H1328.IH
H1328
ycherry on PROD1PC64 with BILLS
100 
‘‘(f) DEPOSIT OF REIMBURSEMENT FUNDS.—There 
shall be deposited into CHEF all reimbursements to which 
the Service is entitled from any Federal, State, local, or 
private source (including third party insurance) by reason 
of treatment rendered to any victim of a disaster or cata-
strophic illness the cost of which was paid from CHEF. 
‘‘SEC. 203. HEALTH PROMOTION AND DISEASE PREVENTION 
SERVICES. 
‘‘(a) FINDINGS.—Congress finds that health pro-
motion and disease prevention activities— 
‘‘(1) improve the health and well-being of Indi-
ans; and 
‘‘(2) reduce the expenses for health care of In-
dians. 
‘‘(b) PROVISION OF SERVICES.—The Secretary, act-
ing through the Service and Tribal Health Programs, shall 
provide health promotion and disease prevention services 
to Indians to achieve the health status objectives set forth 
in section 3(2). 
‘‘(c) EVALUATION.—The Secretary, after obtaining 
input from the affected Tribal Health Programs, shall 
submit to the President for inclusion in the report which 
is required to be submitted to Congress under section 801 
an evaluation of— 
VerDate Aug 31 2005 
22:10 Mar 11, 2007
Jkt 059200
PO 00000
Frm 00100
Fmt 6652
Sfmt 6201
E:\BILLS\H1328.IH
H1328
ycherry on PROD1PC64 with BILLS
101 
‘‘(1) the health promotion and disease preven-
tion needs of Indians; 
‘‘(2) the health promotion and disease preven-
tion activities which would best meet such needs; 
‘‘(3) the internal capacity of the Service and 
Tribal Health Programs to meet such needs; and 
‘‘(4) the resources which would be required to 
enable the Service and Tribal Health Programs to 
undertake the health promotion and disease preven-
tion activities necessary to meet such needs. 
‘‘SEC. 204. DIABETES PREVENTION, TREATMENT, AND CON-
TROL. 
‘‘(a) DETERMINATIONS REGARDING DIABETES.— 
The Secretary, acting through the Service, and in con-
sultation with Indian Tribes and Tribal Organizations, 
shall determine— 
‘‘(1) by Indian Tribe and by Service Unit, the 
incidence of, and the types of complications resulting 
from, diabetes among Indians; and 
‘‘(2) based on the determinations made pursu-
ant to paragraph (1), the measures (including pa-
tient education and effective ongoing monitoring of 
disease indicators) each Service Unit should take to 
reduce the incidence of, and prevent, treat, and con-
VerDate Aug 31 2005 
22:10 Mar 11, 2007
Jkt 059200
PO 00000
Frm 00101
Fmt 6652
Sfmt 6201
E:\BILLS\H1328.IH
H1328
ycherry on PROD1PC64 with BILLS