I 
117TH CONGRESS 
1ST SESSION H. R. 1939 
To require the Secretary of Health and Human Services to award additional 
funding through the Sanitation Facilities Construction Program of the 
Indian Health Service, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 16, 2021 
Mr. O’HALLERAN (for himself and Mr. YOUNG) introduced the following bill; 
which was referred to the Committee on Natural Resources, and in addi-
tion to the Committee on Energy and Commerce, for a period to be sub-
sequently determined by the Speaker, in each case for consideration of 
such provisions as fall within the jurisdiction of the committee concerned 
A BILL 
To require the Secretary of Health and Human Services 
to award additional funding through the Sanitation Fa-
cilities Construction Program of the Indian Health Serv-
ice, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. INDIAN HEALTH SERVICE SANITATION FACILI-
TIES CONSTRUCTION PROGRAM FUNDING. 
(a) FINDINGS.—Congress finds that— 
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(1) the COVID–19 crisis has highlighted the 
lack of infrastructure and sanitation available in Na-
tive communities; and 
(2) addressing the Sanitation Facilities Defi-
ciency List of the Division of Sanitation Facilities 
and Construction of the Indian Health Service in-
cluded in the report will— 
(A) result in investments in necessary 
water infrastructure; and 
(B) improve health outcomes. 
(b) DEFINITIONS.—In this section: 
(1) REPORT.—The term ‘‘report’’ means the 
fiscal year 2019 report of the Division of Sanitation 
Facilities and Construction of the Indian Health 
Service entitled ‘‘Annual Report to the Congress of 
the United States on Sanitation Deficiency Levels 
for Indian Homes and Communities’’. 
(2) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services, acting 
through the Director of the Indian Health Service. 
(c) ADDITIONAL FUNDING FOR SANITATION FACILI-
TIES.— 
(1) IN GENERAL.—The Secretary shall award 
additional funding under the Sanitation Facilities 
Construction Program for the planning, design, con-
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struction, modernization, improvement, and renova-
tion of water, sewer, and solid waste sanitation fa-
cilities that are funded, in whole or part, by the In-
dian Health Service through, or provided for in, a 
contract or compact with the Indian Health Service 
under the Indian Self-Determination and Education 
Assistance Act (25 U.S.C. 5301 et seq.). 
(2) PRIORITY
FOR
FUNDING.—In awarding 
funding to sanitation facilities under paragraph (1), 
the Secretary shall prioritize sanitation facilities 
with the highest deficiency level, as established in 
the report. 
(d) AUTHORIZATION OF APPROPRIATIONS.— 
(1) IN GENERAL.—There is authorized to be 
appropriated to the Secretary to carry out this sec-
tion $2,600,000,000. 
(2) REQUIREMENT.—Amounts made available 
under paragraph (1) shall be in addition to any 
amounts made available to carry out the purposes 
described in subsection (c)(1) under any other provi-
sion of law. 
Æ 
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