,,ii  #aacth ,,congress  #ast ,session  
,s4 #aegj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,october #aj1  
#bjac,ms4 ,murkowski 7for herself1 ,mr4 
,begich1 ,mr4 ,udall of ,new ,mexico1   
and ,mr4 ,schatz7 introduced the        
following bill2 which was read twice and
 referred to the ,committee on ,indian  
,affairs  ,a ,,bill  ,to amend the      
,indian ,health ,care ,improvement ,act 
to authorize advance appropriations for 
the ,indian ,health ,service by         
providing #b-;fiscal-year budget        
authority1 and for other purposes4  #a4 
,short title ,this ,act may be cited as 
the ,indian ,health ,service ,advance   
,appropriations ,act of #bjac4  #b4     
,advance appropriations for certain     
,indian ,health ,service accounts  7a7  
,in general ,section #hbe of the ,indian
 ,health ,care ,improvement ,act 7#be   
,u4,s4,c4 #afhjo7 is amended-- 7#a7 by  
inserting 7a7 before ,there are         
authorized2 and  7#b7 by adding at the  
end the following3  7b7 ,for each fiscal

 year1 beginning with fiscal year #bjae1
 discretionary new budget authority     
provided for the ,indian ,health        
,services and ,indian ,health           
,facilities accounts of the ,indian     
,health ,service shall include advance  
discretionary new budget authority that 
first becomes available for the first   
fiscal year after the budget year4  7c7 
,the ,secretary shall include in        
documents submitted to ,congress in     
support of the ,president's budget      
submitted pursuant to section #aaje of  
title #ca1 ,united ,states ,code1 for   
fiscal year #bjae and each succeeding   
fiscal year detailed estimates of the   
funds necessary for the ,indian ,health 
,services and ,indian ,health           
,facilities accounts of the ,indian     
,health ,service for the fiscal year    
following the fiscal year for which the 
budget is submitted4  4  7b7 ,submission
 of budget request ,section #aaje7;a7 of
 title #ca1 ,united ,states ,code1 is   
amended-- 7#a7 by striking 7#cg7 the    

list and inserting 7#ci7 the list2 and  
7#b7 by adding at the end the following 
new paragraph3  7#dj7 information on    
estimates of appropriations for the     
fiscal year following the fiscal year   
for which the budget is submitted for   
the following accounts of the ,indian   
,health ,service3 7,a7 ,indian ,health  
,services4  7,b7 ,indian ,health        
,facilities4  4