,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #fhcf  ,,in ,,the ,,house ,,of  
,,representatives  ,may #ab1 #bjbj,mr4  
,ruiz 7for himself1 ,ms4 ,kendra ,s4    
,horn of ,oklahoma1 ,mr4 ,gallego1 ,mr4 
,kilmer1 ,mr4 ,cook1 ,mrs4 ,napolitano1 
,mr4 ,o',halleran1 ,ms4 ,haaland1 ,mr4  
,huffman1 ,mr4 ,de,fazio1 ,mr4 ,mullin1 
and ,mr4 ,heck7 introduced the following
 bill2 which was referred to the        
,committee on ,appropriations  ,a ,,bill
  ,to amend the ,,cares ,act to provide 
for payments to the ,indian ,health     
,service1 ,indian ,tribes1 ,tribal      
organizations1 and urban ,indian        
organizations from the ,public ,health  
and ,social ,services ,emergency ,fund1 
and for other purposes4  #a4 ,short     
title ,this ,act may be cited as the    
,tribal ,health ,care ,protection ,fund 
,act4  #b4 ,providing for payments to   
,indian ,health ,service1 ,indian       
,tribes1 ,tribal organizations1 and     
urban ,indian organizations from ,public
 ,health and ,social ,services          

,emergency ,fund  7a7 ,in general ,title
 ,,viii of division ,b of the ,,cares   
,act 7,public ,law #aaf-acf7 is amended 
by adding at the end of the matter under
 the heading ,department of ,health and 
,human ,services--,office of the        
,secretary--,public ,health and ,social 
,services ,emergency ,fund the          
following3  ,for an additional amount   
for ,public ,health and ,social         
,services ,emergency ,fund1             
#a1gjj1jjj1jjj1 to remain available     
until expended1 to prevent1 prepare for1
 and respond to coronavirus1            
domestically or internationally1 for    
necessary expenses to provide           
reimbursement1 through contracts1       
compacts1 or other agreements as        
authorized by the ,indian               
,self-,determination and ,education     
,assistance ,act of #aige 7#be ,u4,s4,c4
 #dej71 or through other mechanisms for 
federally operated ,indian ,health      
,service facilities1 for health         
care-related expenses or lost revenues  

incurred by the ,indian ,health         
,service1 ,indian ,tribes1 ,tribal      
organizations1 and urban ,indian        
organizations that are attributable to  
coronavirus3 ,provided1 ,that these     
funds may not be used to reimburse      
expenses or losses that have been       
reimbursed from other sources3 ,provided
 further1 ,that payments under this     
paragraph shall not be in the form of an
 interest loan or otherwise1 but rather 
shall be one-time payments for related  
health care expenses or lost revenues3  
,provided further1 ,that recipients of  
payments under this paragraph shall     
submit reports and maintain             
documentation as the ,secretary of      
,health and ,human ,services determines 
are needed to ensure compliance with    
conditions that are imposed by this     
paragraph for such payments1 and such   
reports and documentation shall be in   
such form1 with such content1 and in    
such time as the ,secretary may         
prescribe for such purpose3,provided    

further1 ,that #8,indian ,tribes and    
,tribal organizations' have such meaning
 as defined under section #d of the     
,indian ,self-,determination and        
,education ,assistance ,act3 ,provided  
further1 ,that #8urban ,indian          
organization' has such meaning as       
defined under section #d of the ,indian 
,health ,care ,improvement ,act3        
,provided further1 ,that the ,secretary 
shall1 on a rolling basis1 review       
applications and make payments under    
this paragraph in this ,act3 ,provided  
further1 ,that funds appropriated under 
this paragraph in this ,act shall be    
available for health care services1     
building or construction of temporary   
structures1 leasing of properties1      
medical supplies and equipment1         
including personal protective equipment 
and testing supplies1 increased         
workforce and trainings1 emergency      
operation centers1 retrofitting         
facilities1 and surge capacity3         
,provided further1 ,that1 in this       

paragraph1 the term payment means a     
pre-payment1 prospective payment1 or    
retrospective payment1 as determined    
appropriate by the ,secretary3 ,provided
 further1 ,that payments under this     
paragraph shall be made in consideration
 of the most efficient payment systems  
practicable to provide emergency        
payment3 ,provided further1 ,that to be 
eligible for a payment under this       
paragraph1 the ,indian ,health ,service 
and each ,indian ,tribe1 ,tribal        
organization1 and urban ,indian         
organization shall submit to the        
,secretary an application that includes 
a statement justifying the need of the  
,indian ,health ,service or such ,tribe1
 ,tribal organization1 or urban ,indian 
organization1 respectively1 for such    
payment4  4  7b7 ,effective date ,the   
amendment made by subsection 7a7 shall  
apply as if included in the enactment of
 the ,,cares ,act 7,public ,law         
#aaf-acf74