,i  #aaf? ,,congress  #b;d ,session  ,h4
 ,r4 #fhcf  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #ab1 #bjbj,mr4   
,ruiz 7= himself1 ,ms4 ,k5dra ,s4 ,horn 
( ,oklahoma1 ,mr4 ,gallego1 ,mr4 ,kilm]1
 ,mr4 ,cook1 ,mrs4 ,napolitano1 ,mr4    
,o',hall]an1 ,ms4 ,haal&1 ,mr4 ,huffman1
 ,mr4 ,de,fazio1 ,mr4 ,mull91 & ,mr4    
,heck7 introduc$ ! foll[+ bill2 :i* 0   
ref]r$ to ! ,committee on               
,appropriations  ,a ,,bill  ,to am5d !  
,,c>es ,act to provide = paym5ts to !   
,indian ,heal? ,s]vice1 ,indian ,tribes1
 ,tribal organizations1 & urban ,indian 
organizations f ! ,public ,heal? &      
,social ,s]vices ,em]g5cy ,fund1 & = o!r
 purposes4  #a4 ,%ort title ,?is ,act   
may be cit$ z ! ,tribal ,heal? ,c>e     
,protection ,fund ,act4  #b4 ,provid+ = 
paym5ts to ,indian ,heal? ,s]vice1      
,indian ,tribes1 ,tribal organizations1 
& urban ,indian organizations f ,public 
,heal? & ,social ,s]vices ,em]g5cy ,fund
  7a7 ,9 g5]al ,title ,,viii ( division 
,b ( ! ,,c>es ,act 7,public ,law        

#aaf-acf7 is am5d$ by add+ at ! end ( ! 
matt] "u ! head+ ,dep>tm5t ( ,heal? &   
,human ,s]vices--,(fice ( !             
,secret>y--,public ,heal? & ,social     
,s]vices ,em]g5cy ,fund ! foll[+3  ,= an
 additional am\nt = ,public ,heal? &    
,social ,s]vices ,em]g5cy ,fund1        
#a1gjj1jjj1jjj1 to rema9 available until
 exp5d$1 to prev5t1 prep>e =1 & respond 
to coronavirus1 dome/ically or          
int]nationally1 = necess>y exp5ses to   
provide reimbursem5t1 ?r\gh contracts1  
compacts1 or o!r agreem5ts z au?oriz$ by
 ! ,indian ,self-,det]m9ation &         
,education ,assi/ance ,act ( #aige 7#be 
,u4,s4,c4 #dej71 or ?r\gh o!r me*anisms 
= f$]ally op]at$ ,indian ,heal? ,s]vice 
facilities1 = heal? c>e-relat$ exp5ses  
or lo/ rev5ues incurr$ by ! ,indian     
,heal? ,s]vice1 ,indian ,tribes1 ,tribal
 organizations1 & urban ,indian         
organizations t are attributable to     
coronavirus3 ,provid$1 ,t ^! funds may n
 be us$ to reimburse exp5ses or losses t
 h be5 reimburs$ f o!r s\rces3 ,provid$ 

fur!r1 ,t paym5ts "u ?is p>agraph %all n
 be 9 ! =m ( an int]e/ loan or o!rwise1 
b r %all be "o-"t paym5ts = relat$ heal?
 c>e exp5ses or lo/ rev5ues3 ,provid$   
fur!r1 ,t recipi5ts ( paym5ts "u ?is    
p>agraph %all submit reports & ma9ta9   
docum5tation z ! ,secret>y ( ,heal? &   
,human ,s]vices det]m9es are ne$$ to    
ensure compliance ) conditions t are    
impos$ by ?is p>agraph = su* paym5ts1 & 
su* reports & docum5tation %all be 9 su*
 =m1 ) su* cont5t1 & 9 su* "t z !       
,secret>y may prescribe = su*           
purpose3,provid$ fur!r1 ,t #8,indian    
,tribes & ,tribal organizations' h su*  
mean+ z def9$ "u section #d ( ! ,indian 
,self-,det]m9ation & ,education         
,assi/ance ,act3 ,provid$ fur!r1 ,t     
#8urban ,indian organization' has su*   
mean+ z def9$ "u section #d ( ! ,indian 
,heal? ,c>e ,improvem5t ,act3 ,provid$  
fur!r1 ,t ! ,secret>y %all1 on a roll+  
basis1 review applications & make       
paym5ts "u ?is p>agraph 9 ?is ,act3     
,provid$ fur!r1 ,t funds appropriat$ "u 

?is p>agraph 9 ?is ,act %all be         
available = heal? c>e s]vices1 build+ or
 con/ruction ( tempor>y /ructures1 leas+
 ( prop]ties1 m$ical supplies &         
equipm5t1 includ+ p]sonal protective    
equipm5t & te/+ supplies1 increas$      
work=ce & tra9+s1 em]g5cy op]ation      
c5t]s1 retr(itt+ facilities1 & surge    
capacity3 ,provid$ fur!r1 ,t1 9 ?is     
p>agraph1 ! t]m paym5t means a          
pre-paym5t1 prospective paym5t1 or      
retrospective paym5t1 z det]m9$         
appropriate by ! ,secret>y3 ,provid$    
fur!r1 ,t paym5ts "u ?is p>agraph %all  
be made 9 consid]ation ( ! mo/ effici5t 
paym5t sy/ems practicable to provide    
em]g5cy paym5t3 ,provid$ fur!r1 ,t to be
 eligible = a paym5t "u ?is p>agraph1 ! 
,indian ,heal? ,s]vice & ea* ,indian    
,tribe1 ,tribal organization1 & urban   
,indian organization %all submit to !   
,secret>y an application t includes a   
/atem5t ju/ify+ ! ne$ ( ! ,indian ,heal?
 ,s]vice or su* ,tribe1 ,tribal         
organization1 or urban ,indian          

organization1 respectively1 = su*       
paym5t4  4  7b7 ,effective date ,!      
am5dm5t made by subsection 7a7 %all     
apply z if includ$ 9 ! enactm5t ( !     
,,c>es ,act 7,public ,law #aaf-acf74