,,ii  #aafth ,,congress  #ast ,session  
,s4 #beda  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #bd1
 #bjai,ms4 ,murkowski 7for herself1 ,mr4
 ,udall1 ,mr4 ,sullivan1 ,ms4 ,baldwin1 
,mr4 ,heinrich1 ,ms4 ,cortez ,masto1    
,ms4 ,rosen1 ,mr4 ,wyden1 ,mr4 ,merkley1
 ,ms4 ,smith1 ,mr4 ,tester1 ,ms4        
,warren1 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 #bjai4  #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 the first fiscal  
year that starts during the year after  
the year in which this subsection is    
enacted1 discretionary new budget       
authority provided for the ,indian      
,health ,services and ,indian ,health   
,facilities accounts1 and ,indian       
,health ,service ,contract ,support     
,costs1 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 each fiscal year to  
which subsection 7b7 applies detailed   
estimates of the funds necessary for the
 ,indian ,health ,services and ,indian  
,health ,facilities accounts1 and       

,indian ,health ,service ,contract      
,support ,costs1 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  
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  7,c7 ,indian ,health      
,service ,contract ,support ,costs4  4