,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #beda  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #bd1         
#bjai,ms4 ,murk[ski 7= h]self1 ,mr4     
,udall1 ,mr4 ,sullivan1 ,ms4 ,baldw91   
,mr4 ,he9ri*1 ,ms4 ,cortez ,ma/o1 ,ms4  
,ros51 ,mr4 ,wyd51 ,mr4 ,m]kley1 ,ms4   
,smi?1 ,mr4 ,te/]1 ,ms4 ,w>r51 & ,mr4   
,s*atz7 introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,indian ,affairs  ,a ,,bill  ,to am5d ! 
,indian ,heal? ,c>e ,improvem5t ,act to 
au?orize advance appropriations = !     
,indian ,heal? ,s]vice by provid+       
#b-;fiscal-ye> budget au?ority1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,indian ,heal? ,s]vice     
,advance ,appropriations ,act ( #bjai4  
#b4 ,advance appropriations = c]ta9     
,indian ,heal? ,s]vice acc\nts  7a7 ,9  
g5]al ,section #hbe ( ! ,indian ,heal?  
,c>e ,improvem5t ,act 7#be ,u4,s4,c4    
#afhjo7 is am5d$--  7#a7 by ins]t+ 7a7  
be=e ,!re are au?oriz$2 &  7#b7 by add+ 
at ! end ! foll[+3  7b7 ,= ea* fiscal   

ye>1 beg9n+ ) ! fir/ fiscal ye> t />ts  
dur+ ! ye> aft] ! ye> 9 :i* ?is         
subsection is enact$1 discretion>y new  
budget au?ority provid$ = ! ,indian     
,heal? ,s]vices & ,indian ,heal?        
,facilities acc\nts1 & ,indian ,heal?   
,s]vice ,contract ,support ,co/s1 ( !   
,indian ,heal? ,s]vice %all include     
advance discretion>y new budget au?ority
 t fir/ becomes available = ! fir/      
fiscal ye> aft] ! budget ye>4  7c7 ,!   
,secret>y %all include 9 docum5ts       
submitt$ to ,congress 9 support ( !     
,presid5t's budget submitt$ pursuant to 
section #aaje ( title #ca1 ,unit$ ,/ates
 ,code1 = ea* fiscal ye> to :i*         
subsection 7b7 applies detail$ e/imates 
( ! funds necess>y = ! ,indian ,heal?   
,s]vices & ,indian ,heal? ,facilities   
acc\nts1 & ,indian ,heal? ,s]vice       
,contract ,support ,co/s1 ( ! ,indian   
,heal? ,s]vice = ! fiscal ye> foll[+ !  
fiscal ye> = :i* ! budget is submitt$4  
4  7b7 ,submission ( budget reque/      
,section #aaje7;a7 ( title #ca1 ,unit$  

,/ates ,code1 is am5d$ by add+ at ! end 
! foll[+ new p>agraph3  7#dj7 in=mation 
on e/imates ( appropriations = ! fiscal 
ye> foll[+ ! fiscal ye> = :i* ! budget  
is submitt$ = ! foll[+ acc\nts ( !      
,indian ,heal? ,s]vice3  7,a7 ,indian   
,heal? ,s]vices4  7,b7 ,indian ,heal?   
,facilities4  7,c7 ,indian ,heal?       
,s]vice ,contract ,support ,co/s4  4