Page:United States Statutes at Large Volume 102 Part 5.djvu/796

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PUBLIC LAW 100-000—MMMM. DD, 1988

102 STAT. 4802

Reports.

President of u s.

PUBLIC LAW 100-713—NOV. 23, 1988

"(4) Under r^ulations, the Secretary shall establish procedures which allow any Indian tribe to petition the Secretary for a review of any determination of the health resources deficiency level of such tribe. "(d)(1) Programs administered by any Indian tribe or tribal organization under the authority of the Indian Self-Determination Act shall be eligible for funds appropriated under the authority of subsection (h) on an equal basis with programs that are administered directly by the Service. "(2) If any funds allocated to a tribe or service unit under the authori^ of this section are used for a contract entered into under the Indian Self-Determination Act, a reasonable portion of such funds may be used for health planning, training, technical assistance, and other administrative support functions. "(e) By no later than the date that is 60 days after the date of enactment of the Indian Health Care Amendments of 1988, the Secretary shall submit to the Congress the current health services priority i^rstem report of the Service for each Indian tribe or service unit, including newly recognized or acknowledged tribes. Such report shall set out— "(1) the methodology then in use by the Service for determining tribal health resources deficiencies, as well as the most recent application of that methodology; "(2) the level of health resources deficiency for each Indian tribe served by the Service; "&) the amount of funds necessary to raise all Indian tribes served by the Service below health resources deficiency level 11 to health resources deficiency level 11; "(4) the amount of funds necessary to raise all tribes served by the Service below health resources deficiency level I to health resources deficiency level I; "(5) the amount of funds necessary to raise all tribes served by the Service to zero health resources deficiency; and "(6) an estimate of— "(A) the amount of health service funds appropriated under the authority of this Act, or any other Act, including the amount of any funds transferred to the Service, for the preceding fiscal year which is allocated to each service unit, Indian tribe, or comparable e n t i ^ "(B) the number of Indians eligible for health services in each service unit or Indian tribe; and "(CO the number of Indians using the Service resources made available to each service unit or Indian tribe. "(f)(1) The President shall include with the budget submitted to the Congress under section 1105 of title 31, United States Code, for each fiscal year a separate statement which specifies the amount of funds requested to carry out the provisions of this section for such fiscal year. "(2) Funds appropriated under authority of this section for any fiscal year shall be included in the base budget of the Service for the purpose of determining appropriations under this section in subsequent fiscal years. "(g) Nothing in this section is intended to diminish the primary responsibility of the Service to eliminate existing backl(^ in unmet hesdth care needs, nor are the provisions of this section intended to discourage the Service from undertaking additional efforts to achieve parity among Indian tribes.