Ask AI
Bill98th CongressFiled Nov 18, 1983Native Americans
H.R. 4567

Indian Health Care Amendments of 1984

Bill journey · stage 1 of 5

Just introduced

Filed
Comm.
Floor
Both
Law

What it doesSummary passed house amended (Sep 14, 1984)

(Measure passed House, amended (Inserted text of H.R. 6039))

Indian Health Care Amendments of 1984 - Amends the Indian Health Care Improvement Act, as amended by the Indian Health Care Amendments of 1980, to authorize specific appropriations for FY 1985-1987.

Amends the Public Health Service Act to direct the Secretary of Health and Human Services (the Secretary) to grant Indian Health Scholarships to Indians enrolled full-time in certain schools for health professionals. Prohibits the denial of such scholarships solely on the basis of scholastic achievement if the applicant has been admitted into an accredited health professions institution.

Deems service under a contract pursuant to the Indian Self-Determination and Education Assistance Act as meeting the active service requirements of the National Health Service Corps Scholarship program. Authorizes appropriations for FY 1985-1987.

Prohibits the payment of health professions preparatory scholarships to Indians who are employed in the Indian Health Service during nonacademic periods of the school year.

Authorizes appropriations for FY 1985-1987 for specified health services. Designates such appropriations the Indian Health Care Improvement Fund. Sets allocation guidelines. Requires the Secretary to report to Congress regarding a health services priority system.

Establishes an Indian Catastrophic Health Emergency Fund to meet the extraordinary costs of medical disasters or catastrophic illnesses. Authorizes appropriations. Requires the Secretary to report to the Congress regarding the Fund's operation by a certain time.

Requires the Secretary to submit to the Congress a health facilities priority system report regarding the construction or renovation needs of the top ten priority inpatient and ambulatory care facilities.

Requires the Secretary to notify the Congress one year prior to the planned closure of a health care facility.

Directs the Secretary to: (1) convey to the Bethel Native Corporation all Federal interest in specified property in Bethel, Alaska; and (2) sell to the Bethel Native Corporation a specified Service hospital and appurtenant facilities. Conditions such sale upon an agreement whereby the Corporation shall purchase the hospital and its facilities and the Service shall lease and operate such hospital and its facilities.

Directs the Secretary to begin implementing in FY 1985 a ten-year plan to provide safe water supply and sanitary sewage and solid waste disposal facilities to Indian homes and communities. Requires the Secretary to report to the Congress the Service's current Indian sanitation facilities priority system, and the funds needed to raise all communities to a zero level of deficiency.

Authorizes specified appropriations to provide sanitation facilities.

Authorizes the Secretary to provide financial and technical assistance for the operation and maintenance of sanitation facilities, utility organizations, and emergency repairs of sanitation facilities. Authorizes appropriations for FY 1985-1987.

Directs the Secretary to contract with urban Indian organizations to provide health care or referral services programs in urban areas. Details eligibility criteria for such programs. Requires the Secretary to submit to the Congress a report which assesses the health status and unmet health care needs of urban Indians. Authorizes appropriations for FY 1985-1987.

Establishes the Office of Indian Health Service within the Public Health Service of the Department of Health and Human Services (thus terminating the Indian Health Services as part of the Health Resources and Services Administration). Places such Office under the direction of an Administrator for Indian Health who shall report directly to the Assistant Secretary for Health. Delegates to such Administrator all health programs and authorities which are provided specifically for Indians. Allocates to the Office of Indian Health Service budget and personnel ceiling authority to implement the duties delegated to the Administrator.

Authorizes the Secretary to compensate Indian organizations for costs incurred in the use and administration of health services facilities.

Authorizes the Secretary to waive certain requirements for competitive procurement of health services if the responsible Chief Medical Officer certifies that such requirements would compromise the quality of health services.

Directs the Secretary to establish an Office of Alcohol and Drug Abuse within the Indian Health Service. Authorizes appropriations for FY 1985-1987.

Directs the Secretary of Health and Human Services (the Secretary) to coordinate efforts with the Secretary of the Interior and the Secretary of Education to develop programs to combat alcohol and drug abuse among Indian juveniles, including preventive education programs in schools under the aegis of the Bureau of Indian Affairs.

Directs the Secretary of Health and Human Services to arrange with the National Academy of Sciences to conduct a study of health hazards faced by Indians and Indian miners exposed to nuclear resource developments on or near Indian communities. Directs the Secretary and the Indian Health Service to develop a health care plan which addresses the results of such study.

Directs the Secretary to submit to the Congress both the health hazard study and the ensuing health care plan, within certain times. Authorizes appropriations.

Establishes eligibility guidelines for certain California Indians and for certain persons who are otherwise ineligible for medical benefits provided by either the Indian Health Service or by tribes contracting with the Service. Requires the Secretary to: (1) provide a vaccination program to prevent and control hepatitis-B among Alaskan Natives; (2) report to the Congress regarding program details; and (3) recommend steps to control the incidence of hepatitis-B. Designates the State of California as a contract health service delivery area. Lists programs eligible for Indian Health Service funds. Restricts circumstances under which the Secretary may remove a member of the National Health Service Corps who is performing obligated service in a health facility under the aegis of the Indian Health Service.

Sets a deadline by which the Secretary must develop and implement a plan to reduce Indian infant and maternal mortality rates to that of the general population.

What just happenedSep 24, 1984

House Incorporated this Measure in S.2166 as an Amendment.

Who’s behind it

Rep. Udall, Morris K. [D-AZ-2](D-AZ)Sponsor
49 cosponsors41 D8 R
Read on Congress.gov
49cosponsors2committees29actions2amendments3related bills28subjects
  1. Sep 24, 1984FloorH1L310

    House Incorporated this Measure in S.2166 as an Amendment.

  2. Sep 18, 1984Calendars

    Received in the Senate, read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 1199.

  3. Sep 14, 1984FloorH37100

    Passed House (Amended) by Voice Vote.

  4. Sep 14, 1984Floor8000

    Passed/agreed to in House: Passed House (Amended) by Voice Vote.

  5. Sep 14, 1984FloorH30000

    Called up by House by Rule.

  6. Sep 14, 1984FloorH1L220

    Rule Passed House.

  7. Jul 31, 1984FloorH1L210

    Rules Committee Resolution H.Res.560 Reported to House.

  8. Jul 31, 1984FloorH12700

    Committee on Rules Granted an Open Rule Providing One Hour of General Debate; Waiving all Points of Order Against Consideration of the Bill for Failure to Comply with the Provisions of Section 402(a) of the Budget Act; Making in Order an Amendment in the Nature of a Substitute Consisting of the Text of H.R. 6039 in Lieu of Committee Amendments Printed in the Bill.

  9. May 21, 1984CalendarsH12410

    Placed on Union Calendar No: 460.

  10. May 21, 1984CommitteeH12200

    Reported to House (Amended) by House Committee on Energy and Commerce. Report No: 98-763 (Part II).

    Energy and Commerce Committee
  11. May 21, 1984Committee5000

    Reported to House (Amended) by House Committee on Energy and Commerce. Report No: 98-763 (Part II).

    Energy and Commerce Committee
  12. May 15, 1984CommitteeH12200

    Reported to House (Amended) by House Committee on Interior and Insular Affairs. Report No: 98-763 (Part I).

    Natural Resources Committee
  13. May 15, 1984Committee5000

    Reported to House (Amended) by House Committee on Interior and Insular Affairs. Report No: 98-763 (Part I).

    Natural Resources Committee
  14. May 15, 1984CommitteeH19000

    Ordered to be Reported (Amended).

    Energy and Commerce Committee
  15. May 15, 1984CommitteeH15000-B

    Committee Consideration and Mark-up Session Held.

    Energy and Commerce Committee
  16. May 3, 1984CommitteeH23000

    Forwarded by Subcommittee to Full Committee (Amended).

    Health and Environment Subcommittee
  17. May 3, 1984CommitteeH22000

    Subcommittee Consideration and Mark-up Session Held.

    Health and Environment Subcommittee
  18. May 2, 1984CommitteeH19000

    Ordered to be Reported (Amended).

    Natural Resources Committee
  19. May 2, 1984CommitteeH15000-B

    Committee Consideration and Mark-up Session Held.

    Natural Resources Committee
  20. Apr 12, 1984CommitteeH14000-B

    Committee Hearings Held.

    Natural Resources Committee
  21. Apr 5, 1984CommitteeH14000-B

    Committee Hearings Held.

    Natural Resources Committee
  22. Mar 29, 1984CommitteeH14000-B

    Committee Hearings Held.

    Natural Resources Committee
  23. Mar 22, 1984CommitteeH14000-B

    Committee Hearings Held.

    Natural Resources Committee
  24. Mar 15, 1984CommitteeH21000

    Subcommittee Hearings Held.

    Health and Environment Subcommittee
  25. Nov 18, 1983IntroReferralH11100

    Referred to House Committee on Interior and Insular Affairs.

    Natural Resources Committee
  26. Nov 18, 1983CommitteeH11000

    Referred to Subcommittee on Health and the Environment.

    Health and Environment Subcommittee
  27. Nov 18, 1983IntroReferralH11100

    Referred to House Committee on Energy and Commerce.

    Energy and Commerce Committee
  28. Nov 18, 1983IntroReferralIntro-H

    Introduced in House

  29. Nov 18, 1983IntroReferral1000

    Introduced in House

Passed House amendedSep 14, 198436
(Measure passed House, amended (Inserted text of H.R. 6039))

Indian Health Care Amendments of 1984 - Amends the Indian Health Care Improvement Act, as amended by the Indian Health Care Amendments of 1980, to authorize specific appropriations for FY 1985-1987.

Amends the Public Health Service Act to direct the Secretary of Health and Human Services (the Secretary) to grant Indian Health Scholarships to Indians enrolled full-time in certain schools for health professionals. Prohibits the denial of such scholarships solely on the basis of scholastic achievement if the applicant has been admitted into an accredited health professions institution.

Deems service under a contract pursuant to the Indian Self-Determination and Education Assistance Act as meeting the active service requirements of the National Health Service Corps Scholarship program. Authorizes appropriations for FY 1985-1987.

Prohibits the payment of health professions preparatory scholarships to Indians who are employed in the Indian Health Service during nonacademic periods of the school year.

Authorizes appropriations for FY 1985-1987 for specified health services. Designates such appropriations the Indian Health Care Improvement Fund. Sets allocation guidelines. Requires the Secretary to report to Congress regarding a health services priority system.

Establishes an Indian Catastrophic Health Emergency Fund to meet the extraordinary costs of medical disasters or catastrophic illnesses. Authorizes appropriations. Requires the Secretary to report to the Congress regarding the Fund's operation by a certain time.

Requires the Secretary to submit to the Congress a health facilities priority system report regarding the construction or renovation needs of the top ten priority inpatient and ambulatory care facilities.

Requires the Secretary to notify the Congress one year prior to the planned closure of a health care facility.

Directs the Secretary to: (1) convey to the Bethel Native Corporation all Federal interest in specified property in Bethel, Alaska; and (2) sell to the Bethel Native Corporation a specified Service hospital and appurtenant facilities. Conditions such sale upon an agreement whereby the Corporation shall purchase the hospital and its facilities and the Service shall lease and operate such hospital and its facilities.

Directs the Secretary to begin implementing in FY 1985 a ten-year plan to provide safe water supply and sanitary sewage and solid waste disposal facilities to Indian homes and communities. Requires the Secretary to report to the Congress the Service's current Indian sanitation facilities priority system, and the funds needed to raise all communities to a zero level of deficiency.

Authorizes specified appropriations to provide sanitation facilities.

Authorizes the Secretary to provide financial and technical assistance for the operation and maintenance of sanitation facilities, utility organizations, and emergency repairs of sanitation facilities. Authorizes appropriations for FY 1985-1987.

Directs the Secretary to contract with urban Indian organizations to provide health care or referral services programs in urban areas. Details eligibility criteria for such programs. Requires the Secretary to submit to the Congress a report which assesses the health status and unmet health care needs of urban Indians. Authorizes appropriations for FY 1985-1987.

Establishes the Office of Indian Health Service within the Public Health Service of the Department of Health and Human Services (thus terminating the Indian Health Services as part of the Health Resources and Services Administration). Places such Office under the direction of an Administrator for Indian Health who shall report directly to the Assistant Secretary for Health. Delegates to such Administrator all health programs and authorities which are provided specifically for Indians. Allocates to the Office of Indian Health Service budget and personnel ceiling authority to implement the duties delegated to the Administrator.

Authorizes the Secretary to compensate Indian organizations for costs incurred in the use and administration of health services facilities.

Authorizes the Secretary to waive certain requirements for competitive procurement of health services if the responsible Chief Medical Officer certifies that such requirements would compromise the quality of health services.

Directs the Secretary to establish an Office of Alcohol and Drug Abuse within the Indian Health Service. Authorizes appropriations for FY 1985-1987.

Directs the Secretary of Health and Human Services (the Secretary) to coordinate efforts with the Secretary of the Interior and the Secretary of Education to develop programs to combat alcohol and drug abuse among Indian juveniles, including preventive education programs in schools under the aegis of the Bureau of Indian Affairs.

Directs the Secretary of Health and Human Services to arrange with the National Academy of Sciences to conduct a study of health hazards faced by Indians and Indian miners exposed to nuclear resource developments on or near Indian communities. Directs the Secretary and the Indian Health Service to develop a health care plan which addresses the results of such study.

Directs the Secretary to submit to the Congress both the health hazard study and the ensuing health care plan, within certain times. Authorizes appropriations.

Establishes eligibility guidelines for certain California Indians and for certain persons who are otherwise ineligible for medical benefits provided by either the Indian Health Service or by tribes contracting with the Service. Requires the Secretary to: (1) provide a vaccination program to prevent and control hepatitis-B among Alaskan Natives; (2) report to the Congress regarding program details; and (3) recommend steps to control the incidence of hepatitis-B. Designates the State of California as a contract health service delivery area. Lists programs eligible for Indian Health Service funds. Restricts circumstances under which the Secretary may remove a member of the National Health Service Corps who is performing obligated service in a health facility under the aegis of the Indian Health Service.

Sets a deadline by which the Secretary must develop and implement a plan to reduce Indian infant and maternal mortality rates to that of the general population.

Reported to House amended, Part IIMay 21, 198419
(Reported to House from the Committee on Energy and Commerce with amendment, H. Rept. 98-763 (Part II))

Indian Health Care Amendments of 1984 - Amends the Indian Health Care Improvement Act, as amended by the Indian Health Care Amendments of 1980, to authorize specific appropriations for FY 1985-1987.

Amends the Public Health Service Act to direct the Secretary of Health and Human Services (the Secretary) to grant Indian Health Scholarships to Indians enrolled full-time in certain schools for health professionals. Prohibits the denial of such scholarships solely on the basis of scholastic achievement if the applicant has been admitted into an accredited health professions institution.

Deems service under a contract pursuant to the Indian Self-Determination and Education Assistance Act as meeting the active service requirements of the National Health Service Corps Scholarship program. Authorizes appropriations for FY 1985-1987.

Prohibits the payment of health professions preparatory scholarships to Indians who are employed in the Indian Health Service during nonacademic periods of the school year.

Authorizes appropriations for FY 1985-1987 for specified health services. Allocates such appropriations among eligible Indians in the 27 reservation States. Sets allocation guidelines. Requires the Secretary to report to Congress on the effect of such allocated appropriations upon: (1) Indian access to health services; and (2) Indian health status.

Sets a deadline by which the Secretary must develop and implement a plan to reduce Indian infant and maternal mortality rates to that of the general population.

Requires the Secretary to submit to the Congress a health facilities priority system report regarding the construction or renovation needs of the top ten priority inpatient and ambulatory care facilities.

Requires the Secretary to notify the Congress one year prior to the planned closure of a health care facility.

Directs the Secretary to begin implementing in FY 1985 a ten-year plan to provide safe water supply and sanitary sewage and solid waste disposal facilities to Indian homes and communities. Requires the Secretary to report to the Congress the Service's current Indian sanitation facilities priority system, and the funds needed to raise all communities to a zero level of deficiency.

Authorizes specified appropriations to provide sanitation facilities.

Authorizes the Secretary to provide financial and technical assistance for the operation and maintenance of sanitation facilities, utility organizations, and emergency repairs of sanitation facilities. Authorizes appropriations for FY 1985-1987.

Directs the Secretary to contract with urban Indian organizations to provide health care or referral services programs in urban areas. Details eligibility criteria for such programs. Requires the Secretary to submit to the Congress a report which assesses the health status and unmet health care needs of urban Indians. Authorizes appropriations for FY 1985-1987.

Authorizes the Assistant Secretary for Indian Health to waive certain requirements for competitive procurement of health services if the responsible Chief Medical Officer certifies that such requirements would compromise the quality of health services.

Directs the Secretary to establish an Office of Alcohol and Drug Abuse within the Indian Health Service. Authorizes appropriations for FY 1985-1987.

Directs the Secretary of Health and Human Services (the Secretary) to coordinate efforts with the Secretary of the Interior and the Secretary of Education to develop programs to combat alcohol and drug abuse among Indian juveniles, including preventive education programs in schools under the aegis of the Bureau of Indian Affairs.

Directs the Secretary of Health and Human Services to arrange with the National Academy of Sciences to conduct a study of health hazards faced by Indians and Indian miners exposed to nuclear resource developments on or near Indian communities. Directs the Secretary and the Indian Health Service to develop a health care plan which addresses the results of such study.

Directs the Secretary to submit to the Congress both the health hazard study and the ensuing health care plan, within certain times. Authorizes appropriations.

Establishes eligibility guidelines for certain California Indians and for certain persons who are otherwise ineligible for medical benefits provided by either the Indian Health Service or by tribes contracting with the Service. Requires the Secretary to: (1) provide a vaccination program to prevent and control hepatitis-B among Alaskan Natives; (2) report to the Congress regarding program details; and (3) recommend steps to control the incidence of hepatitis-B. Designates the State of California as a contract health service delivery area.

Removes the Indian Health Service from the Health Resources Services Administration and places it in the Public Health Service. Directs the Indian Health Service to submit an annual budget directly to the President. Provides that all funds appropriated for obligation by the Indian Health Service shall be directly received by such Service from the President and the Office of Management and Budget. Lists programs eligible for Indian Health Service funds. Restricts circumstances under which the Secretary may remove a member of the National Health Service Corps who is performing obligated service in a health facility under the aegis of the Indian Health Service.

Reported to House amended, Part IMay 15, 198418
(Reported to House from the Committee on Interior and Insular Affairs with amendment,H.Rept.98-763(Part I))

Indian Health Care Amendments of 1984 - Amends the Indian Health Care Improvement Act, as amended by the Indian Health Care Amendments of 1980, to authorize specific appropriations for FY 1985-1987.

Amends the Public Health Service Act to direct the Secretary of Health and Human Services to grant Indian Health Scholarships to Indian health professionals to provide services to Indians. Requires such scholarships to encompass the time required for a professional course of study at an accredited educational institution. Prohibits the denial of such scholarships solely on the basis of scholastic achievement if the applicant has been admitted into an accredited health professions institution.

Deems service under a contract pursuant to the Indian Self-Determination and Education Assistance Act as meeting the active service requirements of the National Health Service Corps Scholarship program.

Authorizes appropriations for FY 1985-1987 for specified health services. Considers such funds part of the base budget of the Indian Health Service.

Prohibits the payment of health professions preparatory scholarships to Indians who are employed in the Indian Health Service during nonacademic periods of the school year.

Prohibits the use of funds which were authorized to eliminate backlogs in Indian health care to offset or limit appropriations made under other Acts. Lists the purposes for which the appropriated funds shall be expended.

Limits the allocation of appropriations to tribes which need to raise their health resources up to a certain minimum. Prohibits allocation to tribes already exceeding such level.

Requires the Secretary to submit to the Congress a current health services priority system report, including the methodology for determining tribal health resources deficiencies, and the funds needed to raise all tribes to a zero level of deficiency.

Designates as the Indian Health Care Improvement Fund certain authorized appropriations necessary to raise all tribes to a specified level on the Indian Health Service's priority system.

Specifies the minimum percentage of funds to be expended by the Secretary for research into specified areas of Indian health care.

Sets a deadline by which the Secretary must develop and implement a plan to reduce infant mortality among Indian tribes to a rate no greater than infant mortality among all citizens. Specifies funds available for such a plan.

Establishes an Indian Catastrophic Health Emergency Fund to be administered by the Secretary for the sole purpose of meeting the extraordinary cost of medical disasters or catastrophic illnesses. Authorizes appropriations.

Requires the Secretary to submit to the Congress the current health facilities priority system report including the construction or renovation needs of the top ten priority inpatient and ambulatory care facilities and the methodology used to establish such priorities.

Requires the Secretary to submit to the Congress one year prior to a contemplated closing of a health care facility an impact evaluation of such an action.

Directs the Secretary to begin implementing in FY 1985 a ten-year plan to provide safe water supply and sanitary sewage and solid waste disposal facilities to Indian homes and communities. Requires the Secretary to report to the Congress the Service's current Indian sanitation facilities priority system, and the funds needed to raise all communities to a zero level of deficiency.

Authorizes specified appropriations to provide sanitation facilities.

Authorizes the Secretary to provide financial and technical assistance for the operation and maintenance of sanitation facilities, utility organizations, and emergency repairs of sanitation facilities. Authorizes appropriations.

Directs the Secretary to contract with urban Indian organizations to administer health services programs in urban areas. Details criteria for such programs. Authorizes appropriations.

Transfers the Indian Health Service from the Public Health Service into the Office of the Secretary of Health and Human Services. Places the Office of Indian Health Service under the direction of an Assistant Secretary for Indian Health.

Sets guidelines for the continued assignment of commissioned corps personnel within the Office of Indian Health Service.

Authorizes the Assistant Secretary for Indian Health to waive the requirement for competitive procurement of health services upon advice of the responsible Chief Medical Officer that such competitive procurement would compromise the quality of health services.

Directs the Secretary of Health and Human Services to coordinate efforts with the Secretary of the Interior and the Secretary of Education to develop programs to combat alcohol and drug abuse among Indian juveniles, including preventive education programs in schools under the aegis of the Bureau of Indian Affairs.

Establishes an Office of Alcohol and Drug Abuse within the Indian Health Service. Authorizes appropriations.

Directs the Secretary of Health and Human Services to arrange with the National Academy of Sciences to conduct a study of health hazards to Indians and Indian miners exposed to nuclear resource developments on or near Indian communities. Directs the Secretary and the Indian Health Service to develop a health care plan which addresses the results of such study.

Directs the Secretary to submit to the Congress both the health hazard study and the ensuing health care plan, within a certain time. Authorizes appropriations.

Establishes eligibility guidelines for certain persons who are otherwise ineligible for medical care and benefits provided by either the Indian Health Service or by tribes contracting with the Service.

Permits the extension of hospital privileges in health facilities operated by the Indian Health Service to non- Service health care practitioners.

Requires the Secretary to: (1) complete within one year implementation of a program to prevent and control hepatitis-B among Alaskan Natives; (2) report to the Congress about the status of such program; and (3) recommend steps to control the incidence of hepatitis-B. Authorizes appropriations.

Introduced in HouseNov 18, 198300

Indian Health Care Amendments of 1984 - Amends the Indian Health Care Improvement Act, as amended by the Indian Health Care Amendments of 1980, to authorize specific appropriations for FY 1985-1987.

Amends the Public Health Service Act to direct the Secretary of Health and Human Services to determine which individual Indians shall receive Indian Health Scholarships.

Prohibits the payment of health professions preparatory scholarships to Indians who are employed in the Indian Health Service during nonacademic periods of the school year.

Prohibits the use of funds which were authorized to eliminate backlogs in Indian health care to offset or limit appropriations made under other Acts. Lists the purposes for which the appropriated funds shall be expended.

Designates as the Indian Health Care Improvement Fund certain authorized appropriations necessary to raise all tribes to a specified level on the Indian Health Service's priority system.

Requires the Secretary to submit to the Congress a current health services priority system report, including the levels of health services and funds needed to raise Indian communities to a parity with that of the general population.

Specifies the minimum percentage of funds to be expended by the Secretary for research into specified areas of Indian health care.

Sets a deadline by which the Secretary must develop and implement a plan to reduce infant mortality among Indian tribes to a rate no greater than infant mortality among all citizens. Specifies funds available for such a plan.

Establishes an Indian Catastrophic Health Emergency Fund to be administered by the Secretary for the sole purpose of meeting the extraordinary cost of medical disasters or catastrophic illnesses. Authorizes appropriations.

Authorizes the Secretary to expend certain sums over a three- year period for the construction or renovation of the top five priority inpatient care facilities and ambulatory care facilities, together with the requisite staff quarters.

Requires the Secretary to submit to the Congress the current health facilities priority system report.

Directs the Secretary to provide the Congress with one year's notice of any contemplated closing of an Indian health care facility.

Directs the Secretary to begin implementing in FY 1985 a ten-year plan to provide safe water supply and sanitary sewage and solid waste disposal facilities to Indian homes and communities. Requires the Secretary to report to the Congress the Service's current Indian sanitation facilities priority system, and the funds needed to raise all communities to a zero level of deficiency.

Authorizes specified appropriations to provide sanitation facilities.

Authorizes the Secretary to provide financial and technical assistance for the operation and maintenance of sanitation facilities, utility organizations, and emergency repairs of sanitation facilities. Authorizes appropriations.

Directs the Secretary to contract with urban Indian organizations to administer health services programs in urban areas. Details eligibility criteria for such programs. Authorizes appropriations.

Establishes eligibility guidelines for certain persons who are otherwise ineligible for medical care and benefits provided by either the Indian Health Service or by tribes contracting from the Service.

Establishes the Office of Indian Health Affairs in the Office of the Secretary of Health and Human Services to administer all Indian health programs and authorities.

Places the Office of Indian Health Affairs under the direction of an Assistant Secretary for Indian Health. Transfers the Indian Health Service to such Office. Authorizes the Secretary to waive Indian preference laws on an ad hoc basis for transfers occurring during a specified period.