Indian Health Care Amendments of 1984

Summary

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.

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Documents

4 official files

• Passed House amended

  summary · EN · 14 September 1984

  Open at official source

• Reported to House amended, Part II

  summary · EN · 21 May 1984

  Open at official source

• Reported to House amended, Part I

  summary · EN · 15 May 1984

  Open at official source

• Introduced in House

  summary · EN · 18 November 1983

  Open at official source

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