Page:United States Statutes at Large Volume 102 Part 5.djvu/797

 PUBLIC LAW 100-713—NOV. 23, 1988

102 STAT. 4803

"(h) There are authorized to be appropriated for the purpose of carrying out the provisions of this section— "(1) $19,000,000 for fiscal year 1990, "(2) $19,000,000 for fiscal year 1991, and "(3) $20,000,000 for fiscal year 1992. Any funds appropriated under the authority of this subsection shall be designated as the 'Indian Health Care Improvement Fund'.". O> Section 4 (25 U.S.C. 1603) is amended by striking out subseci) tions (i), (j), and (k), and by inserting in lieu thereof the following new subsections: "(i) 'Area office' means an administrative entity including a program office, within the Indian Health Service through which services and funds are provided to the service units within a defined geographic area, "(j) 'Service unit' means— "(1) an administrative entity within the Indian Health Service, or "(2) a tnbe or tribal organization operating health care programs or facilities with fundsfix>mthe Service under the Indian Self-Determination Act, through which services are provided, directly or by contract, to the eligible Indian population within a defined geographic area.". CATASTHOPmC HEALTH PROGRAM

SEC. 202. IHtle II is amended by adding at the end thereof the following new section: "CATASTROPHIC HEALTH EMERGENCY FUNS

"SEC. 202. (a)(1) There is hereby established an Indian Cata- 25 USC I62la strophic Health Ehnergency Fund (hereafter in this section referred to as the 'Fund') consisting o f ^ "(A) the amounts deposited under subsection (d), and "(B) the amounts appropriated under subsection (e). "(2) 'The Fund shall be administered by the Secretary, acting through the central office of the Service, solely for the purpose of meeting the extraordinary medical costs associated with the treatment of victims of disasters or catastrophic illnesses who are within the responsibility of the Service. "(3) The Fund shall not be allocated, apportioned, or del^ated on a service unit, area office, or any other basis. "(4) No part of the Fund or its administration shall be subject to contract or grant under any law, including the Indian SelfDetermination Act. "(b) The Secretary shall, through the promulgation of r^ulations Regulations. consistent with the provisions of this section— "(1) establish a definition of disasters and catastrophic illnesses for which the cost of treatment provided under contract would qualify for payment from the Fund; "(2) provide that a service unit shall not be eligible for reimbursement for the cost of treatment from the Fund until its cost of treating any victim of such catastrophic illness or disaster has reached a certain threshold cost which the Secretary shall establish at not less than $10,000 or not more than $20,000; "(3) establish a procedure for the reimbursement of the portion of the costs incurred by—

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