Page:United States Statutes at Large Volume 104 Part 6.djvu/174

 104 STAT. 4564 PUBLIC LAW 101-630 —NOV. 28, 1990 Grant programs. Appropriation authorization. Appropriation authorization. Grant programs. needs of Service and non-Service facilities which are the subject of a contract for health services entered into with the Service under the Indian Self-Determination Act, are fully and equitably integrated into the implementation of the health care delivery demonstration projects under this section. "(h) REPORT TO C!ONGRESS. —Within 90 days after the end of the period set out in subsection (a), the Secretary shall prepare and submit to Congress a report, together with legislative recommendations, on the findings and conclusions derived from the demonstration projects. "(i) AUTHORIZATION OF APPROPRIATIONS.— There is authorized to be appropriated such sums as may be necessary for fiscal years 1991 and 1992 for the purpose of carrying out this section, which are authorized to remain available until expended.". SEC. 505. HEALTH CARE SERVICES FOR URBAN INDIANS. (a) HEALTH PROMOTION AND DISEASE PREVENTION,— Section 503 of title V (25 U.S.C. 1653) is amended by adding at the end the following new subsection: "(c)(1) The Secretary, acting through the Service, shall facilitate access to, or provide, health promotion and disease prevention services for urban Indians through grants made to urban Indian organizations administering contracts entered into pursuant to this section. "(2) There is authorized to be appropriated $1,000,000 for fiscal year 1992 to carry out this subsection.". 0)) IMMUNIZATION.—Section 503 of title V, as amended by subsection (a), is further amended by adding at the end the following new subsection: "(d)(l) The Secretary, acting through the Service, shall facilitate access to, or provide, immunization services for urban Indians through grants made to urban Indian organizations administering contracts entered into pursuant to this section. "(2) In making any grant to carry out this subsection, the Secretary shall take into consideration— "(A) the size of the urban Indian population to be served; "(B) the immunization levels of the urban Indian population, particularly the immunization levels of infants, children, and the elderly; "(C) the utilization by the urban Indians of alternative resources from State and local governments for no-cost or low-cost immunization services to the general population; and "(D) the capability of the urban Indian organization to carry out services pursuant to this subsection. "(3) For purposes of this subsection, the term 'immunization services' means services to provide without charge immunizations against vaccine-preventable diseases. "(4) There are authorized to be appropriated $1,000,000 for fiscal year 1992 to carry out this subsection.". (c) MENTAL HEALTH SERVICES.— Section 503 of title V, as amended by subsections (a) and (b), is further amended by adding at the end the following new subsection: "(e)(1) The Secretary, acting through the Service, shall facilitate access to, or provide, mental health services for urban Indians through grants made to urban Indian organizations administering contracts entered into pursuant to this section.

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