Sec. 9. Fiscal accountability
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Title VI of the Indian Health Care Improvement Act ( 25 U.S.C. 1661 et seq. ) (as amended by section 6(a)) is amended by adding at the end the following: If the Secretary fails to submit the staffing plan in accordance with section 4(c) of the Indian Health Service Accountability Act of 2016 or the housing plan in accordance with section 5(c) of that Act, the Secretary may not receive, obligate, transfer, or expend any amounts for a salary increase or bonus of an individual described in paragraph
(2)before the applicable plan is submitted in accordance with section 4(c) or section 5(c) of that Act, as applicable. An individual referred to in paragraph
(1)is— an individual who— is employed in a position described in sections 5312 through 5316 of title 5, United States Code (relating to the Executive Schedule); is a limited term appointee, limited emergency appointee, or noncareer appointee in the Senior Executive Service, as defined under paragraphs (5), (6), and (7), respectively, of section 3132(a) of title 5, United States Code; or is employed in a position in the executive branch of the Government of a confidential or policy-determining nature under schedule C of subpart C of part 213 of title 5, Code of Federal Regulations; or a senior executive (as defined in section 3132(a) of title 5, United States Code). The Secretary shall use amounts that are not obligated or expended during the fiscal year for which the amounts are made available, and that remain available, only to support patient care, specifically for— costs of essential medical equipment; the Purchased/Referred Care program; or any other purpose approved by the Secretary after consultation with appropriate Indian tribes. The Secretary shall not use amounts described in paragraph
(1)for— interior decorating or remodeling of a facility of the Service; or an increase in rate of pay for an employee of an Area office. The Secretary shall provide a report each quarter of a fiscal year describing the expenditures, outlays, transfers, reprogramming, obligations, and other spending of each level of the Service, including the headquarters, each Area office, each Service unit, and each facility, to— Indian tribes; in the Senate— the Committee on Indian Affairs; the Committee on Health, Education, Labor, and Pensions; the Committee on Appropriations; and the Committee on the Budget; and in the House of Representatives— the Committee on Natural Resources; the Committee on Energy and Commerce; the Committee on Appropriations; and the Committee on the Budget. The Secretary shall provide to each entity described in paragraphs
(1)through
(3)of subsection
(c)a report each quarter of a fiscal year, except as provided in paragraph (2), describing the safety, billing, certification, credential, and compliance statuses of each facility managed, operated, or otherwise supported by the Service. On a change of a status described in paragraph (1), the Secretary shall immediately provide to each entity described in paragraphs
(1)through
(3)of subsection
(c)an update describing the change. .
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Sec. 9
Fiscal accountability
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