Sec. 5. Indian Health Service
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In this section, the term Secretary means the Secretary of Health and Human Services, acting through the Director of the Indian Health Service. For purposes of section 7(a)(1) of the Act of August 5, 1954 ( 42 U.S.C. 2004a(a)(1) ), Indian homes, communities, and lands for which the Secretary has authority to construct, improve, extend, or otherwise provide and maintain, by contract or otherwise, essential sanitation facilities, including domestic and community water supplies and facilities, drainage facilities, and sewage-disposal and waste-disposal facilities under that section shall include community structures that are essential to the life of a Native community and provide indispensable educational, economic, and community services, such as schools, hospitals, nursing homes, teachers’ homes, Tribal offices, and post offices.
In addition to amounts otherwise available, there is authorized to be appropriated to the Secretary $20,000,000 for each of fiscal years 2024 through 2028, to remain available until expended, to construct, improve, extend, or otherwise provide and maintain essential sanitation facilities, including domestic and community water supplies and facilities, drainage facilities, and sewage-disposal and waste-disposal facilities, for community structures described in subsection (b). In addition to amounts otherwise available, there is authorized to be appropriated to the Secretary $30,000,000 for each of fiscal years 2024 through 2028, to remain available until expended, for Indian Tribes and Native communities to enter into contracts for— technical assistance; and activities authorized under section 302(b)(2) of the Indian Health Care Improvement Act ( 25 U.S.C. 1632(b)(2) ).
The Secretary may provide financial assistance for the operation and maintenance of water facilities serving Native communities. In addition to amounts otherwise available, there is authorized to be appropriated to the Secretary $100,000,000 for each of fiscal years 2024 through 2028, to remain available until expended, for the operation and maintenance of water facilities serving Native communities under paragraph (1). In awarding funding for the operation and maintenance of water facilities under paragraph (1), the Secretary shall prioritize water facilities that the Secretary determines to be the most in need of assistance.
For not less than 5 fiscal years after the date on which an operation and maintenance of water facilities project described in paragraph
(1)is completed, to the extent to which annual appropriations are available, the Secretary shall include the completed water facilities project as eligible for sustained funding support and guidance to ensure that— the investments in the water facilities are adequately maintained and operated for the health and welfare of Native communities served; the infrastructure investment is protected; and the intended economic benefit is realized.
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