Table Of Content\0^
X>^ DEPARTMENT OF THE INTERIOR AND RELATED
" AGENCIES APPROPRIATIONS FOR 1996
Y 4,AP 6/1; IN 8/6/996/
NGS
PT. 4
Departnent of the Interior and Rela. . . ^
SUBUUMMlTTHlE OF THE
COMMITTEE ON APPROPRIATIONS
HOUSE OP REPRESENTATIVES
ONE HUNDRED FOURTH CONGRESS
FIRST SESSION
SUBCOMMITTEE ON THE DEPARTMENT OF THE INTERIOR AND
RELATED AGENCIES
RALPH REGULA, Ohio, Chairman
JOSEPH M. MCDADE, Pennsylvania SIDNEY R. YATES, Illinois
JIM KOLBE, Arizona NORMAN D. DICKS, Washington
JOE SKEEN, New Mexico TOM BEVILL, Alabama
BARBARA F. VUCANOVICH, Nevada DAVID E. SKAGGS, Colorado
CHARLES H. TAYLOR. North Carolina
GEORGE R. NETHERCUTT. Jr., Washington
JIM BUNN, Oregon
NOTE:UnderCommitteeRules,Mr.Livingston,asChairmanoftheFullCommittee,andMr.Obey,asRanking
MinorityMemberoftheFullCommittee,areauthorizedtositasMembersofallSubcommittees.
Deborah Weatherly, Loretta Beaumont, Mark Mioduski, and Joel Kaplan,
StaffAssistants
PART 4 -^
Justification of the Budget Estimates
Page
Indian Health 1
IndianEducation 241
Nav^o and Hopi Indian Relocation Commission 271
InstituteofAmerican Indian andAlaska Native Culture andArts
Development 293
SmithsonianInstitution 313
John F. KennedyCenterforthePerformingArts 457
NationalGalleryofArt 539
WoodrowWilsonInternational CenterforSch(^bt»^,» 669
National EndowmentfortheArts ./.....^x^Uju^. 695
NationalEndowment forthe Humanities ../.. -'^^^'t ^^
Institute ofMuseum Services ./ ty.^i(t^*. 951
Commission ofFineArts / .*r...irtJrij^.,.. 989
AdvisoryCouncil onHistoric Preservation ;.^^X^«y.vf/i/^1009
National Capital PlanningCommission .Aj^ .^^'''* ?5l^7
Franklin DelanoRoosevelt Memorial Commission ..\7jI^...^ 1009^ '
PennsylvaniaAvenueDevelopmentCorporation .f..A...^^ 1103 '''
HolocaustMemorial Council iQo^.... 1135
Printed for the use of the Committee on Appropriations
DEPARTMENT OF THE INTERIOR AND RELATED
AGENCIES APPROPRIATIONS FOR 1996
HEAKINGS
BEFORE A
SUBCOMMITTEE OF THE
COMMITTEE ON APPROPRIATIONS
HOUSE OP REPRESENTATIVES
ONE HUNDRED FOURTH CONGRESS
FIRST SESSION
SUBCOMMITTEE ON THE DEPARTMENT OF THE INTERIOR AND
RELATED AGENCIES
RALPH REGULA, Ohio, Chairman
JOSEPH M. McDADE, Pennsylvania SIDNEY R. YATES, Illinois
JIM KOLBE, Arizona NORMAN D. DICKS, Washington
JOE SKEEN, New Mexico TOM BEVILL, Alabama
BARBARA F. VUCANOVICH, Nevada DAVID E. SKAGGS, Colorado
CHARLES H. TAYLOR. North Carolina
GEORGE R. NETHERCUTT, Jr., Washington
JIM BUNN, Oregon
NOTE:UnderCommitteeRules,Mr.Livingston,asChairmanoftheFullCommittee,andMr.Obey,asRanking
MinorityMemberoftheFullCommittee,areauthorizedtositasMembersofallSubcommittees.
Deborah Weatherly, Loretta Beaumont, Mark Mioduski, and Joel Kaplan,
StaffAssistants
PART 4
Justification of the Budget Estimates
Page
IndianHealth 1
IndianEducation 241
NavajoandHopi IndianRelocationCommission 271
InstituteofAmerican IndianandAlaskaNative Culture andArts
Development 293
SmithsonianInstitution 313
John F.KennedyCenterforthePerformingArts 457
National GalleryofArt 539
WoodrowWilsonInternationalCenterforScholars 669
NationalEndowmentfortheArts 695
NationalEndowmentforthe Humanities 845
InstituteofMuseum Services 951
Commission ofFineArts 989
AdvisoryCouncilon HistoricPreservation 1009
NationalCapital PlanningCommission 1057
FranklinDelanoRooseveltMemorialCommission 1099
PennsylvaniaAvenueDevelopment Corporation 1103
HolocaustMemorial Council 1135
Printed for the use of the Committee on Appropriations
U.S. GOVERNMENT PRINTING OFFICE
8^-068 WASHINGTON 1995
:
ForsalebytheU.S.GovernmentPrintingOffice
SuperintendentofDocuments,CongressionalSalesOffice,Washington,DC 20402
ISBN 0-16-046962-7
COMMITTEE ON APPROPRIATIONS
BOB LIVINGSTON, Louisiana, Chairman
JOSEPH M. McDADE, Pennsylvania DAVID R. OBEY, Wisconsin
JOHN T. MYERS, Indiana SIDNEY R. YATES, Illinois
C. W. BILL YOUNG, Florida LOUIS STOKES, Ohio
RALPH REGULA, Ohio TOM BEVILL, Alabama
JERRY LEWIS, California JOHN P. MURTHA, Pennsylvania
JOHN EDWARD PORTER, Illinois CHARLES WILSON, Texas
HAROLD ROGERS, Kentucky NORMAN D. DICKS, Washington
JOE SKEEN, New Mexico MARTIN OLAV SABO, Minnesota
FRANK R. WOLF, Virginia JULIAN C. DIXON, California
TOM Delay, Texas VIC FAZIO, Cahfomia
JIM KOLBE, Arizona W. G. (BILL) HEFNER, North Carolina
BARBARA F. VUCANOVICH, Nevada STENY H. HOYER, Maryland
JIM LIGHTFOOT, Iowa RICHARD J. DURBIN, lUinois
RON PACKARD, CaUfornia RONALD D. COLEMAN, Texas
SONNY CALLAHAN, Alabama ALAN B. MOLLOHAN, West Virginia
JAMES T. WALSH, New York JIM CHAPMAN, Texas
CHARLES H. TAYLOR, North Carolina MARCY KAPTUR, Ohio
DAVID L. HOBSON, Ohio DAVID E. SKAGGS, Colorado
ERNEST J. ISTOOK, Jr., Oklahoma NANCY PELOSI, CaUfornia
HENRY BONILLA, Texas PETER J. VISCLOSKY, Indiana
JOE KNOLLENBERG, Michigan THOMAS M. FOGLIETTA, Pennsylvania
DAN MILLER, Florida ESTEBAN EDWARD TORRES, CaUfornia
JAY DICKEY, Arkansas NITA M. LOWEY, New York
JACK KINGSTON, Georgia RAY THORNTON, Arkansas
FRANK RIGGS, CaUfornia
RODNEY P. FRELDSfGHUYSEN, New Jersey
ROGER F. WICKER, Mississippi
MICHAEL P. FORBES, New York
GEORGE R. NETHERCUTT, Jr., Washington
JIM BUNN, Oregon
MARK W. NEUMANN, Wisconsin
James W. Dyer, Clerk and StaffDirector
01)
DEPARTMENT
OF HEALTH
AND HUMAN
SERVICES
FISCAL YEAR
1996
Volume XIII
PUBLIC HEALTH SERVICE
INDLVN HEALTH SERVICE
Justification of
Estimates for
Appropriations Committees
)))))
DEPIIRTMENT OP HEALTH AND BOMAM SERVICES
Indian Health Service
Fiscal Year 1996
TABLE OF CONTENTS
P»qg Ho-
Services and Facllltle»t
Sunmary Table IBS- 1
Tables of Adjustoents IBS- 2
Detail of Budget Formulation
A. Funding Summary Report IBS- 4
B. Detail of Changes IBS- 5
C. Breakdown of Program Level IBS- 6
. FTE Summary IBS- 8
Executive Budget Summary IHS-13
Services
1
Justification:
A. General Statement IHS-19
B. Summary of Budget Request IHS-23
C. Activities
1. Clinical Services
a. Bospltals & Clinics
((21) APcucropmopsleisahnmdenMtesthod of Operation IIBHSS--2248
(3) Rationale for Budget Request IHS-34
b. Dental Health
(1) Purpose and Method of Operation IBS-40
(2) Accomplishments IHS-42
(3) Rationale for Budget Request IHS-4S
c. Mental Health
(1) Purpose and Method of Operation IHS-48
(2) Accomplishments IHS-49
(3 Rationale for Budget Request IBS-51
d. Alcohol and Substance Abuse
(1) Purpose and Method of Operation IBS-54
(2) Accomplishments IHS-55
(3) Rationale for Budget Request IHS-57
e. Contract Care
((21 PRuartpioosnealeandfoMretBhuoddgetofROepqeuersattion IIBBSS--5690
t. HIV/AIDS
(1) Purpose and Method of Operation IHS-64
(2) Accomplishments IHS-65
(3 Rationale for Budget Request IHS-66
g. Private Third Party Collections
(1) Purpose and Method of Operation IHS-67
(2) Accomplishments IHS-67
(3) Rationale for Budget Request IBS-71
)))))
Page No.
h. Medicare/Hedlcald Collections
(1) Purpose and Method of Operation IHS- 69
(2) Accomplishments IHS- 69
(3) Rationale for Budget Request IHS- 71
Preventive Health
a. Public Health Nursing
(1) Purpose and Method of Operation IHS- 74
(2) Accomplishments IHS- 76
(3) Rationale for Budget Request IHS- 76
b. Health Education
((21) APcucropmopsleisahnmdenMtesthod of Operation IIHHSS-- 7778
(3) Rationale for Budget Request IHS- 79
c. Community Health Representatives
(1) Purpose and Method of Operation IHS- 81
(2) Accomplishments IHS- 81
(3) Rationale for Budget Request IHS- 82
d. Hepatitis B\Imoiunization Influenza Program (Alaska)
(1) Purpose and Method of Operation IHS- 83
(2) Accomplishments IHS- 84
(3) Rationale for Budget Request IHS- 84
3. Urban Health Projects
(1) Purpose and Method of Operation IHS- 85
(2) Accomplishments IHS- 87
(3 Rationale for Budget Request IHS- 87
4. Indian Health Professions (formerly Manpower)
((21) APcucropomspelisahnmdenMtesthod of Operation IIHHSS-- 8991
5. Triba(l3 MaRnaatgieomneanlte for Budget Request IHS- 94
(1) Purpose and Method of Operation IHS- 95
(2) Accomplishments IHS- 96
(3) Rationale for Budget Request IHS- 96
6. Direct Operations
(1) Purpose and Method of Operation IHS- 98
(2) Accomplishments IHS- 99
(3) Rationale for Budget Request IHS-100
7. Self Governance
(1) Purpose and Method of Operation IHS-101
(2) Accomplishments IHS-102
(3) Rationale for Budget Request IHS-102
8. Contract Support Cost
(1) Purpose and Method of Operation IHS-105
(2) Accomplishments IHS-106
(3 Rationale for Budget Request IHS-106
Indian Health Service Funding Summary Report
Budget Authority
(Dollars In Thousands)
02/06/95
HLE: 0:VSSVD«H\BrPB\rir«<\£SBA
.
INDIAN HEALTH SERVICE
(DoMralaThounndil
Tablaa of JUijnwnt»
ru«: o:\u\nM\am\rrM\iBonJf
rr IStS Total Co^>li>adJ«ii>ra|>rlmtlau (Badg^JUthorltyl $1,9<3,0C2 1E,2»S
rr 1»95 rrogz-aaL«*«l Totml |a,17«,ll» 15,425
»»/Tl.TTT««-
Hao-r*aurTlagCosatnatlofi Funds In PT 1M5.
rT« MPOCTIOM:
Affiliation Hgri—nt: Coptrartlng/Confrtlnj.
m
Kaductlon.
FT! rvduotlona ar« Inacoordanoa vltli Praaldaatlal kicaeutlvo
OTXlar 1209, dat«lPabruaxy 10, 1S93.
Inflation andPayCoata.
Raflaota full ooat of January —1995payralaa, locality
pay, andotlkarpayroll ooata, rliril Inflationof S.3%
andnon-aadlcal inflation of 3%
Indian SalfO*t«x«inatlon Pund.
Sub-TotalMandatorlaa.
m
APPITIOMS
Tba PTBa «*r« tranafarrwl froaPBS: 2 fromOffloaof tha
Socratary and7 froaOrikSB.
ITAFTTMaMI) OmiftTTMgCOar ""M—P»nT.TTT««-
Tba ineraaaaprovldaa funding for tbaatafflngandoparatlag
ooat of D«» faellltlaa llatadbalo«, ablobvara fnndadIn
rt 1994 forpartof tba flaoalyaar.
Kotiabna, AK, >oq>ltal (40
Sblprook, IM, Moapltal «,SM
Anoboraga, AK, Boapltal 3,312
aya, MI, BaaltbOantar 2«9
Total 10,913
: .
Wilt: o:\M\iaMVan«vnM\aMij< D—crlptlon ~ JiMBunt 02/0<F/T(fS»
lafozwttlee tytfmlaltlatlvu
oo^BUklaatlea «m»«M11fl— to »i%4>uil.artvanoadollaloal,
pubUohaalth, andaifcliilitratlTa lafacBBtloa ayata^.
mammaandK14arBaaltk.
Tbmraquaat alXl av^pert
prooxaa(orAI/JtMvsaasaada>M«>it th» ilmlniMiiil ot
haalth car*aarrtoafar tbaaldarly tarvatlag Inflimiia.
poauaKxiooaal, andtataaaa iMaiiiliilInn pragraaa.
Bpldaad.ologyCaatar
Tha raquaatoUJ.prorlda thraa Hilrtialnlii||j| oastara.
Child
.
Tba raquaat vUlpre*lda rhildabuaartetlMaanioaa ts 4
ta S trltoaa which ara curraBtlywithout aarvloaa.
Contract Cara trvtomm
Tha raqpaaatwill fondtprmrlaataly MS lopatlant aarvloaa
and3,200 outpatlaat aarvloaa.
Qrttan Baalth.
Tba raquaatwill laeraaaa tha lawal of aaad(uadad(roa12 to
24 paroant andpronda for an addltlooal 30,000patlant
Tlalta.
Indian Salf-Oatarwlnatloa Fond.
Tba raquaatwillprevlda for *flrat-tlaaprograaaaai^tlo
aa raquaatadandra^ilrad.
Haya Baalth Cantar.
2,21«
Tha raquaatwillprewlda eeaprahaaalwaeoratlwaandpravantlva
haalth eara aarrloaa toaaat thabaalthaaadaof tha
rt. Ballrnir AarwloaOnltpopulatloo.
Dhlta earth BaalthC«>tar •,•••
Tba raquaatwillprsrlda ^aoa forBBjor o—e^prahaBalva
eaoalrmatllawdaiiaynbdaparlatwhonaataldwaoboafaltthahBehalrtaa|ntaiirjithaartrolaaantVtatlhta
pepulatloo.
Total Xneraaaaa \ |123,T«2 la?
MIT CHMMB t»S,*CO (230)
rt !••« BODOBTKmnMITX 12,OS*,022 1S,0«S
Znoraaaa In Kalatouraaaanta
Public Inauranoa 1,S3«
Prlvata Znauranoa 220
rf 1»»C PrograaLaval %i,n3,»*i 1S,1»S
Mat Changa. PrograaLaval I»7,724 (230)
