Page:United States Statutes at Large Volume 104 Part 6.djvu/176

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104 STAT. 4566 PUBLIC LAW 101-630—NOV. 28, 1990 Appropriation authorization. 25 USC 1653 note. Reports. 25 USC 1659. Appropriation authorization. ing committees or other services funded under the Indian Child Welfare Act of 1978 (25 U.S.C. 1901 et seq.), if any; "(B) the capability and expertise demonstrated by the urban Indian organization to address the complex problem of child sexual abuse in the community; and "(C) the assessment required under paragraph (2). "(5) There is authorized to be appropriated $500,000 for fiscal year 1991 and $2,000,000 for fiscal year 1992 to carry out this subsection.". SEC. 506. FACILITIES ASSESSMENT. (a) SURVEY.— The Secretary shall conduct a survey of all facilities used by contractors under title V of the Indian Health Care Improvement Act and shall submit a report to the Congress on such survey not later than one year after the date of enactment of this Act. The report shall, at a minimum, contain the following information for each location: (1) The extent to which the facility meets safety and building codes and, if direct care is provided, the extent of compliance with Joint Commission for Accreditation of Health Care Organizations (JCAHO) standards. (2) The extent to which improvements, expansion, or relocation is necessary to meet program requirements, provide adequate services, or achieve building code compliance. (3) Any lease restriction that would hamper accomplishment of needed improvement, expansion, or relocation. (4) The term of the lease, if appropriate, the age of the structure, and the structure's life expectancy with and without improvement. (5) An assessment of the deficiencies of the facility. (b) REPORT.— The report shall contain general recommendations for addressing the deficiencies of facilities in which programs funded under title V of the Indian Health Care Improvement Act are located and shall propose specific policies for accomplishing those recommendations. (c) MINOR RENOVATIONS.— Title V, as amended by section 301, is further amended by adding at the end the following new section: "SEC. 409. FACILITIES RENOVATION. "The Secretary may make funds available to contractors under this title for minor renovations to facilities, including leased facilities, to assist such contractors in meeting or maintaining the Joint Commission for Accreditation of Health Care Organizations (JCAHO) standards. There is authorized to be appropriated $1,000,000 for fiscal year 1992 to carry out this section.". SEC. 507. REPORTS. Section 507 of title V (25 U.S.C. 1657) is amended by adding at the end the following new subsection: "(d)(1) The Secretary, acting through the Service, shall submit a report to the Congress not later than March 31, 1992, evaluating— "(A) the health status of urban Indians; "(B) the services provided to Indians through this title; "(C) areas of unmet needs in urban areas served under this title; and "(D) areas of unmet needs in urban areas not served under this title.