$4,789,731,000 for Indian health services becomes available on October 1, 2026
What the document says“and, in addition, $4,789,731,000, which shall become available on October 1, 2026, and remain available through September 30, 2028”
The advance appropriation in the Indian health services account. The money is appropriated by this Act but does not become available until October 1, 2026, the start of the following fiscal year, and stays available through September 30, 2028. Advance appropriation is what lets the service keep operating if a later year's appropriations act is delayed.
What the document actually says“and, in addition, $4,789,731,000, which shall become available on October 1, 2026, and remain available through September 30, 2028”
This sets aside $4,789,731,000 for a later date. It can be used from October 1, 2026. It lasts until September 30, 2028.
Most money in this law is for this year. This sum is for next year. It is agreed now so clinics do not close if a later bill is late.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.