To determine the factors leading to significant tobacco-related disease and disproportionate health effects on tribal populations.

SA 4078. Mr. COBURN submitted an amendment intended to be proposed to
amendment SA 3899 proposed by Mr. Dorgan (for himself, Ms. Murkowski,
Mr. Baucus, Mr. Kennedy, Mr. Smith, Mr. Nelson of Nebraska, and Mr.
Salazar) to the bill S. 1200, to amend the Indian Health Care
Improvement Act to revise and extend the Act; which was ordered to lie
on the table; as follows:

At the appropriate place in title VIII of the Indian Health
Care Improvement Act (as amended by section 101), insert the
following:

``SEC. 8__. STUDY ON TOBACCO-RELATED DISEASE AND
DISPROPORTIONATE HEALTH EFFECTS ON TRIBAL
POPULATIONS.

``Not later than 180 days after the date of enactment of
the Indian Health Care Improvement Act Amendments of 2008,
the Secretary, in consultation with appropriate Federal
departments and agencies and acting through the epidemiology
centers established under section 209, shall solicit from
independent organizations bids to conduct, and shall submit
to Congress a report describing the results of, a study to
determine possible causes for the high prevalence of tobacco
use among Indians.
______