S. 112Senate117th Congress (2021-2023)In Committee

A bill to require the Secretary of Health and Human Services to award additional funding through the Sanitation Facilities Construction Program of the Indian Health Service, and for other purposes.

Introduced January 28, 2021

AI-Generated Summary

Updated February 7, 2026 at 9:41 PM UTC

The bill directs the Secretary of Health and Human Services, through the Indian Health Service, to provide extra funding for planning, designing, building, and upgrading water, sewer, and solid waste facilities in Native American communities. It earmarks $1.335 billion for fiscal years 2021 through 2025 and requires that the funds be given first to the most deficient sites identified in a 2018 sanitation deficiency report. The aim is to improve sanitation infrastructure and health outcomes for Indian homes and communities.

Key Provisions

  • Requires the HHS Secretary to award additional funding under the Sanitation Facilities Construction Program for planning, design, construction, modernization, improvement, and renovation of water, sewer, and solid waste facilities funded by the Indian Health Service or tribal contracts.
  • Mandates that funding be prioritized for facilities with the highest deficiency levels as listed in the 2018 report.
  • Authorizes $1,335,000,000 in appropriations for FY2021‑FY2025, in addition to any other amounts already available for these purposes.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Indian Affairs.

January 28, 2021

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SenateIntro Referral

Introduced in Senate

January 28, 2021

SenateIntro Referral

Read twice and referred to the Committee on Indian Affairs.

January 28, 2021

Bill Text

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Introduced in SenateIssued January 28, 2021

II

117th CONGRESS

1st Session

S. 112

IN THE SENATE OF THE UNITED STATES

January 28, 2021

Ms. Sinema (for herself and Mr. Romney) introduced the following bill; which was read twice and referred to the Committee on Indian Affairs

A BILL

To require the Secretary of Health and Human Services to award additional funding through the Sanitation Facilities Construction Program of the Indian Health Service, and for other purposes.

1.

Indian Health Service Sanitation Facilities Construction Program funding

(a)

Findings

Congress finds that—

(1)

the COVID–19 crisis has highlighted the lack of infrastructure and sanitation available in Native communities;

(2)

addressing the Sanitation Facilities Deficiency List of the Division of Sanitation Facilities and Construction of the Indian Health Service included in the report will—

(A)

result in investments in necessary water infrastructure; and

(B)

improve health outcomes; and

(3)

it is in the interest of the United States, and it is the policy of the United States, that all existing and new Indian communities and Indian homes be provided with safe and adequate water supply systems and sanitary sewage waste disposal systems as soon as practicable.

(b)

Definitions

In this section:

(1)

Report

The term report means the fiscal year 2018 report of the Division of Sanitation Facilities and Construction of the Indian Health Service entitled Annual Report to the Congress of the United States on Sanitation Deficiency Levels for Indian Homes and Communities.

(2)

Secretary

The term Secretary means the Secretary of Health and Human Services, acting through the Director of the Indian Health Service.

(c)

Additional funding for sanitation facilities

(1)

In general

The Secretary shall award additional funding under the Sanitation Facilities Construction Program for the planning, design, construction, modernization, improvement, and renovation of water, sewer, and solid waste sanitation facilities that are funded, in whole or part, by the Indian Health Service through, or provided for in, a contract or compact with the Indian Health Service under the Indian Self-Determination and Education Assistance Act (25 U.S.C. 5301 et seq.).

(2)

Priority for funding

In awarding funding to sanitation facilities under paragraph (1), the Secretary shall prioritize sanitation facilities with the highest deficiency level, as established in the report.

(d)

Authorization of appropriations

(1)

In general

There is authorized to be appropriated to the Secretary to carry out this section $1,335,000,000 for the period of fiscal years 2021 through 2025.

(2)

Requirement

Amounts made available under paragraph (1) shall be in addition to any amounts made available to carry out the purposes described in subsection (c)(1) under any other provision of law.