Indian Health Care Amendments of 1984

Indian Health Care Amendments of 1984 - Amends the Indian Health Care Improvement Act, as amended by the Indian Health Care Amendments of 1980, to authorize specific appropriations for FY 1985-1987.

Amends the Public Health Service Act to direct the Secretary of Health and Human Services to grant Indian Health Scholarships to Indian health professionals to provide services to Indians. Requires such scholarships to encompass the time required for a professional course of study at an accredited educational institution. Prohibits the denial of such scholarships solely on the basis of scholastic achievement if the applicant has been admitted into an accredited health professions institution.

Deems service under a contract pursuant to the Indian Self-Determination and Education Assistance Act as meeting the active service requirements of the National Health Service Corps Scholarship program.

Authorizes appropriations for FY 1985-1987 for specified health services. Considers such funds part of the base budget of the Indian Health Service.

Prohibits the payment of health professions preparatory scholarships to Indians who are employed in the Indian Health Service during nonacademic periods of the school year.

Prohibits the use of funds which were authorized to eliminate backlogs in Indian health care to offset or limit appropriations made under other Acts. Lists the purposes for which the appropriated funds shall be expended.

Limits the allocation of appropriations to tribes which need to raise their health resources up to a certain minimum. Prohibits allocation to tribes already exceeding such level.

Requires the Secretary to submit to the Congress a current health services priority system report, including the methodology for determining tribal health resources deficiencies, and the funds needed to raise all tribes to a zero level of deficiency.

Designates as the Indian Health Care Improvement Fund certain authorized appropriations necessary to raise all tribes to a specified level on the Indian Health Service's priority system.

Specifies the minimum percentage of funds to be expended by the Secretary for research into specified areas of Indian health care.

Sets a deadline by which the Secretary must develop and implement a plan to reduce infant mortality among Indian tribes to a rate no greater than infant mortality among all citizens. Specifies funds available for such a plan.

Establishes an Indian Catastrophic Health Emergency Fund to be administered by the Secretary for the sole purpose of meeting the extraordinary cost of medical disasters or catastrophic illnesses. Authorizes appropriations.

Requires the Secretary to submit to the Congress the current health facilities priority system report including the construction or renovation needs of the top ten priority inpatient and ambulatory care facilities and the methodology used to establish such priorities.

Requires the Secretary to submit to the Congress one year prior to a contemplated closing of a health care facility an impact evaluation of such an action.

Directs the Secretary to begin implementing in FY 1985 a ten-year plan to provide safe water supply and sanitary sewage and solid waste disposal facilities to Indian homes and communities. Requires the Secretary to report to the Congress the Service's current Indian sanitation facilities priority system, and the funds needed to raise all communities to a zero level of deficiency.

Authorizes specified appropriations to provide sanitation facilities.

Authorizes the Secretary to provide financial and technical assistance for the operation and maintenance of sanitation facilities, utility organizations, and emergency repairs of sanitation facilities. Authorizes appropriations.

Directs the Secretary to contract with urban Indian organizations to administer health services programs in urban areas. Details criteria for such programs. Authorizes appropriations.

Transfers the Indian Health Service from the Public Health Service into the Office of the Secretary of Health and Human Services. Places the Office of Indian Health Service under the direction of an Assistant Secretary for Indian Health.

Sets guidelines for the continued assignment of commissioned corps personnel within the Office of Indian Health Service.

Authorizes the Assistant Secretary for Indian Health to waive the requirement for competitive procurement of health services upon advice of the responsible Chief Medical Officer that such competitive procurement would compromise the quality of health services.

Directs the Secretary of Health and Human Services to coordinate efforts with the Secretary of the Interior and the Secretary of Education to develop programs to combat alcohol and drug abuse among Indian juveniles, including preventive education programs in schools under the aegis of the Bureau of Indian Affairs.

Establishes an Office of Alcohol and Drug Abuse within the Indian Health Service. Authorizes appropriations.

Directs the Secretary of Health and Human Services to arrange with the National Academy of Sciences to conduct a study of health hazards to Indians and Indian miners exposed to nuclear resource developments on or near Indian communities. Directs the Secretary and the Indian Health Service to develop a health care plan which addresses the results of such study.

Directs the Secretary to submit to the Congress both the health hazard study and the ensuing health care plan, within a certain time. Authorizes appropriations.

Establishes eligibility guidelines for certain persons who are otherwise ineligible for medical care and benefits provided by either the Indian Health Service or by tribes contracting with the Service.

Permits the extension of hospital privileges in health facilities operated by the Indian Health Service to non- Service health care practitioners.

Requires the Secretary to: (1) complete within one year implementation of a program to prevent and control hepatitis-B among Alaskan Natives; (2) report to the Congress about the status of such program; and (3) recommend steps to control the incidence of hepatitis-B. Authorizes appropriations.