{"FileId":11516301,"FileName":"FY2026_Agency=HHS_Bureau=IHS_TAFS=075-X-0391_Iteration=2_2026-04-14-16.30","FiscalYear":"2026","ApprovalTimestamp":"2026-04-14-16.30.31.985813","Folder":"Department of Health and Human Services","ApproverTitle":"Program Associate Director for Health Programs","FundsProvidedBy":"Funds Provided by Public Law 119-4, 118-42, 117-58, 119-74","ScheduleData":[{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"AdjAut","LineSplit":"YES","LineDescription":"Adjustment Authority provided","ApprovedAmount":0,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1000","LineSplit":"DA","LineDescription":"Discretionary Actual Unob Bal: Brought forward, Oct 1","ApprovedAmount":1879831178,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1000","LineSplit":"DE","LineDescription":"Discretionary Actual Unob Bal: Brought forward, Oct 1","ApprovedAmount":0,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"IterNo","LineSplit":"2","LineDescription":"Last Approved Apportionment: 2025-09-24","ApprovedAmount":0,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"RptCat","LineSplit":"NO","LineDescription":"Reporting Categories","ApprovedAmount":0,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1021","LineSplit":"","LineDescription":"Unob Bal: Recov of prior year unpaid obligations","ApprovedAmount":29041842,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1033","LineSplit":"","LineDescription":"Unob Bal: Recov of prior year paid obligations","ApprovedAmount":472,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1061","LineSplit":"","LineDescription":"Unob Bal: Antic recov of prior year unpd\/pd obl","ApprovedAmount":108460808,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1000","LineSplit":"MA","LineDescription":"Mandatory Actual Unob Bal: Brought forward, Oct 1","ApprovedAmount":13092088,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1000","LineSplit":"ME","LineDescription":"Mandatory Actual Unob Bal: Brought forward, Oct 1","ApprovedAmount":0,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1170","LineSplit":"1","LineDescription":"BA: Disc: Advance appropriation","ApprovedAmount":510774000,"FootnoteNumber":"B1"},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1170","LineSplit":"2","LineDescription":"BA: Disc: Advance appropriation","ApprovedAmount":700000000,"FootnoteNumber":"B1"},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1172","LineSplit":"","LineDescription":"BA: Disc: Adv approps trans to other accounts","ApprovedAmount":-3500000,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1100","LineSplit":"1","LineDescription":"BA: Disc: Appropriation","ApprovedAmount":294622000,"FootnoteNumber":"B1"},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1100","LineSplit":"2","LineDescription":"BA: Disc: Appropriation","ApprovedAmount":3826000,"FootnoteNumber":"B1"},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1740","LineSplit":"","LineDescription":"BA: Disc: Spending auth:Antic colls, reimbs, other","ApprovedAmount":134063096,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1920","LineSplit":"","LineDescription":"Total budgetary resources avail (disc. and mand.)","ApprovedAmount":3746734375,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1176","LineSplit":"","LineDescription":"BA: Disc: Adv approps antic nonexpend trans net","ApprovedAmount":0,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"1700","LineSplit":"","LineDescription":"BA: Disc: Spending auth: Collected","ApprovedAmount":76522891,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"6004","LineSplit":"","LineDescription":"Category A -- 4th quarter","ApprovedAmount":17033553,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"6190","LineSplit":"","LineDescription":"Total budgetary resources available","ApprovedAmount":3746734375,"FootnoteNumber":"A1"},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"6001","LineSplit":"","LineDescription":"Category A -- 1st quarter","ApprovedAmount":3842685689,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"6002","LineSplit":"","LineDescription":"Category A -- 2nd quarter","ApprovedAmount":171445086,"FootnoteNumber":""},{"BudgetAgencyTitle":"Department of Health and Human Services","BudgetBureauTitle":"Indian Health Service","AccountTitle":"Indian Health Facilities","AllocationAgencyCode":"","CgacAgency":"075","BeginPoa":"","EndPoa":"","AvailabilityTypeCode":"X","CgacAcct":"0391","AllocationSubacct":"","Iteration":"2","TafsIterationId":12103618,"LineNumber":"6003","LineSplit":"","LineDescription":"Category A -- 3rd quarter","ApprovedAmount":-284429953,"FootnoteNumber":""}],"FootnoteData":[{"FootnoteNumber":"A1","FootnoteText":"The total amount apportioned may be increased for additional spending authority from reimbursables received and for recoveries of prior year obligations by an amount not to exceed 10% of the sum of such amounts identified in the calculation of total budgetary resources available without further action by OMB.  The amount of such increase is to be applied to the appropriate line in the application of budgetary resources.  [Rationale: Footnote signifies that this TAFS has received or may receive an automatic apportionment.]"},{"FootnoteNumber":"B1","FootnoteText":"This account received funding pursuant to the Infrastructure Investment and Jobs Act, 2021, PL 117-58, FY 2026 Continuing Resolution (CR), Public Law (PL) 119-37, FY2026 PL 119-74 Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026 and this account was authorized advance authority for FY206 by 119-4 - Full-Year Continuing Appropriations and Extensions Act, 2025."}]}