available to the Secretary in appropriations Acts for the Service (excluding funds made available for facilities, Contract Health Services, or contract support costs), the Secretary shall use such sums as are necessary to carry out this section. . 156. Nondiscrimination under Federal health care programs in qualifications for reimbursement for services Title IV of the Indian Health Care Improvement Act ( 25 U.S.C. 1641 et seq.) (as amended by section 155) is amended by adding at the end the following: 408. Nondiscrimination under Federal health care programs in qualifications for reimbursement for services (a) Requirement To satisfy generally applicable participation requirements (1) In general A Federal health care program must accept an entity that is operated by the Service, an Indian tribe, tribal organization, or urban Indian organization as a provider eligible to receive payment under the program for health care services furnished to an Indian on the same basis as any other provider qualified to participate as a provider of health care services under the program if the entity meets generally applicable State or other requirements for participation as a provider of health care services under the program. (2) Satisfaction of State or local licensure or recognition requirements Any requirement for participation as a provider of health care services under a Federal health care program that an entity be licensed or recognized under the State or local law where the entity is located to furnish health care services shall be deemed to have been met in the case of an entity operated by the Service, an Indian tribe, tribal organization, or urban Indian organization if the entity meets all the applicable standards for such licensure or recognition, regardless of whether the entity obtains a license or other documentation under such State or local law. In accordance with section 221, the absence of the licensure of a health professional employed by such an entity under the State or local law where the entity is