; or (B) a former employee of the Indian Health Service or a formal tribal employee who was removed from such former employment within, or demoted for performance or misconduct that occurred during, the 5-year period the date of such personnel action. . 106. Removal or demotion of Indian Health Service employees based on performance or misconduct Title VI of the Indian Health Care Improvement Act ( 25 U.S.C. 1661 et seq.), as amended by section 105, is further amended by adding at the end the following: 606. Removal or demotion of Service employees based on performance or misconduct (a) Definitions In this section and section 607: (1) Employee The term employee has the meaning given the term in section 2105 of title 5, United States Code. (2) Manager (A) In general The term manager has the meaning given the term management official in section 7103(a) of title 5, United States Code. (B) Inclusions The term manager includes, as employed at any facility of the Service— (i) a chief executive officer; (ii) a chief medical officer