; (2) to identify any inequities in the current distribution formula under the current funding level or inequitable results for any Indian tribe under the funding level recommended by the Comptroller General; (3) to identify any areas of program administration that may result in the inefficient or ineffective management of the program; and (4) to identify any other issues and recommendations to improve the administration of the contract health services program and correct any unfair results or funding disparities identified under paragraph (2). (c) Subsequent action by Secretary If, after consultation with Indian tribes under subsection (b), the Secretary determines that any issue described in subsection (b)(2) exists, the Secretary may initiate procedures under subchapter III of chapter 5 of title 5, United States Code, to negotiate or promulgate regulations to establish a disbursement formula for the contract health service program funding. . C Health facilities 141. Health care facility priority system Section 301 of the Indian Health Care Improvement Act ( 25 U.S.C. 1631 ) is amended— (1) by redesignating subsection (d) as subsection (h); and (2) by striking subsection (c) and inserting the following: (c) Health care facility priority system (1) In general (A) Priority system The Secretary, acting through the Service, shall maintain a health care facility priority system, which— (i) shall be developed in consultation with Indian tribes and tribal organizations; (ii) shall give Indian tribes’ needs the highest priority; (iii) (I) may include the lists required in paragraph (2)(B)(ii); and (II) shall include the methodology required in paragraph (2)(B)(v); and (III) may include such health care facilities, and such renovation or expansion needs of any health care facility, as the Service may identify