; (3) projected costs or savings associated with establishment of such entity, and any estimated impact on services provided as described in this section in relation to probable costs or savings; and (4) legislative actions that would be required to authorize the establishment of such entity if such entity is determined by the Secretary to be feasible. . E Health services for urban Indians 161. Facilities renovation Section 509 of the Indian Health Care Improvement Act ( 25 U.S.C. 1659 ) is amended by inserting or construction or expansion of facilities after renovations to facilities . 162. Treatment of certain demonstration projects Section 512 of the Indian Health Care Improvement Act ( 25 U.S.C. 1660b ) is amended to read as follows: 512. Treatment of certain demonstration projects Notwithstanding any other provision of law, the Tulsa Clinic and Oklahoma City Clinic demonstration projects shall— (1) be permanent programs within the Service’s direct care program; (2) continue to be treated as Service units and operating units in the allocation of resources and coordination of care; and (3) continue to meet the requirements and definitions of an urban Indian organization in this Act, and shall not be subject to the provisions of the Indian Self-Determination and Education Assistance Act ( 25 U.S.C. 450 et seq.). . 163. Requirement to confer with urban Indian organizations (a) Conferring with urban Indian organizations Title V of the Indian Health Care Improvement Act ( 25 U.S.C. 1651 et seq.) (as amended by section 101(b)) is amended by adding at the end the following: 514. Conferring with urban Indian organizations (a) Definition of confer In this section, the term confer means to engage in an open and free exchange of information and opinions that— (1) leads to mutual understanding and comprehension