; (2) is located in a State or States with Medicaid reimbursements plans or policies that will increase the likelihood that the staffing resources provided will be self-sustaining; and (3) is operating a health facility described in paragraph (1) under historical staffing ratios that have not been equalized or updated by the Service or any other Service program to reflect current staffing needs. (c) Duration Staffing resources provided to a Service unit under this section shall be for a duration that the Secretary, in consultation with the applicable Indian Tribe, determines appropriate, except that each staffing position provided shall be for a period of not less than 3 fiscal years. (d) Effect of staffing awards No staffing resources provided under this section shall reduce the recurring base funding for staffing for any Indian Tribe or federally managed Service unit. (e) Report Not later than 5 years after the Secretary ends the demonstration project under this section, the Secretary shall prepare and submit a report to the Committee on Indian Affairs and the Committee on Health, Education, Labor, and Pensions of the Senate, and the Committee on Natural Resources and the Committee on Energy and Commerce of the House of Representatives, regarding the project, including— (1) whether the staffing resources resulted in additional revenue for the Service unit sufficient to maintain the staff on a permanent basis; (2) the levels to which the staffing resources reduced the unmet staffing need for the Service unit