; in addition, $264,702,000, to remain available until September 30, 2025, for the Electronic Health Record System and the Indian Healthcare Improvement Fund, of which $74,138,000 is for the Indian Health Care Improvement Fund and may be used, as needed, to carry out activities typically funded under the Indian Health Facilities account; and, in addition, $4,684,029,000, which shall become available on October 1, 2024, and remain available through September 30, 2026, except as otherwise provided herein