; (ii) placed in level IV or V of the Executive Schedule under section 5317 of title 5, United States Code; or (iii) described in section 213.3301 or 213.3302 of title 5, Code of Federal Regulations (or a successor regulation); or (B) as a limited term appointee, limited emergency appointee, or noncareer appointee (as those terms are defined in section 3132(a) of title 5, United States Code). (b) Prioritization of patient care (1) In general The Secretary shall use amounts available to the Service that are not obligated or expended, including base budget funding and third party collections, during the fiscal years for which the amounts are made available, and that remain available, and in keeping with the purpose for which the funds were appropriated, only to support patient care by using the funds for— (A) the costs of— (i) essential medical equipment; (ii) purchased or referred care; or (iii) staffing; or (B) any other costs necessary to improve or maintain quality of care and patient safety. (2) Special rule In using amounts under paragraph (1), the Secretary shall ensure that, in any case where the amounts were originally made available for a particular Service unit, the amounts are used to benefit Indians served by that Service unit. (3) HHS plan Each applicable fiscal year, the Secretary, in consultation with Indian tribes, shall establish a plan for distributing the amounts described in paragraph (1) across the categories of uses described in subparagraphs (A) through (C) of that paragraph. (4) Restrictions The Secretary may not use amounts described in paragraph (1)— (A) to remodel or interior decorate any Area office