Presenting a summary and rationale for amendments to the Indian Health Care Improvement Act, this document details the findings and recommendations of the Interstate and Foreign Commerce Committee. Presented in a section by section format, the specific amendments are also summarized as follows: (1) limitation of specific authorizations of appropriations for the proposed programs to three years, with specification that subsequent funding for the remaining four years be amounts authorized by subsequent acts; (2) elimination of the proposed separate health professions scholarship program and establishment of Indian health scholarships under the Public Health Service Act; (3) change of the authorizations for construction and renovation of hospitals from $123.9 to $67.2 million in 1977, from $55.2 to $73.3 million in 1978, and from $24.7 to $49.7 million (1977), with provision to meet the standards of the Joint Commission on Accreditation of Hospitals; (4) clarification of the conditions under which Indian Health Service facilities are eligible for medical assistance payments under Medicaid; (5) strike the authorization for an American Indian School of Medicine and authorize a feasibility study re an Indian Medical School; (6) remove the provision for Congressional action on the Secretary's plan for legislation implementation. (JC)