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This proposed rule would implement section 202(d) of the Indian Health Care Improvement Act, by amending the IHS Catastrophic Health Emergency Fund (CHEF), and revising the threshold cost for reimbursement of the cost of treatment using contract health services funds to an IHS or tribally managed facility and explaining the determination of annual increases. The law also describes an annual increase in the threshold that is based on the increase in the medical care expenditure category of the Consumer Price Index for all consumers for the 12-month period ending with December of the previous year.