Tribal Self-Governance Amendments of 1999

Tribal Self-Governance Amendments of 1999 - Amends the Indian Self-Determination and Education Assistance Act to direct the Secretary of Health and Human Services (HHS) to establish the Tribal Self-Governance Program within the Indian Health Service of HHS to provide for further self-governance by Indian tribes. Sets forth program requirements and related provisions. Authorizes appropriations.

Requires the Secretary to: (1) conduct a study to determine the feasibility of a tribal self-governance demonstration project for appropriate programs, services, functions, and activities of HHS, other than the Indian Health Service; and (2) consult with Indian tribes to determine a study protocol for consultation prior to consultation with other specified entities. Authorizes appropriations. Provides limited conditions under which the Secretary, during FY 2000, may enter into contracts, compacts, or annual funding agreements with an Indian tribe or tribal organization to operate a new or expanded program, service, function, or activity of the Indian Health Service.

Directs the Secretary, at the request of an Indian tribe, to enter into an agreement for the acquisition of any goods, services or supplies available to the Secretary from other Federal agencies that are not directly available to the tribe under this Act or any other Federal law, including acquisitions from prime vendors.

Allows patient records, at the option of an Indian tribe or tribal organization, to be deemed Federal records under the Federal Records Act of 1950 for the limited purpose of making such records eligible for storage by the Federal Records Center to the same extent as other HHS patient records.

Provides for the crediting of funds received for health care provided by a tribally- administered facility or program of the Indian Health Service. Grants Indian tribes or tribal organizations the same right of recovery for past or future health care or treatment as is granted to the United States.

Requires the Secretary to report annually to Congress on the implementation of the Indian Self-Determination and Education Assistance Act.

Repeals on October 1, 1999, current provisions of the Act that provide for a Tribal Self-Governance Project and makes funds for such Project available for use under this Act.