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At more than 4,000 pages and coming in just under the deadline, there's a lot to unpack in the latest spending bill.

So we may as well dig in.

From American public media, this is Marketplace.

In Washington, DC, I'm Kimberly Adams in Forkai, Rizdal.

It's Tuesday, December 27th. Good to have you with us.

In the coming days, President Biden is expected to sign off on $1.7 trillion in government spending.

The Omnibus Bill funds everything from aid to Ukraine to opioid use disorder treatment programs.

And it includes a provision that tribal nations have been pushing for for decades.

$5 billion in what are called advanced appropriations for the Federal Indian Health Service.

The IHS provides health care to around 2.5 million American Indians and Alaska natives.

And in the past, its annual budget had to be re-approved every year, leaving the agency in bad shape during federal budget impasses and government shutdowns.

Marketplace's Savannah Mara reports on what this shift to advance funding will mean.

There's sort of a dark joke in Indian country that if you're going to get sick, you better do it before summer.

Chief Kirk Francis of the Panab Scott Indian Nation, in Maine, says that's about when IHS funded clinics and hospitals start running low on cash.

You might get the Jew or July and realize you don't have the resources.

To order expensive imaging or refer patients to specialists.

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