To provide for the continued use of certain trust land in San Diego County for healthcare purposes.

This bill establishes specific conditions for the use of approximately 8.6 acres of trust land in San Diego County, California, which was taken into trust by the United States for the Ewiiaapaayp Band of Kumeyaay Indians. The legislation mandates that this covered land may only be utilized for the provision of health and social services benefiting members of Indian Tribes. Crucially, the bill imposes strict restrictions, prohibiting the land's use for class II or class III gaming , as defined by the Indian Gaming Regulatory Act, or for any other commercial activities . These specific land use provisions are not permanent, as the Act includes a termination clause, stipulating that its effects will cease 50 years after the date of its enactment.