This bill allows the Ewiiaapaayp Band of Kumeyaay Indians to use approximately 8.6 acres of trust land in San Diego County exclusively for providing health and social services to members of Indian Tribes. The legislation explicitly prohibits the land from being used for gaming activities or other commercial purposes. The bill affects the Ewiiaapaayp Band of Kumeyaay Indians and any other federally recognized tribes that may access health services on the property. There is no specific federal funding mentioned in the bill, but it restricts land use rather than requiring new appropriations. This authorization will remain in effect for 50 years after the bill becomes law, after which the restrictions would terminate.