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25 U.S.C. § 1646 — Amount and use of funds reimbursed through medicare and medicaid available to Indian Health Service
Federal law — U.S. Code and appendices · legal_authorities
The Secretary shall submit to the President, for inclusion in the report required to be transmitted to the Congress under [section 1671 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1671&num=0&edition=prelim), an accounting on the amount and use of funds made available to the Service pursuant to this subchapter as a result of reimbursements through titles XVIII and XIX of the Social Security Act, as amended [[42 U.S.C. 1395](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395&num=0&edition=prelim) et seq., 1396 et seq.].
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Source file: Laws/federal/codes/united-states-code/title-25/section-1646-amount-and-use-of-funds-reimbursed-through-medicare-and-medicaid-availab--9d3c9752e7.md
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Source location: Title 25, Chapter 18, § 1646; chapter-018-indian-health-care.md
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The Secretary shall submit to the President, for inclusion in the report required to be transmitted to the Congress under [section 1671 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1671&num=0&edition=prelim), an accounting on the amount and use of funds made available to the Service pursuant to this subchapter as a result of reimbursements through titles XVIII and XIX of the Social Security Act, as amended [[42 U.S.C. 1395](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395&num=0&edition=prelim) et seq., 1396 et seq.].
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Grant applications**
(1) **Efficiency of grant application process** — The Secretary, acting through the Administration, shall carry out such measures as the Secretary determines to be necessary to maximize the time and workload efficiency of the process by which Indian tribes and tribal organizations apply for grants under any program administered by the Administration, including by providing methods other than electronic methods of submitting applications for those grants, if necessary.
(2) **Priority for certain grants**
(A) *In general* — To fulfill the trust responsibility of the United States to Indian tribes, in awarding relevant grants pursuant to a program described in subparagraph (B), the Secretary shall take into consideration the needs of Indian tribes or tribal organizations, as applicable, that serve populations with documented high suicide rates, regardless of whether those Indian tribes or tribal organizations possess adequate personnel or infrastructure to fulfill all applicable requirements of the relevant program.
(B) *Description of grant programs* — A grant program referred to in subparagraph (A) is a grant program—
(i) administered by the Administration to fund activities relating to mental health, suicide prevention, or suicide-related risk factors; and
(ii) under which an Indian tribe or tribal organization is an eligible recipient.
(3) **Clarification regarding Indian tribes and tribal organizations** — Notwithstanding any other provision of law, in applying for a grant under any program administered by the Administration, no Indian tribe or tribal organization shall be required to apply through a State or State agency.
(4) **Requirements for affected States**
(A) *Definitions* — In this paragraph:
(i) *Affecte
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Federal law — U.S. Code and appendices · legal_authorities
This chapter may be cited as the “Social Security Act”.
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Conditions of participation; protection of individual rights; notification of State entities; use of home health aides; medical equipment; individual’s plan of care; compliance with Federal, State, and local laws and regulations** The conditions of participation that a home health agency is required to meet under this subsection are as follows:
(1) The agency protects and promotes the rights of each individual under its care, including each of the following rights:
(A) The right to be fully informed in advance about the care and treatment to be provided by the agency, to be fully informed in advance of any changes in the care or treatment to be provided by the agency that may affect the individual’s well-being, and (except with respect to an individual adjudged incompetent) to participate in planning care and treatment or changes in care or treatment.
(B) The right to voice grievances with respect to treatment or care that is (or fails to be) furnished without discrimination or reprisal for voicing grievances.
(C) The right to confidentiality of the clinical records described in section 1395x(o)(3) of this title.
(D) The right to have one’s property treated with respect.
(E) The right to be fully informed orally and in writing (in advance of coming under the care of the agency) of—
(i) all items and services furnished by (or under arrangements with) the agency for which payment may be made under this subchapter,
(ii) the coverage available for such items and services under this subchapter, subchapter XIX, and any other Federal program of which the agency is reasonably aware,
(iii) any charges for items and services not covered under this subchapter and any charges the individual may have to pay with respect to items and services furn
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Federal law — U.S. Code and appendices · legal_authorities
Page 306
TITLE 25—INDIANS
§ 1646
bursed which are in excess of the amount necessary to
achieve or maintain such conditions or requirements
shall be used—
‘‘(A) solely for improving the health resources defi-
ciency level of the Indian tribe, and
‘‘(B) in accordance with the regulations of the Serv-
ice applicable to funds provided by the Service under
any contract entered into under the Indian Self-De-
termination Act.
‘‘(2) The amounts paid to the hospitals and clinics
participating in the demonstration program described
in subsection (a) of this section shall be subject to all
auditing requirements applicable to programs adminis-
tered directly by the Service and to facilities partici-
pating in the medicare and medicaid programs.
‘‘(3) The Secretary shall monitor the performance of
hospitals and clinics participating in the demonstra-
tion program described in subsection (a) of this section,
and shall require such hospitals and clinics to submit
reports on the program to the Secretary on a quarterly
basis (or more frequently if the Secretary deems it to
be necessary).
‘‘(4) Notwithstanding section 1880(c) of the Social Se-
curity Act or section 1642(a) of this title, no payment
may be made out of the special fund described in sec-
tion 1880(c) of the Social Security Act, or section
1642(a) of this title, for the benefit of any hospital or
clinic participating in the demonstration program de-
scribed in subsection (a) of this section during the pe-
riod of such participation.
‘‘(c)(1) In order to be considered for participation in
the demonstration program described in subsection (a)
of this section, a hospital or clinic must submit an ap-
plication to the Secretary which establishes to the sat-
isfaction of the Secretary that—
‘‘(A) the Indian tr
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 1646
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Federal law — U.S. Code and appendices · legal_authorities
Page 2893
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 1395a
(i) shared savings and competitive bidding in FFS
Medicare;
(ii) use of MA-negotiated rates to set FFS Medicare
rates; and
(iii) novel approaches to information development
and sharing that may enable markets to lower cost and
improve quality for FFS Medicare beneficiaries.
SEC. 10. Reducing Obstacles to Improved Patient Care.
Within 1 year of the date of this order, the Secretary
shall propose regulatory changes to the Medicare pro-
gram to reduce the burden on providers and eliminate
regulations that create inefficiencies or otherwise un-
dermine patient outcomes.
SEC. 11. Maximizing Freedom for Medicare Patients and
Providers. (a) Within 180 days of the date of this order,
the Secretary, in coordination with the Commissioner
of Social Security, shall revise current rules or policies
to preserve the Social Security retirement insurance
benefits of seniors who choose not to receive benefits
under Medicare Part A, and propose other administra-
tive improvements to Medicare enrollment processes
for beneficiaries.
(b) Within 1 year of the date of this order, the Sec-
retary shall identify and remove unnecessary barriers
to private contracts that allow Medicare beneficiaries
to obtain the care of their choice and facilitate the de-
velopment of market-driven prices.
SEC. 12. General Provisions. (a) Nothing in this order
shall be construed to impair or otherwise affect:
(i) the authority granted by law to an executive de-
partment or agency, or the head thereof; or
(ii) the functions of the Director of the Office of Man-
agement and Budget relating to budgetary, administra-
tive, or legislative proposals.
(b) This order shall be implemented consistent with
applicable law and subject to the
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1395
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