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25 U.S.C. § 1621f — Diabetes prevention, treatment, and control
Federal law — U.S. Code and appendices · legal_authorities
**(a) Determinations regarding diabetes** The Secretary, acting through the Service, and in consultation with Indian tribes and tribal organizations, shall determine—
(1) by Indian tribe and by Service unit, the incidence of, and the types of complications resulting from, diabetes among Indians; and
(2) based on the determinations made pursuant to paragraph (1), the measures (including patient education and effective ongoing monitoring of disease indicators) each Service unit should take to reduce the incidence of, and prevent, treat, and control the complications resulting from, diabetes among Indian tribes within that Service unit.
**(b) Diabetes screening** To the extent medically indicated and with informed consent, the Secretary shall screen each Indian who receives services from the Service for diabetes and for conditions which indicate a high risk that the individual will become diabetic and establish a cost-effective approach to ensure ongoing monitoring of disease indicators. Such screening and monitoring may be conducted by a tribal health program and may be conducted through appropriate Internet-based health care management programs.
**(c) Diabetes projects** The Secretary shall continue to maintain each model diabetes project in existence on March 23, 2010, any such other diabetes programs operated by the Service or tribal health programs, and any additional diabetes projects, such as the Medical Vanguard program provided for in title IV of Public Law 108–87, as implemented to serve Indian tribes. tribal 11 So in original. Probably should be capitalized. health programs shall receive recurring funding for the diabetes projects that they operate pursuant to this section, both at March 23, 2010, and for projects which are added and funded thereafter.
**(d
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Source location: Title 25, Chapter 18, § 1621f; chapter-018-indian-health-care.md
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**(a) Determinations regarding diabetes** The Secretary, acting through the Service, and in consultation with Indian tribes and tribal organizations, shall determine—
(1) by Indian tribe and by Service unit, the incidence of, and the types of complications resulting from, diabetes among Indians; and
(2) based on the determinations made pursuant to paragraph (1), the measures (including patient education and effective ongoing monitoring of disease indicators) each Service unit should take to reduce the incidence of, and prevent, treat, and control the complications resulting from, diabetes among Indian tribes within that Service unit.
**(b) Diabetes screening** To the extent medically indicated and with informed consent, the Secretary shall screen each Indian who receives services from the Service for diabetes and for conditions which indicate a high risk that the individual will become diabetic and establish a cost-effective approach to ensure ongoing monitoring of disease indicators. Such screening and monitoring may be conducted by a tribal health program and may be conducted through appropriate Internet-based health care management programs.
**(c) Diabetes projects** The Secretary shall continue to maintain each model diabetes project in existence on March 23, 2010, any such other diabetes programs operated by the Service or tribal health programs, and any additional diabetes projects, such as the Medical Vanguard program provided for in title IV of Public Law 108–87, as implemented to serve Indian tribes. tribal 11 So in original. Probably should be capitalized. health programs shall receive recurring funding for the diabetes projects that they operate pursuant to this section, both at March 23, 2010, and for projects which are added and funded thereafter.
**(d) Dialysis programs** The Secretary is authorized to provide, through the Service, Indian tribes, and tribal organizations, dialysis programs, including the purchase of dialysis equipment and the provision of necessary staffing.
**(e) Other duties of the Secretary**
(1) **In general** — The Secretary shall, to the extent funding is available—
(A) in each area office, consult with Indian tribes and tribal organizations regarding programs for the prevention, treatment, and control of diabetes;
(B) establish in each area office a registry of patients with diabetes to track the incidence of diabetes and the complications from diabetes in that area; and
(C) ensure that data collected in each area office regarding diabetes and related complications among Indians are disseminated to all other area offices, subject to applicable patient privacy laws.
(2) **Diabetes control officers**
(A) *In general* — The Secretary may establish and maintain in each area office a position of diabetes control officer to coordinate and manage any activity of that area office relating to the prevention, treatment, or control of diabetes to assist the Secretary in carrying out a program under this section or [section 254c–3 of title 42](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section254c–3&num=0&edition=prelim).
(B) *Certain activities* — Any activity carried out by a diabetes control officer under subparagraph (A) that is the subject of a contract or compact under the Indian Self-Determination and Education Assistance Act ([25 U.S.C. 450](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section450&num=0&edition=prelim) et seq.),22 See References in Text note below. and any funds made available to carry out such an activity, shall not be divisible for purposes of that Act.
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Federal law — U.S. Code and appendices · legal_authorities
**(a) In general** The Secretary shall make grants for providing services for the prevention and treatment of diabetes in accordance with subsection (b).
**(b) Services through Indian health facilities** For purposes of subsection (a), services under such subsection are provided in accordance with this subsection if the services are provided through any of the following entities:
(1) The Indian Health Service.
(2) An Indian health program operated by an Indian tribe or tribal organization pursuant to a contract, grant, cooperative agreement, or compact with the Indian Health Service pursuant to the Indian Self-Determination Act [[25 U.S.C. 5321](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section5321&num=0&edition=prelim) et seq.].
(3) An urban Indian health program operated by an urban Indian organization pursuant to a grant or contract with the Indian Health Service pursuant to title V of the Indian Health Care Improvement Act [[25 U.S.C. 1651](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1651&num=0&edition=prelim) et seq.].
**(c) Funding**
(1) **Transferred funds** — Notwithstanding [section 1397dd(a) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1397dd/a&num=0&edition=prelim), from the amounts appropriated in such section for each of fiscal years 1998 through 2002, $30,000,000, to remain available until expended, is hereby transferred and made available in such fiscal year for grants under this section.
(2) **Appropriations** — For the purpose of making grants under this section, there is appropriated, out of any money in the Treasury not otherwise appropriated—
(A) $70,000,000 for each of fiscal years 2001 and 2002 (which shall be combined with amounts tra
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 254c–3
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Mandatory application** All provisions of sections 5305(b), 5306, 5307, 5321(c) and (d), 5323, 5324(k) and (l), 5325(a) through (k), and 5332 of this title and section 314 of Public Law 101–512 (coverage under chapter 171 of title 28, commonly known as the “Federal Tort Claims Act”), to the extent not in conflict with this subchapter, shall apply to compacts and funding agreements authorized by this subchapter.
**(b) Discretionary application** At the request of a participating Indian tribe, any other provision of subchapter I of this chapter, to the extent such provision is not in conflict with this subchapter, shall be made a part of a funding agreement or compact entered into under this subchapter. The Secretary is obligated to include such provision at the option of the participating Indian tribe or tribes. If such provision is incorporated it shall have the same force and effect as if it were set out in full in this subchapter. In the event an Indian tribe requests such incorporation at the negotiation stage of a compact or funding agreement, such incorporation shall be deemed effective immediately and shall control the negotiation and resulting compact and funding agreement.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 5301
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Federal law — U.S. Code and appendices · legal_authorities
### Statutory Notes
#### Codification
Section 458aaa–18 was editorially reclassified as [section 5399 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section5399&num=0&edition=prelim).
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 450
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Children** Any individual who—
(1) has not attained 19 years of age;
(2) is the natural or adopted child, stepchild, foster child, legal ward, or orphan of an eligible Indian; and
(3) is not otherwise eligible for health services provided by the Service,
shall be eligible for all health services provided by the Service on the same basis and subject to the same rules that apply to eligible Indians until such individual attains 19 years of age. The existing and potential health needs of all such individuals shall be taken into consideration by the Service in determining the need for, or the allocation of, the health resources of the Service. If such an individual has been determined to be legally incompetent prior to attaining 19 years of age, such individual shall remain eligible for such services until 1 year after the date of a determination of competency.
**(b) Spouses** Any spouse of an eligible Indian who is not an Indian, or who is of Indian descent but is not otherwise eligible for the health services provided by the Service, shall be eligible for such health services if all such spouses or spouses who are married to members of each Indian tribe being served are made eligible, as a class, by an appropriate resolution of the governing body of the Indian tribe or tribal organization providing such services. The health needs of persons made eligible under this paragraph shall not be taken into consideration by the Service in determining the need for, or allocation of, its health resources.
**(c) Health facilities providing health services**
(1) **In general** — The Secretary is authorized to provide health services under this subsection through health facilities operated directly by the Service to individuals who reside within the Service unit and who are
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1680f
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Federal law — U.S. Code and appendices · legal_authorities
Page 273
TITLE 25—INDIANS
§ 1621f
served by such Indian tribes and tribal organiza-
tions.
(j) Statute of limitations
The provisions of section 2415 of title 28 shall
apply to all actions commenced under this sec-
tion, and the references therein to the United
States are deemed to include Indian tribes, trib-
al organizations, and urban Indian organiza-
tions.
(k) Savings
Nothing in this section shall be construed to
limit any right of recovery available to the
United States, an Indian tribe, or tribal organi-
zation under the provisions of any applicable,
Federal, State, or tribal law, including medical
lien laws.
(Pub. L. 94–437, title II, § 206, as added Pub. L.
100–713, title II, § 204, Nov. 23, 1988, 102 Stat. 4811;
amended Pub. L. 102–573, title II, § 209, Oct. 29,
1992, 106 Stat. 4551; Pub. L. 111–148, title X,
§ 10221(a), Mar. 23, 2010, 124 Stat. 935.)
Editorial Notes
REFERENCES IN TEXT
The Indian Self-Determination and Education Assist-
ance Act (25 U.S.C. 450 et seq.), referred to in subsec.
(e)(3)(A), is Pub. L. 93–638, Jan. 4, 1975, 88 Stat. 2203,
which was classified principally to subchapter II (§ 450
et seq.) of chapter 14 of this title prior to editorial re-
classification as chapter 46 (§ 5301 et seq.) of this title.
For complete classification of this Act to the Code, see
Short Title note set out under section 5301 of this title
and Tables.
The Federal Medical Care Recovery Act, referred to
in subsec. (e)(3)(A), probably means Pub. L. 87–693,
Sept. 25, 1962, 76 Stat. 593, which is classified generally
to chapter 32 (§ 2651 et seq.) of Title 42, The Public
Health and Welfare. For complete classification of this
Act to the Code, see Tables.
The Social Security Act, referred to in subsec. (h), is
act Aug. 14, 1935, ch. 531,
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 1621f
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Federal law — U.S. Code and appendices · legal_authorities
Page 141
TITLE 25—INDIANS
§ 450f
Section was formerly classified to section 93 of Title
45, Railroads.
§ 443c. Transferred
Editorial Notes
CODIFICATION
Section 443c was editorially reclassified as section
1684 of this title.
§ 443d. Transferred
Editorial Notes
CODIFICATION
Section 443d was editorially reclassified as section
1685 of this title.
§§ 444 to 449. Repealed. Aug. 5, 1954, ch. 658, § 5,
68 Stat. 675
Sections, act Apr. 3, 1952, ch. 129, §§ 1–6, 66 Stat. 35, re-
lated to Indian hospital services and facilities. See sec-
tion 2001 et seq. of Title 42, The Public Health and Wel-
fare.
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF REPEAL
Repeal effective July 1, 1959, see section 6 of act Aug.
5, 1954, set out as an Effective Date note under section
2001 of Title 42, The Public Health and Welfare.
SUBCHAPTER
II—INDIAN
SELF-DETER-
MINATION AND EDUCATION ASSISTANCE
§ 450. Transferred
Editorial Notes
CODIFICATION
Section 450 was editorially reclassified as section 5301
of this title.
§ 450a. Transferred
Editorial Notes
CODIFICATION
Section 450a was editorially reclassified as section
5302 of this title.
§ 450a–1. Transferred
Editorial Notes
CODIFICATION
Section 450a–1 was editorially reclassified as section
5303 of this title.
§ 450b. Transferred
Editorial Notes
CODIFICATION
Section 450b was editorially reclassified as section
5304 of this title.
§ 450c. Transferred
Editorial Notes
CODIFICATION
Section 450c was editorially reclassified as section
5305 of this title.
§ 450d. Transferred
Editorial Notes
CODIFICATION
Section 450d was editorially reclassified as section
5306 of this title.
§ 450e. Transferred
Editorial Notes
CODIFICATION
Section 450e was editorially reclassified as section
5307 of this title.
§ 4
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 450
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