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25 U.S.C. § 1611 — Congressional findings
Federal law — U.S. Code and appendices · legal_authorities
The Congress finds the following:
(1) Federal health services to maintain and improve the health of the Indians are consonant with and required by the Federal Government’s historical and unique legal relationship with, and resulting responsibility to, the American Indian people.
(2) A major national goal of the United States is to provide the resources, processes, and structure that will enable Indian tribes and tribal members to obtain the quantity and quality of health care services and opportunities that will eradicate the health disparities between Indians and the general population of the United States.
(3) A major national goal of the United States is to provide the quantity and quality of health services which will permit the health status of Indians to be raised to the highest possible level and to encourage the maximum participation of Indians in the planning and management of those services.
(4) Federal health services to Indians have resulted in a reduction in the prevalence and incidence of preventable illnesses among, and unnecessary and premature deaths of, Indians.
(5) Despite such services, the unmet health needs of the American Indian people are severe and the health status of the Indians is far below that of the general population of the United States.
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Stable record: federal_law:legal_authorities:record_usc_27cf0b70e711e3bdfa0505b8
Source file: Laws/federal/codes/united-states-code/title-25/section-1611-congressional-findings--15597d3e2d.md
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Source location: Title 25, Chapter 18, § 1611; chapter-018-indian-health-care.md
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The Congress finds the following:
(1) Federal health services to maintain and improve the health of the Indians are consonant with and required by the Federal Government’s historical and unique legal relationship with, and resulting responsibility to, the American Indian people.
(2) A major national goal of the United States is to provide the resources, processes, and structure that will enable Indian tribes and tribal members to obtain the quantity and quality of health care services and opportunities that will eradicate the health disparities between Indians and the general population of the United States.
(3) A major national goal of the United States is to provide the quantity and quality of health services which will permit the health status of Indians to be raised to the highest possible level and to encourage the maximum participation of Indians in the planning and management of those services.
(4) Federal health services to Indians have resulted in a reduction in the prevalence and incidence of preventable illnesses among, and unnecessary and premature deaths of, Indians.
(5) Despite such services, the unmet health needs of the American Indian people are severe and the health status of the Indians is far below that of the general population of the United States.
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Federal law — U.S. Code and appendices · legal_authorities
Level V of the Executive Schedule applies to the following positions, for which the annual rate of basic pay shall be the rate determined with respect to such level under chapter 11 of title 2, as adjusted by [section 5318 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title5-section5318&num=0&edition=prelim):
Source: Supplied U.S. Code snapshot — release unconfirmed · 5 U.S.C. § 5316
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Contract compliance and performance** The Secretary, through the Service, shall develop procedures to evaluate compliance with grant requirements under this subchapter and compliance with, and performance of contracts entered into by urban Indian organizations under this subchapter. Such procedures shall include provisions for carrying out the requirements of this section.
**(b) Annual onsite evaluation** The Secretary, through the Service, shall conduct an annual onsite evaluation of each urban Indian organization which has entered into a contract or received a grant under [section 1653 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1653&num=0&edition=prelim) for purposes of determining the compliance of such organization with, and evaluating the performance of such organization under, such contract or the terms of such grant.
**(c) Noncompliance or unsatisfactory performance** If, as a result of the evaluations conducted under this section, the Secretary determines that an urban Indian organization has not complied with the requirements of a grant or complied with or satisfactorily performed a contract under [section 1653 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1653&num=0&edition=prelim), the Secretary shall, prior to renewing such contract or grant, attempt to resolve with such organization the areas of noncompliance or unsatisfactory performance and modify such contract or grant to prevent future occurrences of such noncompliance or unsatisfactory performance. If the Secretary determines that such noncompliance or unsatisfactory performance cannot be resolved and prevented in the future, the Secretary shall not renew such contract or grant with such organization an
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1658
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Comprehensive health promotion, disease prevention, and primary health services**
(1)
(A) The Secretary, in consultation with Papa Ola Lokahi, may make grants to, or enter into contracts with, any qualified entity for the purpose of providing comprehensive health promotion and disease prevention services as well as primary health services to Native Hawaiians.
(B) In making grants and entering into contracts under this paragraph, the Secretary shall give preference to Native Hawaiian health care systems and Native Hawaiian organizations and, to the extent feasible, health promotion and disease prevention services shall be performed through Native Hawaiian health care systems.
(2) In addition to paragraph (1), the Secretary may make a grant to, or enter into a contract with, Papa Ola Lokahi for the purpose of planning Native Hawaiian health care systems to serve the health needs of Native Hawaiian communities on each of the islands of O’ahu, Moloka’i, Maui, Hawai’i, Lana’i, Kaua’i, and Ni’ihau in the State of Hawaii.
**(b) Qualified entity** An entity is a qualified entity for purposes of subsection (a)(1) if the entity is a Native Hawaiian health care system.
**(c) Services to be provided**
(1) Each recipient of funds under subsection (a)(1) shall provide the following services:
(A) outreach services to inform Native Hawaiians of the availability of health services;
(B) education in health promotion and disease prevention of the Native Hawaiian population by, wherever possible, Native Hawaiian health care practitioners, community outreach workers, counselors, and cultural educators;
(C) services of physicians, physicians’ assistants, nurse practitioners or other health professionals;
(D) immunizations;
(E) prevention and control of diabete
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 11705
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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
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1671
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Eligibility for reimbursement for medical assistance** A facility of the Indian Health Service (including a hospital, nursing facility, or any other type of facility which provides services of a type otherwise covered under the State plan), whether operated by such Service or by an Indian tribe or tribal organization (as those terms are defined in [section 1603 of title 25](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1603&num=0&edition=prelim)), shall be eligible for reimbursement for medical assistance provided under a State plan if and for so long as it meets all of the conditions and requirements which are applicable generally to such facilities under this subchapter.
**(b) Facilities deemed to meet requirements upon submission of acceptable plan for achieving compliance** Notwithstanding subsection (a), a facility of the Indian Health Service (including a hospital, nursing facility, or any other type of facility which provides services of a type otherwise covered under the State plan) which does not meet all of the conditions and requirements of this subchapter which are applicable generally to such facility, but which submits to the Secretary within six months after September 30, 1976, an acceptable plan for achieving compliance with such conditions and requirements, shall be deemed to meet such conditions and requirements (and to be eligible for reimbursement under this subchapter), without regard to the extent of its actual compliance with such conditions and requirements, during the first twelve months after the month in which such plan is submitted.
**(c) Agreement to reimburse State agency for providing care and services** The Secretary is authorized to enter into agreements with the State agency for the purpose of reimb
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1396j
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Federal law — U.S. Code and appendices · legal_authorities
**(a) In general** Insofar as amounts are made available under law (including a provision of the Social Security Act [[42 U.S.C. 301](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section301&num=0&edition=prelim) et seq.], 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.),11 See References in Text note below. or other law, other than under [section 1644 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1644&num=0&edition=prelim)) to Indian tribes, tribal organizations, and urban Indian organizations for health benefits for Service beneficiaries, Indian tribes, tribal organizations, and urban Indian organizations may use such amounts to purchase health benefits coverage (including coverage for a service, or service within a contract health service delivery area, or any portion of a contract health service delivery area that would otherwise be provided as a contract health service) for such beneficiaries in any manner, including through—
(1) a tribally owned and operated health care plan;
(2) a State or locally authorized or licensed health care plan;
(3) a health insurance provider or managed care organization;
(4) a self-insured plan; or
(5) a high deductible or health savings account plan.
**(b) Financial need** The purchase of coverage under subsection (a) by an Indian tribe, tribal organization, or urban Indian organization may be based on the financial needs of such beneficiaries (as determined by the 1 or more Indian tribes being served based on a schedule of income levels developed or implemented by such 1 ore 22 So in original. Probably should be “or”. more In
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1645
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Federal law — U.S. Code and appendices · legal_authorities
**(a) In general** The Secretary, acting through the Director of the Federal Office of Rural Health Policy (established under [section 912 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section912&num=0&edition=prelim)), shall make grants to each State Office of Rural Health for the purpose of improving health care in rural areas.
**(b) Requirement of matching funds**
(1) **In general** — Subject to paragraph (2), the Secretary may not make a grant under subsection (a) unless the State office of rural health involved agrees, with respect to the costs to be incurred in carrying out the purpose described in such subsection, to provide non-Federal contributions toward such costs in an amount equal to $3 for each $1 of Federal funds provided in the grant.
(2) **Waiver or reduction** — The Secretary may waive or reduce the non-Federal contribution if the Secretary determines that requiring matching funds would limit the State office of rural health’s ability to carry out the purpose described in subsection (a).
(3) **Determination of amount of non-Federal contribution** — Non-Federal contributions required in paragraph (1) may be in cash or in kind, fairly evaluated, including plant, equipment, or services. Amounts provided by the Federal Government, or services assisted or subsidized to any significant extent by the Federal Government, may not be included in determining the amount of such non-Federal contributions.
**(c) Certain required activities** Recipients of a grant under subsection (a) shall use the grant funds for purposes of—
(1) maintaining within the State office of rural health a clearinghouse for collecting and disseminating information on—
(A) rural health care issues;
(B) research findings relating to rural hea
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 254r
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Congressional findings** The Congress hereby finds and declares that—
(1) the provision of safe water supply systems and sanitary sewage and solid waste disposal systems is primarily a health consideration and function;
(2) Indian people suffer an inordinately high incidence of disease, injury, and illness directly attributable to the absence or inadequacy of such systems;
(3) the long-term cost to the United States of treating and curing such disease, injury, and illness is substantially greater than the short-term cost of providing such systems and other preventive health measures;
(4) many Indian homes and communities still lack safe water supply systems and sanitary sewage and solid waste disposal systems; and
(5) it is in the interest of the United States, and it is the policy of the United States, that all Indian communities and Indian homes, new and existing, be provided with safe and adequate water supply systems and sanitary sewage waste disposal systems as soon as possible.
**(b) Authority; assistance; transfer of funds**
(1) In furtherance of the findings and declarations made in subsection (a), Congress reaffirms the primary responsibility and authority of the Service to provide the necessary sanitation facilities and services as provided in [section 2004a of title 42](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section2004a&num=0&edition=prelim).
(2) The Secretary, acting through the Service, is authorized to provide under [section 2004a of title 42](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section2004a&num=0&edition=prelim)—
(A) financial and technical assistance to Indian tribes and communities in the establishment, training, and equipping of utility organizations to operate and maintai
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1635
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Federal law — U.S. Code and appendices · legal_authorities
Page 245
TITLE 25—INDIANS
§ 1612
The Alaska Native Claims Settlement Act, referred
to in pars. (14) and (16)(B)(iii), is Pub. L. 92–203, Dec. 18,
1971, 85 Stat. 688, which is classified generally to chap-
ter 33 (§ 1601 et seq.) of Title 43, Public Lands. For com-
plete classification of this Act to the Code, see Short
Title note set out under section 1601 of Title 43, and Ta-
bles.
Section 1058(e) of title 20, referred to in par. (15),
probably means section 1058(f) of title 20, which defines
‘‘junior or community college’’. Section 1058(e) of title
20 was redesignated section 1058(f) of title 20 by Pub. L.
105–244, title III, § 303(b)(1), Oct. 7, 1998, 112 Stat. 1639.
The Indian Self-Determination and Education Assist-
ance Act, referred to in pars. (25) and (26), 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 reclassification as chap-
ter 46 (§ 5301 et seq.) of this title. Section 4 of the Act
was classified to section 450b of this title prior to edi-
torial reclassification as section 5304 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.
Subsection (g) hereof, referred to in par. (28), was re-
designated par. (27) of this section by section 10221(a) of
Pub. L. 111–148.
Subsection (c)(1) through (4) of this section, referred
to in par. (28), was redesignated par. (13)(A) to (D) of
this section by section 10221(a) of Pub. L. 111–148.
CODIFICATION
Amendment by Pub. L. 111–148 is based on section 104
of title I of S. 1790, One Hundred Eleventh Congress, as
reported by the Committee on Indian Affairs of the
Senate in Dec. 2009, which was enac
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 1611
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