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25 U.S.C. § 1658 — Evaluations; renewals

Federal law — U.S. Code and appendices · legal_authorities

25 U.S.C. § 1658 — Evaluations; renewals

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Stable record: federal_law:legal_authorities:record_usc_2cdaae2d4ec9cfc6e1c86f31
Source file: Laws/federal/codes/united-states-code/title-25/section-1658-evaluations-renewals--c1340b4e35.md
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Source location: Title 25, Chapter 18, § 1658; chapter-018-indian-health-care.md

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**(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 and is authorized to enter into a contract or make a grant under [section 1653 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1653&num=0&edition=prelim) with another urban Indian organization which is situated in the same urban center as the urban Indian organization whose contract or grant is not renewed under this section. **(d) Contract and grant renewals** In determining whether to renew a contract or grant with an urban Indian organization under [section 1653 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1653&num=0&edition=prelim) which has completed performance of a contract or grant under [section 1654 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1654&num=0&edition=prelim), the Secretary shall review the records of the urban Indian organization, the reports submitted under [section 1657 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1657&num=0&edition=prelim), and, in the case of a renewal of a contract or grant under [section 1653 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1653&num=0&edition=prelim), shall consider the results of the onsite evaluations conducted under subsection (b).

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Federal law — U.S. Code and appendices · legal_authorities

25 U.S.C. § 1657 — Contracts and grants for determination of unmet health care needs

**(a) Authority** Under authority of [section 13 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section13&num=0&edition=prelim), the Secretary, through the Service, may enter into contracts with, or make grants to, urban Indian organizations situated in urban centers for which contracts have not been entered into, or grants have not been made, under [section 1653 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1653&num=0&edition=prelim). The purpose of a contract or grant made under this section shall be the determination of the matters described in subsection (b)(1) in order to assist the Secretary in assessing the health status and health care needs of urban Indians in the urban center involved and determining whether the Secretary should enter into a contract or make a grant under [section 1653 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1653&num=0&edition=prelim) with respect to the urban Indian organization which the Secretary has entered into a contract with, or made a grant to, under this section. **(b) Requirements** Any contract entered into, or grant made, by the Secretary under this section shall include requirements that— (1) the urban Indian organization successfully undertake to— (A) document the health care status and unmet health care needs of urban Indians in the urban center involved; and (B) with respect to urban Indians in the urban center involved, determine the matters described in clauses (2), (3), (4), and (8) of [section 1653(b) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1653/b&num=0&edition=prelim); and (2) the urban Indian organization complete performance of the

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Federal law — U.S. Code and appendices · legal_authorities

25 U.S.C. § 1654 — Purpose

The purpose of this subchapter is to establish programs in urban centers to make health services more accessible to urban Indians.

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Federal law — U.S. Code and appendices · legal_authorities

25 U.S.C. § 1653 — Navajo Nation medicaid agency feasibility study

**(a) Study** The Secretary shall conduct a study to determine the feasibility of treating the Navajo Nation as a State for the purposes of title XIX of the Social Security Act [[42 U.S.C. 1396](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1396&num=0&edition=prelim) et seq.], to provide services to Indians living within the boundaries of the Navajo Nation through an entity established having the same authority and performing the same functions as single-State medicaid agencies responsible for the administration of the State plan under title XIX of the Social Security Act. **(b) Considerations** In conducting the study, the Secretary shall consider the feasibility of— (1) assigning and paying all expenditures for the provision of services and related administration funds, under title XIX of the Social Security Act [[42 U.S.C. 1396](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1396&num=0&edition=prelim) et seq.], to Indians living within the boundaries of the Navajo Nation that are currently paid to or would otherwise be paid to the State of Arizona, New Mexico, or Utah; (2) providing assistance to the Navajo Nation in the development and implementation of such entity for the administration, eligibility, payment, and delivery of medical assistance under title XIX of the Social Security Act; (3) providing an appropriate level of matching funds for Federal medical assistance with respect to amounts such entity expends for medical assistance for services and related administrative costs; and (4) authorizing the Secretary, at the option of the Navajo Nation, to treat the Navajo Nation as a State for the purposes of title XIX 11 See References in Text note below. of the Social Security Act (relating to the Stat

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Federal law — U.S. Code and appendices · legal_authorities

25 U.S.C. § 1611 — Congressional findings

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

25 U.S.C. § 1658 — Limitation on contract authority

Page 314 TITLE 25—INDIANS § 1657 1 See References in Text note below. agreed upon for the use and maintenance of such facilities. (e) Uniform provision of services and assistance Contracts with, or grants to, urban Indian or- ganizations and regulations adopted pursuant to this subchapter shall include provisions to as- sure the fair and uniform provision to urban In- dians of services and assistance under such con- tracts or grants by such organizations. (f) Eligibility for health care or referral services Urban Indians, as defined in section 1603(f) 1 of this title, shall be eligible for health care or re- ferral services provided pursuant to this sub- chapter. (Pub. L. 94–437, title V, § 506, as added Pub. L. 100–713, title V, § 501, Nov. 23, 1988, 102 Stat. 4823; amended Pub. L. 102–573, title V, § 501(b)(4), Oct. 29, 1992, 106 Stat. 4568.) Editorial Notes REFERENCES IN TEXT Section 1603(f) of this title, referred to in subsec. (f), was redesignated section 1603(28) of this title by Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935. CODIFICATION ‘‘Sections 3131 and 3133 of title 40’’ substituted in sub- sec. (a) for ‘‘the Act of August 24, 1935 (40 U.S.C. 270a, et seq.)’’ on authority of Pub. L. 107–217, § 5(c), Aug. 21, 2002, 116 Stat. 1303, the first section of which enacted Title 40, Public Buildings, Property, and Works. PRIOR PROVISIONS A prior section 1656, Pub. L. 94–437, title V, § 506, Sept. 30, 1976, 90 Stat. 1412; Pub. L. 96–537, § 7, Dec. 17, 1980, 94 Stat. 3179, authorized appropriations, prior to the gen- eral revision of this subchapter by Pub. L. 100–713. AMENDMENTS 1992—Pub. L. 102–573, § 501(b)(4)(D), inserted ‘‘and grant’’ in section catchline. Subsec. (b). Pub. L. 102–573, § 501(b)(4)(A), inserted ‘‘o

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