Browse Arkansas Code titles and sections
25 U.S.C. § 1665a — Office of Direct Service Tribes
Federal law — U.S. Code and appendices · legal_authorities
**(a) Establishment** There is established within the Service an office, to be known as the “Office of Direct Service Tribes”.
**(b) Treatment** The Office of Direct Service Tribes shall be located in the Office of the Director.
**(c) Duties** The Office of Direct Service Tribes shall be responsible for—
(1) providing Service-wide leadership, guidance and support for direct service tribes to include strategic planning and program evaluation;
(2) ensuring maximum flexibility to tribal health and related support systems for Indian beneficiaries;
(3) serving as the focal point for consultation and participation between direct service tribes and organizations and the Service in the development of Service policy;
(4) holding no less than biannual consultations with direct service tribes in appropriate locations to gather information and aid in the development of health policy; and
(5) directing a national program and providing leadership and advocacy in the development of health policy, program management, budget formulation, resource allocation, and delegation support for direct service tribes.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1665a
Stored review status: release_metadata_unconfirmed. A text match is a research starting point; applicability is not established.
Original supplied file — preserved unchanged
Download original Markdown file
File SHA-256: 192e6dae2c99babe197141c0ec16d274ea565b8fbb8520b4e2283ac350ac689d. The original may include catalog metadata, neighboring provisions, or embedded records outside this collection's scope. Search shows only the selected federal record. Historical editions and unverified snapshots are not a statement of current law.
Authority boundary: historical or unconfirmed source not current law verified.
Open the recorded source website ↗
Record provenance
Stable record: federal_law:legal_authorities:record_usc_4ba44ea1af73125af2119d3a
Source file: Laws/federal/codes/united-states-code/title-25/section-1665a-office-of-direct-service-tribes--dea9484d99.md
Pages: Not recorded – Not recorded
Passage SHA-256: 5bbdf69f93927cb8dc285bbe1c4478ed61123dabfeaa577316a07f8dbf83361c
Source location: Title 25, Chapter 18, § 1665a; chapter-018-indian-health-care.md
Stored source content
**(a) Establishment** There is established within the Service an office, to be known as the “Office of Direct Service Tribes”.
**(b) Treatment** The Office of Direct Service Tribes shall be located in the Office of the Director.
**(c) Duties** The Office of Direct Service Tribes shall be responsible for—
(1) providing Service-wide leadership, guidance and support for direct service tribes to include strategic planning and program evaluation;
(2) ensuring maximum flexibility to tribal health and related support systems for Indian beneficiaries;
(3) serving as the focal point for consultation and participation between direct service tribes and organizations and the Service in the development of Service policy;
(4) holding no less than biannual consultations with direct service tribes in appropriate locations to gather information and aid in the development of health policy; and
(5) directing a national program and providing leadership and advocacy in the development of health policy, program management, budget formulation, resource allocation, and delegation support for direct service tribes.
Cross-references
Connections may be documented source relationships, shared citations or nearby passages. Each explains its basis; a connection alone does not establish applicability to your situation.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Grants** The Secretary, consistent with [section 1665a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1665a&num=0&edition=prelim), may make grants to Indian tribes, tribal organizations, and urban Indian organizations to develop and implement a comprehensive behavioral health program of prevention, intervention, treatment, and relapse prevention services that specifically addresses the cultural, historical, social, and child care needs of Indian women, regardless of age.
**(b) Use of grant funds** A grant made pursuant to this section may be used—
(1) to develop and provide community training, education, and prevention programs for Indian women relating to behavioral health issues, including fetal alcohol spectrum disorders;
(2) to identify and provide psychological services, counseling, advocacy, support, and relapse prevention to Indian women and their families; and
(3) to develop prevention and intervention models for Indian women which incorporate traditional health care practices, cultural values, and community and family involvement.
**(c) Criteria** The Secretary, in consultation with Indian tribes and tribal organizations, shall establish criteria for the review and approval of applications and proposals for funding under this section.
**(d) Allocation of funds for urban Indian organizations** 20 percent of the funds appropriated pursuant to this section shall be used to make grants to urban Indian organizations.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1665i
Stored review status: release_metadata_unconfirmed. Incoming connection: Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Detoxification and rehabilitation** The Secretary, acting through the Service, consistent with [section 1665a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1665a&num=0&edition=prelim), shall develop and implement a program for acute detoxification and treatment for Indian youths, including behavioral health services. The program shall include regional treatment centers designed to include detoxification and rehabilitation for both sexes on a referral basis and programs developed and implemented by Indian tribes or tribal organizations at the local level 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.).11 See References in Text note below. Regional centers shall be integrated with the intake and rehabilitation programs based in the referring Indian community.
**(b) Alcohol and substance abuse treatment centers or facilities**
(1) **Establishment**
(A) *In general* — The Secretary, acting through the Service, shall construct, renovate, or, as necessary, purchase, and appropriately staff and operate, at least 1 youth regional treatment center or treatment network in each area under the jurisdiction of an area office.
(B) *Area office in California* — For the purposes of this subsection, the area office in California shall be considered to be 2 area offices, 1 office whose jurisdiction shall be considered to encompass the northern area of the State of California, and 1 office whose jurisdiction shall be considered to encompass the remainder of the State of California for the purpose of implementing California treatment networks.
(2) **Funding** — For the purpose of staffing
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1665j
Stored review status: release_metadata_unconfirmed. Incoming connection: Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Innovative programs** The Secretary, acting through the Service, consistent with [section 1665a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1665a&num=0&edition=prelim), may plan, develop, implement, and carry out programs to deliver innovative community-based behavioral health services to Indians.
**(b) Awards; criteria** The Secretary may award a grant for a project under subsection (a) to an Indian tribe or tribal organization and may consider the following criteria:
(1) The project will address significant unmet behavioral health needs among Indians.
(2) The project will serve a significant number of Indians.
(3) The project has the potential to deliver services in an efficient and effective manner.
(4) The Indian tribe or tribal organization has the administrative and financial capability to administer the project.
(5) The project may deliver services in a manner consistent with traditional health care practices.
(6) The project is coordinated with, and avoids duplication of, existing services.
**(c) Equitable treatment** For purposes of this subsection,11 So in original. Probably should be “section,”. the Secretary shall, in evaluating project applications or proposals, use the same criteria that the Secretary uses in evaluating any other application or proposal for such funding.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1665m
Stored review status: release_metadata_unconfirmed. Incoming connection: Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Programs**
(1) **Establishment** — The Secretary, consistent with [section 1665a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1665a&num=0&edition=prelim), acting through the Service, Indian Tribes, and Tribal Organizations, is authorized to establish and operate fetal alcohol spectrum disorders programs as provided in this section for the purposes of meeting the health status objectives specified in [section 1602 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1602&num=0&edition=prelim).
(2) **Use of funds**
(A) *In general* — Funding provided pursuant to this section shall be used for the following:
(i) To develop and provide for Indians community and in-school training, education, and prevention programs relating to fetal alcohol spectrum disorders.
(ii) To identify and provide behavioral health treatment to high-risk Indian women and high-risk women pregnant with an Indian’s child.
(iii) To identify and provide appropriate psychological services, educational and vocational support, counseling, advocacy, and information to fetal alcohol spectrum disorders-affected Indians and their families or caretakers.
(iv) To develop and implement counseling and support programs in schools for fetal alcohol spectrum disorders-affected Indian children.
(v) To develop prevention and intervention models which incorporate practitioners of traditional health care practices, cultural values, and community involvement.
(vi) To develop, print, and disseminate education and prevention materials on fetal alcohol spectrum disorders.
(vii) To develop and implement, in consultation with Indian Tribes and Tribal Organizations, and in conference with urban Indian
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1665n
Stored review status: release_metadata_unconfirmed. Incoming connection: Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Establishment** The Secretary, acting through the Service, shall establish, consistent with [section 1665a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1665a&num=0&edition=prelim), in every Service area, programs involving treatment for—
(1) victims of sexual abuse who are Indian children or children in an Indian household; and
(2) other members of the household or family of the victims described in paragraph (1).
**(b) Use of funds** Funding provided pursuant to this section shall be used for the following:
(1) To develop and provide community education and prevention programs related to sexual abuse of Indian children or children in an Indian household.
(2) To identify and provide behavioral health treatment to victims of sexual abuse who are Indian children or children in an Indian household, and to their family members who are affected by sexual abuse.
(3) To develop prevention and intervention models which incorporate traditional health care practices, cultural values, and community involvement.
(4) To develop and implement culturally sensitive assessment and diagnostic tools for use in Indian communities and urban centers.
**(c) Coordination** The programs established under subsection (a) shall be carried out in coordination with programs and services authorized under the Indian Child Protection and Family Violence Prevention Act ([25 U.S.C. 3201](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section3201&num=0&edition=prelim) et seq.).
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1667
Stored review status: release_metadata_unconfirmed. Incoming connection: Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
**(a) In general** The Secretary, in accordance with [section 1665a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1665a&num=0&edition=prelim), is authorized to establish in each Service area programs involving the prevention and treatment of—
(1) Indian victims of domestic violence or sexual abuse; and
(2) other members of the household or family of the victims described in paragraph (1).
**(b) Use of funds** Funds made available to carry out this section shall be used—
(1) to develop and implement prevention programs and community education programs relating to domestic violence and sexual abuse;
(2) to provide behavioral health services, including victim support services, and medical treatment (including examinations performed by sexual assault nurse examiners) to Indian victims of domestic violence or sexual abuse;
(3) to purchase rape kits; and
(4) to develop prevention and intervention models, which may incorporate traditional health care practices.
**(c) Training and certification**
(1) **In general** — Not later than 1 year after March 23, 2010, the Secretary shall establish appropriate protocols, policies, procedures, standards of practice, and, if not available elsewhere, training curricula and training and certification requirements for services for victims of domestic violence and sexual abuse.
(2) **Report** — Not later than 18 months after March 23, 2010, the Secretary shall submit to the Committee on Indian Affairs of the Senate and the Committee on Natural Resources of the House of Representatives a report that describes the means and extent to which the Secretary has carried out paragraph (1).
**(d) Coordination**
(1) **In general** — The Secretary, in coordination with the Attorney General, Federa
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1667a
Stored review status: release_metadata_unconfirmed. Incoming connection: Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
The President shall, at the time the budget is submitted under [section 1105 of title 31](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section1105&num=0&edition=prelim), for each fiscal year transmit to the Congress a report containing—
(1) a report on the progress made in meeting the objectives of this chapter, including a review of programs established or assisted pursuant to this chapter and an assessment and recommendations of additional programs or additional assistance necessary to, at a minimum, provide health services to Indians, and ensure a health status for Indians, which are at a parity with the health services available to and the health status of, the general population;
(2) a report on whether, and to what extent, new national health care programs, benefits, initiatives, or financing systems have had an impact on the purposes of this chapter and any steps that the Secretary may have taken to consult with Indian tribes to address such impact;
(3) a report on the use of health services by Indians—
(A) on a national and area or other relevant geographical basis;
(B) by gender and age;
(C) by source of payment and type of service; and
(D) comparing such rates of use with rates of use among comparable non-Indian populations.11 So in original. The period probably should be a semicolon.
(4) a separate statement which specifies the amount of funds requested to carry out the provisions of [section 1621 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1621&num=0&edition=prelim);
(5) a separate statement of the total amount obligated or expended in the most recently completed fiscal year to achieve each of the objectives described in [section 1680d of this title](https://uscode.house.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1674
Stored review status: release_metadata_unconfirmed. Incoming connection: Explicit cross-reference supplied in source Markdown; currentness and applicability require review.
Federal law — U.S. Code and appendices · legal_authorities
Page 322
TITLE 25—INDIANS
§ 1665a
(5) Fetal alcohol spectrum disorders
(A) In general
The term ‘‘fetal alcohol spectrum dis-
orders’’ includes a range of effects that can
occur in an individual whose mother drank
alcohol during pregnancy, including phys-
ical, mental, behavioral, and/or learning dis-
abilities with possible lifelong implications.
(B) Inclusions
The term ‘‘fetal alcohol spectrum dis-
orders’’ may include—
(i) fetal alcohol syndrome (FAS);
(ii) partial fetal alcohol syndrome (par-
tial FAS);
(iii)
alcohol-related
birth
defects
(ARBD); and
(iv) alcohol-related neurodevelopmental
disorders (ARND).
(6) FAS or fetal alcohol syndrome
The term ‘‘FAS’’ or ‘‘fetal alcohol syn-
drome’’ means a syndrome in which, with a
history of maternal alcohol consumption dur-
ing pregnancy, the following criteria are met:
(A) Central nervous system involvement,
such as mental retardation, developmental
delay, intellectual deficit, microencephaly,
or neurological abnormalities.
(B) Craniofacial abnormalities with at
least 2 of the following:
(i) Microophthalmia.
(ii) Short palpebral fissures.
(iii) Poorly developed philtrum.
(iv) Thin upper lip.
(v) Flat nasal bridge.
(vi) Short upturned nose.
(C) Prenatal or postnatal growth delay.
(7) Rehabilitation
The term ‘‘rehabilitation’’ means medical
and health care services that—
(A) are recommended by a physician or li-
censed practitioner of the healing arts with-
in the scope of their practice under applica-
ble law;
(B) are furnished in a facility, home, or
other setting in accordance with applicable
standards; and
(C) have as their purpose any of the fol-
lowing:
(i) The maximum attainment of phys-
ical, mental, and developmental func-
tioning.
(ii) Averting deterioration in physical or
men
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 1665a
Stored review status: historical_2024_not_currentness_verified. Same stored citation; legal effect and authority still require review.