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25 U.S.C. § 1621m — California contract health services demonstration program
Federal law — U.S. Code and appendices · legal_authorities
**(a) Establishment** The Secretary shall establish a demonstration program to evaluate the use of a contract care intermediary to improve the accessibility of health services to California Indians.
**(b) Agreement with California Rural Indian Health Board**
(1) In establishing such program, the Secretary shall enter into an agreement with the California Rural Indian Health Board to reimburse the Board for costs (including reasonable administrative costs) incurred, during the period of the demonstration program, in providing medical treatment under contract to California Indians described in section 1679(b) 11 See References in Text note below. of this title throughout the California contract health services delivery area described in [section 1680 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1680&num=0&edition=prelim) with respect to high-cost contract care cases.
(2) Not more than 5 percent of the amounts provided to the Board under this section for any fiscal year may be for reimbursement for administrative expenses incurred by the Board during such fiscal year.
(3) No payment may be made for treatment provided under the demonstration program to the extent payment may be made for such treatment under the Catastrophic Health Emergency Fund described in [section 1621a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1621a&num=0&edition=prelim) or from amounts appropriated or otherwise made available to the California contract health service delivery area for a fiscal year.
**(c) Advisory board** There is hereby established an advisory board which shall advise the California Rural Indian Health Board in carrying out the demonstration pursuant to this section. The advisory board
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Source file: Laws/federal/codes/united-states-code/title-25/section-1621m-california-contract-health-services-demonstration-program--9fa42035c8.md
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Source location: Title 25, Chapter 18, § 1621m; chapter-018-indian-health-care.md
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**(a) Establishment** The Secretary shall establish a demonstration program to evaluate the use of a contract care intermediary to improve the accessibility of health services to California Indians.
**(b) Agreement with California Rural Indian Health Board**
(1) In establishing such program, the Secretary shall enter into an agreement with the California Rural Indian Health Board to reimburse the Board for costs (including reasonable administrative costs) incurred, during the period of the demonstration program, in providing medical treatment under contract to California Indians described in section 1679(b) 11 See References in Text note below. of this title throughout the California contract health services delivery area described in [section 1680 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1680&num=0&edition=prelim) with respect to high-cost contract care cases.
(2) Not more than 5 percent of the amounts provided to the Board under this section for any fiscal year may be for reimbursement for administrative expenses incurred by the Board during such fiscal year.
(3) No payment may be made for treatment provided under the demonstration program to the extent payment may be made for such treatment under the Catastrophic Health Emergency Fund described in [section 1621a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1621a&num=0&edition=prelim) or from amounts appropriated or otherwise made available to the California contract health service delivery area for a fiscal year.
**(c) Advisory board** There is hereby established an advisory board which shall advise the California Rural Indian Health Board in carrying out the demonstration pursuant to this section. The advisory board shall be composed of representatives, selected by the California Rural Indian Health Board, from not less than 8 tribal health programs serving California Indians covered under such demonstration, at least one half of whom are not affiliated with the California Rural Indian Health Board.
**(d) Commencement and termination dates** The demonstration program described in this section shall begin on January 1, 1993, and shall terminate on September 30, 1997.
**(e) Report** Not later than July 1, 1998, the California Rural Indian Health Board shall submit to the Secretary a report on the demonstration program carried out under this section, including a statement of its findings regarding the impact of using a contract care intermediary on—
(1) access to needed health services;
(2) waiting periods for receiving such services; and
(3) the efficient management of high-cost contract care cases.
**(f) “High-cost contract care cases” defined** For the purposes of this section, the term “high-cost contract care cases” means those cases in which the cost of the medical treatment provided to an individual—
(1) would otherwise be eligible for reimbursement from the Catastrophic Health Emergency Fund established under [section 1621a of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1621a&num=0&edition=prelim), except that the cost of such treatment does not meet the threshold cost requirement established pursuant to section 1621a(b)(2) 1 of this title; and
(2) exceeds $1,000.
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Federal law — U.S. Code and appendices · legal_authorities
**(a) In general** The State of Arizona shall be designated as a contract health service delivery area by the Service for the purpose of providing contract health care services to members of Indian tribes in the State of Arizona.
**(b) Maintenance of services** The Service shall not curtail any health care services provided to Indians residing on reservations in the State of Arizona if the curtailment is due to the provision of contract services in that State pursuant to the designation of the State as a contract health service delivery area by subsection (a).
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1680
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Federal law — U.S. Code and appendices · legal_authorities
Employees of a tribal health program or urban Indian organization shall be exempt from payment of licensing, registration, and any other fees imposed by a Federal agency to the same extent that officers of the commissioned corps of the Public Health Service and other employees of the Service are exempt from those fees.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1621a
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Study** The Secretary and the Service shall conduct, in conjunction with other appropriate Federal agencies and in consultation with concerned Indian tribes and organizations, a study of the health hazards to Indian miners and Indians on or near Indian reservations and in Indian communities as a result of nuclear resource development. Such study shall include—
(1) an evaluation of the nature and extent of nuclear resource development related health problems currently exhibited among Indians and the causes of such health problems;
(2) an analysis of the potential effect of ongoing and future nuclear resource development on or near Indian reservations and communities;
(3) an evaluation of the types and nature of activities, practices, and conditions causing or affecting such health problems, including uranium mining and milling, uranium mine tailing deposits, nuclear powerplant operation and construction, and nuclear waste disposal;
(4) a summary of any findings and recommendations provided in Federal and State studies, reports, investigations, and inspections during the five years prior to December 17, 1980, that directly or indirectly relate to the activities, practices, and conditions affecting the health or safety of such Indians; and
(5) the efforts that have been made by Federal and State agencies and mining and milling companies to effectively carry out an education program for such Indians regarding the health and safety hazards of such nuclear resource development.
**(b) Health care plan; development** Upon completion of such study the Secretary and the Service shall take into account the results of such study and develop a health care plan to address the health problems studied under subsection (a). The plan shall include—
(1) methods for diagnosing
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1679
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Federal law — U.S. Code and appendices · legal_authorities
Page 280
TITLE 25—INDIANS
§ 1621m
1 See References in Text note below.
(1) emergency air transportation and non-
emergency air transportation where ground
transportation is infeasible;
(2) transportation by private vehicle (where
no other means of transportation is available),
specially equipped vehicle, and ambulance;
and
(3) transportation by such other means as
may be available and required when air or
motor vehicle transportation is not available.
(Pub. L. 94–437, title II, § 213, as added Pub. L.
102–573, title II, § 208, Oct. 29, 1992, 106 Stat. 4551;
amended 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.
(b), 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 reclassifica-
tion as chapter 46 (§ 5301 et seq.) of this title. For com-
plete classification of this Act to the Code, see Short
Title note set out under section 5301 of this title and
Tables.
This chapter, referred to in subsec. (b), was in the
original ‘‘this Act’’, meaning Pub. L. 94–437, Sept. 30,
1976, 90 Stat. 1400, known as the Indian Health Care Im-
provement Act, which is classified principally to this
chapter. For complete classification of this Act to the
Code, see Short Title note set out under section 1601 of
this title and Tables.
CODIFICATION
Amendment by Pub. L. 111–148 is based on sections
101(c)(2) and 129 of title I of S. 1790, One Hundred Elev-
enth Congress, as reported by the Committee on Indian
Affairs of the Senate in Dec. 2009, which were enacted
into law by section 10221(a) of Pu
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 1621m
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