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25 U.S.C. § 1653 — Navajo Nation medicaid agency feasibility study
Federal law — U.S. Code and appendices · legal_authorities
**(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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Source file: Laws/federal/codes/united-states-code/title-25/section-1653-navajo-nation-medicaid-agency-feasibility-study--ee4df80893.md
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Source location: Title 25, Chapter 18, § 1653; chapter-018-indian-health-care.md
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**(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 State children’s health insurance program) under terms equivalent to those described in paragraphs (2) through (4).22 So in original. Probably should be paragraphs “(1) through (3).”.
**(c) Report** Not later then 3 years after March 23, 2010, the Secretary shall submit to the Committee on Indian Affairs and Committee on Finance of the Senate and the Committee on Natural Resources and Committee on Energy and Commerce of the House of Representatives a report that includes—
(1) the results of the study under this section;
(2) a summary of any consultation that occurred between the Secretary and the Navajo Nation, other Indian Tribes, the States of Arizona, New Mexico, and Utah, counties which include Navajo Lands, and other interested parties, in conducting this study;
(3) projected costs or savings associated with establishment of such entity, and any estimated impact on services provided as described in this section in relation to probable costs or savings; and
(4) legislative actions that would be required to authorize the establishment of such entity if such entity is determined by the Secretary to be feasible.
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Establishment** There is hereby established the Medicaid and CHIP Payment and Access Commission (in this section referred to as “MACPAC”).
**(b) Duties**
(1) **Review of access policies for all States and annual reports** — MACPAC shall—
(A) review policies of the Medicaid program established under this subchapter (in this section referred to as “Medicaid”) and the State Children’s Health Insurance Program established under subchapter XXI (in this section referred to as “CHIP”) affecting access to covered items and services, including topics described in paragraph (2);
(B) make recommendations to Congress, the Secretary, and States concerning such access policies;
(C) by not later than March 15 of each year (beginning with 2010), submit a report to Congress containing the results of such reviews and MACPAC’s recommendations concerning such policies; and
(D) by not later than June 15 of each year (beginning with 2010), submit a report to Congress containing an examination of issues affecting Medicaid and CHIP, including the implications of changes in health care delivery in the United States and in the market for health care services on such programs.
(2) **Specific topics to be reviewed** — Specifically, MACPAC shall review and assess the following:
(A) *Medicaid and CHIP payment policies* — Payment policies under Medicaid and CHIP, including—
(i) the factors affecting expenditures for the efficient provision of items and services in different sectors, including the process for updating payments to medical, dental, and health professionals, hospitals, residential and long-term care providers, providers of home and community based services, Federally-qualified health centers and rural health clinics, managed care entities, and providers of ot
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Federal law — U.S. Code and appendices · legal_authorities
This chapter may be cited as the “Social Security Act”.
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Federal law — U.S. Code and appendices · legal_authorities
**(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
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1657
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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
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Quarterly reports** For each fiscal year during which an urban Indian organization receives or expends funds pursuant to a contract entered into, or a grant received, pursuant to this subchapter, such organization shall submit to the Secretary a quarterly report including—
(1) in the case 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), information gathered pursuant to clauses (10) and (11) of subsection (a) of such section;
(2) information on activities conducted by the organization pursuant to the contract or grant;
(3) an accounting of the amounts and purposes for which Federal funds were expended; and
(4) such other information as the Secretary may request.
**(b) Audit by Secretary and Comptroller General** The reports and records of the urban Indian organization with respect to a contract or grant under this subchapter shall be subject to audit by the Secretary and the Comptroller General of the United States.
**(c) Cost of annual private audit** The Secretary shall allow as a cost of any contract or grant entered into under [section 1653 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1653&num=0&edition=prelim) the cost of an annual private audit conducted by a certified public accountant.
**(d) Health status, services, and areas of unmet needs; child welfare**
(1) The Secretary, acting through the Service, shall submit a report to the Congress not later than March 31, 1992, evaluating—
(A) the health status of urban Indians;
(B) the services provided to Indians through this subchapter;
(C) areas of unmet needs in urban areas served under this subchapter; and
(D) areas of unmet needs i
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1660
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Federal law — U.S. Code and appendices · legal_authorities
For the purposes of this chapter—
(1) The term “disability” means a disease, injury, or other physical or mental defect.
(2) The term “veteran of any war” includes any veteran awarded the Medal of Honor.
(3) The term “facilities of the Department” means—
(A) facilities over which the Secretary has direct jurisdiction;
(B) Government facilities for which the Secretary contracts; and
(C) public or private facilities at which the Secretary provides recreational activities for patients receiving care under [section 1710 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title38-section1710&num=0&edition=prelim).
(4) The term “non-Department facilities” means facilities other than Department facilities.
(5) The term “hospital care” includes—
(A)
(i) medical services rendered in the course of the hospitalization of any veteran, and (ii) travel and incidental expenses pursuant to the provisions of [section 111 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title38-section111&num=0&edition=prelim);
(B) such mental health services, consultation, professional counseling, marriage and family counseling, and training for the members of the immediate family or legal guardian of a veteran, or the individual in whose household such veteran certifies an intention to live, as the Secretary considers appropriate for the effective treatment and rehabilitation of a veteran or dependent or survivor of a veteran receiving care under the last sentence of [section 1781(b) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title38-section1781/b&num=0&edition=prelim); and
(C)
(i) medical services rendered in the course of the hospitalization of a dependent or survivor of a veteran rece
Source: Supplied U.S. Code snapshot — release unconfirmed · 38 U.S.C. § 1701
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Federal law — U.S. Code and appendices · legal_authorities
Page 310
TITLE 25—INDIANS
§ 1652
§ 1652. Contracts with, and grants to, urban In-
dian organizations
(a) In general
Pursuant to section 13 of this title, the Sec-
retary, acting through the Service, shall enter
into contracts with, or make grants to, urban
Indian organizations to assist the urban Indian
organizations in the establishment and adminis-
tration, within urban centers, of programs that
meet the requirements of this subchapter.
(b) Conditions
Subject to section 1656 of this title, the Sec-
retary, acting through the Service, shall include
such conditions as the Secretary considers nec-
essary to effect the purpose of this subchapter in
any contract into which the Secretary enters
with, or in any grant the Secretary makes to,
any urban Indian organization pursuant to this
subchapter.
(Pub. L. 94–437, title V, § 502, as added Pub. L.
100–713, title V, § 501, Nov. 23, 1988, 102 Stat. 4820;
amended Pub. L. 102–573, title V, § 501(a), Oct. 29,
1992, 106 Stat. 4567; Pub. L. 111–148, title X,
§ 10221(a), Mar. 23, 2010, 124 Stat. 935.)
Editorial Notes
CODIFICATION
Amendment by Pub. L. 111–148 is based on section
163(b) of title I of S. 1790, One Hundred Eleventh Con-
gress, as reported by the Committee on Indian Affairs
of the Senate in Dec. 2009, which was enacted into law
by section 10221(a) of Pub. L. 111–148.
PRIOR PROVISIONS
A prior section 1652, Pub. L. 94–437, title V, § 502, Sept.
30, 1976, 90 Stat. 1410; Pub. L. 96–537, § 7, Dec. 17, 1980, 94
Stat. 3177, related to contracts with urban and rural In-
dian organizations, prior to the general revision of this
subchapter by Pub. L. 100–713.
AMENDMENTS
2010—Pub. L. 111–148 amended section generally. Prior
to amendment, text read as follows: ‘‘Under authority
of section 13 of this t
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 1653
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Federal law — U.S. Code and appendices · legal_authorities
Page 4009
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 1396
of the enactment of this Act [Oct. 6, 2014], the Sec-
retary shall develop and report to Congress on a stra-
tegic plan for collecting or otherwise accessing data on
race and ethnicity for purposes of specifying quality
measures and resource use and other measures under
subsections (c) and (d) of section 1899B of the Social Se-
curity Act, as added by subsection (a), and, as the Sec-
retary determines appropriate, other similar provisions
of, including payment adjustments under, title XVIII of
such Act (42 U.S.C. 1395 et seq.).’’
SUBCHAPTER XIX—GRANTS TO STATES
FOR MEDICAL ASSISTANCE PROGRAMS
§ 1396. Medicaid and CHIP Payment and Access
Commission
(a) Establishment
There is hereby established the Medicaid and
CHIP Payment and Access Commission (in this
section referred to as ‘‘MACPAC’’).
(b) Duties
(1) Review of access policies for all States and
annual reports
MACPAC shall—
(A) review policies of the Medicaid pro-
gram established under this subchapter (in
this section referred to as ‘‘Medicaid’’) and
the State Children’s Health Insurance Pro-
gram established under subchapter XXI (in
this section referred to as ‘‘CHIP’’) affecting
access to covered items and services, includ-
ing topics described in paragraph (2);
(B) make recommendations to Congress,
the Secretary, and States concerning such
access policies;
(C) by not later than March 15 of each year
(beginning with 2010), submit a report to
Congress containing the results of such re-
views and MACPAC’s recommendations con-
cerning such policies; and
(D) by not later than June 15 of each year
(beginning with 2010), submit a report to
Congress
containing
an
examination
of
issues affecting Medicaid and CHIP, includ-
ing the impli
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1396
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