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42 U.S.C. § 1395aaa–1 — Indian Health Service facilities
Federal law — U.S. Code and appendices · legal_authorities
**(a) Eligibility for payments; conditions and requirements** A hospital or skilled nursing facility of the Indian Health Service, 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 payments under this subchapter, notwithstanding sections 1395f(c) and 1395n(d) of this title, if and for so long as it meets all of the conditions and requirements for such payments which are applicable generally to hospitals or skilled nursing facilities (as the case may be) under this subchapter.
**(b) Eligibility based on submission of plan to achieve compliance with conditions and requirements; twelve-month period** Notwithstanding subsection (a), a hospital or skilled nursing facility of the Indian Health Service which does not meet all of the conditions and requirements of this subchapter which are applicable generally to hospitals or skilled nursing facilities (as the case may be), 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 payments under this subchapter), without regard to the extent of its actual compliance with such conditions and requirements, during the first 12 months after the month in which such plan is submitted.
**(c) Payments into special fund for improvements to achieve compliance with conditions and requirements; certification of compliance by Secretary** Notwithstanding any other provision of this subchapter, payments to which any hospital or skilled nursing facili
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Source file: Laws/federal/codes/united-states-code/title-42/section-1395aaa1-indian-health-service-facilities--73e5ca72ce.md
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Source location: Title 42, Chapter 7, § 1395aaa–1; chapter-007-social-security.md
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**(a) Eligibility for payments; conditions and requirements** A hospital or skilled nursing facility of the Indian Health Service, 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 payments under this subchapter, notwithstanding sections 1395f(c) and 1395n(d) of this title, if and for so long as it meets all of the conditions and requirements for such payments which are applicable generally to hospitals or skilled nursing facilities (as the case may be) under this subchapter.
**(b) Eligibility based on submission of plan to achieve compliance with conditions and requirements; twelve-month period** Notwithstanding subsection (a), a hospital or skilled nursing facility of the Indian Health Service which does not meet all of the conditions and requirements of this subchapter which are applicable generally to hospitals or skilled nursing facilities (as the case may be), 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 payments under this subchapter), without regard to the extent of its actual compliance with such conditions and requirements, during the first 12 months after the month in which such plan is submitted.
**(c) Payments into special fund for improvements to achieve compliance with conditions and requirements; certification of compliance by Secretary** Notwithstanding any other provision of this subchapter, payments to which any hospital or skilled nursing facility of the Indian Health Service is entitled by reason of this section shall be placed in a special fund to be held by the Secretary and used by him (to such extent or in such amounts as are provided in appropriation Acts) exclusively for the purpose of making any improvements in the hospitals and skilled nursing facilities of such Service which may be necessary to achieve compliance with the applicable conditions and requirements of this subchapter. The preceding sentence shall cease to apply when the Secretary determines and certifies that substantially all of the hospitals and skilled nursing facilities of such Service in the United States are in compliance with such conditions and requirements.
**(d) Report by Secretary; status of facilities in complying with conditions and requirements** The annual report of the Secretary which is required by [section 1671 of title 25](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1671&num=0&edition=prelim) shall include (along with the matters specified in [section 1643 of title 25](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1643&num=0&edition=prelim)) a detailed statement of the status of the hospitals and skilled nursing facilities of the Service in terms of their compliance with the applicable conditions and requirements of this subchapter and of the progress being made by such hospitals and facilities (under plans submitted under subsection (b) and otherwise) toward the achievement of such compliance.
**(e) Services provided by Indian Health Service, Indian tribe, or tribal organization**
(1)
(A) Notwithstanding [section 1395n(d) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395n/d&num=0&edition=prelim), subject to subparagraph (B), the Secretary shall make payment under part B to a hospital or an ambulatory care clinic (whether provider-based or freestanding) that is operated by the Indian Health Service or by an Indian tribe or tribal organization (as defined for purposes of subsection (a)) for services described in paragraph (2) (and for items and services furnished on or after January 1, 2005, all items and services for which payment may be made under part B) furnished in or at the direction of the hospital or clinic under the same situations, terms, and conditions as would apply if the services were furnished in or at the direction of such a hospital or clinic that was not operated by such Service, tribe, or organization.
(B) Payment shall not be made for services under subparagraph (A) to the extent that payment is otherwise made for such services under this subchapter.
(2) The services described in this paragraph are the following:
(A) Services for which payment is made under [section 1395w–4 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395w-4&num=0&edition=prelim).
(B) Services furnished by a practitioner described in [section 1395u(b)(18)(C) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395u/b/18/C&num=0&edition=prelim) for which payment under part B is made under a fee schedule.
(C) Services furnished by a physical therapist or occupational therapist as described in [section 1395x(p) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395x/p&num=0&edition=prelim) for which payment under part B is made under a fee schedule.
(3) Subsection (c) shall not apply to payments made under this subsection.
**(f) Cross reference** For provisions relating to the authority of certain Indian tribes, tribal organizations, and Alaska Native health organizations to elect to directly bill for, and receive payment for, health care services provided by a hospital or clinic of such tribes or organizations and for which payment may be made under this subchapter, see [section 1645 of title 25](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1645&num=0&edition=prelim).11 See References in Text note below.
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Purposes** The purposes of this section are—
(1) to provide access to traditional foods in food service programs;
(2) to encourage increased consumption of traditional foods to decrease health disparities among Indians, particularly Alaska Natives; and
(3) to provide alternative food options for food service programs.
**(b) Definitions** In this section:
(1) **Alaska Native** — The term “Alaska Native” means a person who is a member of any Native village, Village Corporation, or Regional Corporation (as those terms are defined in [section 1602 of title 43](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title43-section1602&num=0&edition=prelim)).
(2) **Commissioner** — The term “Commissioner” means the Commissioner of Food and Drugs.
(3) **Food service program** — The term “food service program” includes—
(A) food service at residential child care facilities that have a license from an appropriate State agency;
(B) any child nutrition program (as that term is defined in [section 1769f(b) of title 42](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1769f/b&num=0&edition=prelim));
(C) food service at hospitals, clinics, and long-term care facilities; and
(D) senior meal programs.
(4) **Indian; Indian tribe** — The terms “Indian” and “Indian tribe” have the meanings given those terms in section 4 of the Indian Self-Determination and Education Assistance Act ([25 U.S.C. 450b](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section450b&num=0&edition=prelim)).11 See References in Text note below.
(5) **Traditional food**
(A) *In general* — The term “traditional food” means food that has traditionally been prepared and consumed by an Indian tribe.
(B) *Inclusions* — The term “traditi
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1603
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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
There is hereby established a voluntary insurance program to provide medical insurance benefits in accordance with the provisions of this part for aged and disabled individuals who elect to enroll under such program, to be financed from premium payments by enrollees together with contributions from funds appropriated by the Federal Government.
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1395u
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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) Definitions** In this section:
(1) **Eligible tribal consortium** — The term “eligible tribal consortium” means a consortium composed of 2 or more Service units between which a mobile health station can be transported by road in up to 8 hours. A Service unit operated by the Service or by an Indian tribe or tribal organization shall be equally eligible for participation in such consortium.
(2) **Mobile health station** — The term “mobile health station” means a health care unit that—
(A) is constructed, maintained, and capable of being transported within a semi-trailer truck or similar vehicle;
(B) is equipped for the provision of 1 or more specialty health care services; and
(C) can be equipped to be docked to a stationary health care facility when appropriate.
(3) **Specialty health care service**
(A) *In general* — The term “specialty health care service” means a health care service which requires the services of a health care professional with specialized knowledge or experience.
(B) *Inclusions* — The term “specialty health care service” includes any service relating to—
(i) dialysis;
(ii) surgery;
(iii) mammography;
(iv) dentistry; or
(v) any other specialty health care service.
**(b) Establishment** The Secretary, acting through the Service, shall establish a demonstration program under which the Secretary shall provide at least 3 mobile health station projects.
**(c) Petition** To be eligible to receive a mobile health station under the demonstration program, an eligible tribal consortium shall submit to the Secretary, 11 So in original. The comma probably should not appear. a petition at such time, in such manner, and containing—
(1) a description of the Indian population to be served;
(2) a description of the
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1643
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