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25 U.S.C. § 1671 — Substance abuse and mental health services Administration grants
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
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Source file: Laws/federal/codes/united-states-code/title-25/section-1671-substance-abuse-and-mental-health-services-administration-grants--94644cebf6.md
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Source location: Title 25, Chapter 18, § 1671; chapter-018-indian-health-care.md
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**(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) *Affected State* — The term “affected State” means a State—
(I) the boundaries of which include 1 or more Indian tribes; and
(II) the application for a grant under any program administered by the Administration of which includes statewide data.
(ii) *Indian population* — The term “Indian population” means the total number of residents of an affected State who are Indian.
(B) *Requirements* — As a condition of receipt of a grant under any program administered by the Administration, each affected State shall—
(i) describe in the grant application—
(I) the Indian population of the affected State; and
(II) the contribution of that Indian population to the statewide data used by the affected State in the application; and
(ii) demonstrate to the satisfaction of the Secretary that—
(I) of the total amount of the grant, the affected State will allocate for use for the Indian population of the affected State an amount equal to the proportion that—
(aa) the Indian population of the affected State; bears to
(bb) the total population of the affected State; and
(II) the affected State will take reasonable efforts to collaborate with each Indian tribe located within the affected State to carry out youth suicide prevention and treatment measures for members of the Indian tribe.
(C) *Report* — Not later than 1 year after the date of receipt of a grant described in subparagraph (B), an affected State shall submit to the Secretary a report describing the measures carried out by the affected State to ensure compliance with the requirements of subparagraph (B)(ii).
**(b) No non-Federal share requirement** Notwithstanding any other provision of law, no Indian tribe or tribal organization shall be required to provide a non-Federal share of the cost of any project or activity carried out using a grant provided under any program administered by the Administration.
**(c) Outreach for rural and isolated Indian tribes** Due to the rural, isolated nature of most Indian reservations and communities (especially those reservations and communities in the Great Plains region), the Secretary shall conduct outreach activities, with a particular emphasis on the provision of telemental health services, to achieve the purposes of this part with respect to Indian tribes located in rural, isolated areas.
**(d) Provision of other assistance**
(1) **In general** — The Secretary, acting through the Administration, shall carry out such measures (including monitoring and the provision of required assistance) as the Secretary determines to be necessary to ensure the provision of adequate suicide prevention and mental health services to Indian tribes described in paragraph (2), regardless of whether those Indian tribes possess adequate personnel or infrastructure—
(A) to submit an application for a grant under any program administered by the Administration, including due to problems relating to access to the Internet or other electronic means that may have resulted in previous obstacles to submission of a grant application; or
(B) to fulfill all applicable requirements of the relevant program.
(2) **Description of Indian tribes** — An Indian tribe referred to in paragraph (1) is an Indian tribe—
(A) the members of which experience—
(i) a high rate of youth suicide;
(ii) low socioeconomic status; and
(iii) extreme health disparity;
(B) that is located in a remote and isolated area; and
(C) that lacks technology and communication infrastructure.
(3) **Authorization of appropriations** — There are authorized to be appropriated to the Secretary such sums as the Secretary determines to be necessary to carry out this subsection.
**(e) Early intervention and assessment services**
(1) **Definition of affected entity** — In this subsection, the term “affected entity” means any entity—
(A) that receives a grant for suicide intervention, prevention, or treatment under a program administered by the Administration; and
(B) the population to be served by which includes Indian youth.
(2) **Requirement** — The Secretary, acting through the Administration, shall ensure that each affected entity carrying out a youth suicide early intervention and prevention strategy described in [section 290bb–36(c)(1) of title 42](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section290bb–36/c/1&num=0&edition=prelim), or any other youth suicide-related early intervention and assessment activity, provides training or education to individuals who interact frequently with the Indian youth to be served by the affected entity (including parents, teachers, coaches, and mentors) on identifying warning signs of Indian youth who are at risk of committing suicide.
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Federal law — U.S. Code and appendices · legal_authorities
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.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1611
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Establishment**
(1) The Secretary, acting through the Service, shall establish a program to be known as the Indian Health Service Loan Repayment Program (hereinafter referred to as the “Loan Repayment Program”) in order to assure an adequate supply of trained health professionals necessary to maintain accreditation of, and provide health care services to Indians through, Indian health programs.
(2) For the purposes of this section—
(A) the term “Indian health program” means any health program or facility funded, in whole or part, by the Service for the benefit of Indians and administered—
(i) directly by the Service;
(ii) by any Indian tribe or tribal or Indian organization pursuant to a contract under—
(I) the Indian Self-Determination Act [[25 U.S.C. 5321](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section5321&num=0&edition=prelim) et seq.], or
(II) section 23 of the Act of April 30, 1908 11 See References in Text note below. ([25 U.S.C. 47](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section47&num=0&edition=prelim)), popularly known as the “Buy-Indian” Act; or
(iii) by an urban Indian organization pursuant to subchapter IV of this chapter; and
(B) the term “State” has the same meaning given such term in section 254d(i)(4) 1 of title 42.
**(b) Eligibility** To be eligible to participate in the Loan Repayment Program, an individual must—
(1)
(A) be enrolled—
(i) in a course of study or program in an accredited institution, as determined by the Secretary, within any State and be scheduled to complete such course of study in the same year such individual applies to participate in such program; or
(ii) in an approved graduate training program in a health profession
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1616c
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Authorization** The Secretary, acting through the Service, shall provide health promotion and disease prevention services to Indians so as to achieve the health status objectives set forth in section 1602(b) 11 See References in Text note below. of this title.
**(b) Evaluation statement for Presidential budget** The Secretary shall submit to the President for inclusion in each statement which is required to be submitted to the Congress under [section 1671 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1671&num=0&edition=prelim) an evaluation of—
(1) the health promotion and disease prevention needs of Indians,
(2) the health promotion and disease prevention activities which would best meet such needs,
(3) the internal capacity of the Service to meet such needs, and
(4) the resources which would be required to enable the Service to undertake the health promotion and disease prevention activities necessary to meet such needs.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1621e
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Federal law — U.S. Code and appendices · legal_authorities
**(a) National plan for Indian Mental Health Services**
(1) Not later than 120 days after November 28, 1990, the Secretary, acting through the Service, shall develop and publish in the Federal Register a final national plan for Indian Mental Health Services. The plan shall include—
(A) an assessment of the scope of the problem of mental illness and dysfunctional and self-destructive behavior, including child abuse and family violence, among Indians, including—
(i) the number of Indians served by the Service who are directly or indirectly affected by such illness or behavior, and
(ii) an estimate of the financial and human cost attributable to such illness or behavior;
(B) an assessment of the existing and additional resources necessary for the prevention and treatment of such illness and behavior; and
(C) an estimate of the additional funding needed by the Service to meet its responsibilities under the plan.
(2) The Secretary shall submit a copy of the national plan to the Congress.
**(b) Memorandum of agreement** Not later than 180 days after November 28, 1990, the Secretary and the Secretary of the Interior shall develop and enter into a memorandum of agreement under which the Secretaries shall, among other things—
(1) determine and define the scope and nature of mental illness and dysfunctional and self-destructive behavior, including child abuse and family violence, among Indians;
(2) make an assessment of the existing Federal, tribal, State, local, and private services, resources, and programs available to provide mental health services for Indians;
(3) make an initial determination of the unmet need for additional services, resources, and programs necessary to meet the needs identified pursuant to paragraph (1);
(4)
(A) ensure that Ind
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1621k
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Consultation; standards for accreditation** Prior to the expenditure of, or the making of any firm commitment to expend, any funds appropriated for the planning, design, construction, or renovation of facilities pursuant to [section 13 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section13&num=0&edition=prelim), the Secretary, acting through the Service, shall—
(1) consult with any Indian tribe that would be significantly affected by such expenditure for the purpose of determining and, whenever practicable, honoring tribal preferences concerning size, location, type, and other characteristics of any facility on which such expenditure is to be made, and
(2) ensure, whenever practicable, that such facility meets the standards of the Joint Commission on Accreditation of Health Care Organizations by not later than 1 year after the date on which the construction or renovation of such facility is completed.
**(b) Closure; report on proposed closure**
(1) Notwithstanding any provision of law other than this subsection, no Service hospital or outpatient health care facility of the Service, or any portion of such a hospital or facility, may be closed if the Secretary has not submitted to the Congress at least 1 year prior to the date such hospital or facility (or portion thereof) is proposed to be closed an evaluation of the impact of such proposed closure which specifies, in addition to other considerations—
(A) the accessibility of alternative health care resources for the population served by such hospital or facility;
(B) the cost effectiveness of such closure;
(C) the quality of health care to be provided to the population served by such hospital or facility after such closure;
(D) the availability of contract hea
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1634
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Congressional findings** The Congress hereby finds and declares that—
(1) the provision of safe water supply systems and sanitary sewage and solid waste disposal systems is primarily a health consideration and function;
(2) Indian people suffer an inordinately high incidence of disease, injury, and illness directly attributable to the absence or inadequacy of such systems;
(3) the long-term cost to the United States of treating and curing such disease, injury, and illness is substantially greater than the short-term cost of providing such systems and other preventive health measures;
(4) many Indian homes and communities still lack safe water supply systems and sanitary sewage and solid waste disposal systems; and
(5) it is in the interest of the United States, and it is the policy of the United States, that all Indian communities and Indian homes, new and existing, be provided with safe and adequate water supply systems and sanitary sewage waste disposal systems as soon as possible.
**(b) Authority; assistance; transfer of funds**
(1) In furtherance of the findings and declarations made in subsection (a), Congress reaffirms the primary responsibility and authority of the Service to provide the necessary sanitation facilities and services as provided in [section 2004a of title 42](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section2004a&num=0&edition=prelim).
(2) The Secretary, acting through the Service, is authorized to provide under [section 2004a of title 42](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section2004a&num=0&edition=prelim)—
(A) financial and technical assistance to Indian tribes and communities in the establishment, training, and equipping of utility organizations to operate and maintai
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Authority of Secretary**
(1) Notwithstanding any other provision of law, the Secretary is authorized to accept any major renovation or modernization by any Indian tribe of any Service facility, or of any other Indian health facility operated pursuant to a contract entered into under the Indian Self-Determination Act [[25 U.S.C. 5321](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section5321&num=0&edition=prelim) et seq.], including—
(A) any plans or designs for such renovation or modernization; and
(B) any renovation or modernization for which funds appropriated under any Federal law were lawfully expended,
but only if the requirements of subsection (b) are met.
(2) The Secretary shall maintain a separate priority list to address the needs of such facilities for personnel or equipment.
(3) The Secretary shall submit to the President, for inclusion in each report required to be transmitted to the Congress under [section 1671 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1671&num=0&edition=prelim), the priority list maintained pursuant to paragraph (2).
**(b) Requirements** The requirements of this subsection are met with respect to any renovation or modernization if—
(1) the tribe or tribal organization—
(A) provides notice to the Secretary of its intent to renovate or modernize; and
(B) applies to the Secretary to be placed on a separate priority list to address the needs of such new facilities for personnel or equipment; and
(2) the renovation or modernization—
(A) is approved by the appropriate area director of the Service; and
(B) is administered by the tribe in accordance with the rules and regulations prescribed by the Secretary with respect to construction or renova
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1637
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Federal law — U.S. Code and appendices · legal_authorities
The Secretary shall submit to the President, for inclusion in the report required to be transmitted to the Congress under [section 1671 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1671&num=0&edition=prelim), an accounting on the amount and use of funds made available to the Service pursuant to this subchapter as a result of reimbursements through titles XVIII and XIX of the Social Security Act, as amended [[42 U.S.C. 1395](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395&num=0&edition=prelim) et seq., 1396 et seq.].
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1646
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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
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Report to Congress** Notwithstanding any other provision of law, any allocation of Service funds for a fiscal year that reduces by 5 percent or more from the previous fiscal year the funding for any recurring program, project, or activity of a service unit may be implemented only after the Secretary has submitted to the President, for inclusion in the report required to be transmitted to the Congress under [section 1671 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1671&num=0&edition=prelim), a report on the proposed change in allocation of funding, including the reasons for the change and its likely effects.
**(b) Appropriated amounts** Subsection (a) shall not apply if the total amount appropriated to the Service for a fiscal year is less than the amount appropriated to the Service for previous fiscal year.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1680j
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