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42 U.S.C. § 256d — Breast and cervical cancer information

Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 256d — Breast and cervical cancer information

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Source file: Laws/federal/codes/united-states-code/title-42/section-256d-breast-and-cervical-cancer-information--3f5f07068d.md
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Source location: Title 42, Chapter 6A, § 256d; chapter-6a-public-health-service.md

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**(a) In general** As a condition of receiving grants, cooperative agreements, or contracts under this chapter, each of the entities specified in subsection (c) shall, to the extent determined to be appropriate by the Secretary, make available information concerning breast and cervical cancer. **(b) Certain authorities** In carrying out subsection (a), an entity specified in subsection (c)— (1) may make the information involved available to such individuals as the entity determines appropriate; (2) may, as appropriate, provide information under subsection (a) on the need for self-examination of the breasts and on the skills for such self-examinations; (3) shall provide information under subsection (a) in the language and cultural context most appropriate to the individuals to whom the information is provided; and (4) shall refer such clients as the entities determine appropriate for breast and cervical cancer screening, treatment, or other appropriate services. **(c) Relevant entities** The entities specified in this subsection are the following: (1) Entities receiving assistance under section 247b–7 11 See References in Text note below. of this title (relating to tuberculosis). (2) Entities receiving assistance under [section 247c of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section247c&num=0&edition=prelim) (relating to sexually transmitted diseases). (3) Migrant health centers receiving assistance under section 254b 1 of this title. (4) Community health centers receiving assistance under section 254c 1 of this title. (5) Entities receiving assistance under [section 254b(h) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section254b/h&num=0&edition=prelim) (relating to homeless individuals). (6) Entities receiving assistance under section 256a 1 of this title (relating to health services for residents of public housing). (7) Entities providing services with assistance under subchapter III–A or subchapter XVII. (8) Entities receiving assistance under [section 300 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section300&num=0&edition=prelim) (relating to family planning). (9) Entities receiving assistance under subchapter XXIV (relating to services with respect to acquired immune deficiency syndrome). (10) Non-Federal entities authorized 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.].

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Federal law — U.S. Code and appendices · legal_authorities

25 U.S.C. § 5321 — Congressional statement of findings

**(a) Findings respecting historical and special legal relationship, and resultant responsibilities** The Congress, after careful review of the Federal Government’s historical and special legal relationship with, and resulting responsibilities to, American Indian people, finds that— (1) the prolonged Federal domination of Indian service programs has served to retard rather than enhance the progress of Indian people and their communities by depriving Indians of the full opportunity to develop leadership skills crucial to the realization of self-government, and has denied to the Indian people an effective voice in the planning and implementation of programs for the benefit of Indians which are responsive to the true needs of Indian communities; and (2) the Indian people will never surrender their desire to control their relationships both among themselves and with non-Indian governments, organizations, and persons. **(b) Further findings** The Congress further finds that— (1) true self-determination in any society of people is dependent upon an educational process which will insure the development of qualified people to fulfill meaningful leadership roles; (2) the Federal responsibility for and assistance to education of Indian children has not effected the desired level of educational achievement or created the diverse opportunities and personal satisfaction which education can and should provide; and (3) parental and community control of the educational process is of crucial importance to the Indian people.

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 254b — Health centers

**(a) “Health center” defined** (1) **In general** — For purposes of this section, the term “health center” means an entity that serves a population that is medically underserved, or a special medically underserved population comprised of migratory and seasonal agricultural workers, the homeless, and residents of public housing, by providing, either through the staff and supporting resources of the center or through contracts or cooperative arrangements— (A) required primary health services (as defined in subsection (b)(1)); and (B) as may be appropriate for particular centers, additional health services (as defined in subsection (b)(2)) necessary for the adequate support of the primary health services required under subparagraph (A); for all residents of the area served by the center (hereafter referred to in this section as the “catchment area”). (2) **Limitation** — The requirement in paragraph (1) to provide services for all residents within a catchment area shall not apply in the case of a health center receiving a grant only under subsection (g), (h), or (i). **(b) Definitions** For purposes of this section: (1) **Required primary health services** (A) *In general* — The term “required primary health services” means— (i) basic health services which, for purposes of this section, shall consist of— (I) health services related to family medicine, internal medicine, pediatrics, obstetrics, or gynecology that are furnished by physicians and where appropriate, physician assistants, nurse practitioners, and nurse midwives; (II) diagnostic laboratory and radiologic services; (III) preventive health services, including— (aa) prenatal and perinatal services; (bb) appropriate cancer screening; (cc) well-chil

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Federal law — U.S. Code and appendices · legal_authorities

25 U.S.C. § 5301 — Application of other sections of this chapter

**(a) Mandatory application** All provisions of sections 5305(b), 5306, 5307, 5321(c) and (d), 5323, 5324(k) and (l), 5325(a) through (k), and 5332 of this title and section 314 of Public Law 101–512 (coverage under chapter 171 of title 28, commonly known as the “Federal Tort Claims Act”), to the extent not in conflict with this subchapter, shall apply to compacts and funding agreements authorized by this subchapter. **(b) Discretionary application** At the request of a participating Indian tribe, any other provision of subchapter I of this chapter, to the extent such provision is not in conflict with this subchapter, shall be made a part of a funding agreement or compact entered into under this subchapter. The Secretary is obligated to include such provision at the option of the participating Indian tribe or tribes. If such provision is incorporated it shall have the same force and effect as if it were set out in full in this subchapter. In the event an Indian tribe requests such incorporation at the negotiation stage of a compact or funding agreement, such incorporation shall be deemed effective immediately and shall control the negotiation and resulting compact and funding agreement.

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 256a — Patient navigator grants

**(a) Grants** The Secretary, acting through the Administrator of the Health Resources and Services Administration, may make grants to eligible entities for the development and operation of demonstration programs to provide patient navigator services to improve health care outcomes. The Secretary shall coordinate with, and ensure the participation of, the Indian Health Service, the National Cancer Institute, the Office of Rural Health Policy, and such other offices and agencies as deemed appropriate by the Secretary, regarding the design and evaluation of the demonstration programs. **(b) Use of funds** The Secretary shall require each recipient of a grant under this section to use the grant to recruit, assign, train, and employ patient navigators who have direct knowledge of the communities they serve to facilitate the care of individuals, including by performing each of the following duties: (1) Acting as contacts, including by assisting in the coordination of health care services and provider referrals, for individuals who are seeking prevention or early detection services for, or who following a screening or early detection service are found to have a symptom, abnormal finding, or diagnosis of, cancer or other chronic disease. (2) Facilitating the involvement of community organizations in assisting individuals who are at risk for or who have cancer or other chronic diseases to receive better access to high-quality health care services (such as by creating partnerships with patient advocacy groups, charities, health care centers, community hospice centers, other health care providers, or other organizations in the targeted community). (3) Notifying individuals of clinical trials and, on request, facilitating enrollment of eligible individuals in these trials. (4

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 300 — Project grants and contracts for family planning services

**(a) Authority of Secretary** The Secretary is authorized to make grants to and enter into contracts with public or nonprofit private entities to assist in the establishment and operation of voluntary family planning projects which shall offer a broad range of acceptable and effective family planning methods and services (including natural family planning methods, infertility services, and services for adolescents). To the extent practical, entities which receive grants or contracts under this subsection shall encourage familiy 11 So in original. Probably should be “family”. participation in projects assisted under this subsection. **(b) Factors determining awards; establishment and preservation of rights of local and regional entities** In making grants and contracts under this section the Secretary shall take into account the number of patients to be served, the extent to which family planning services are needed locally, the relative need of the applicant, and its capacity to make rapid and effective use of such assistance. Local and regional entities shall be assured the right to apply for direct grants and contracts under this section, and the Secretary shall by regulation fully provide for and protect such right. **(c) Reduction of grant amount** The Secretary, at the request of a recipient of a grant under subsection (a), may reduce the amount of such grant by the fair market value of any supplies or equipment furnished the grant recipient by the Secretary. The amount by which any such grant is so reduced shall be available for payment by the Secretary of the costs incurred in furnishing the supplies or equipment on which the reduction of such grant is based. Such amount shall be deemed as part of the grant and shall be deemed to have been paid to the grant re

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 247c — Sexually transmitted diseases; prevention and control projects and programs

**(a) Technical assistance to public and nonprofit private entities and scientific institutions** The Secretary may provide technical assistance to appropriate public and nonprofit private entities and to scientific institutions for their research in, and training and public health programs for, the prevention and control of sexually transmitted diseases. **(b) Research, demonstration, and public information and education projects** The Secretary may make grants to States, political subdivisions of States, and any other public and nonprofit private entity for— (1) research into the prevention and control of sexually transmitted diseases; (2) demonstration projects for the prevention and control of sexually transmitted diseases; (3) public information and education programs for the prevention and control of such diseases; and (4) education, training, and clinical skills improvement activities in the prevention and control of such diseases for health professionals (including allied health personnel). **(c) Project grants to States** The Secretary is also authorized to make project grants to States and, in consultation with the State health authority, to political subdivisions of States, for— (1) sexually transmitted diseases surveillance activities, including the reporting, screening, and followup of diagnostic tests for, and diagnosed cases of, sexually transmitted diseases; (2) casefinding and case followup activities respecting sexually transmitted diseases, including contact tracing of infectious cases of sexually transmitted diseases and routine testing, including laboratory tests and followup systems; (3) interstate epidemiologic referral and followup activities respecting sexually transmitted diseases; and (4) such special studies or demonstrations to ev

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Federal law — U.S. Code and appendices · legal_authorities

25 U.S.C. § 5321 — Self-determination contracts

Page 724 TITLE 25—INDIANS § 5310 1 See References in Text note below. plete classification of this Act to the Code, see Short Title note set out under section 5301 of this title and Tables. Public Law 103–413, referred to in text, is Pub. L. 103–413, Oct. 25, 1994, 108 Stat. 4250, known as the Indian Self-Determination Act Amendments of 1994, which is classified principally to subchapter IV (§ 5361 et seq.) of this chapter. For complete classification of this Act to the Code, see Short Title of 1994 Amendment note set out under section 5301 of this title and Tables. Public Law 100–297, referred to in text, is Pub. L. 100–297, Apr. 28, 1988, 102 Stat. 130, known as the Augus- tus F. Hawkins-Robert T. Stafford Elementary and Sec- ondary School Improvement Amendments of 1988. For complete classification of this Act to the Code, see Short Title of 1988 Amendments note set out under sec- tion 6301 of Title 20, Education, and Tables. CODIFICATION Section was enacted as part of the Department of the Interior and Related Agencies Appropriations Act, 1998, and not as part of the Indian Self-Determination and Education Assistance Act which comprises this chap- ter. Section was formerly classified to section 450e–2 of this title prior to editorial reclassification and renum- bering as this section. PRIOR PROVISIONS Provisions similar to those in this section were con- tained in the following prior appropriation acts: Pub. L. 104–208, div. A, title I, § 101(d) [title III, § 310], Sept. 30, 1996, 110 Stat. 3009–181, 3009–221. Pub. L. 104–134, title I, § 101(c) [title III, § 310], Apr. 26, 1996, 110 Stat. 1321–156, 1321–197; renumbered title I, Pub. L. 104–140, § 1(a), May 2, 1996, 110 Stat. 1327. § 5310. Investment of advance payments; restric- tions Ad

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Federal law — U.S. Code and appendices · legal_authorities

42 U.S.C. § 256d — Breast and cervical cancer information

Page 443 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 256e 1 See References in Text note below. Pub. L. 103–43, title XX, § 2008(i)(2)(A)(ii), June 10, 1993, 107 Stat. 213; amended Pub. L. 104–299, § 4(a)(2), Oct. 11, 1996, 110 Stat. 3645.) Editorial Notes AMENDMENTS 1996—Subsec. (a)(2). Pub. L. 104–299 substituted ‘‘with assistance provided under section 254b of this title’’ for ‘‘under the programs established in sections 254b, 254c, 256, and 256a of this title.’’ Statutory Notes and Related Subsidiaries EFFECTIVE DATE OF 1996 AMENDMENT Amendment by Pub. L. 104–299 effective Oct. 1, 1996, see section 5 of Pub. L. 104–299, as amended, set out as a note under section 233 of this title. § 256d. Breast and cervical cancer information (a) In general As a condition of receiving grants, cooperative agreements, or contracts under this chapter, each of the entities specified in subsection (c) shall, to the extent determined to be appro- priate by the Secretary, make available infor- mation concerning breast and cervical cancer. (b) Certain authorities In carrying out subsection (a), an entity speci- fied in subsection (c)— (1) may make the information involved available to such individuals as the entity de- termines appropriate; (2) may, as appropriate, provide information under subsection (a) on the need for self-exam- ination of the breasts and on the skills for such self-examinations; (3) shall provide information under sub- section (a) in the language and cultural con- text most appropriate to the individuals to whom the information is provided; and (4) shall refer such clients as the entities de- termine appropriate for breast and cervical cancer screening, treatment, or other appro- priate services. (c) Relevant entities The entities specified

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