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25 U.S.C. § 1656 — Contracts and grants for provision of health care and referral services
Federal law — U.S. Code and appendices · legal_authorities
**(a) Requirements** 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, shall enter into contracts with, or make grants to, urban Indian organizations for the provision of health care and referral services for urban Indians residing in the urban centers in which such organizations are situated. Any such contract or grant shall include requirements that the urban Indian organization successfully undertake to—
(1) estimate the population of urban Indians residing in the urban center in which such organization is situated who are or could be recipients of health care or referral services;
(2) estimate the current health status of urban Indians residing in such urban center;
(3) estimate the current health care needs of urban Indians residing in such urban center;
(4) identify all public and private health services resources within such urban center which are or may be available to urban Indians;
(5) determine the use of public and private health services resources by the urban Indians residing in such urban center;
(6) assist such health services resources in providing services to urban Indians;
(7) assist urban Indians in becoming familiar with and utilizing such health services resources;
(8) provide basic health education, including health promotion and disease prevention education, to urban Indians;
(9) establish and implement training programs to accomplish the referral and education tasks set forth in paragraphs (6) through (8) of this subsection;
(10) identify gaps between unmet health needs of urban Indians and the resources available to meet such needs;
(11) make recommendations to the Secretary and Federal, State, local,
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Source file: Laws/federal/codes/united-states-code/title-25/section-1656-contracts-and-grants-for-provision-of-health-care-and-referral-services--68a179c1eb.md
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Source location: Title 25, Chapter 18, § 1656; chapter-018-indian-health-care.md
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**(a) Requirements** 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, shall enter into contracts with, or make grants to, urban Indian organizations for the provision of health care and referral services for urban Indians residing in the urban centers in which such organizations are situated. Any such contract or grant shall include requirements that the urban Indian organization successfully undertake to—
(1) estimate the population of urban Indians residing in the urban center in which such organization is situated who are or could be recipients of health care or referral services;
(2) estimate the current health status of urban Indians residing in such urban center;
(3) estimate the current health care needs of urban Indians residing in such urban center;
(4) identify all public and private health services resources within such urban center which are or may be available to urban Indians;
(5) determine the use of public and private health services resources by the urban Indians residing in such urban center;
(6) assist such health services resources in providing services to urban Indians;
(7) assist urban Indians in becoming familiar with and utilizing such health services resources;
(8) provide basic health education, including health promotion and disease prevention education, to urban Indians;
(9) establish and implement training programs to accomplish the referral and education tasks set forth in paragraphs (6) through (8) of this subsection;
(10) identify gaps between unmet health needs of urban Indians and the resources available to meet such needs;
(11) make recommendations to the Secretary and Federal, State, local, and other resource agencies on methods of improving health service programs to meet the needs of urban Indians; and
(12) where necessary, provide, or enter into contracts for the provision of, health care services for urban Indians.
**(b) Criteria for selection of organizations to enter into contracts or receive grants** The Secretary, through the Service, shall by regulation prescribe the criteria for selecting urban Indian organizations to enter into contracts or receive grants under this section. Such criteria shall, among other factors, include—
(1) the extent of unmet health care needs of urban Indians in the urban center involved;
(2) the size of the urban Indian population in the urban center involved;
(3) the accessibility to, and utilization of, health care services (other than services provided under this subchapter) by urban Indians in the urban center involved;
(4) the extent, if any, to which the activities set forth in subsection (a) would duplicate—
(A) any previous or current public or private health services project in an urban center that was or is funded in a manner other than pursuant to this subchapter; or
(B) any project funded under this subchapter;
(5) the capability of an urban Indian organization to perform the activities set forth in subsection (a) and to enter into a contract with the Secretary or to meet the requirements for receiving a grant under this section;
(6) the satisfactory performance and successful completion by an urban Indian organization of other contracts with the Secretary under this subchapter;
(7) the appropriateness and likely effectiveness of conducting the activities set forth in subsection (a) in an urban center; and
(8) the extent of existing or likely future participation in the activities set forth in subsection (a) by appropriate health and health-related Federal, State, local, and other agencies.
**(c) Grants for health promotion and disease prevention services** The Secretary, acting through the Service, shall facilitate access to, or provide, health promotion and disease prevention services for urban Indians through grants made to urban Indian organizations administering contracts entered into pursuant to this section or receiving grants under subsection (a).
**(d) Grants for immunization services**
(1) The Secretary, acting through the Service, shall facilitate access to, or provide, immunization services for urban Indians through grants made to urban Indian organizations administering contracts entered into pursuant to this section or receiving grants under subsection (a).
(2) In making any grant to carry out this subsection, the Secretary shall take into consideration—
(A) the size of the urban Indian population to be served;
(B) the immunization levels of the urban Indian population, particularly the immunization levels of infants, children, and the elderly;
(C) the utilization by the urban Indians of alternative resources from State and local governments for no-cost or low-cost immunization services to the general population; and
(D) the capability of the urban Indian organization to carry out services pursuant to this subsection.
(3) For purposes of this subsection, the term “immunization services” means services to provide without charge immunizations against vaccine-preventable diseases.
**(e) Grants for mental health services**
(1) The Secretary, acting through the Service, shall facilitate access to, or provide, mental health services for urban Indians through grants made to urban Indian organizations administering contracts entered into pursuant to this section or receiving grants under subsection (a).
(2) A grant may not be made under this subsection to an urban Indian organization until that organization has prepared, and the Service has approved, an assessment of the mental health needs of the urban Indian population concerned, the mental health services and other related resources available to that population, the barriers to obtaining those services and resources, and the needs that are unmet by such services and resources.
(3) Grants may be made under this subsection—
(A) to prepare assessments required under paragraph (2);
(B) to provide outreach, educational, and referral services to urban Indians regarding the availability of direct mental health services, to educate urban Indians about mental health issues and services, and effect coordination with existing mental health providers in order to improve services to urban Indians;
(C) to provide outpatient mental health services to urban Indians, including the identification and assessment of illness, therapeutic treatments, case management, support groups, family treatment, and other treatment; and
(D) to develop innovative mental health service delivery models which incorporate Indian cultural support systems and resources.
**(f) Grants for prevention and treatment of child abuse**
(1) The Secretary, acting through the Service, shall facilitate access to, or provide, services for urban Indians through grants to urban Indian organizations administering contracts entered into pursuant to this section or receiving grants under subsection (a) to prevent and treat child abuse (including sexual abuse) among urban Indians.
(2) A grant may not be made under this subsection to an urban Indian organization until that organization has prepared, and the Service has approved, an assessment that documents the prevalence of child abuse in the urban Indian population concerned and specifies the services and programs (which may not duplicate existing services and programs) for which the grant is requested.
(3) Grants may be made under this subsection—
(A) to prepare assessments required under paragraph (2);
(B) for the development of prevention, training, and education programs for urban Indian populations, including child education, parent education, provider training on identification and intervention, education on reporting requirements, prevention campaigns, and establishing service networks of all those involved in Indian child protection; and
(C) to provide direct outpatient treatment services (including individual treatment, family treatment, group therapy, and support groups) to urban Indians who are child victims of abuse (including sexual abuse) or adult survivors of child sexual abuse, to the families of such child victims, and to urban Indian perpetrators of child abuse (including sexual abuse).
(4) In making grants to carry out this subsection, the Secretary shall take into consideration—
(A) the support for the urban Indian organization demonstrated by the child protection authorities in the area, including committees or other services funded under the Indian Child Welfare Act of 1978 ([25 U.S.C. 1901](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1901&num=0&edition=prelim) et seq.), if any;
(B) the capability and expertise demonstrated by the urban Indian organization to address the complex problem of child sexual abuse in the community; and
(C) the assessment required under paragraph (2).
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Sense of Congress** It is the sense of Congress that the absence of locally convenient day schools may contribute to the breakup of Indian families.
**(b) Report to Congress; contents, etc.** The Secretary is authorized and directed to prepare, in consultation with appropriate agencies in the Department of Health and Human Services, a report on the feasibility of providing Indian children with schools located near their homes, and to submit such report to the Select Committee on Indian Affairs of the United States Senate and the Committee on Interior and Insular Affairs of the United States House of Representatives within two years from November 8, 1978. In developing this report the Secretary shall give particular consideration to the provision of educational facilities for children in the elementary grades.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1901
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Federal law — U.S. Code and appendices · legal_authorities
The Bureau of Indian Affairs, under the supervision of the Secretary of the Interior, shall direct, supervise, and expend such moneys as Congress may from time to time appropriate, for the benefit, care, and assistance of the Indians throughout the United States for the following purposes:
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 13
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Federal law — U.S. Code and appendices · legal_authorities
Notwithstanding the provisions of title 5, Executive order, or administrative regulation, an Indian tribe or tribal organization carrying out programs under the Indian Self-Determination and Education Assistance Act ([25 U.S.C. 5301](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section5301&num=0&edition=prelim) et seq.) or the Tribally Controlled Schools Act of 1988 ([25 U.S.C. 2501](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section2501&num=0&edition=prelim) et seq.) or an urban Indian organization carrying out programs under subchapter IV of this chapter shall be entitled to purchase coverage, rights, and benefits for the employees of such Indian tribe or tribal organization, or urban Indian organization, under chapter 89 of title 5 and chapter 87 of such title if necessary employee deductions and agency contributions in payment for the coverage, rights, and benefits for the period of employment with such Indian tribe or tribal organization, or urban Indian organization, are currently deposited in the applicable Employee’s Fund under such title.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1651
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Federal law — U.S. Code and appendices · legal_authorities
**(a) In general** 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 enter into contracts with, or make grants to, urban Indian organizations to assist the urban Indian organizations in the establishment and administration, within urban centers, of programs that meet the requirements of this subchapter.
**(b) Conditions** Subject to [section 1656 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1656&num=0&edition=prelim), the Secretary, acting through the Service, shall include such conditions as the Secretary considers necessary 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.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1655
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Federal law — U.S. Code and appendices · legal_authorities
The authority of the Secretary to enter into contracts under this subchapter shall be to the extent, and in an amount, provided for in appropriation Acts.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1660a
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Federal law — U.S. Code and appendices · legal_authorities
Page 313
TITLE 25—INDIANS
§ 1656
section 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 under section
1653 of this title with the urban Indian organization
with which the Secretary has entered into a contract
under this section.’’
Subsec. (b). Pub. L. 102–573, § 501(b)(2)(B), inserted
‘‘, or grant made,’’ after ‘‘contract entered into’’ in in-
troductory provisions and substituted ‘‘, or carry out
the requirements of the grant, within one year after
the date on which the Secretary and such organization
enter into such contract, or within one year after such
organization receives such grant, whichever is applica-
ble.’’ for ‘‘within one year after the date on which the
Secretary and such organization enter into such con-
tract.’’ in par. (2).
Subsec. (c). Pub. L. 102–573, § 501(b)(2)(C), inserted
‘‘, or grant made,’’ after ‘‘entered into’’.
§ 1655. Evaluations; renewals
(a) Contract compliance and performance
The Secretary, through the Service, shall de-
velop 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 in-
clude provisions for carrying out the require-
ments of this section.
(b) Annual onsite evaluation
The Secretary, through the Service, shall con-
duct 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 for purposes of determining the
compliance of such organization with, and eval-
uating the performance of such organization
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 1656
Stored review status: historical_2024_not_currentness_verified. Same stored citation; legal effect and authority still require review.
Federal law — U.S. Code and appendices · legal_authorities
Page 388
TITLE 25—INDIANS
§ 1864
1 So in original. Probably should be capitalized.
§ 1864. Authorization of appropriations
There are authorized to be appropriated such
sums as are necessary for fiscal year 2009 and
each fiscal year thereafter to carry out this sub-
chapter.
(Pub. L. 95–471, title V, § 504, as added Pub. L.
110–315, title IX, § 941(j)(1), Aug. 14, 2008, 122 Stat.
3465.)
CHAPTER 21—INDIAN CHILD WELFARE
Sec.
1901.
Congressional findings.
1902.
Congressional declaration of policy.
1903.
Definitions.
SUBCHAPTER I—CHILD CUSTODY PROCEEDINGS
1911.
Indian tribe jurisdiction over Indian child
custody proceedings.
1912.
Pending court proceedings.
1913.
Parental rights; voluntary termination.
1914.
Petition to court of competent jurisdiction to
invalidate action upon showing of certain
violations.
1915.
Placement of Indian children.
1916.
Return of custody.
1917.
Tribal affiliation information and other infor-
mation for protection of rights from tribal
relationship; application of subject of adop-
tive placement; disclosure by court.
1918.
Reassumption of jurisdiction over child cus-
tody proceedings.
1919.
Agreements between States and Indian tribes.
1920.
Improper removal of child from custody; dec-
lination of jurisdiction; forthwith return of
child: danger exception.
1921.
Higher State or Federal standard applicable
to protect rights of parent or Indian custo-
dian of Indian child.
1922.
Emergency removal or placement of child;
termination; appropriate action.
1923.
Effective date.
SUBCHAPTER II—INDIAN CHILD AND FAMILY
PROGRAMS
1931.
Grants for on or near reservation programs
and child welfare codes.
1932.
Grants for off-reservation programs for addi-
tional services.
1933.
Funds for on and off reservati
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 1901
Stored review status: historical_2024_not_currentness_verified. The source passage cites 25 U.S.C. § 1901. This identifies an authority to review, not proof of applicability.