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25 U.S.C. § 1643 — Mobile health stations demonstration program

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

25 U.S.C. § 1643 — Mobile health stations demonstration program

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Stable record: federal_law:legal_authorities:record_usc_fd3a81f22362b5303ac63bba
Source file: Laws/federal/codes/united-states-code/title-25/section-1643-mobile-health-stations-demonstration-program--5cad60a20b.md
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Source location: Title 25, Chapter 18, § 1643; chapter-018-indian-health-care.md

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**(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 specialty service or services for which the mobile health station is requested and the extent to which such service or services are currently available to the Indian population to be served; and (3) such other information as the Secretary may require. **(d) Use of funds** The Secretary shall use amounts made available to carry out the demonstration program under this section— (1) (A) to establish, purchase, lease, or maintain mobile health stations for the eligible tribal consortia selected for projects; and (B) to provide, through the mobile health station, such specialty health care services as the affected eligible tribal consortium determines to be necessary for the Indian population served; (2) to employ an existing mobile health station (regardless of whether the mobile health station is owned or rented and operated by the Service) to provide specialty health care services to an eligible tribal consortium; and (3) to establish, purchase, or maintain docking equipment for a mobile health station, including the establishment or maintenance of such equipment at a modular component health care facility (as defined in [section 1638f(a) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1638f/a&num=0&edition=prelim)), if applicable. **(e) Reports** Not later than 1 year after the date on which the demonstration program is established under subsection (b) and annually thereafter, the Secretary, acting through the Service, shall submit to Congress a report describing— (1) each activity carried out under the demonstration program including an evaluation of the success of the activity; and (2) the potential benefits of increased use of mobile health stations to provide specialty health care services for Indian communities. **(f) Authorization of appropriations** There are authorized to be appropriated $5,000,000 per year to carry out the demonstration program under this section for the first 5 fiscal years, and such sums as may be needed to carry out the program in subsequent fiscal years.

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

42 U.S.C. § 1395aaa–1 — Indian Health Service facilities

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

25 U.S.C. § 1643 — Amount and use of funds reimbursed

Page 303 TITLE 25—INDIANS § 1644 (Pub. L. 94–437, title IV, § 402, Sept. 30, 1976, 90 Stat. 1409; Pub. L. 100–713, title IV, § 401(a), (b), Nov. 23, 1988, 102 Stat. 4818; Pub. L. 102–573, title IV, § 401(b)(1), Oct. 29, 1992, 106 Stat. 4565; Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935.) Editorial Notes REFERENCES IN TEXT The Social Security Act, referred to in subsec. (a), is act Aug. 14, 1935, ch. 531, 49 Stat. 620, which is classified generally to chapter 7 (§ 301 et seq.) of Title 42, The Public Health and Welfare. For complete classification of this Act to the Code, see section 1305 of Title 42 and Tables. The Indian Self-Determination and Education Assist- ance Act (25 U.S.C. 450 et seq.), referred to in subsec. (a), is Pub. L. 93–638, Jan. 4, 1975, 88 Stat. 2203, which was classified principally to subchapter II (§ 450 et seq.) of chapter 14 of this title prior to editorial reclassifica- tion as chapter 46 (§ 5301 et seq.) of this title. For com- plete classification of this Act to the Code, see Short Title note set out under section 5301 of this title and Tables. CODIFICATION Amendment by Pub. L. 111–148 is based on section 152 of title I of S. 1790, One Hundred Eleventh Congress, as reported by the Committee on Indian Affairs of the Senate in Dec. 2009, which was enacted into law by sec- tion 10221(a) of Pub. L. 111–148. Prior to general amendment by Pub. L. 102–573, sec- tion 402 of Pub. L. 94–437, in subsec. (a) enacted section 1396j of Title 42, The Public Health and Welfare, in sub- secs. (b) to (d) enacted provisions set out as notes under section 1396j of Title 42 (of which subsecs. (c) and (d) were restated in this section), and in subsec. (e) amend- ed section 1396d of Title 42. AMENDMENTS 2010—Pub. L.

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