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25 U.S.C. § 5385 — Funding agreements

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

25 U.S.C. § 5385 — Funding agreements

Page 778 TITLE 25—INDIANS § 5385 1 See References in Text note below. 1 See References in Text note below. title III 1 on August 18, 2000, shall have the op- tion at any time after August 18, 2000, to— (1) retain the Tribal Self-Governance Dem- onstration Project compact of that Indian tribe (in whole or in part) to the extent that the provisions of that funding agreement are not directly contrary to any express provision of this subchapter; or (2) instead of retaining a compact or portion thereof under paragraph (1), negotiate a new compact in a manner consistent with the re- quirements of this subchapter. (d) Term and effective date The effective date of a compact shall be the date of the approval and execution by the Indian tribe or another date agreed upon by the parties, and shall remain in effect for so long as per- mitted by Federal law or until terminated by mutual written agreement, retrocession, or re- assumption. (Pub. L. 93–638, title V, § 504, as added Pub. L. 106–260, § 4, Aug. 18, 2000, 114 Stat. 715.) Editorial Notes REFERENCES IN TEXT Title III, referred to in subsec. (c), means title III of Pub. L. 93–638, as added by Pub. L. 100–472, title II, § 209, Oct. 5, 1988, 102 Stat. 2296, and amended, which was set out as a note under former section 450f of this title prior to repeal by Pub. L. 106–260, § 10, Aug. 18, 2000, 114 Stat. 734. CODIFICATION Section was formerly classified to section 458aaa–3 of this title prior to editorial reclassification and renum- bering as this section. § 5385. Funding agreements (a) Funding agreement required The Secretary shall negotiate and enter into a written funding agreement with each Indian tribe participating in self-governance in a man- ner consistent with the Federal Government’s trus

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Page 778 TITLE 25—INDIANS § 5385 1 See References in Text note below. 1 See References in Text note below. title III 1 on August 18, 2000, shall have the op- tion at any time after August 18, 2000, to— (1) retain the Tribal Self-Governance Dem- onstration Project compact of that Indian tribe (in whole or in part) to the extent that the provisions of that funding agreement are not directly contrary to any express provision of this subchapter; or (2) instead of retaining a compact or portion thereof under paragraph (1), negotiate a new compact in a manner consistent with the re- quirements of this subchapter. (d) Term and effective date The effective date of a compact shall be the date of the approval and execution by the Indian tribe or another date agreed upon by the parties, and shall remain in effect for so long as per- mitted by Federal law or until terminated by mutual written agreement, retrocession, or re- assumption. (Pub. L. 93–638, title V, § 504, as added Pub. L. 106–260, § 4, Aug. 18, 2000, 114 Stat. 715.) Editorial Notes REFERENCES IN TEXT Title III, referred to in subsec. (c), means title III of Pub. L. 93–638, as added by Pub. L. 100–472, title II, § 209, Oct. 5, 1988, 102 Stat. 2296, and amended, which was set out as a note under former section 450f of this title prior to repeal by Pub. L. 106–260, § 10, Aug. 18, 2000, 114 Stat. 734. CODIFICATION Section was formerly classified to section 458aaa–3 of this title prior to editorial reclassification and renum- bering as this section. § 5385. Funding agreements (a) Funding agreement required The Secretary shall negotiate and enter into a written funding agreement with each Indian tribe participating in self-governance in a man- ner consistent with the Federal Government’s trust responsibility, treaty obligations, and the government-to-government relationship be- tween Indian tribes and the United States. (b) Contents (1) In general Each funding agreement required under sub- section (a) of this section shall, as determined by the Indian tribe, authorize the Indian tribe to plan, conduct, consolidate, administer, and receive full tribal share funding, including tribal shares of discretionary Indian Health Service competitive grants (excluding con- gressionally earmarked competitive grants), for all programs, services, functions, and ac- tivities (or portions thereof), that are carried out for the benefit of Indians because of their status as Indians without regard to the agency or office of the Indian Health Service within which the program, service, function, or activ- ity (or portion thereof) is performed. (2) Inclusion of certain programs, services, functions, and activities Such programs, services, functions, or ac- tivities (or portions thereof) include all pro- grams, services, functions, activities (or por- tions thereof), including grants (which may be added to a funding agreement after an award of such grants), with respect to which Indian tribes or Indians are primary or significant beneficiaries, administered by the Department of Health and Human Services through the In- dian Health Service and all local, field, service unit, area, regional, and central headquarters or national office functions so administered under the authority of— (A) section 13 of this title; (B) the Act of April 16, 1934 (48 Stat. 596; chapter 147; 25 U.S.C. 452 et seq.); 1 (C) the Act of August 5, 1954 (68 Stat. 674; chapter 658) [42 U.S.C. 2001 et seq.]; (D) the Indian Health Care Improvement Act (25 U.S.C. 1601 et seq.); (E) the Indian Alcohol and Substance Abuse Prevention and Treatment Act of 1986 (25 U.S.C. 2401 et seq.); (F) any other Act of Congress authorizing any agency of the Department of Health and Human Services to administer, carry out, or provide financial assistance to such a pro- gram, service, function or activity (or por- tions thereof) described in this section that is carried out for the benefit of Indians be- cause of their status as Indians; or (G) any other Act of Congress authorizing such a program, service, function, or activ- ity (or portions thereof) carried out for the benefit of Indians under which appropria- tions are made available to any agency other than an agency within the Department of Health and Human Services, in any case in which the Secretary administers that pro- gram, service, function, or activity (or por- tion thereof). (c) Inclusion in compact or funding agreement It shall not be a requirement that an Indian tribe or Indians be identified in the authorizing statute for a program or element of a program to be eligible for inclusion in a compact or fund- ing agreement under this subchapter. (d) Funding agreement terms Each funding agreement under this subchapter shall set forth— (1) terms that generally identify the pro- grams, services, functions, and activities (or portions thereof) to be performed or adminis- tered; and (2) for the items identified in paragraph (1)— (A) the general budget category assigned; (B) the funds to be provided, including those funds to be provided on a recurring basis; (C) the time and method of transfer of the funds; (D) the responsibilities of the Secretary; and (E) any other provision with respect to which the Indian tribe and the Secretary agree. (e) Subsequent funding agreements Absent notification from an Indian tribe that is withdrawing or retroceding the operation of Page 779 TITLE 25—INDIANS § 5386 1 So in original. one or more programs, services, functions, or ac- tivities (or portions thereof) identified in a fund- ing agreement, or unless otherwise agreed to by the parties, each funding agreement shall re- main in full force and effect until a subsequent funding agreement is executed, and the terms of the subsequent funding agreement shall be ret- roactive to the end of the term of the preceding funding agreement. (f) Existing funding agreements Each Indian tribe participating in the Tribal Self-Governance Demonstration Project estab- lished under title III 1 on August 18, 2000, shall have the option at any time thereafter to— (1) retain the Tribal Self-Governance Dem- onstration Project funding agreement of that Indian tribe (in whole or in part) to the extent that the provisions of that funding agreement are not directly contrary to any express provi- sion of this subchapter; or (2) instead of retaining a funding agreement or portion thereof under paragraph (1), nego- tiate a new funding agreement in a manner consistent with the requirements of this sub- chapter. (g) Stable base funding At the option of an Indian tribe, a funding agreement may provide for a stable base budget specifying the recurring funds (including, for purposes of this provision, funds available under section 5325(a) of this title) to be transferred to such Indian tribe, for such period as may be specified in the funding agreement, subject to annual adjustment only to reflect changes in congressional appropriations by sub-sub activity excluding earmarks. (Pub. L. 93–638, title V, § 505, as added Pub. L. 106–260, § 4, Aug. 18, 2000, 114 Stat. 716.) Editorial Notes REFERENCES IN TEXT Act of April 16, 1934, referred to in subsec. (b)(2)(B), is act Apr. 16, 1934, ch. 147, 48 Stat. 596, popularly known as the Johnson-O’Malley Act, which was classified gen- erally to section 452 et seq. of this title prior to edi- torial reclassification as section 5342 et seq. of this title. For complete classification of this Act to the Code, see Short Title note set out under section 5301 of this title and Tables. Act of August 5, 1954, referred to in subsec. (b)(2)(C), is act Aug. 5, 1954, ch. 658, 68 Stat. 674, which is classi- fied generally to subchapter I (§ 2001 et seq.) of chapter 22 of Title 42, The Public Health and Welfare. For com- plete classification of this Act to the Code, see Tables. The Indian Health Care Improvement Act, referred to in subsec. (b)(2)(D), is Pub. L. 94–437, Sept. 30, 1976, 90 Stat. 1400, which is classified principally to chapter 18 (§ 1601 et seq.) of this title. For complete classification of this Act to the Code, see Short Title note set out under section 1601 of this title and Tables. The Indian Alcohol and Substance Abuse Prevention and Treatment Act of 1986, referred to in subsec. (b)(2)(E), is subtitle C of title IV of Pub. L. 99–570, Oct. 27, 1986, 100 Stat. 3207–137, which is classified generally to chapter 26 (§ 2401 et seq.) of this title. For complete classification of subtitle C to the Code, see Short Title note set out under section 2401 of this title and Tables. Title III, referred to in subsec. (f), means title III of Pub. L. 93–638, as added by Pub. L. 100–472, title II, § 209, Oct. 5, 1988, 102 Stat. 2296, which was set out as a note under former section 450f of this title prior to repeal by Pub. L. 106–260, § 10, Aug. 18, 2000, 114 Stat. 734. CODIFICATION Section was formerly classified to section 458aaa–4 of this title prior to editorial reclassification and renum- bering as this section. § 5386. General provisions (a) Applicability The provisions of this section shall apply to compacts and funding agreements negotiated under this subchapter and an Indian tribe may, at its option, include provisions that reflect such requirements in a compact or funding agreement. (b) Conflicts of interest Indian tribes participating in self-governance under this subchapter shall ensure that internal measures are in place to address conflicts of in- terest in the administration of self-governance programs, services, functions, or activities (or portions thereof). (c) Audits (1) Single Agency Audit Act The provisions of chapter 75 of title 31 re- quiring a single agency audit report shall apply to funding agreements under this sub- chapter. (2) Cost principles An Indian tribe shall apply cost principles under the applicable Office of Management and Budget circular, except as modified by section 5325 of this title 1 other provisions of law, or by any exemptions to applicable Office of Management and Budget circulars subse- quently granted by the Office of Management and Budget. No other audit or accounting standards shall be required by the Secretary. Any claim by the Federal Government against the Indian tribe relating to funds received under a funding agreement based on any audit under this subsection shall be subject to the provisions of section 5325(f) of this title. (d) Records (1) In general Unless an Indian tribe specifies otherwise in the compact or funding agreement, records of the Indian tribe shall not be considered Fed- eral records for purposes of chapter 5 of title 5. (2) Recordkeeping system The Indian tribe shall maintain a record- keeping system, and, after 30 days advance no- tice, provide the Secretary with reasonable ac- cess to such records to enable the Department of Health and Human Services to meet its minimum legal recordkeeping system require- ments under sections 3101 through 3106 of title 44. (e) Redesign and consolidation An Indian tribe may redesign or consolidate programs, services, functions, and activities (or portions thereof) included in a funding agree- ment under section 5385 of this title and reallo- cate or redirect funds for such programs, serv- ices, functions, and activities (or portions there- of) in any manner which the Indian tribe deems

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

25 U.S.C. § 1601 — Indian Catastrophic Health Emergency Fund

$10,000,000 shall remain available until expended, for the establishment of an Indian Catastrophic Health Emergency Fund (hereinafter referred to as the “Fund”). On and after October 18, 1986, the Fund is to cover the Indian Health Service portion of the medical expenses of catastrophic illness falling within the responsibility of the Service and shall be administered by the Secretary of Health and Human Services, acting through the central office of the Indian Health Service. No part of the Fund or its administration shall be subject to contract or grant under the Indian Self-Determination and Education Assistance Act (Public Law 93–638) [[25 U.S.C. 5301](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section5301&num=0&edition=prelim) et seq.]. There shall be deposited into the Fund all amounts recovered under the authority of the Federal Medical Care Recovery Act ([42 U.S.C. 2651](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section2651&num=0&edition=prelim) et seq.), which shall become available for obligation upon receipt and which shall remain available for obligation until expended. The Fund shall not be used to pay for health services provided to eligible Indians to the extent that alternate Federal, State, local, or private insurance resources for payment: (1) are available and accessible to the beneficiary; or (2) would be available and accessible if the beneficiary were to apply for them; or (3) would be available and accessible to other citizens similarly situated under Federal, State, or local law or regulation or private insurance program notwithstanding Indian Health Service eligibility or residency on or off a Federal Indian reservation.

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

25 U.S.C. § 1601 — Congressional findings

Page 240 TITLE 25—INDIANS § 1601 Sec. 1655. Evaluations; renewals. 1656. Other contract and grant requirements. 1657. Reports and records. 1658. Limitation on contract authority. 1659. Facilities renovation. 1660. Urban Health Programs Branch. 1660a. Grants for alcohol and substance abuse re- lated services. 1660b. Treatment of certain demonstration projects. 1660c. Urban NIAAA transferred programs. 1660d. Conferring with urban Indian organizations. 1660e. Expanded program authority for urban Indian organizations. 1660f. Community Health Representatives. 1660g. Use of Federal Government facilities and sources of supply. 1660h. Health information technology. 1660i. Deeming an Urban Indian organization and employees thereof to be a part of the public health service for the purposes of certain claims for personal injury. SUBCHAPTER V—ORGANIZATIONAL IMPROVEMENTS 1661. Establishment of the Indian Health Service as an agency of the Public Health Service. 1662. Automated management information system. 1663. Office of Direct Service Tribes. 1663a. Nevada Area Office. SUBCHAPTER V–A—BEHAVIORAL HEALTH PROGRAMS PART A—GENERAL PROGRAMS 1665. Definitions. 1665a. Behavioral health prevention and treatment services. 1665b. Memoranda of agreement with the Depart- ment of the Interior. 1665c. Comprehensive behavioral health prevention and treatment program. 1665d. Mental health technician program. 1665e. Licensing requirement for mental health care workers. 1665f. Indian women treatment programs. 1665g. Indian youth program. 1665h. Inpatient and community-based mental health facilities design, construction, and staffing. 1665i. Training and community education. 1665j. Behavioral health program. 1665k. Fetal

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

25 U.S.C. § 2401 — Congressional findings

The Congress finds and declares that— (1) the Federal Government has a historical relationship and unique legal and moral responsibility to Indian tribes and their members, (2) included in this responsibility is the treaty, statutory, and historical obligation to assist the Indian tribes in meeting the health and social needs of their members, (3) alcoholism and alcohol and substance abuse is the most severe health and social problem facing Indian tribes and people today and nothing is more costly to Indian people than the consequences of alcohol and substance abuse measured in physical, mental, social, and economic terms, (4) alcohol and substance abuse is the leading generic risk factor among Indians, and Indians die from alcoholism at over 4 times the age-adjusted rates for the United States population and alcohol and substance misuse results in a rate of years of potential life lost nearly 5 times that of the United States, (5) 4 of the top 10 causes of death among Indians are alcohol and drug related injuries (18 percent of all deaths), chronic liver disease and cirrhosis (5 percent), suicide (3 percent), and homicide (3 percent), (6) primarily because deaths from unintentional injuries and violence occur disproportionately among young people, the age-specific death rate for Indians is approximately double the United States rate for the 15 to 45 age group, (7) Indians between the ages of 15 and 24 years of age are more than 2 times as likely to commit suicide as the general population and approximately 80 percent of those suicides are alcohol-related, (8) Indians between the ages of 15 and 24 years of age are twice as likely as the general population to die in automobile accidents, 75 percent of which are alcohol-related, (9) the Indian Health Service, whi

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

25 U.S.C. § 2401 — Congressional findings

Page 470 TITLE 25—INDIANS § 2401 sources nor otherwise utilized as the basis for denying or reducing the financial assistance or other benefits to which such household or mem- ber would otherwise be entitled under the Social Security Act [42 U.S.C. 301 et seq.] or, except for per capita shares in excess of $2,000, any Federal or federally assisted program. (Pub. L. 98–500, § 8, Oct. 19, 1984, 98 Stat. 2319.) Editorial Notes REFERENCES IN TEXT The Social Security Act, referred to in text, 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. CHAPTER 26—INDIAN ALCOHOL AND SUB- STANCE ABUSE PREVENTION AND TREAT- MENT SUBCHAPTER I—GENERAL PROVISIONS Sec. 2401. Congressional findings. 2402. Purpose. 2403. Definitions. SUBCHAPTER II—COORDINATION OF RESOURCES AND PROGRAMS 2411. Inter-departmental Memorandum of Agree- ment. 2412. Tribal Action Plans. 2413. Departmental responsibility. 2414. Congressional intent in construction of laws. 2414a. Review of programs. 2415. Federal facilities, property, and equipment; leasing of tribal property. 2416. Newsletter. SUBCHAPTER III—INDIAN YOUTH PROGRAMS 2431. Review of programs. 2432. Indian education programs. 2433. Emergency shelters. 2434. Social services reports. SUBCHAPTER IV—LAW ENFORCEMENT AND JUDICIAL SERVICES 2441. Review of programs. 2442. Illegal narcotics traffic on Tohono O’odham and St. Regis Reservations; source eradi- cation. SUBCHAPTER V—BUREAU OF INDIAN AFFAIRS LAW ENFORCEMENT 2451. Bureau of Indian Affairs law enforcement and judicial training. 2452. Medical assessment and t

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

25 U.S.C. § 452 — Transferred

### Statutory Notes #### Codification Section 450j was editorially reclassified as [section 5324 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section5324&num=0&edition=prelim).

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

25 U.S.C. § 452 — Transferred

Page 142 TITLE 25—INDIANS § 450g § 450g. Repealed or Transferred. Pub. L. 100–472, title II, § 201(b)(1), Oct. 5, 1988, 102 Stat. 2289 Section, Pub. L. 93–638, title I, § 103, Jan. 4, 1975, 88 Stat. 2206; Pub. L. 96–88, title V, § 509(b), Oct. 17, 1979, 93 Stat. 695; Pub. L. 100–202, § 101(g) [title II], Dec. 22, 1987, 101 Stat. 1329–213, 1329–246; Pub. L. 100–446, title II, Sept. 27, 1988, 102 Stat. 1817, which related to contracts by Secretary of Health and Human Services with tribal or- ganizations, was repealed except for the last sentence of subsec. (c), providing that tribal organizations and Indian contractors be deemed part of Public Health Service, which was redesignated subsec. (d) of former section 450f of this title. § 450h. Transferred Editorial Notes CODIFICATION Section 450h was editorially reclassified as section 5322 of this title. § 450i. Transferred Editorial Notes CODIFICATION Section 450i was editorially reclassified as section 5323 of this title. § 450j. Transferred Editorial Notes CODIFICATION Section 450j was editorially reclassified as section 5324 of this title. § 450j–1. Transferred Editorial Notes CODIFICATION Section 450j–1 was editorially reclassified as section 5325 of this title. § 450j–2. Transferred Editorial Notes CODIFICATION Section 450j–2 was editorially reclassified as section 5326 of this title. § 450j–3. Transferred Editorial Notes CODIFICATION Section 450j–3 was editorially reclassified as section 5327 of this title. § 450k. Transferred Editorial Notes CODIFICATION Section 450k was editorially reclassified as section 5328 of this title. § 450l. Transferred Editorial Notes CODIFICATION Section 450l was editorially reclassified as section 5329 of this title. § 450m. Transferred Editorial

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

25 U.S.C. § 5385 — Reports

**(a) In general** (1) **Requirement** — On January 1 of each year, the Secretary shall submit to Congress a report regarding the administration of this subchapter. (2) **Analysis** — Any Indian Tribe may submit to the Office of Self-Governance and to the appropriate committees of Congress a detailed annual analysis of unmet Tribal needs for funding agreements under this subchapter. **(b) Contents** The report under subsection (a)(1) shall— (1) be compiled from information contained in funding agreements, annual audit reports, and data of the Secretary regarding the disposition of Federal funds; (2) identify— (A) the relative costs and benefits of self-governance; (B) with particularity, all funds that are specifically or functionally related to the provision by the Secretary of services and benefits to self-governance Indian Tribes and members of Indian Tribes; (C) the funds transferred to each Indian Tribe and the corresponding reduction in the Federal employees and workload; and (D) the funding formula for individual Tribal shares of all Central Office funds, together with the comments of affected Indian Tribes, developed under subsection (d); (3) before being submitted to Congress, be distributed to the Indian Tribes for comment (with a comment period of not less than 30 days); (4) include the separate views and comments of each Indian Tribe or Tribal organization; and (5) include a list of— (A) all such programs that the Secretary determines, in consultation with Indian Tribes participating in self-governance, are eligible for negotiation to be included in a funding agreement at the request of a participating Indian Tribe; and (B) all such programs which Indian Tribes have formally requested to include in a funding agreement under [section

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

42 U.S.C. § 2001 — Hospitals and health facilities transferred to Public Health Service; restriction on closing hospitals

**(a)** All functions, responsibilities, authorities, and duties of the Department of the Interior, the Bureau of Indian Affairs, Secretary of the Interior, and the Commissioner of Indian Affairs relating to the maintenance and operation of hospital and health facilities for Indians, and the conservation of the health of Indians, are transferred to, and shall be administered by, the Surgeon General of the United States Public Health Service, under the supervision and direction of the Secretary of Health and Human Services: Provided, That hospitals now in operation for a specific tribe or tribes of Indians shall not be closed prior to July 1, 1956, without the consent of the governing body of the tribe or its organized council. **(b)** In carrying out his functions, responsibilities, authorities, and duties under this subchapter, the Secretary is authorized, with the consent of the Indian people served, to contract with private or other non-Federal health agencies or organizations for the provision of health services to such people on a fee-for-service basis or on a prepayment or other similar basis.

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

42 U.S.C. § 2001 — Hospitals and health facilities transferred

Page 5353 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 2002 circumstances is held invalid or found to be un- constitutional, the remainder of this chapter and the application of that provision to other persons or circumstances shall not be affected. (Pub. L. 117–328, div. II, § 108, Dec. 29, 2022, 136 Stat. 6089.) Statutory Notes and Related Subsidiaries EFFECTIVE DATE Section effective 180 days after Dec. 29, 2022, see sec- tion 109 of div. II of Pub. L. 117–328, set out as a note under section 2000gg of this title. CHAPTER 22—INDIAN HOSPITALS AND HEALTH FACILITIES SUBCHAPTER I—MAINTENANCE AND OPERATION Sec. 2001. Hospitals and health facilities transferred to Public Health Service; restriction on clos- ing hospitals. 2002. Transfer of hospitals and facilities to State or private institutions; conditions and restric- tions; failure to meet requirements. 2003. Regulations. 2004. Transfer of personnel, property, records, mon- ies. 2004a. Sanitation facilities. 2004b. Implementation of education, hospital and health facility, etc., contracts and grants by Public Health Service personnel; request for detail of personnel. SUBCHAPTER II—CONSTRUCTION OF HEALTH FACILITIES AND COMMUNITY HOSPITALS 2005. Financial assistance by Surgeon General. 2005a. Amount of assistance; determination of costs. 2005b. Conditions of assistance. 2005c. Payments. 2005d. Eligibility of assisted project for aid under other acts; excluded costs. 2005e. Definitions. 2005f. Supervision or control of assisted hospitals. SUBCHAPTER I—MAINTENANCE AND OPERATION § 2001. Hospitals and health facilities transferred to Public Health Service; restriction on clos- ing hospitals (a) All functions, responsibilities, authorities, and duties of the Department of the Inter

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