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25 U.S.C. § 5384 — Compacts
Federal law — U.S. Code and appendices · legal_authorities
Page 777
TITLE 25—INDIANS
§ 5384
1 See References in Text note below.
§ 5383. Selection of participating Indian tribes
(a) Continuing participation
Each Indian tribe that is participating in the
Tribal Self-Governance Demonstration Project
under title III 1 on August 18, 2000, may elect to
participate in self-governance under this sub-
chapter under existing authority as reflected in
tribal resolution.
(b) Additional participants
(1) In general
In addition to those Indian tribes partici-
pating in self-governance under subsection (a)
of this section, each year an additional 50 In-
dian tribes that meet the eligibility criteria
specified in subsection (c) of this section shall
be entitled to participate in self-governance.
(2) Treatment of certain Indian tribes
(A) In general
An Indian tribe that has withdrawn from
participation in an inter-tribal consortium
or tribal organization, in whole or in part,
shall be entitled to participate in self-gov-
ernance provided the Indian tribe meets the
eligibility criteria specified in subsection (c)
of this section.
(B) Effect of withdrawal
If an Indian tribe has withdrawn from par-
ticipation in an inter-tribal consortium or
tribal organization, that Indian tribe shall
be entitled to its tribal share of funds sup-
porting those programs, services, functions,
and activities (or portions thereof) that the
Indian tribe will be carrying out under the
compact and funding agreement of the In-
dian tribe.
(C) Participation in self-governance
In no event shall the withdrawal of an In-
dian tribe from an inter-tribal consortium or
tribal organization affect the eligibility of
the inter-tribal consortium or tribal organi-
zation to participate in self-governance.
(c) Applicant pool
(1) In general
The quali
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Page 777
TITLE 25—INDIANS
§ 5384
1 See References in Text note below.
§ 5383. Selection of participating Indian tribes
(a) Continuing participation
Each Indian tribe that is participating in the
Tribal Self-Governance Demonstration Project
under title III 1 on August 18, 2000, may elect to
participate in self-governance under this sub-
chapter under existing authority as reflected in
tribal resolution.
(b) Additional participants
(1) In general
In addition to those Indian tribes partici-
pating in self-governance under subsection (a)
of this section, each year an additional 50 In-
dian tribes that meet the eligibility criteria
specified in subsection (c) of this section shall
be entitled to participate in self-governance.
(2) Treatment of certain Indian tribes
(A) In general
An Indian tribe that has withdrawn from
participation in an inter-tribal consortium
or tribal organization, in whole or in part,
shall be entitled to participate in self-gov-
ernance provided the Indian tribe meets the
eligibility criteria specified in subsection (c)
of this section.
(B) Effect of withdrawal
If an Indian tribe has withdrawn from par-
ticipation in an inter-tribal consortium or
tribal organization, that Indian tribe shall
be entitled to its tribal share of funds sup-
porting those programs, services, functions,
and activities (or portions thereof) that the
Indian tribe will be carrying out under the
compact and funding agreement of the In-
dian tribe.
(C) Participation in self-governance
In no event shall the withdrawal of an In-
dian tribe from an inter-tribal consortium or
tribal organization affect the eligibility of
the inter-tribal consortium or tribal organi-
zation to participate in self-governance.
(c) Applicant pool
(1) In general
The qualified applicant pool for self-govern-
ance shall consist of each Indian tribe that—
(A) successfully completes the planning
phase described in subsection (d) of this sec-
tion;
(B) has requested participation in self-gov-
ernance by resolution or other official ac-
tion by the governing body of each Indian
tribe to be served; and
(C) has demonstrated, for 3 fiscal years, fi-
nancial stability and financial management
capability.
(2) Criteria for determining financial stability
and financial management capacity
For purposes of this subsection, evidence
that, during the 3-year period referred to in
paragraph (1)(C), an Indian tribe had no uncor-
rected significant and material audit excep-
tions in the required annual audit of the In-
dian tribe’s self-determination contracts or
self-governance funding agreements with any
Federal agency shall be conclusive evidence of
the required stability and capability.
(d) Planning phase
Each Indian tribe seeking participation in
self-governance shall complete a planning phase.
The planning phase shall be conducted to the
satisfaction of the Indian tribe and shall in-
clude—
(1) legal and budgetary research; and
(2) internal tribal government planning and
organizational preparation relating to the ad-
ministration of health care programs.
(e) Grants
Subject to the availability of appropriations,
any Indian tribe meeting the requirements of
paragraph (1)(B) and (C) of subsection (c) of this
section shall be eligible for grants—
(1) to plan for participation in self-govern-
ance; and
(2) to negotiate the terms of participation by
the Indian tribe or tribal organization in self-
governance, as set forth in a compact and a
funding agreement.
(f) Receipt of grant not required
Receipt of a grant under subsection (e) of this
section shall not be a requirement of participa-
tion in self-governance.
(Pub. L. 93–638, title V, § 503, as added Pub. L.
106–260, § 4, Aug. 18, 2000, 114 Stat. 714.)
Editorial Notes
REFERENCES IN TEXT
Title III, referred to in subsec. (a), 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–2 of
this title prior to editorial reclassification and renum-
bering as this section.
Another section 503 of Pub. L. 93–638 was renumbered
section 803 and is classified to section 5423 of this title.
§ 5384. Compacts
(a) Compact required
The Secretary shall negotiate and enter into a
written compact with each Indian tribe partici-
pating in self-governance in a manner consistent
with the Federal Government’s trust responsi-
bility, treaty obligations, and the government-
to-government
relationship
between
Indian
tribes and the United States.
(b) Contents
Each compact required under subsection (a) of
this section shall set forth the general terms of
the government-to-government relationship be-
tween the Indian tribe and the Secretary, in-
cluding such terms as the parties intend shall
control year after year. Such compacts may
only be amended by mutual agreement of the
parties.
(c) Existing compacts
An Indian tribe participating in the Tribal
Self-Governance Demonstration Project under
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
Cross-references
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Federal law — U.S. Code and appendices · legal_authorities
$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
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
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 1601
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Federal law — U.S. Code and appendices · legal_authorities
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
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 2401
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Federal law — U.S. Code and appendices · legal_authorities
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
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 2401
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Federal law — U.S. Code and appendices · legal_authorities
### 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).
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 452
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Federal law — U.S. Code and appendices · legal_authorities
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
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 452
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Federal law — U.S. Code and appendices · legal_authorities
The Secretary shall list, in the annual budget request submitted to Congress under [section 1105 of title 31](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section1105&num=0&edition=prelim), any funds proposed to be included in funding agreements authorized under this subchapter.
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 5384
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Federal law — U.S. Code and appendices · legal_authorities
**(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.
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 2001
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Federal law — U.S. Code and appendices · legal_authorities
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
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 2001
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