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25 U.S.C. § 1647d — Navajo Nation medicaid agency feasi-
Federal law — U.S. Code and appendices · legal_authorities
Page 309
TITLE 25—INDIANS
§ 1651
1 See References in Text note below.
2 So in original. Probably should be paragraphs ‘‘(1) through
(3).’’.
§ 1647c. General exceptions
The requirements of this subchapter shall not
apply to any excepted benefits described in para-
graph (1)(A) or (3) of section 300gg–91(c) of title
42.
(Pub. L. 94–437, title IV, § 410, as added Pub. L.
111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat.
935.)
Editorial Notes
CODIFICATION
Section 410 of Pub. L. 94–437 is based on section 158 of
title I of S. 1790, One Hundred Eleventh Congress, as re-
ported by the Committee on Indian Affairs of the Sen-
ate in Dec. 2009, which was enacted into law by section
10221(a) of Pub. L. 111–148.
§ 1647d. Navajo Nation medicaid agency feasi-
bility study
(a) Study
The Secretary shall conduct a study to deter-
mine the feasibility of treating the Navajo Na-
tion as a State for the purposes of title XIX of
the Social Security Act [42 U.S.C. 1396 et seq.],
to provide services to Indians living within the
boundaries of the Navajo Nation through an en-
tity established having the same authority and
performing the same functions as single-State
medicaid agencies responsible for the adminis-
tration of the State plan under title XIX of the
Social Security Act.
(b) Considerations
In conducting the study, the Secretary shall
consider the feasibility of—
(1) assigning and paying all expenditures for
the provision of services and related adminis-
tration funds, under title XIX of the Social Se-
curity Act [42 U.S.C. 1396 et seq.], to Indians
living within the boundaries of the Navajo Na-
tion that are currently paid to or would other-
wise be paid to the State of Arizona, New Mex-
ico, or Utah;
(2) providing assistance to the Navajo Na-
tion in
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 1647d
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Page 309
TITLE 25—INDIANS
§ 1651
1 See References in Text note below.
2 So in original. Probably should be paragraphs ‘‘(1) through
(3).’’.
§ 1647c. General exceptions
The requirements of this subchapter shall not
apply to any excepted benefits described in para-
graph (1)(A) or (3) of section 300gg–91(c) of title
42.
(Pub. L. 94–437, title IV, § 410, as added Pub. L.
111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat.
935.)
Editorial Notes
CODIFICATION
Section 410 of Pub. L. 94–437 is based on section 158 of
title I of S. 1790, One Hundred Eleventh Congress, as re-
ported by the Committee on Indian Affairs of the Sen-
ate in Dec. 2009, which was enacted into law by section
10221(a) of Pub. L. 111–148.
§ 1647d. Navajo Nation medicaid agency feasi-
bility study
(a) Study
The Secretary shall conduct a study to deter-
mine the feasibility of treating the Navajo Na-
tion as a State for the purposes of title XIX of
the Social Security Act [42 U.S.C. 1396 et seq.],
to provide services to Indians living within the
boundaries of the Navajo Nation through an en-
tity established having the same authority and
performing the same functions as single-State
medicaid agencies responsible for the adminis-
tration of the State plan under title XIX of the
Social Security Act.
(b) Considerations
In conducting the study, the Secretary shall
consider the feasibility of—
(1) assigning and paying all expenditures for
the provision of services and related adminis-
tration funds, under title XIX of the Social Se-
curity Act [42 U.S.C. 1396 et seq.], to Indians
living within the boundaries of the Navajo Na-
tion that are currently paid to or would other-
wise be paid to the State of Arizona, New Mex-
ico, or Utah;
(2) providing assistance to the Navajo Na-
tion in the development and implementation
of such entity for the administration, eligi-
bility, payment, and delivery of medical as-
sistance under title XIX of the Social Security
Act;
(3) providing an appropriate level of match-
ing funds for Federal medical assistance with
respect to amounts such entity expends for
medical assistance for services and related ad-
ministrative costs; and
(4) authorizing the Secretary, at the option
of the Navajo Nation, to treat the Navajo Na-
tion as a State for the purposes of title XIX 1
of the Social Security Act (relating to the
State children’s health insurance program)
under terms equivalent to those described in
paragraphs (2) through (4).2
(c) Report
Not later then 3 years after March 23, 2010, the
Secretary shall submit to the Committee on In-
dian Affairs and Committee on Finance of the
Senate and the Committee on Natural Resources
and Committee on Energy and Commerce of the
House of Representatives a report that in-
cludes—
(1) the results of the study under this sec-
tion;
(2) a summary of any consultation that oc-
curred between the Secretary and the Navajo
Nation, other Indian Tribes, the States of Ari-
zona, New Mexico, and Utah, counties which
include Navajo Lands, and other interested
parties, in conducting this study;
(3) projected costs or savings associated with
establishment of such entity, and any esti-
mated impact on services provided as de-
scribed in this section in relation to probable
costs or savings; and
(4) legislative actions that would be required
to authorize the establishment of such entity
if such entity is determined by the Secretary
to be feasible.
(Pub. L. 94–437, title IV, § 411, as added 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 subsecs. (a)
and (b), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Title
XIX of the Act is classified generally to subchapter XIX
(§ 1396 et seq.) of chapter 7 of Title 42, The Public
Health and Welfare. Title XIX of the Social Security
Act (relating to the State children’s health insurance
program), referred to in subsec. (b)(4), probably means
title XXI of the Act, which is classified generally to
subchapter XXI (§ 1397aa et seq.) of chapter 7 of Title 42
and relates to the State Children’s Health Insurance
Program. For complete classification of this Act to the
Code, see section 1305 of Title 42 and Tables.
CODIFICATION
Section 411 of Pub. L. 94–437 is based on section 159 of
title I of S. 1790, One Hundred Eleventh Congress, as re-
ported by the Committee on Indian Affairs of the Sen-
ate in Dec. 2009, which was enacted into law by section
10221(a) of Pub. L. 111–148.
SUBCHAPTER IV—HEALTH SERVICES FOR
URBAN INDIANS
Editorial Notes
CODIFICATION
This subchapter was in the original title V of Pub. L.
94–437. Title IV of Pub. L. 94–437 is classified to sub-
chapter III–A of this chapter.
§ 1651. Purpose
The purpose of this subchapter is to establish
programs in urban centers to make health serv-
ices more accessible to urban Indians.
(Pub. L. 94–437, title V, § 501, as added Pub. L.
100–713, title V, § 501, Nov. 23, 1988, 102 Stat. 4820.)
Editorial Notes
PRIOR PROVISIONS
A prior section 1651, Pub. L. 94–437, title V, § 501, Sept.
30, 1976, 90 Stat. 1410; Pub. L. 96–537, § 7, Dec. 17, 1980, 94
Stat. 3176, related to Congressional statement of pur-
pose, prior to the general revision of this subchapter by
Pub. L. 100–713.
Cross-references
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Requirement to satisfy generally applicable participation requirements**
(1) **In general** — A Federal health care program must accept an entity that is operated by the Service, an Indian tribe, tribal organization, or urban Indian organization as a provider eligible to receive payment under the program for health care services furnished to an Indian on the same basis as any other provider qualified to participate as a provider of health care services under the program if the entity meets generally applicable State or other requirements for participation as a provider of health care services under the program.
(2) **Satisfaction of State or local licensure or recognition requirements** — Any requirement for participation as a provider of health care services under a Federal health care program that an entity be licensed or recognized under the State or local law where the entity is located to furnish health care services shall be deemed to have been met in the case of an entity operated by the Service, an Indian tribe, tribal organization, or urban Indian organization if the entity meets all the applicable standards for such licensure or recognition, regardless of whether the entity obtains a license or other documentation under such State or local law. In accordance with [section 1621t of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section1621t&num=0&edition=prelim), the absence of the licensure of a health professional employed by such an entity under the State or local law where the entity is located shall not be taken into account for purposes of determining whether the entity meets such standards, if the professional is licensed in another State.
**(b) Application of exclusion from participation in Federal health care
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1647d
Stored review status: release_metadata_unconfirmed. Same stored citation; legal effect and authority still require review.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Establishment** There is hereby established the Medicaid and CHIP Payment and Access Commission (in this section referred to as “MACPAC”).
**(b) Duties**
(1) **Review of access policies for all States and annual reports** — MACPAC shall—
(A) review policies of the Medicaid program established under this subchapter (in this section referred to as “Medicaid”) and the State Children’s Health Insurance Program established under subchapter XXI (in this section referred to as “CHIP”) affecting access to covered items and services, including topics described in paragraph (2);
(B) make recommendations to Congress, the Secretary, and States concerning such access policies;
(C) by not later than March 15 of each year (beginning with 2010), submit a report to Congress containing the results of such reviews and MACPAC’s recommendations concerning such policies; and
(D) by not later than June 15 of each year (beginning with 2010), submit a report to Congress containing an examination of issues affecting Medicaid and CHIP, including the implications of changes in health care delivery in the United States and in the market for health care services on such programs.
(2) **Specific topics to be reviewed** — Specifically, MACPAC shall review and assess the following:
(A) *Medicaid and CHIP payment policies* — Payment policies under Medicaid and CHIP, including—
(i) the factors affecting expenditures for the efficient provision of items and services in different sectors, including the process for updating payments to medical, dental, and health professionals, hospitals, residential and long-term care providers, providers of home and community based services, Federally-qualified health centers and rural health clinics, managed care entities, and providers of ot
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1396
Stored review status: release_metadata_unconfirmed. The source passage cites 42 U.S.C. § 1396. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
Page 4009
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 1396
of the enactment of this Act [Oct. 6, 2014], the Sec-
retary shall develop and report to Congress on a stra-
tegic plan for collecting or otherwise accessing data on
race and ethnicity for purposes of specifying quality
measures and resource use and other measures under
subsections (c) and (d) of section 1899B of the Social Se-
curity Act, as added by subsection (a), and, as the Sec-
retary determines appropriate, other similar provisions
of, including payment adjustments under, title XVIII of
such Act (42 U.S.C. 1395 et seq.).’’
SUBCHAPTER XIX—GRANTS TO STATES
FOR MEDICAL ASSISTANCE PROGRAMS
§ 1396. Medicaid and CHIP Payment and Access
Commission
(a) Establishment
There is hereby established the Medicaid and
CHIP Payment and Access Commission (in this
section referred to as ‘‘MACPAC’’).
(b) Duties
(1) Review of access policies for all States and
annual reports
MACPAC shall—
(A) review policies of the Medicaid pro-
gram established under this subchapter (in
this section referred to as ‘‘Medicaid’’) and
the State Children’s Health Insurance Pro-
gram established under subchapter XXI (in
this section referred to as ‘‘CHIP’’) affecting
access to covered items and services, includ-
ing topics described in paragraph (2);
(B) make recommendations to Congress,
the Secretary, and States concerning such
access policies;
(C) by not later than March 15 of each year
(beginning with 2010), submit a report to
Congress containing the results of such re-
views and MACPAC’s recommendations con-
cerning such policies; and
(D) by not later than June 15 of each year
(beginning with 2010), submit a report to
Congress
containing
an
examination
of
issues affecting Medicaid and CHIP, includ-
ing the impli
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1396
Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 1396. This identifies an authority to review, not proof of applicability.