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25 U.S.C. § 1621t — Licensing

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

25 U.S.C. § 1621t — Licensing

Page 285 TITLE 25—INDIANS § 1621v 1 See References in Text note below. with either an individual purchase order or a de- nial of the claim within 5 working days after the receipt of such notification. (b) Failure to timely respond If the Service fails to respond to a notification of a claim in accordance with subsection (a), the Service shall accept as valid the claim sub- mitted by the provider of a contract care serv- ice. (c) Time of payment The Service shall pay a completed contract care service claim within 30 days after comple- tion of the claim. (Pub. L. 94–437, title II, § 220, as added Pub. L. 102–573, title II, § 215, Oct. 29, 1992, 106 Stat. 4558.) § 1621t. Licensing Licensed health professionals employed by a tribal health program shall be exempt, if li- censed in any State, from the licensing require- ments of the State in which the tribal health program performs the services described in the contract or compact of the tribal health pro- gram under the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.).1 (Pub. L. 94–437, title II, § 221, as added Pub. L. 102–573, title II, § 215, Oct. 29, 1992, 106 Stat. 4559; amended Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935.) Editorial Notes REFERENCES IN TEXT The Indian Self-Determination and Education Assist- ance Act (25 U.S.C. 450 et seq.), referred to in text, is Pub. L. 93–638, Jan. 4, 1975, 88 Stat. 2203, which was clas- sified principally to subchapter II (§ 450 et seq.) of chap- ter 14 of this title prior to editorial reclassification as chapter 46 (§ 5301 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. CODIFICATION Amendment by P

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Page 285 TITLE 25—INDIANS § 1621v 1 See References in Text note below. with either an individual purchase order or a de- nial of the claim within 5 working days after the receipt of such notification. (b) Failure to timely respond If the Service fails to respond to a notification of a claim in accordance with subsection (a), the Service shall accept as valid the claim sub- mitted by the provider of a contract care serv- ice. (c) Time of payment The Service shall pay a completed contract care service claim within 30 days after comple- tion of the claim. (Pub. L. 94–437, title II, § 220, as added Pub. L. 102–573, title II, § 215, Oct. 29, 1992, 106 Stat. 4558.) § 1621t. Licensing Licensed health professionals employed by a tribal health program shall be exempt, if li- censed in any State, from the licensing require- ments of the State in which the tribal health program performs the services described in the contract or compact of the tribal health pro- gram under the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.).1 (Pub. L. 94–437, title II, § 221, as added Pub. L. 102–573, title II, § 215, Oct. 29, 1992, 106 Stat. 4559; amended Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935.) Editorial Notes REFERENCES IN TEXT The Indian Self-Determination and Education Assist- ance Act (25 U.S.C. 450 et seq.), referred to in text, is Pub. L. 93–638, Jan. 4, 1975, 88 Stat. 2203, which was clas- sified principally to subchapter II (§ 450 et seq.) of chap- ter 14 of this title prior to editorial reclassification as chapter 46 (§ 5301 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. CODIFICATION Amendment by Pub. L. 111–148 is based on section 134(a) of title I of S. 1790, One Hundred Eleventh Con- gress, as reported by the Committee on Indian Affairs of the Senate in Dec. 2009, which was enacted into law by section 10221(a) of Pub. L. 111–148. AMENDMENTS 2010—Pub. L. 111–148 amended section generally. Prior to amendment, section related to demonstration of electronic claims processing. § 1621u. Liability for payment (a) No patient liability A patient who receives contract health care services that are authorized by the Service shall not be liable for the payment of any charges or costs associated with the provision of such serv- ices. (b) Notification The Secretary shall notify a contract care pro- vider and any patient who receives contract health care services authorized by the Service that such patient is not liable for the payment of any charges or costs associated with the pro- vision of such services not later than 5 business days after receipt of a notification of a claim by a provider of contract care services. (c) No recourse Following receipt of the notice provided under subsection (b), or, if a claim has been deemed ac- cepted under section 1621s(b) of this title, the provider shall have no further recourse against the patient who received the services. (Pub. L. 94–437, title II, § 222, as added Pub. L. 102–573, title II, § 215, Oct. 29, 1992, 106 Stat. 4559; amended Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935.) Editorial Notes CODIFICATION Amendment by Pub. L. 111–148 is based on section 135 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. AMENDMENTS 2010—Pub. L. 111–148 amended section generally. Prior to amendment, section related to absence of patient li- ability for payment of charges or costs for contract health care services and requirement that Secretary notify contract care provider and patient of absence of patient’s liability. Statutory Notes and Related Subsidiaries RULE OF CONSTRUCTION Pub. L. 116–260, div. BB, title I, § 102(d)(3), Dec. 27, 2020, 134 Stat. 2797, provided that: ‘‘Nothing in this title [probably means ‘‘this section’’, enacting sections 9816 and 9822 of Title 26, Internal Revenue Code, sections 1185e and 1185k of Title 29, Labor, and sections 300gg–111 and 300gg–117 of Title 42, The Public Health and Wel- fare, amending section 8902 of Title 5, Government Or- ganization and Employees, section 223 of Title 26, and sections 300gg–19a, 300gg–21, 300gg–22, 300gg–23, and 18011 of Title 42, and enacting provisions set out as notes under section 8902 of Title 5 and section 223 of Title 26], including the amendments made by this title [probably means ‘‘this section’’] may be construed as modifying, reducing, or eliminating— ‘‘(A) the protections under section 222 of the Indian Health Care Improvement Act (25 U.S.C. 1621u) and under subpart I of part 136 of title 42, Code of Federal Regulations (or any successor regulation), against payment liability for a patient who receives contract health services that are authorized by the Indian Health Service; or ‘‘(B) the requirements under section 1866(a)(1)(U) of the Social Security Act (42 U.S.C. 1395cc(a)(1)(U)).’’ § 1621v. Offices of Indian Men’s Health and In- dian Women’s Health (a) Office of Indian Men’s Health (1) Establishment The Secretary may establish within the Service an office, to be known as the ‘‘Office of Indian Men’s Health’’. (2) Director (A) In general The Office of Indian Men’s Health shall be headed by a director, to be appointed by the Secretary. (B) Duties The director shall coordinate and promote the health status of Indian men in the United States.

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

25 U.S.C. § 1621t — Prevention, control, and elimination of communicable and infectious diseases

**(a) Grants authorized** The Secretary, acting through the Service, and after consultation with the Centers for Disease Control and Prevention, may make grants available to Indian tribes and tribal organizations for the following: (1) Projects for the prevention, control, and elimination of communicable and infectious diseases, including tuberculosis, hepatitis, HIV, respiratory syncytial virus, hanta virus, sexually transmitted diseases, and H. pylori. (2) Public information and education programs for the prevention, control, and elimination of communicable and infectious diseases. (3) Education, training, and clinical skills improvement activities in the prevention, control, and elimination of communicable and infectious diseases for health professionals, including allied health professionals. (4) Demonstration projects for the screening, treatment, and prevention of hepatitis C virus (HCV). **(b) Application required** The Secretary may provide funding under subsection (a) only if an application or proposal for funding is submitted to the Secretary. **(c) Coordination with health agencies** Indian tribes and tribal organizations receiving funding under this section are encouraged to coordinate their activities with the Centers for Disease Control and Prevention and State and local health agencies. **(d) Technical assistance; report** In carrying out this section, the Secretary— (1) may, at the request of an Indian tribe or tribal organization, provide technical assistance; and (2) shall prepare and submit a report to Congress biennially on the use of funds under this section and on the progress made toward the prevention, control, and elimination of communicable and infectious diseases among Indians and urban Indians.

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

25 U.S.C. § 1621u — Contract health services payment study

**(a) Duty of Secretary** The Secretary, acting through the Service and in consultation with representatives of Indian tribes and tribal organizations operating contract health care programs under the Indian Self-Determination Act ([25 U.S.C. 450f](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section450f&num=0&edition=prelim) et seq.) 11 See References in Text note below. or under self-governance compacts, Service personnel, private contract health services providers, the Indian Health Service Fiscal Intermediary, and other appropriate experts, shall conduct a study— (1) to assess and identify administrative barriers that hinder the timely payment for services delivered by private contract health services providers to individual Indians by the Service and the Indian Health Service Fiscal Intermediary; (2) to assess and identify the impact of such delayed payments upon the personal credit histories of individual Indians who have been treated by such providers; and (3) to determine the most efficient and effective means of improving the Service’s contract health services payment system and ensuring the development of appropriate consumer protection policies to protect individual Indians who receive authorized services from private contract health services providers from billing and collection practices, including the development of materials and programs explaining patients’ rights and responsibilities. **(b) Functions of study** The study required by subsection (a) shall— (1) assess the impact of the existing contract health services regulations and policies upon the ability of the Service and the Indian Health Service Fiscal Intermediary to process, on a timely and efficient basis, the payment of bills submitted by private contract health se

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

25 U.S.C. § 1621u — Liability for payment

Page 285 TITLE 25—INDIANS § 1621v 1 See References in Text note below. with either an individual purchase order or a de- nial of the claim within 5 working days after the receipt of such notification. (b) Failure to timely respond If the Service fails to respond to a notification of a claim in accordance with subsection (a), the Service shall accept as valid the claim sub- mitted by the provider of a contract care serv- ice. (c) Time of payment The Service shall pay a completed contract care service claim within 30 days after comple- tion of the claim. (Pub. L. 94–437, title II, § 220, as added Pub. L. 102–573, title II, § 215, Oct. 29, 1992, 106 Stat. 4558.) § 1621t. Licensing Licensed health professionals employed by a tribal health program shall be exempt, if li- censed in any State, from the licensing require- ments of the State in which the tribal health program performs the services described in the contract or compact of the tribal health pro- gram under the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.).1 (Pub. L. 94–437, title II, § 221, as added Pub. L. 102–573, title II, § 215, Oct. 29, 1992, 106 Stat. 4559; amended Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935.) Editorial Notes REFERENCES IN TEXT The Indian Self-Determination and Education Assist- ance Act (25 U.S.C. 450 et seq.), referred to in text, is Pub. L. 93–638, Jan. 4, 1975, 88 Stat. 2203, which was clas- sified principally to subchapter II (§ 450 et seq.) of chap- ter 14 of this title prior to editorial reclassification as chapter 46 (§ 5301 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. CODIFICATION Amendment by P

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

25 U.S.C. § 450 — Transferred

### Statutory Notes #### Codification Section 458aaa–18 was editorially reclassified as [section 5399 of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section5399&num=0&edition=prelim).

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

25 U.S.C. § 450 — Transferred

Page 141 TITLE 25—INDIANS § 450f Section was formerly classified to section 93 of Title 45, Railroads. § 443c. Transferred Editorial Notes CODIFICATION Section 443c was editorially reclassified as section 1684 of this title. § 443d. Transferred Editorial Notes CODIFICATION Section 443d was editorially reclassified as section 1685 of this title. §§ 444 to 449. Repealed. Aug. 5, 1954, ch. 658, § 5, 68 Stat. 675 Sections, act Apr. 3, 1952, ch. 129, §§ 1–6, 66 Stat. 35, re- lated to Indian hospital services and facilities. See sec- tion 2001 et seq. of Title 42, The Public Health and Wel- fare. Statutory Notes and Related Subsidiaries EFFECTIVE DATE OF REPEAL Repeal effective July 1, 1959, see section 6 of act Aug. 5, 1954, set out as an Effective Date note under section 2001 of Title 42, The Public Health and Welfare. SUBCHAPTER II—INDIAN SELF-DETER- MINATION AND EDUCATION ASSISTANCE § 450. Transferred Editorial Notes CODIFICATION Section 450 was editorially reclassified as section 5301 of this title. § 450a. Transferred Editorial Notes CODIFICATION Section 450a was editorially reclassified as section 5302 of this title. § 450a–1. Transferred Editorial Notes CODIFICATION Section 450a–1 was editorially reclassified as section 5303 of this title. § 450b. Transferred Editorial Notes CODIFICATION Section 450b was editorially reclassified as section 5304 of this title. § 450c. Transferred Editorial Notes CODIFICATION Section 450c was editorially reclassified as section 5305 of this title. § 450d. Transferred Editorial Notes CODIFICATION Section 450d was editorially reclassified as section 5306 of this title. § 450e. Transferred Editorial Notes CODIFICATION Section 450e was editorially reclassified as section 5307 of this title. § 4

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

42 U.S.C. § 1395cc — Special rules for employer-sponsored programs

**(a) Subsidy payment** (1) **In general** — The Secretary shall provide in accordance with this subsection for payment to the sponsor of a qualified retiree prescription drug plan (as defined in paragraph (2)) of a special subsidy payment equal to the amount specified in paragraph (3) for each qualified covered retiree under the plan (as defined in paragraph (4)). This subsection constitutes budget authority in advance of appropriations Acts and represents the obligation of the Secretary to provide for the payment of amounts provided under this section. (2) **Qualified retiree prescription drug plan defined** — For purposes of this subsection, the term “qualified retiree prescription drug plan” means employment-based retiree health coverage (as defined in subsection (c)(1)) if, with respect to a part D eligible individual who is a participant or beneficiary under such coverage, the following requirements are met: (A) *Attestation of actuarial equivalence to standard coverage* — The sponsor of the plan provides the Secretary, annually or at such other time as the Secretary may require, with an attestation that the actuarial value of prescription drug coverage under the plan (as determined using the processes and methods described in [section 1395w–111(c) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395w–111/c&num=0&edition=prelim)) is at least equal to the actuarial value of standard prescription drug coverage, not taking into account the value of— (i) for years prior to 2025, any discount or coverage provided during the gap in prescription drug coverage that occurs between the initial coverage limit under [section 1395w–102(b)(3) of this title](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-

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

42 U.S.C. § 1395cc — Agreements with providers of services;

Page 3626 TITLE 42—THE PUBLIC HEALTH AND WELFARE § 1395cc EFFECTIVE DATE OF 1988 AMENDMENT Amendment by Pub. L. 100–485 effective as if included in the enactment of the Medicare Catastrophic Cov- erage Act of 1988, Pub. L. 100–360, see section 608(g)(1) of Pub. L. 100–485, set out as a note under section 704 of this title. Amendment by section 204(c)(3), (d)(3) of Pub. L. 100–360 applicable to screening mammography per- formed on or after Jan. 1, 1990, see section 204(e) of Pub. L. 100–360, set out as a note under section 1395m of this title. Except as specifically provided in section 411 of Pub. L. 100–360, amendment by section 411(d)(4)(B)(ii) of Pub. L. 100–360, as it relates to a provision in the Omnibus Budget Reconciliation Act of 1987, Pub. L. 100–203, ef- fective as if included in the enactment of that provi- sion in Pub. L. 100–203, see section 411(a) of Pub. L. 100–360, set out as a Reference to OBRA; Effective Date note under section 106 of Title 1, General Provisions. EFFECTIVE DATE OF 1987 AMENDMENT Amendment by section 4025(b) of Pub. L. 100–203 ap- plicable with respect to agreements entered into or re- newed on or after Dec. 22, 1987, see section 4025(c) of Pub. L. 100–203, as amended, set out as a note under sec- tion 1395aa of this title. For effective date of amendment by section 4072(d) of Pub. L. 100–203, see section 4072(e) of Pub. L. 100–203, set out as a note under section 1395x of this title. EFFECTIVE DATE OF 1986 AMENDMENT Amendment by section 9305(c)(3) of Pub. L. 99–509 ap- plicable to hospitals as of one year after Oct. 21, 1986, see section 9305(c)(4) of Pub. L. 99–509, set out as a note under section 1395x of this title. Amendment by section 9320(h)(3) of Pub. L. 99–509 ap- plicable to services furnished on or af

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