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25 U.S.C. § 1621g — Health services research

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

25 U.S.C. § 1621g — Health services research

Page 274 TITLE 25—INDIANS § 1621g CODIFICATION Amendment by Pub. L. 111–148 is based on section 126 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 crediting of reim- bursements. 1992—Subsec. (a). Pub. L. 102–573 made technical amendment to reference to section 1680c of this title to reflect renumbering of corresponding section of origi- nal act. § 1621g. Health services research Of the amounts appropriated for the Service in any fiscal year, other than amounts made avail- able for the Indian Health Care Improvement Fund, not less than $200,000 shall be available only for research to further the performance of the health service responsibilities of the Serv- ice. Indian tribes and tribal organizations con- tracting with the Service under the authority of the Indian Self-Determination Act [25 U.S.C. 5321 et seq.] shall be given an equal opportunity to compete for, and receive, research funds under this section. (Pub. L. 94–437, title II, § 208, as added Pub. L. 100–713, title II, § 204, Nov. 23, 1988, 102 Stat. 4812.) Editorial Notes REFERENCES IN TEXT The Indian Self-Determination Act, referred to in text, is title I of Pub. L. 93–638, Jan. 4, 1975, 88 Stat. 2206, which is classified principally to subchapter I (§ 5321 et seq.) of chapter 46 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. § 1621h. Mental health prevention and treatment services (a) National plan for Indian Mental Health Serv- ices (1)

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Stable record: federal_law:legal_authorities:usc2024-84cfae9efb5a187a6aea561d
Source file: Laws/federal/codes/united-states-code-2024/title-25/section-1621g-health-services-research--6cfa59c0c5.md
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Source location: USCODE-2024-title25-chap18-subchapII-sec1621g.pdf

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Page 274 TITLE 25—INDIANS § 1621g CODIFICATION Amendment by Pub. L. 111–148 is based on section 126 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 crediting of reim- bursements. 1992—Subsec. (a). Pub. L. 102–573 made technical amendment to reference to section 1680c of this title to reflect renumbering of corresponding section of origi- nal act. § 1621g. Health services research Of the amounts appropriated for the Service in any fiscal year, other than amounts made avail- able for the Indian Health Care Improvement Fund, not less than $200,000 shall be available only for research to further the performance of the health service responsibilities of the Serv- ice. Indian tribes and tribal organizations con- tracting with the Service under the authority of the Indian Self-Determination Act [25 U.S.C. 5321 et seq.] shall be given an equal opportunity to compete for, and receive, research funds under this section. (Pub. L. 94–437, title II, § 208, as added Pub. L. 100–713, title II, § 204, Nov. 23, 1988, 102 Stat. 4812.) Editorial Notes REFERENCES IN TEXT The Indian Self-Determination Act, referred to in text, is title I of Pub. L. 93–638, Jan. 4, 1975, 88 Stat. 2206, which is classified principally to subchapter I (§ 5321 et seq.) of chapter 46 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. § 1621h. Mental health prevention and treatment services (a) National plan for Indian Mental Health Serv- ices (1) Not later than 120 days after November 28, 1990, the Secretary, acting through the Service, shall develop and publish in the Federal Reg- ister a final national plan for Indian Mental Health Services. The plan shall include— (A) an assessment of the scope of the prob- lem of mental illness and dysfunctional and self-destructive behavior, including child abuse and family violence, among Indians, in- cluding— (i) the number of Indians served by the Service who are directly or indirectly af- fected by such illness or behavior, and (ii) an estimate of the financial and human cost attributable to such illness or behavior; (B) an assessment of the existing and addi- tional resources necessary for the prevention and treatment of such illness and behavior; and (C) an estimate of the additional funding needed by the Service to meet its responsibil- ities under the plan. (2) The Secretary shall submit a copy of the national plan to the Congress. (b) Memorandum of agreement Not later than 180 days after November 28, 1990, the Secretary and the Secretary of the In- terior shall develop and enter into a memo- randum of agreement under which the Secre- taries shall, among other things— (1) determine and define the scope and na- ture of mental illness and dysfunctional and self-destructive behavior, including child abuse and family violence, among Indians; (2) make an assessment of the existing Fed- eral, tribal, State, local, and private services, resources, and programs available to provide mental health services for Indians; (3) make an initial determination of the unmet need for additional services, resources, and programs necessary to meet the needs identified pursuant to paragraph (1); (4)(A) ensure that Indians, as citizens of the United States and of the States in which they reside, have access to mental health services to which all citizens have access; (B) determine the right of Indians to partici- pate in, and receive the benefit of, such serv- ices; and (C) take actions necessary to protect the ex- ercise of such right; (5) delineate the responsibilities of the Bu- reau of Indian Affairs and the Service, includ- ing mental health identification, prevention, education, referral, and treatment services (including services through multidisciplinary resource teams), at the central, area, and agency and service unit levels to address the problems identified in paragraph (1); (6) provide a strategy for the comprehensive coordination of the mental health services provided by the Bureau of Indian Affairs and the Service to meet the needs identified pursu- ant to paragraph (1), including— (A) the coordination of alcohol and sub- stance abuse programs of the Service, the Bureau of Indian Affairs, and the various tribes (developed under the Indian Alcohol and Substance Abuse Prevention and Treat- ment Act of 1986 [25 U.S.C. 2401 et seq.]) with the mental health initiatives pursuant to this chapter, particularly with respect to the referral and treatment of dually-diagnosed individuals requiring mental health and sub- stance abuse treatment; and (B) ensuring that Bureau of Indian Affairs and Service programs and services (includ- ing multidisciplinary resource teams) ad- dressing child abuse and family violence are coordinated with such non-Federal programs and services; (7) direct appropriate officials of the Bureau of Indian Affairs and the Service, particularly at the agency and service unit levels, to co- operate fully with tribal requests made pursu- ant to subsection (d); and (8) provide for an annual review of such agreement by the two Secretaries. (c) Community mental health plan (1) The governing body of any Indian tribe may, at its discretion, adopt a resolution for the establishment of a community mental health plan providing for the identification and coordi- nation of available resources and programs to

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

25 U.S.C. § 1621g — Other authority for provision of services

**(a) Definitions** In this section: (1) **Assisted living service** — The term “assisted living service” means any service provided by an assisted living facility (as defined in [section 1715w(b) of title 12](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title12-section1715w/b&num=0&edition=prelim)), except that such an assisted living facility— (A) shall not be required to obtain a license; but (B) shall meet all applicable standards for licensure. (2) **Home- and community-based service** — The term “home- and community-based service” means 1 or more of the services specified in paragraphs (1) through (9) of [section 1396t(a) of title 42](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1396t/a&num=0&edition=prelim) (whether provided by the Service or by an Indian tribe or tribal organization pursuant to the Indian Self-Determination and Education Assistance Act ([25 U.S.C. 450](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title25-section450&num=0&edition=prelim) et seq.)) 11 See References in Text note below. that are or will be provided in accordance with applicable standards. (3) **Hospice care** — The term “hospice care” means— (A) the items and services specified in subparagraphs (A) through (H) of [section 1395x(dd)(1) of title 42](https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1395x/dd/1&num=0&edition=prelim); and (B) such other services as an Indian tribe or tribal organization determines are necessary and appropriate to provide in furtherance of that care. (4) **Long-term care services** — The term “long-term care services” has the meaning given the term “qualified long-term care services” in [section 7702B(c) of title 26](https://uscode.house.gov/view.xhtm

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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. § 5321 — Congressional statement of findings

**(a) Findings respecting historical and special legal relationship, and resultant responsibilities** The Congress, after careful review of the Federal Government’s historical and special legal relationship with, and resulting responsibilities to, American Indian people, finds that— (1) the prolonged Federal domination of Indian service programs has served to retard rather than enhance the progress of Indian people and their communities by depriving Indians of the full opportunity to develop leadership skills crucial to the realization of self-government, and has denied to the Indian people an effective voice in the planning and implementation of programs for the benefit of Indians which are responsive to the true needs of Indian communities; and (2) the Indian people will never surrender their desire to control their relationships both among themselves and with non-Indian governments, organizations, and persons. **(b) Further findings** The Congress further finds that— (1) true self-determination in any society of people is dependent upon an educational process which will insure the development of qualified people to fulfill meaningful leadership roles; (2) the Federal responsibility for and assistance to education of Indian children has not effected the desired level of educational achievement or created the diverse opportunities and personal satisfaction which education can and should provide; and (3) parental and community control of the educational process is of crucial importance to the Indian people.

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

25 U.S.C. § 5321 — Self-determination contracts

Page 724 TITLE 25—INDIANS § 5310 1 See References in Text note below. plete classification of this Act to the Code, see Short Title note set out under section 5301 of this title and Tables. Public Law 103–413, referred to in text, is Pub. L. 103–413, Oct. 25, 1994, 108 Stat. 4250, known as the Indian Self-Determination Act Amendments of 1994, which is classified principally to subchapter IV (§ 5361 et seq.) of this chapter. For complete classification of this Act to the Code, see Short Title of 1994 Amendment note set out under section 5301 of this title and Tables. Public Law 100–297, referred to in text, is Pub. L. 100–297, Apr. 28, 1988, 102 Stat. 130, known as the Augus- tus F. Hawkins-Robert T. Stafford Elementary and Sec- ondary School Improvement Amendments of 1988. For complete classification of this Act to the Code, see Short Title of 1988 Amendments note set out under sec- tion 6301 of Title 20, Education, and Tables. CODIFICATION Section was enacted as part of the Department of the Interior and Related Agencies Appropriations Act, 1998, and not as part of the Indian Self-Determination and Education Assistance Act which comprises this chap- ter. Section was formerly classified to section 450e–2 of this title prior to editorial reclassification and renum- bering as this section. PRIOR PROVISIONS Provisions similar to those in this section were con- tained in the following prior appropriation acts: Pub. L. 104–208, div. A, title I, § 101(d) [title III, § 310], Sept. 30, 1996, 110 Stat. 3009–181, 3009–221. Pub. L. 104–134, title I, § 101(c) [title III, § 310], Apr. 26, 1996, 110 Stat. 1321–156, 1321–197; renumbered title I, Pub. L. 104–140, § 1(a), May 2, 1996, 110 Stat. 1327. § 5310. Investment of advance payments; restric- tions Ad

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