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25 U.S.C. § 1643 — Amount and use of funds reimbursed
Federal law — U.S. Code and appendices · legal_authorities
Page 303
TITLE 25—INDIANS
§ 1644
(Pub. L. 94–437, title IV, § 402, Sept. 30, 1976, 90
Stat. 1409; Pub. L. 100–713, title IV, § 401(a), (b),
Nov. 23, 1988, 102 Stat. 4818; Pub. L. 102–573, title
IV, § 401(b)(1), Oct. 29, 1992, 106 Stat. 4565; 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 subsec. (a), 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.
The Indian Self-Determination and Education Assist-
ance Act (25 U.S.C. 450 et seq.), referred to in subsec.
(a), is Pub. L. 93–638, Jan. 4, 1975, 88 Stat. 2203, which
was classified principally to subchapter II (§ 450 et seq.)
of chapter 14 of this title prior to editorial reclassifica-
tion as chapter 46 (§ 5301 et seq.) of this title. For com-
plete 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 152
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.
Prior to general amendment by Pub. L. 102–573, sec-
tion 402 of Pub. L. 94–437, in subsec. (a) enacted section
1396j of Title 42, The Public Health and Welfare, in sub-
secs. (b) to (d) enacted provisions set out as notes under
section 1396j of Title 42 (of which subsecs. (c) and (d)
were restated in this section), and in subsec. (e) amend-
ed section 1396d of Title 42.
AMENDMENTS
2010—Pub. L.
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Page 303
TITLE 25—INDIANS
§ 1644
(Pub. L. 94–437, title IV, § 402, Sept. 30, 1976, 90
Stat. 1409; Pub. L. 100–713, title IV, § 401(a), (b),
Nov. 23, 1988, 102 Stat. 4818; Pub. L. 102–573, title
IV, § 401(b)(1), Oct. 29, 1992, 106 Stat. 4565; 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 subsec. (a), 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.
The Indian Self-Determination and Education Assist-
ance Act (25 U.S.C. 450 et seq.), referred to in subsec.
(a), is Pub. L. 93–638, Jan. 4, 1975, 88 Stat. 2203, which
was classified principally to subchapter II (§ 450 et seq.)
of chapter 14 of this title prior to editorial reclassifica-
tion as chapter 46 (§ 5301 et seq.) of this title. For com-
plete 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 152
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.
Prior to general amendment by Pub. L. 102–573, sec-
tion 402 of Pub. L. 94–437, in subsec. (a) enacted section
1396j of Title 42, The Public Health and Welfare, in sub-
secs. (b) to (d) enacted provisions set out as notes under
section 1396j of Title 42 (of which subsecs. (c) and (d)
were restated in this section), and in subsec. (e) amend-
ed section 1396d of Title 42.
AMENDMENTS
2010—Pub. L. 111–148 amended section generally. Prior
to amendment, section related to treatment of pay-
ments under medicaid program.
1992—Pub. L. 102–573 amended section generally, sub-
stituting subsecs. (a) and (b) for former subsecs. (a) to
(e). See Codification note above.
1988—Subsec. (b). Pub. L. 100–713, § 401(b), struck out
subsec. (b) which authorized Secretary of Health and
Human Services to enter into agreements to reimburse
State agencies for health care and services provided in
Indian Health Service facilities to Indians eligible for
medical assistance under title XIX of the Social Secu-
rity Act.
Subsec. (c). Pub. L. 100–713, § 401(a), substituted
‘‘skilled nursing facility, or any other type of facility
which provides services of a type otherwise covered
under a State plan for medical assistance approved
under title XIX of the Social Security Act’’ for ‘‘or
skilled nursing facility’’, ‘‘such a State plan’’ for ‘‘a
State plan approved under title XIX of the Social Secu-
rity Act’’, and ‘‘In making payments from such fund,
the Secretary shall ensure that each service unit of the
Indian Health Service receives at least 50 percent of the
amounts to which the facilities of the Indian Health
Service, for which such service unit makes collections,
are entitled by reason of section 1911 of the Social Se-
curity Act, if such amount is necessary for the purpose
of making improvements in such facilities in order to
achieve compliance with the conditions and require-
ments of title XIX of the Social Security Act. This sub-
section shall’’ for ‘‘The preceding sentence shall’’.
Statutory Notes and Related Subsidiaries
EFFECTIVE DATE OF 1992 AMENDMENT
Pub. L. 102–573, title IV, § 401(b)(2), Oct. 29, 1992, 106
Stat. 4565, provided that: ‘‘The increase (from 50 per-
cent) in the percentage of the payments from the fund
to be made to each service unit of the Service specified
in the amendment made by paragraph (1) [amending
this section] shall take effect beginning with payments
made on January 1, 1993.’’
EFFECTIVE DATE OF 1988 AMENDMENT
Pub. L. 100–713, title IV, § 401(c), Nov. 23, 1988, 102
Stat. 4818, provided that: ‘‘The amendments made by
this section [amending this section] shall apply to serv-
ices performed on or after the date of the enactment of
this Act [Nov. 23, 1988].’’
§ 1643. Amount and use of funds reimbursed
through medicare and medicaid available to
Indian Health Service
The Secretary shall submit to the President,
for inclusion in the report required to be trans-
mitted to the Congress under section 1671 of this
title, an accounting on the amount and use of
funds made available to the Service pursuant to
this subchapter as a result of reimbursements
through titles XVIII and XIX of the Social Secu-
rity Act, as amended [42 U.S.C. 1395 et seq., 1396
et seq.].
(Pub. L. 94–437, title IV, § 403, Sept. 30, 1976, 90
Stat. 1410; Pub. L. 102–573, title IV, § 402, Oct. 29,
1992, 106 Stat. 4566.)
Editorial Notes
REFERENCES IN TEXT
The Social Security Act, referred to in text, is act
Aug. 14, 1935, ch. 531, 49 Stat. 620. Titles XVIII and XIX
of the Act are classified generally to subchapters XVIII
(§ 1395 et seq.) and XIX (§ 1396 et seq.) of chapter 7 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.
CODIFICATION
Section was formerly set out as a note under section
1671 of this title.
AMENDMENTS
1992—Pub. L. 102–573 substituted ‘‘The Secretary shall
submit to the President, for inclusion in the report re-
quired to be transmitted to the Congress under section
1671 of this title,’’ for ‘‘The Secretary shall include in
his annual report required by section 1671 of this title’’.
§ 1644. Grants to and contracts with the Service,
Indian
tribes,
tribal
organizations,
and
urban Indian organizations to facilitate out-
reach, enrollment, and coverage of Indians
under Social Security Act health benefit pro-
grams and other health benefits programs
(a) Indian tribes and tribal organizations
The Secretary, acting through the Service,
shall make grants to or enter into contracts
with Indian tribes and tribal organizations to
assist such tribes and tribal organizations in es-
tablishing and administering programs on or
near reservations and trust lands, including pro-
grams to provide outreach and enrollment
through video, electronic delivery methods, or
telecommunication devices that allow real-time
or time-delayed communication between indi-
vidual Indians and the benefit program, to assist
individual Indians—
(1) to enroll for benefits under a program es-
tablished under title XVIII, XIX, or XXI of the
Cross-references
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Federal law — U.S. Code and appendices · legal_authorities
**(a) Definitions** In this section:
(1) **Eligible tribal consortium** — The term “eligible tribal consortium” means a consortium composed of 2 or more Service units between which a mobile health station can be transported by road in up to 8 hours. A Service unit operated by the Service or by an Indian tribe or tribal organization shall be equally eligible for participation in such consortium.
(2) **Mobile health station** — The term “mobile health station” means a health care unit that—
(A) is constructed, maintained, and capable of being transported within a semi-trailer truck or similar vehicle;
(B) is equipped for the provision of 1 or more specialty health care services; and
(C) can be equipped to be docked to a stationary health care facility when appropriate.
(3) **Specialty health care service**
(A) *In general* — The term “specialty health care service” means a health care service which requires the services of a health care professional with specialized knowledge or experience.
(B) *Inclusions* — The term “specialty health care service” includes any service relating to—
(i) dialysis;
(ii) surgery;
(iii) mammography;
(iv) dentistry; or
(v) any other specialty health care service.
**(b) Establishment** The Secretary, acting through the Service, shall establish a demonstration program under which the Secretary shall provide at least 3 mobile health station projects.
**(c) Petition** To be eligible to receive a mobile health station under the demonstration program, an eligible tribal consortium shall submit to the Secretary, 11 So in original. The comma probably should not appear. a petition at such time, in such manner, and containing—
(1) a description of the Indian population to be served;
(2) a description of the
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 1643
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
### 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).
Source: Supplied U.S. Code snapshot — release unconfirmed · 25 U.S.C. § 450
Stored review status: release_metadata_unconfirmed. The source passage cites 25 U.S.C. § 450. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
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
Source: Supplied 2024 U.S. Code historical extraction · 25 U.S.C. § 450
Stored review status: historical_2024_not_currentness_verified. The source passage cites 25 U.S.C. § 450. This identifies an authority to review, not proof of applicability.
Federal law — U.S. Code and appendices · legal_authorities
**(a) Conditions of participation; protection of individual rights; notification of State entities; use of home health aides; medical equipment; individual’s plan of care; compliance with Federal, State, and local laws and regulations** The conditions of participation that a home health agency is required to meet under this subsection are as follows:
(1) The agency protects and promotes the rights of each individual under its care, including each of the following rights:
(A) The right to be fully informed in advance about the care and treatment to be provided by the agency, to be fully informed in advance of any changes in the care or treatment to be provided by the agency that may affect the individual’s well-being, and (except with respect to an individual adjudged incompetent) to participate in planning care and treatment or changes in care or treatment.
(B) The right to voice grievances with respect to treatment or care that is (or fails to be) furnished without discrimination or reprisal for voicing grievances.
(C) The right to confidentiality of the clinical records described in section 1395x(o)(3) of this title.
(D) The right to have one’s property treated with respect.
(E) The right to be fully informed orally and in writing (in advance of coming under the care of the agency) of—
(i) all items and services furnished by (or under arrangements with) the agency for which payment may be made under this subchapter,
(ii) the coverage available for such items and services under this subchapter, subchapter XIX, and any other Federal program of which the agency is reasonably aware,
(iii) any charges for items and services not covered under this subchapter and any charges the individual may have to pay with respect to items and services furn
Source: Supplied U.S. Code snapshot — release unconfirmed · 42 U.S.C. § 1395
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Federal law — U.S. Code and appendices · legal_authorities
Page 2893
TITLE 42—THE PUBLIC HEALTH AND WELFARE
§ 1395a
(i) shared savings and competitive bidding in FFS
Medicare;
(ii) use of MA-negotiated rates to set FFS Medicare
rates; and
(iii) novel approaches to information development
and sharing that may enable markets to lower cost and
improve quality for FFS Medicare beneficiaries.
SEC. 10. Reducing Obstacles to Improved Patient Care.
Within 1 year of the date of this order, the Secretary
shall propose regulatory changes to the Medicare pro-
gram to reduce the burden on providers and eliminate
regulations that create inefficiencies or otherwise un-
dermine patient outcomes.
SEC. 11. Maximizing Freedom for Medicare Patients and
Providers. (a) Within 180 days of the date of this order,
the Secretary, in coordination with the Commissioner
of Social Security, shall revise current rules or policies
to preserve the Social Security retirement insurance
benefits of seniors who choose not to receive benefits
under Medicare Part A, and propose other administra-
tive improvements to Medicare enrollment processes
for beneficiaries.
(b) Within 1 year of the date of this order, the Sec-
retary shall identify and remove unnecessary barriers
to private contracts that allow Medicare beneficiaries
to obtain the care of their choice and facilitate the de-
velopment of market-driven prices.
SEC. 12. General Provisions. (a) Nothing in this order
shall be construed to impair or otherwise affect:
(i) the authority granted by law to an executive de-
partment or agency, or the head thereof; or
(ii) the functions of the Director of the Office of Man-
agement and Budget relating to budgetary, administra-
tive, or legislative proposals.
(b) This order shall be implemented consistent with
applicable law and subject to the
Source: Supplied 2024 U.S. Code historical extraction · 42 U.S.C. § 1395
Stored review status: historical_2024_not_currentness_verified. The source passage cites 42 U.S.C. § 1395. This identifies an authority to review, not proof of applicability.