25 U.S.C. § 1680d — Infant and maternal mortality; fetal alco-

Page 348 TITLE 25—INDIANS § 1680d (3) provide care to non-Indian women preg- nant with an eligible Indian’s child for the du- ration of the pregnancy through postpartum; or (4) provide care to immediate family mem- bers of an eligible individual if such care is di- rectly related to the treatment of the eligible individual. (e) Hospital privileges for practitioners (1) In general Hospital privileges in health facilities oper- ated and maintained by the Service or oper- ated under a contract or compact pursuant to the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.) 1 may be extended to non-Service health care practi- tioners who provide services to individuals de- scribed in subsection (a), (b), (c), or (d). Such non-Service health care practitioners may, as part of the privileging process, be designated as employees of the Federal Government for purposes of section 1346(b) and chapter 171 of title 28 (relating to Federal tort claims) only with respect to acts or omissions which occur in the course of providing services to eligible individuals as a part of the conditions under which such hospital privileges are extended. (2) Definition For purposes of this subsection, the term ‘‘non-Service health care practitioner’’ means a practitioner who is not— (A) an employee of the Service; or (B) an employee of an Indian tribe or trib- al organization operating a contract or com- pact under the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.) 1 or an individual who provides health care services pursuant to a personal services contract with such Indian tribe or tribal organization. (f) Eligible Indian For purposes of this section, the term ‘‘eligi- ble Indian’’ means any Indian who is eligible for health services provided by the Service without regard to the provisions of this section. (Pub. L. 94–437, title VIII, § 813, formerly title VII, § 713, as added Pub. L. 100–713, title VII, § 707(a), Nov. 23, 1988, 102 Stat. 4829; renumbered title VIII, § 813, and amended Pub. L. 102–573, title VII, § 701(a), (b), title IX, § 902(8), Oct. 29, 1992, 106 Stat. 4572, 4592; 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 subsecs. (c)(2) and (e), 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 re- classification 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. Section 314 of Public Law 101–512, referred to in sub- sec. (c)(2), is set out as a note under section 5321 of this title. The Social Security Act, referred to in subsec. (c)(3)(A), is act Aug. 14, 1935, ch. 531, 49 Stat. 620. Titles XVIII, XIX, and XXI of the Act are classified generally to subchapters XVIII (§ 1395 et seq.), XIX (§ 1396 et seq.), and XXI (§ 1397aa et seq.), respectively, 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 Amendment by Pub. L. 111–148 is based on section 194 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 health services for in- eligible persons and consisted of subsecs. (a) to (e). 1992—Subsec. (b)(2)(A). Pub. L. 102–573, § 902(8), sub- stituted ‘‘section 1642(a) of this title’’ for ‘‘section 402(c) of this Act’’. § 1680d. Infant and maternal mortality; fetal alco- hol syndrome By no later than January 1, 1990, the Sec- retary shall develop and begin implementation of a plan to achieve the following objectives by January 1, 1994: (1) reduction of the rate of Indian infant mortality in each area office of the Service to the lower of— (A) twelve deaths per one thousand live births, or (B) the rate of infant mortality applicable to the United States population as a whole; (2) reduction of the rate of maternal mor- tality in each area office of the Service to the lower of— (A) five deaths per one hundred thousand live births, or (B) the rate of maternal mortality applica- ble to the United States population as a whole; and (3) reduction of the rate of fetal alcohol syn- drome among Indians served by, or on behalf of, the Service to one per one thousand live births. (Pub. L. 94–437, title VIII, § 814, formerly title VII, § 714, as added Pub. L. 100–713, title VII, § 708, Nov. 23, 1988, 102 Stat. 4831; renumbered title VIII, § 814, and amended Pub. L. 102–573, title VII, § 701(a), (b), title VIII, § 804, Oct. 29, 1992, 106 Stat. 4572, 4585.) Editorial Notes AMENDMENTS 1992—Pub. L. 102–573, § 804, struck out subsec. (a) des- ignation before ‘‘By no later’’ and struck out subsec. (b) which read as follows: ‘‘The President shall include with the budget submitted under section 1105 of title 31 for each fiscal year a separate statement which speci- fies the total amount obligated or expended in the most recently completed fiscal year to achieve each of the objectives described in subsection (a) of this section.’’ § 1680e. Contract health services for the Trenton Service Area (a) Service to Turtle Mountain Band The Secretary, acting through the Service, is directed to provide contract health services to