25 U.S.C. § 1662 — Automated management information sys-

Page 320 TITLE 25—INDIANS § 1662 Subsec. (c)(4). Pub. L. 102–573, § 601, added par. (4). Subsec. (d)(1)(C). Pub. L. 102–573, § 902(7), substituted ‘‘appropriated’’ for ‘‘appropriate’’. Statutory Notes and Related Subsidiaries EFFECTIVE DATE OF 1992 AMENDMENT Pub. L. 102–573, title VI, § 602(a)(2), Oct. 29, 1992, 106 Stat. 4571, provided that: ‘‘The amendment made by paragraph (1) [amending this section] shall take effect January 1, 1993.’’ EFFECTIVE DATE Pub. L. 100–713, title VI, § 601(c), Nov. 23, 1988, 102 Stat. 4826, provided that: ‘‘(1) Except as provided in paragraph (2), section 601 of the Indian Health Care Improvement Act [this section] added by subsection (a) of this section shall take effect 9 months from the date of the enactment of this section [Nov. 23, 1988]. ‘‘(2) Notwithstanding subsections (b) [set out below] and (c)(1), any action which carries out such section 601 that is taken by the Secretary before the effective date of such section 601 shall be effective beginning on the date such action was taken.’’ INTERIM APPOINTMENT Pub. L. 102–573, title VI, § 602(b), Oct. 29, 1992, 106 Stat. 4571, authorized the President to appoint an individual to serve as Interim Director of the Service from Jan. 1, 1993, until confirmation of a Director. TRANSFER OF PERSONNEL, RECORDS, EQUIPMENT, ETC., TO INDIAN HEALTH SERVICE Pub. L. 100–713, title VI, § 601(b), Nov. 23, 1988, 102 Stat. 4826, provided for the transfer within 9 months of Nov. 23, 1988, of personnel, records, equipment, facili- ties, and interests in property of the Indian Health Service to the Indian Health Service established by Pub. L. 100–713. § 1662. Automated management information sys- tem (a) Establishment (1) The Secretary shall establish an automated management information system for the Serv- ice. (2) The information system established under paragraph (1) shall include— (A) a financial management system, (B) a patient care information system for each area served by the Service, (C) a privacy component that protects the privacy of patient information held by, or on behalf of, the Service, and (D) a services-based cost accounting compo- nent that provides estimates of the costs asso- ciated with the provision of specific medical treatments or services in each area office of the Service. (b) Provision to Indian tribes and organizations; reimbursement (1) The Secretary shall provide each Indian tribe and tribal organization that provides health services under a contract entered into with the Service under the Indian Self-Deter- mination Act [25 U.S.C. 5321 et seq.] automated management information systems which— (A) meet the management information needs of such Indian tribe or tribal organization with respect to the treatment by the Indian tribe or tribal organization of patients of the Service, and (B) meet the management information needs of the Service. (2) The Secretary shall reimburse each Indian tribe or tribal organization for the part of the cost of the operation of a system provided under paragraph (1) which is attributable to the treat- ment by such Indian tribe or tribal organization of patients of the Service. (3) The Secretary shall provide systems under paragraph (1) to Indian tribes and tribal organi- zations providing health services in California by no later than September 30, 1990. (c) Access to records Notwithstanding any other provision of law, each patient shall have reasonable access to the medical or health records of such patient which are held by, or on behalf of, the Service. (Pub. L. 94–437, title VI, § 602, as added Pub. L. 100–713, title VI, § 601(a), Nov. 23, 1988, 102 Stat. 4825; amended Pub. L. 102–573, title IX, § 901(3), Oct. 29, 1992, 106 Stat. 4591.) Editorial Notes REFERENCES IN TEXT The Indian Self-Determination Act, referred to in subsec. (b)(1), 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. AMENDMENTS 1992—Subsec. (a)(3). Pub. L. 102–573 struck out par. (3) which directed Secretary to submit report to Congress no later than Sept. 30, 1989. § 1663. Office of Direct Service Tribes (a) Establishment There is established within the Service an of- fice, to be known as the ‘‘Office of Direct Serv- ice Tribes’’. (b) Treatment The Office of Direct Service Tribes shall be lo- cated in the Office of the Director. (c) Duties The Office of Direct Service Tribes shall be re- sponsible for— (1) providing Service-wide leadership, guid- ance and support for direct service tribes to include strategic planning and program eval- uation; (2) ensuring maximum flexibility to tribal health and related support systems for Indian beneficiaries; (3) serving as the focal point for consulta- tion and participation between direct service tribes and organizations and the Service in the development of Service policy; (4) holding no less than biannual consulta- tions with direct service tribes in appropriate locations to gather information and aid in the development of health policy; and (5) directing a national program and pro- viding leadership and advocacy in the develop- ment of health policy, program management, budget formulation, resource allocation, and delegation support for direct service tribes.