25 USC Ch. 18: Front Matter
From Title 25-INDIANSCHAPTER 18-INDIAN HEALTH CARE
CHAPTER 18-INDIAN HEALTH CARE
GENERAL PROVISIONS
Sec.
1601.
Congressional findings.
1602.
Declaration of health objectives.
1603.
Definitions.
SUBCHAPTER I-INDIAN HEALTH PROFESSIONAL PERSONNEL
1611.
Congressional statement of purpose.
1612.
Health professions recruitment program for Indians.
(a)
Grants for education and training.
(b)
Application for grant; submittal and approval; preference; payment.
1613.
Health professions preparatory scholarship program for Indians.
(a)
Requirements.
(b)
Purposes and duration of grants; preprofessional and pregraduate education.
(c)
Covered expenses.
(d)
Basis for denial of assistance.
(e)
Eligibility for assistance under other Federal programs.
1613a.
Indian health professions scholarships.
(a)
General authority.
(b)
Recipients; active duty service obligation.
(c)
Placement Office.
1614.
Indian health service extern programs.
(a)
Employment of scholarship grantees during nonacademic periods.
(b)
Employment of medical and other students during nonacademic periods.
(c)
Employment without regard to competitive personnel system or agency personnel limitation; compensation.
1615.
Continuing education allowances.
(a)
Discretionary authority; scope of activities.
(b)
Limitation.
1616.
Community Health Representative Program.
1616a.
Indian Health Service Loan Repayment Program.
(a)
Establishment.
(b)
Eligibility.
(c)
Application and contract forms.
(d)
Vacancies; priority.
(e)
Approval.
(f)
Contract terms.
(g)
Loan repayment purposes; maximum amount; tax liability reimbursement; schedule of payments.
(h)
Effect on employment ceiling of Department of Health and Human Services.
(i)
Recruiting programs.
(j)
Prohibition of assignment to other government departments.
(k)
Staff needs of health programs administered by Indian tribes.
(l)
Voluntary termination of study or dismissal from educational institution; collection of damages.
(m)
Cancellation or waiver of obligations; bankruptcy discharge.
(n)
Annual report.
1616a–1.
Scholarship and Loan Repayment Recovery Fund.
(a)
Establishment.
(b)
Authorization of appropriations.
(c)
Use of funds.
(d)
Investment of excess funds.
1616b.
Recruitment activities.
1616c.
Tribal recruitment and retention program.
(a)
Projects funded on competitive basis.
(b)
Eligibility.
1616d.
Advanced training and research.
(a)
Establishment of program.
(b)
Obligated service.
(c)
Eligibility.
1616e.
Nursing program.
(a)
Grants.
(b)
Purposes.
(c)
Application.
(d)
Preference.
(e)
Quentin N. Burdick American Indians Into Nursing Program.
(f)
Service obligation.
(g)
Authorization of appropriations.
1616e–1.
Nursing school clinics.
(a)
Grants.
(b)
Purposes.
(c)
Amount and conditions.
(d)
Design.
(e)
Regulations.
(f)
Authorization to use amounts.
1616f.
Tribal culture and history.
(a)
Program established.
(b)
Tribally-controlled community colleges.
1616g.
INMED program.
(a)
Grants.
(b)
University of North Dakota.
(c)
Regulations; contents of recruitment program.
(d)
Report to Congress.
1616h.
Health training programs of community colleges.
(a)
Grants.
(b)
Eligibility.
(c)
Agreements and technical assistance.
(d)
Advanced training.
(e)
Definitions.
1616i.
Additional incentives for health professionals.
(a)
Incentive special pay.
(b)
List of positions; bonus pay.
(c)
Work schedules.
1616j.
Retention bonus.
(a)
Eligibility.
(b)
Minimum award percentage to nurses.
(c)
Rates; maximum rate.
(d)
Time of payment.
(e)
Refund; interest.
(f)
Physicians and nurses employed under Indian Self-Determination Act.
1616k.
Nursing residency program.
(a)
Establishment.
(b)
Program components.
(c)
Service obligation of program participant.
1616l.
Community Health Aide Program for Alaska.
(a)
Maintenance of Program.
(b)
Training; curriculum; Certification Board.
1616m.
Matching grants to tribes for scholarship programs.
(a)
In general.
(b)
Compliance with requirements.
(c)
Course of study in health professions.
(d)
Contract requirements.
(e)
Breach of contract.
(f)
Nondiscriminatory practice.
(g)
Payments for subsequent fiscal years.
1616n.
Tribal health program administration.
1616o.
University of South Dakota pilot program.
(a)
Establishment.
(b)
Purposes.
(c)
Composition; designation.
(d)
Coordination with other schools.
(e)
Development of additional professional opportunities.
1616p.
Authorization of appropriations.
SUBCHAPTER II-HEALTH SERVICES
1621.
Indian Health Care Improvement Fund.
(a)
Approved expenditures.
(b)
Effect on other appropriations; allocation to service units.
(c)
Health resources deficiency levels.
(d)
Programs administered by Indian tribe.
(e)
Report to Congress.
(f)
Appropriated funds included in base budget of Service.
(g)
Continuation of Service responsibilities for backlogs and parity.
(h)
Authorization of appropriations.
1621a.
Catastrophic Health Emergency Fund.
(a)
Establishment; administration; purpose.
(b)
Regulations; procedures for payment.
(c)
Effect on other appropriations.
(d)
Reimbursements to Fund.
1621b.
Health promotion and disease prevention services.
(a)
Authorization.
(b)
Evaluation statement for Presidential budget.
1621c.
Diabetes prevention, treatment, and control.
(a)
Incidence and complications.
(b)
Screening.
(c)
Model diabetes projects.
(d)
Control officer; registry of patients.
(e)
Authorization of appropriations.
1621d.
Hospice care feasibility study.
(a)
Duty of Secretary.
(b)
Functions of study.
(c)
Report to Congress.
(d)
Definitions.
1621e.
Reimbursement from certain third parties of costs of health services.
(a)
Right of recovery.
(b)
Recovery against State with workers' compensation laws or no-fault automobile accident insurance program.
(c)
Prohibition of State law or contract provision impeding right of recovery.
(d)
Right to damages.
(e)
Intervention or separate civil action.
(f)
Right of recovery for services when self-insurance plan provides coverage.
1621f.
Crediting of reimbursements.
1621g.
Health services research.
1621h.
Mental health prevention and treatment services.
(a)
National plan for Indian Mental Health Services.
(b)
Memorandum of agreement.
(c)
Community mental health plan.
(d)
Mental health training and community education programs.
(e)
Staffing.
(f)
Staff recruitment and retention.
(g)
Mental Health Technician program.
(h)
Mental health research.
(i)
Facilities assessment.
(j)
Annual report.
(k)
Mental health demonstration grant program.
(l)
Licensing requirement for mental health care workers.
(m)
Intermediate adolescent mental health services.
1621i.
Managed care feasibility study.
1621j.
California contract health services demonstration program.
(a)
Establishment.
(b)
Agreement with California Rural Indian Health Board.
(c)
Advisory board.
(d)
Commencement and termination dates.
(e)
Report.
(f)
"High-cost contract care cases" defined.
(g)
Authorization of appropriations.
1621k.
Coverage of screening mammography.
1621l.
Patient travel costs.
1621m.
Epidemiology centers.
1621n.
Comprehensive school health education programs.
(a)
Award of grants.
(b)
Use of grants.
(c)
Assistance.
(d)
Criteria for review and approval of applications.
(e)
Report of recipient.
(f)
Program development.
(g)
Authorization of appropriations.
1621o.
Indian youth grant program.
(a)
Grants.
(b)
Use of funds.
(c)
Models for delivery of comprehensive health care services.
(d)
Criteria for review and approval of applications.
(e)
Authorization of appropriations.
1621p.
American Indians Into Psychology Program.
(a)
Grants.
(b)
Quentin N. Burdick American Indians Into Psychology Program.
(c)
Issuance of regulations.
(d)
Active duty service obligation.
1621q.
Prevention, control, and elimination of tuberculosis.
(a)
Grants.
(b)
Application for grant.
(c)
Eligibility for grant.
(d)
Duties of Secretary.
(e)
Reduction of amount of grant.
1621r.
Contract health services payment study.
(a)
Duty of Secretary.
(b)
Functions of study.
(c)
Report to Congress.
1621s.
Prompt action on payment of claims.
(a)
Time of response.
(b)
Failure to timely respond.
(c)
Time of payment.
1621t.
Demonstration of electronic claims processing.
1621u.
Liability for payment.
1621v.
Office of Indian Women's Health Care.
1621w.
Authorization of appropriations.
1621x.
Limitation on use of funds.
1622.
Transferred.
SUBCHAPTER III-HEALTH FACILITIES
1631.
Consultation; closure of facilities; reports.
(a)
Consultation; standards for accreditation.
(b)
Closure; report on proposed closure.
(c)
Annual report on health facility priority system.
(d)
Funds appropriated subject to section 450f of this title.
1632.
Safe water and sanitary waste disposal facilities.
(a)
Congressional findings.
(b)
Authority; assistance; transfer of funds.
(c)
10-year plan.
(d)
Tribal capability.
(e)
Amount of assistance.
(f)
Eligibility of programs administered by Indian tribes.
(g)
Annual report; sanitation deficiency levels.
1633.
Preference to Indians and Indian firms.
(a)
Discretionary authority; covered activities.
(b)
Pay rates.
1634.
Expenditure of non-Service funds for renovation.
(a)
Authority of Secretary.
(b)
Requirements.
(c)
Recovery for non-use as Service facility.
1635.
Repealed.
1636.
Grant program for construction, expansion, and modernization of small ambulatory care facilities.
(a)
Authorization.
(b)
Use of grant.
(c)
Application for grant.
(d)
Transfer of interest to United States upon cessation of facility.
1637.
Indian health care delivery demonstration project.
(a)
Health care delivery demonstration projects.
(b)
Use of funds.
(c)
Criteria.
(d)
Technical assistance.
(e)
Service to ineligible persons.
(f)
Equitable treatment.
(g)
Equitable integration of facilities.
(h)
Report to Congress.
1638.
Land transfer.
1638a.
Authorization of appropriations.
1638b.
Applicability of Buy American requirement.
(a)
Duty of Secretary.
(b)
Report to Congress.
(c)
Fraudulent use of Made-in-America label.
(d)
"Buy American Act" defined.
1638c.
Contracts for personal services in Indian Health Service facilities.
1638d.
Credit to appropriations of money collected for meals at Indian Health Service facilities.
SUBCHAPTER III–A-ACCESS TO HEALTH SERVICES
1641.
Treatment of payments under medicare program.
(a)
Determination of appropriations.
(b)
Preferences.
1642.
Treatment of payments under medicaid program.
(a)
Payments to special fund.
(b)
Determination of appropriations.
1643.
Amount and use of funds reimbursed through medicare and medicaid available to Indian Health Service.
1644.
Grants to and contracts with tribal organizations.
(a)
Access to health services.
(b)
Terms and conditions.
(c)
Application for medical assistance.
1645.
Repealed.
1646.
Authorization for emergency contract health services.
1647.
Authorization of appropriations.
SUBCHAPTER IV-HEALTH SERVICES FOR URBAN INDIANS
1651.
Purpose.
1652.
Contracts with, and grants to, urban Indian organizations.
1653.
Contracts and grants for provision of health care and referral services.
(a)
Requirements.
(b)
Criteria for selection of organizations to enter into contracts or receive grants.
(c)
Grants for health promotion and disease prevention services.
(d)
Grants for immunization services.
(e)
Grants for mental health services.
(f)
Grants for prevention and treatment of child abuse.
1654.
Contracts and grants for determination of unmet health care needs.
(a)
Authority.
(b)
Requirements.
(c)
Renewal.
1655.
Evaluations; renewals.
(a)
Contract compliance and performance.
(b)
Annual onsite evaluation.
(c)
Noncompliance or unsatisfactory performance.
(d)
Contract and grant renewals.
1656.
Other contract and grant requirements.
(a)
Federal regulations; exceptions.
(b)
Payment.
(c)
Revision or amendment.
(d)
Existing Government facilities.
(e)
Uniform provision of services and assistance.
(f)
Eligibility for health care or referral services.
1657.
Reports and records.
(a)
Quarterly reports.
(b)
Audit by Secretary and Comptroller General.
(c)
Cost of annual private audit.
(d)
Health status, services, and areas of unmet needs; child welfare.
1658.
Limitation on contract authority.
1659.
Facilities renovation.
1660.
Urban Health Programs Branch.
(a)
Establishment.
(b)
Staff, services, and equipment.
1660a.
Grants for alcohol and substance abuse related services.
(a)
Grants.
(b)
Goals of grant.
(c)
Criteria.
(d)
Treatment of funds received by urban Indian organizations.
1660b.
Treatment of certain demonstration projects.
(a)
In general.
(b)
Report.
(c)
Appropriations.
1660c.
Urban NIAAA transferred programs.
(a)
Duty of Secretary.
(b)
Use of grants.
(c)
Eligibility for grants.
(d)
Combination of funds.
(e)
Evaluation and report to Congress.
1660d.
Authorization of appropriations.
SUBCHAPTER V-ORGANIZATIONAL IMPROVEMENTS
1661.
Establishment of Indian Health Service as an agency of Public Health Service.
(a)
Establishment.
(b)
Agency status.
(c)
Duties.
(d)
Authority of Secretary.
1662.
Automated management information system.
(a)
Establishment.
(b)
Provisions to Indian tribes and organizations; reimbursement.
(c)
Access to records.
1663.
Authorization of appropriations.
SUBCHAPTER V–A-SUBSTANCE ABUSE PROGRAMS
1665.
Indian Health Service responsibilities.
1665a.
Indian Health Service program.
(a)
Comprehensive prevention and treatment program.
(b)
Contract health services.
(c)
Grants for model program.
1665b.
Indian women treatment programs.
(a)
Grants.
(b)
Use of grants.
(c)
Criteria for review and approval of grant applications.
(d)
Authorization of appropriations.
1665c.
Indian Health Service youth program.
(a)
Detoxification and rehabilitation.
(b)
Treatment centers or facilities.
(c)
Federally owned structures.
(d)
Rehabilitation and aftercare services.
(e)
Inclusion of family in youth treatment program.
(f)
Multidrug abuse study.
1665d.
Training and community education.
(a)
Community education.
(b)
Training.
(c)
Community-based training models.
1665e.
Gallup alcohol and substance abuse treatment center.
(a)
Grants for residential treatment.
(b)
Purposes of grants.
(c)
Contract for residential treatment.
(d)
Authorization of appropriations.
1665f.
Reports.
(a)
Compilation of data.
(b)
Referral of data.
(c)
Comprehensive report.
1665g.
Fetal alcohol syndrome and fetal alcohol effect grants.
(a)
Award; use; review criteria.
(b)
Plan; study; national clearinghouse.
(c)
Task force.
(d)
Cooperative projects; research projects.
(e)
Report.
(f)
Authorization of appropriations.
1665h.
Pueblo substance abuse treatment project for San Juan Pueblo, New Mexico.
1665i.
Thunder Child Treatment Center.
1665j.
Substance abuse counselor education demonstration project.
(a)
Contracts and grants.
(b)
Use of funds.
(c)
Effective period of contract or grant; renewal.
(d)
Criteria for review and approval of applications.
(e)
Assistance to recipients.
(f)
Report.
(g)
Definitions.
(h)
Authorization of appropriations.
1665k.
Gila River alcohol and substance abuse treatment facility.
(a)
Regional center.
(b)
Name of regional center.
(c)
Unit of regional center.
1665l.
Alaska Native drug and alcohol abuse demonstration project.
1665m.
Authorization of appropriations.
SUBCHAPTER VI-MISCELLANEOUS
1671.
Reports.
1672.
Regulations.
1673.
Repealed.
1674.
Leases with Indian tribes.
1675.
Availability of funds.
1676.
Limitation on use of funds appropriated to Indian Health Service.
1677.
Nuclear resource development health hazards.
(a)
Study.
(b)
Health care plan; development.
(c)
Reports to Congress.
(d)
Intergovernmental Task Force; establishment and functions.
(e)
Medical care.
1678.
Arizona as a contract health service delivery area.
(a)
Designation.
(b)
Curtailment of health services prohibited.
1679.
Eligibility of California Indians.
(a)
Report to Congress.
(b)
Eligible Indians.
(c)
Scope of eligibility.
1680.
California as a contract health service delivery area.
1680a.
Contract health facilities.
1680b.
National Health Service Corps.
1680c.
Health services for ineligible persons.
(a)
Individuals not otherwise eligible.
(b)
Health facilities providing health service.
(c)
Purposes served in providing health services to otherwise ineligible individuals.
(d)
Extension of hospital privileges to non-Service health care practitioners.
(e)
"Eligible Indian" defined.
1680d.
Infant and maternal mortality; fetal alcohol syndrome.
1680e.
Contract health services for the Trenton Service Area.
(a)
Service to Turtle Mountain Band.
(b)
Band member eligibility not expanded.
1680f.
Indian Health Service and Department of Veterans Affairs health facilities and services sharing.
(a)
Feasibility study and report.
(b)
Nonimpairment of service quality, eligibility, or priority of access.
(c)
Cross utilization of services.
(d)
Right to health services.
1680g.
Reallocation of base resources.
(a)
Report to Congress.
(b)
Appropriated amounts.
1680h.
Demonstration projects for tribal management of health care services.
(a)
Establishment; grants.
(b)
Health care contracts.
(c)
Waiver of procurement laws.
(d)
Termination; evaluation and report.
(e)
Joint venture demonstration projects.
1680i.
Child sexual abuse treatment programs.
(a)
Continuation of existing demonstration programs.
(b)
Establishment of new demonstration programs.
1680j.
Tribal leasing.
1680k.
Home- and community-based care demonstration project.
(a)
Authority of Secretary.
(b)
Use of funds.
(c)
Criteria for approval of applications.
(d)
Assistance to applicants.
(e)
Services to ineligible persons.
(f)
Maximum number of demonstration projects.
(g)
Report.
(h)
Definitions.
(i)
Authorization of appropriations.
1680l.
Shared services demonstration project.
(a)
Authority of Secretary.
(b)
Contract requirements.
(c)
Eligibility.
(d)
Nursing facilities.
(e)
Assistance to applicants.
(f)
Report.
1680m.
Results of demonstration projects.
1680n.
Priority for Indian reservations.
(a)
Facilities and projects.
(b)
"Indian lands" defined.
1680o.
Authorization of appropriations.
1681.
Omitted.
1682.
Subrogation of claims by Indian Health Service.
1683.
Indian Catastrophic Health Emergency Fund.
Chapter Referred to in Other Sections
This chapter is referred to in section 450l of this title; title 40 section 276d–3; title 42 sections 254b, 1320d, 14402.