§ 1616. Community Health Representative Program

Statutory text

Under the authority of section 13 of this title, the Secretary shall maintain a Community Health Representative Program under which the Service—

provides for the training of Indians as health paraprofessionals, and

uses such paraprofessionals in the provision of health care, health promotion, and disease prevention services to Indian communities.

The Secretary, acting through the Community Health Representative Program of the Service, shall—

provide a high standard of training for paraprofessionals to Community Health Representatives to ensure that the Community Health Representatives provide quality health care, health promotion, and disease prevention services to the Indian communities served by such Program,

in order to provide such training, develop and maintain a curriculum that—

combines education in the theory of health care with supervised practical experience in the provision of health care, and

provides instruction and practical experience in health promotion and disease prevention activities, with appropriate consideration given to lifestyle factors that have an impact on Indian health status, such as alcoholism, family dysfunction, and poverty,

maintain a system which identifies the needs of Community Health Representatives for continuing education in health care, health promotion, and disease prevention and maintain programs that meet the needs for such continuing education,

maintain a system that provides close supervision of Community Health Representatives,

maintain a system under which the work of Community Health Representatives is reviewed and evaluated, and

promote traditional health care practices of the Indian tribes served consistent with the Service standards for the provision of health care, health promotion, and disease prevention.

Legislative history

Reconstructed from this section’s Code source credit and amendment notes, resolved against the local Statutes at Large. Editorial notes are evidence, not the law that made the change.

1988
Indian Health Care Improvement Act
Pub. L. 94–437 title I § 107 · 90 Stat. 1400
Enacted · 25 U.S.C. § 1616
Pub. L. 94–437, title I, § 107, as added Pub. L. 100–713, title I, § 107, Nov. 23, 1988, 102 Stat. 4788
Source evidence
Code source credit
Pub. L. 94–437, title I, § 107, as added Pub. L. 100–713, title I, § 107, Nov. 23, 1988, 102 Stat. 4788
1992
Indian Health Amendments of 1992
Pub. L. 102–573 § 105(1) · 106 Stat. 4526
Inserted · 25 U.S.C. § 1616(b)(2)
Pub. L. 102–573, § 105(1), inserted “and maintain” in introductory provisions
Source evidence
Code amendment note
Subsec. (b)(2). Pub. L. 102–573, § 105(1), inserted “and maintain” in introductory provisions.
Enacted provision · exact public law section
(1) in paragraph (2), in the material preceding subparagraph (A), by inserting “and maintain” after “develop”;
1992
Indian Health Amendments of 1992
Pub. L. 102–573 § 105(2) · 106 Stat. 4526
Inserted · 25 U.S.C. § 1616(b)(2)(B)
Pub. L. 102–573, § 105(2), inserted at end “with appropriate consideration given to lifestyle factors that have an impact on Indian health status, such as alcoholism, family dysfunction, and poverty,”
Source evidence
Code amendment note
Subsec. (b)(2)(B). Pub. L. 102–573, § 105(2), inserted at end “with appropriate consideration given to lifestyle factors that have an impact on Indian health status, such as alcoholism, family dysfunction, and poverty,”.
Enacted provision · exact public law section
SEC. 105. MAINTENANCE OF COMMUNITY HEALTH REPRESENTATIVE PROGRAM. Section 107(b) of the Act (25 U.S.C. 1616(b)) is amended— (1) in paragraph (2), in the material preceding subparagraph (A), by inserting “and maintain” after “develop”; (3) in paragraphs (3) and (5), by striking out “develop” each place it appears and inserting in lieu thereof “maintain”; and (4) in paragraph (4), by striking out “develop and”.
1992
Indian Health Amendments of 1992
Pub. L. 102–573 § 105(3) · 106 Stat. 4526
Substituted · 25 U.S.C. § 1616(b)(3)
Pub. L. 102–573, § 105(3), substituted “maintain” for “develop” in two places
Source evidence
Code amendment note
Subsec. (b)(3). Pub. L. 102–573, § 105(3), substituted “maintain” for “develop” in two places.
Enacted provision · exact public law section
(3) in paragraphs (3) and (5), by striking out “develop” each place it appears and inserting in lieu thereof “maintain”; and
1992
Indian Health Amendments of 1992
Pub. L. 102–573 § 105(4) · 106 Stat. 4526
Struck · 25 U.S.C. § 1616(b)(4)
Pub. L. 102–573, § 105(4), struck out “develop and” before “maintain”
Source evidence
Code amendment note
Subsec. (b)(4). Pub. L. 102–573, § 105(4), struck out “develop and” before “maintain”.
Enacted provision · exact public law section
(4) in paragraph (4), by striking out “develop and”.
1992
Indian Health Amendments of 1992
Pub. L. 102–573 § 105(3) · 106 Stat. 4526
Substituted · 25 U.S.C. § 1616(b)(5)
Pub. L. 102–573, § 105(3), substituted “maintain” for “develop”
Source evidence
Code amendment note
Subsec. (b)(5). Pub. L. 102–573, § 105(3), substituted “maintain” for “develop”.
Enacted provision · exact public law section
(3) in paragraphs (3) and (5), by striking out “develop” each place it appears and inserting in lieu thereof “maintain”; and

5 of 6 references resolved to an enrolled provision · 1 partial

Editorial Notes

Amendments

1992—Subsec. (b)(2). Pub. L. 102–573, § 105(1), inserted “and maintain” in introductory provisions.

Subsec. (b)(2)(B). Pub. L. 102–573, § 105(2), inserted at end “with appropriate consideration given to lifestyle factors that have an impact on Indian health status, such as alcoholism, family dysfunction, and poverty,”.

Subsec. (b)(3). Pub. L. 102–573, § 105(3), substituted “maintain” for “develop” in two places.

Subsec. (b)(4). Pub. L. 102–573, § 105(4), struck out “develop and” before “maintain”.

Subsec. (b)(5). Pub. L. 102–573, § 105(3), substituted “maintain” for “develop”.

Credits

1988–1992 · 2 acts

1988Pub. L. 94–437, title I, § 107, as added Pub. L. 100–713, title I, § 107, Nov. 23, 1988, 102 Stat. 4788
1992amended Pub. L. 102–573, title I, § 105, Oct. 29, 1992, 106 Stat. 4535.

Show as published

(Pub. L. 94–437, title I, § 107, as added Pub. L. 100–713, title I, § 107, Nov. 23, 1988, 102 Stat. 4788; amended Pub. L. 102–573, title I, § 105, Oct. 29, 1992, 106 Stat. 4535.)