Title 25 — Indians
Chapter 18 — Indian Health Care
§ 1621j. California contract health services demonstration program
Statutory text
Establishment
The Secretary shall establish a demonstration program to evaluate the use of a contract care intermediary to improve the accessibility of health services to California Indians.
Agreement with California Rural Indian Health Board
In establishing such program, the Secretary shall enter into an agreement with the California Rural Indian Health Board to reimburse the Board for costs (including reasonable administrative costs) incurred, during the period of the demonstration program, in providing medical treatment under contract to California Indians described in section 1679(b) 1 of this title throughout the California contract health services delivery area described in section 1680 of this title with respect to high-cost contract care cases.
Not more than 5 percent of the amounts provided to the Board under this section for any fiscal year may be for reimbursement for administrative expenses incurred by the Board during such fiscal year.
No payment may be made for treatment provided under the demonstration program to the extent payment may be made for such treatment under the Catastrophic Health Emergency Fund described in section 1621a of this title or from amounts appropriated or otherwise made available to the California contract health service delivery area for a fiscal year.
Advisory board
There is hereby established an advisory board which shall advise the California Rural Indian Health Board in carrying out the demonstration pursuant to this section. The advisory board shall be composed of representatives, selected by the California Rural Indian Health Board, from not less than 8 tribal health programs serving California Indians covered under such demonstration, at least one half of whom are not affiliated with the California Rural Indian Health Board.
Commencement and termination dates
The demonstration program described in this section shall begin on , and shall terminate on .
Report
Not later than , the California Rural Indian Health Board shall submit to the Secretary a report on the demonstration program carried out under this section, including a statement of its findings regarding the impact of using a contract care intermediary on—
access to needed health services;
waiting periods for receiving such services; and
the efficient management of high-cost contract care cases.
“High-cost contract care cases” defined
For the purposes of this section, the term “high-cost contract care cases” means those cases in which the cost of the medical treatment provided to an individual—
would otherwise be eligible for reimbursement from the Catastrophic Health Emergency Fund established under section 1621a of this title, except that the cost of such treatment does not meet the threshold cost requirement established pursuant to section 1621a(b)(2) 1 of this title; and
exceeds $1,000.
Footnotes
- 1 See References in Text note below.
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.
Indian Health Care Improvement Act
Pub. L. 94–437 title II § 211 · 90 Stat. 1400
Enacted · 25 U.S.C. § 1621j
Pub. L. 94–437, title II, § 211, as added Pub. L. 102–573, title II, § 206(c), Oct. 29, 1992, 106 Stat. 4549
Source evidence
Code source credit
Pub. L. 94–437, title II, § 211, as added Pub. L. 102–573, title II, § 206(c), Oct. 29, 1992, 106 Stat. 4549Indian Health Care Improvement Technical Corrections Act of 1996
Pub. L. 104–313 § 2(c) · 110 Stat. 3820
Substituted · 25 U.S.C. § 1621j(g)
Pub. L. 104–313 substituted “1996 through 2000” for “1993, 1994, 1995, 1996, and 1997”
Source evidence
Code amendment note
Subsec. (g). Pub. L. 104–313 substituted “1996 through 2000” for “1993, 1994, 1995, 1996, and 1997”.Enacted provision · exact public law section
(c) California Contract Health Services Demonstration Program.— Section 211(g) (25 U. S. C. 1621j(g)) is amended by striking “1993, 1994, 1995, 1996, and 1997” and inserting “1996 through 2000”.Patient Protection and Affordable Care Act
Pub. L. 111–148 title X § 10221(a) · 124 Stat. 119
Struck · 25 U.S.C. § 1621j(g)
Pub. L. 111–148 struck out subsec. (g) which authorized appropriations for fiscal years 1996 through 2000
Source evidence
Code amendment note
Subsec. (g). Pub. L. 111–148 struck out subsec. (g) which authorized appropriations for fiscal years 1996 through 2000.Enacted provision · exact public law section
(a) In General.— Except as provided in subsection (b), S. 1790 entitled “A bill to amend the Indian Health Care Improvement Act to revise and extend that Act, and for other purposes.”, as reported by the Committee on Indian Affairs of the Senate in December 2009, is enacted into law.
2 of 3 references resolved to an enrolled provision · 1 partial
Editorial Notes
References in Text
Section 1679 of this title, referred to in subsec. (b)(1), was repealed and a new section 1679 was enacted by Pub. L. 111–148, title X, § 10221(a), , 124 Stat. 935. Provisions describing California Indians, similar to those that appeared in former section 1679(b) are now contained in new section 1679(a).
Section 1621a of this title, referred to in subsec. (f)(1), was amended generally by Pub. L. 111–148, title X, § 10221(a), , 124 Stat. 935, and, as so amended, no longer contains a subsec. (b)(2).
Codification
Amendment by Pub. L. 111–148 is based on section 101(b)(3) 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 section 10221(a) of Pub. L. 111–148.
Amendments1996–2010 · 2 rounds
2010
Subsec. (g). Pub. L. 111–148 struck out subsec. (g) which authorized appropriations for fiscal years 1996 through 2000.
1996
Subsec. (g). Pub. L. 104–313 substituted “1996 through 2000” for “1993, 1994, 1995, 1996, and 1997”.
Statutory Notes and Related Subsidiaries
Termination of Advisory Boards
Advisory boards established after , to terminate not later than the expiration of the 2-year period beginning on the date of their establishment, unless, in the case of a board established by the President or an officer of the Federal Government, such board is renewed by appropriate action prior to the expiration of such 2-year period, or in the case of a board established by Congress, its duration is otherwise provided by law. See sections 1001(2) and 1013 of Title 5, Government Organization and Employees.
Credits
1992–2010 · 3 acts
- 1992Pub. L. 94–437, title II, § 211, as added Pub. L. 102–573, title II, § 206(c), , 106 Stat. 4549
- 1996amended Pub. L. 104–313, § 2(c), , 110 Stat. 3822
- 2010Pub. L. 111–148, title X, § 10221(a), , 124 Stat. 935.
Show as published
(Pub. L. 94–437, title II, § 211, as added Pub. L. 102–573, title II, § 206(c), , 106 Stat. 4549; amended Pub. L. 104–313, § 2(c), , 110 Stat. 3822; Pub. L. 111–148, title X, § 10221(a), , 124 Stat. 935.)