Title 25 — Indians
Chapter 18 — Indian Health Care
§ 1631. Consultation; closure of facilities; reports
Statutory text
Consultation; standards for accreditation
Prior to the expenditure of, or the making of any firm commitment to expend, any funds appropriated for the planning, design, construction, or renovation of facilities pursuant to section 13 of this title, the Secretary, acting through the Service, shall—
consult with any Indian tribe that would be significantly affected by such expenditure for the purpose of determining and, whenever practicable, honoring tribal preferences concerning size, location, type, and other characteristics of any facility on which such expenditure is to be made, and
ensure, whenever practicable, that such facility meets the standards of the Joint Commission on Accreditation of Health Care Organizations by not later than 1 year after the date on which the construction or renovation of such facility is completed.
Closure; report on proposed closure
Notwithstanding any provision of law other than this subsection, no Service hospital or outpatient health care facility of the Service, or any portion of such a hospital or facility, may be closed if the Secretary has not submitted to the Congress at least 1 year prior to the date such hospital or facility (or portion thereof) is proposed to be closed an evaluation of the impact of such proposed closure which specifies, in addition to other considerations—
the accessibility of alternative health care resources for the population served by such hospital or facility;
the cost effectiveness of such closure;
the quality of health care to be provided to the population served by such hospital or facility after such closure;
the availability of contract health care funds to maintain existing levels of service;
the views of the Indian tribes served by such hospital or facility concerning such closure;
the level of utilization of such hospital or facility by all eligible Indians; and
the distance between such hospital or facility and the nearest operating Service hospital.
Paragraph (1) shall not apply to any temporary closure of a facility or of any portion of a facility if such closure is necessary for medical, environmental, or safety reasons.
Health care facility priority system
In general
Priority system
The Secretary, acting through the Service, shall maintain a health care facility priority system, which—
shall be developed in consultation with Indian tribes and tribal organizations;
shall give Indian tribes’ needs the highest priority;
may include the lists required in paragraph (2)(B)(ii); and
shall include the methodology required in paragraph (2)(B)(v); and
may include such health care facilities, and such renovation or expansion needs of any health care facility, as the Service may identify; and
shall provide an opportunity for the nomination of planning, design, and construction projects by the Service, Indian tribes, and tribal organizations for consideration under the priority system at least once every 3 years, or more frequently as the Secretary determines to be appropriate.
Needs of facilities under ISDEAA agreements
The Secretary shall ensure that the planning, design, construction, renovation, and expansion needs of Service and non-Service facilities operated under contracts or compacts in accordance with the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.) 1 are fully and equitably integrated into the health care facility priority system.
Criteria for evaluating needs
For purposes of this subsection, the Secretary, in evaluating the needs of facilities operated under a contract or compact under the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.),1 shall use the criteria used by the Secretary in evaluating the needs of facilities operated directly by the Service.
Priority of certain projects protected
The priority of any project established under the construction priority system in effect on , shall not be affected by any change in the construction priority system taking place after that date if the project—
was identified in the fiscal year 2008 Service budget justification as—
1 of the 10 top-priority inpatient projects;
1 of the 10 top-priority outpatient projects;
1 of the 10 top-priority staff quarters developments; or
1 of the 10 top-priority Youth Regional Treatment Centers;
had completed both Phase I and Phase II of the construction priority system in effect on ; or
is not included in clause (i) or (ii) and is selected, as determined by the Secretary—
on the initiative of the Secretary; or
pursuant to a request of an Indian tribe or tribal organization.
Report; contents
Initial comprehensive report
Definitions
In this subparagraph:
Facilities Appropriation Advisory Board
The term “Facilities Appropriation Advisory Board” means the advisory board, comprised of 12 members representing Indian tribes and 2 members representing the Service, established at the discretion of the Director—
to provide advice and recommendations for policies and procedures of the programs funded pursuant to facilities appropriations; and
to address other facilities issues.
Facilities Needs Assessment Workgroup
The term “Facilities Needs Assessment Workgroup” means the workgroup established at the discretion of the Director—
to review the health care facilities construction priority system; and
to make recommendations to the Facilities Appropriation Advisory Board for revising the priority system.
Initial report
In general
Not later than 1 year after , the Secretary shall submit to the Committee on Indian Affairs of the Senate and the Committee on Natural Resources of the House of Representatives a report that describes the comprehensive, national, ranked list of all health care facilities needs for the Service, Indian tribes, and tribal organizations (including inpatient health care facilities, outpatient health care facilities, specialized health care facilities (such as for long-term care and alcohol and drug abuse treatment), wellness centers, and staff quarters, and the renovation and expansion needs, if any, of such facilities) developed by the Service, Indian tribes, and tribal organizations for the Facilities Needs Assessment Workgroup and the Facilities Appropriation Advisory Board.
Inclusions
The initial report shall include—
the methodology and criteria used by the Service in determining the needs and establishing the ranking of the facilities needs; and
such other information as the Secretary determines to be appropriate.
Updates of report
Beginning in calendar year 2011, the Secretary shall—
update the report under clause (ii) not less frequently that once every 5 years; and
include the updated report in the appropriate annual report under subparagraph (B) for submission to Congress under section 1671 of this title.
Annual reports
The Secretary shall submit to the President, for inclusion in the report required to be transmitted to Congress under section 1671 of this title, a report which sets forth the following:
A description of the health care facility priority system of the Service established under paragraph (1).
Health care facilities lists, which may include—
the 10 top-priority inpatient health care facilities;
the 10 top-priority outpatient health care facilities;
the 10 top-priority specialized health care facilities (such as long-term care and alcohol and drug abuse treatment); and
the 10 top-priority staff quarters developments associated with health care facilities.
The justification for such order of priority.
The projected cost of such projects.
The methodology adopted by the Service in establishing priorities under its health care facility priority system.
Requirements for preparation of reports
In preparing the report required under paragraph (2), the Secretary shall—
consult with and obtain information on all health care facilities needs from Indian tribes and tribal organizations; and
review the total unmet needs of all Indian tribes and tribal organizations for health care facilities (including staff quarters), including needs for renovation and expansion of existing facilities.
Review of methodology used for health facilities construction priority system
In general
Not later than 1 year after the establishment of the priority system under subsection (c)(1)(A), the Comptroller General of the United States shall prepare and finalize a report reviewing the methodologies applied, and the processes followed, by the Service in making each assessment of needs for the list under subsection (c)(2)(A)(ii) and developing the priority system under subsection (c)(1), including a review of—
the recommendations of the Facilities Appropriation Advisory Board and the Facilities Needs Assessment Workgroup (as those terms are defined in subsection (c)(2)(A)(i)); and
the relevant criteria used in ranking or prioritizing facilities other than hospitals or clinics.
Submission to Congress
The Comptroller General of the United States shall submit the report under paragraph (1) to—
the Committees on Indian Affairs and Appropriations of the Senate;
the Committees on Natural Resources and Appropriations of the House of Representatives; and
the Secretary.
Funding condition
All funds appropriated under section 13 of this title, for the planning, design, construction, or renovation of health facilities for the benefit of 1 or more Indian Tribes shall be subject to the provisions of section 102 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450f) 1 or sections 504 and 505 of that Act (25 U.S.C. 458aaa–3, 458aaa–4).1
Development of innovative approaches
The Secretary shall consult and cooperate with Indian tribes and tribal organizations, and confer with urban Indian organizations, in developing innovative approaches to address all or part of the total unmet need for construction of health facilities, that may include—
the establishment of an area distribution fund in which a portion of health facility construction funding could be devoted to all Service areas;
approaches provided for in other provisions of this subchapter; and
other approaches, as the Secretary determines to be appropriate.
2 Funds appropriated subject to section 5321 of this title
All funds appropriated under section 13 of this title for the planning, design, construction, or renovation of health facilities for the benefit of an Indian tribe or tribes shall be subject to the provisions of section 102 of the Indian Self-Determination Act [25 U.S.C. 5321].
3 Priority of certain projects protected
The priority of any project established under the construction priority system in effect on , shall not be affected by any change in the construction priority system taking place after that date if the project—
was identified in the fiscal year 2008 Service budget justification as—
1 of the 10 top-priority inpatient projects;
1 of the 10 top-priority outpatient projects;
1 of the 10 top-priority staff quarters developments; or
1 of the 10 top-priority Youth Regional Treatment Centers;
had completed both Phase I and Phase II of the construction priority system in effect on ; or
is not included in clause (i) or (ii) 4 and is selected, as determined by the Secretary—
on the initiative of the Secretary; or
pursuant to a request of an Indian tribe or tribal organization.
Footnotes
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 III § 301 · 90 Stat. 1400
Enacted · 25 U.S.C. § 1631
Pub. L. 94–437, title III, § 301, Sept. 30, 1976, 90 Stat. 1406
Source evidence
Code source credit
Pub. L. 94–437, title III, § 301, Sept. 30, 1976, 90 Stat. 1406Enacted provision · exact public law section
Sec. 301. construction and renovation of service facilities (a) The Secretary, acting through the Service, is authorized to expend over the seven-fiscal-year period beginning after the date of the enactment of this Act the sums authorized by subsection (b) for the construction and renovation of hospitals, health centers, health stations, and other facilities of the Service. (b) The following amounts are authorized to be appropriated for purposes of subsection (a): (1) Hospitals: $67,180,000 for fiscal year 1978, $73,256,000 for fiscal year 1979, and $49,742,000 for fiscal year 1980. For fiscal years 1981, 1982, 1983, and 1984, there are authorized to be appropriated for hospitals such sums as may be specifically authorized by an Act enacted after this Act. (2) Health centers and health stations: $6,960,000 for fiscal year 1978, $6,226,000 for fiscal year 1979, and $3,720,000 for fiscal year 1980. For fiscal years 1981, 1982, 1983, and 1984 there are authorized to he appropriated for health centers mid health stations such sums as may be specifically authorized by an Act (3) Staff housing: $1,242,000 for fiscal year 1978, $21,725,000 for fiscal year 1979, and $4,116,000 for fiscal year 1980. For fiscal years 1981, 1982, 1983, and 1984, there are authorized to he appropriated for staff housing such sums as may be specifically authorized by an Act enacted after this Act. (c) Prior to the expenditure of, or the making of any firm commitment to expend, any funds authorized in subsection (a), the Secretary, acting through the Service shall— (1) consult with any Indian tribe to be significantly affected by any such expenditure for the purpose of determining and, wherever practicable, honoring tribal preferences concerning the size, location, type, and other characteristics of any facility on which, such expenditure is to be made; and (2) be assured that, wherever practicable, such facility, not later than one year after its construction or renovation, shall meet the standards of the Joint Committee on Accreditation of Hospitals.Indian Health Care Amendments of 1988
Pub. L. 100–713 title III § 301 · 102 Stat. 4784
Amended · 25 U.S.C. § 1631
Pub. L. 100–713 amended section generally
Substituted · 25 U.S.C. § 1631
Pub. L. 100–713 substituting subsecs. (a) to (e) relating to consultation, closure of facilities, and reports for former subsecs. (a) to (c) relating to construction and renovation of Service facilities
Source evidence
Code amendment note
Pub. L. 100–713 amended section generally, substituting subsecs. (a) to (e) relating to consultation, closure of facilities, and reports for former subsecs. (a) to (c) relating to construction and renovation of Service facilities.Enacted provision · exact public law section
Sec. 301. consultation; closure of facilities; reports Section 301 (25 U.S.C. 1631) is amended to read as follows: “Sec. 301. “consultation; closure of facilities; reports (a) Prior to the expenditure of, or the making of any firm commitment to expend any funds appropriated for the planning, design, construction, or renovation of facilities pursuant to the Act of November 2, 1921 (25 U.S.C. 13), popularly known as the Snyder Act, the Secretary, acting through the Service, shall— “(1) consult with any Indian tribe that would be significantly affected by such expenditure for the purpose of determining and, whenever practicable, honoring tribal preferences concerning size, location, type, and other characteristics of any facility on which such expenditure is to be made, and “(2) ensure, whenever practicable, that such facility meets the standards of the Joint Commission on Accreditation of Hospitals by not later than 1 year after the date on which the construction or renovation of such facility is completed. “(b) (1) Notwithstanding any provision of law other than this subsection, no Service hospital or other outpatient health care facility of the Service, or any portion of such a hospital or facility, may be closed if the Secretary has not submitted to the Congress at least 1 year prior to the date such hospital or facility (or portion thereof) is proposed to be closed an evaluation of the impact of such proposed closure which specifies, in addition to other considerations— “(A) the accessibility of alternative health care resources for the population served by such hospital or facility; “(B) the cost effectiveness of such closure; “(C) the quality of health care to be provided to the population served by such hospital or facility after such closure; “(D) the availability of contract health care funds to maintain existing levels of service; and “(E) the views of the Indian tribes served by such hospital or facility concerning such closure. “(2) Paragraph (1) shall not apply to any temporary closure of a facility or of any portion of a facility if such closure is necessary for medical, environmental, or safety reasons. “(c) The President shall include with the budget submitted under President of U.S. section 1105 of title 31, United States Code, for each of the fiscal years 1990, 1991, and 1992, program information documents for the construction of 10 Indian health facilities which— “(1) comply with applicable construction standards, and “(2) have been approved by the Secretary. “(d) (1) The Secretary shall submit to the Congress an annual Reports. report which sets forth— “(A) the current health facility priority system of the Service, “(B) the planning, design, construction, and renovation needs for the 10 top-priority inpatient care facilities and the 10 top-priority ambulatory care facilities (together with required staff quarters), “(C) the justification for such order of priority, “(D) the projected cost of such projects, and “(E) the methodology adopted by the Service in establishing priorities under its health facility priority system. “(2) The first report required under paragraph (1) shall be submitted by no later than the date that is 180 days after the date of enactment of the Indian Health Care Amendments of 1988 and, beginning in 1990, each subsequent annual report shall be submitted by the date that is 60 days after the date on which the President submits the budget to the Congress under section 1105 of title 31, United States Code. “(3) In preparing each report required under paragraph (1) (other than the initial report), the Secretary shall— “(A) consult with Indian tribes and tribal organizations including those tribes or tribal organizations operating health programs or facilities under any contract entered into with the Service under the Indian Self-Determination Act, and “(B) review the needs of such tribes and tribal organizations for inpatient and outpatient facilities, including their needs for renovation and expansion of costing facilities. “(4) For purposes of this subsection, the Secretary shall, in evaluating the needs of facilities operated under any contract entered into with the Service under the Indian Self-Determination Act, use the same criteria that the Secretary uses in evaluating the needs of facilities operated directly by the Service. “(5) The Secretary shall ensure that the planning, design, construction, and renovation needs of Service and non-Service facilities which are the subject of a contract for health services entered into with the Service under the Indian Self-Determination Act are fully and equitably integrated into the development of the health facility priority system. “(e) All funds appropriated under the Act of November 2, 1921 (25 U.S.C. 13), for the planning, design, construction, or renovation of health facilities for the benefit of an Indian tribe or tribes shall be subject to the provisions of sections 102 and 103(b) of the Indian Self-Determination Act.”.Indian Health Amendments of 1992
Pub. L. 102–573 § 301(1) · 106 Stat. 4526
Substituted · 25 U.S.C. § 1631(a)(2)
Pub. L. 102–573, § 301(1), substituted “Health Care Organizations” for “Hospitals”
Source evidence
Code amendment note
Subsec. (a)(2). Pub. L. 102–573, § 301(1), substituted “Health Care Organizations” for “Hospitals”.Enacted provision · exact public law section
(1) in subsection (a)(2), by striking out “Hospitals” and inserting “Health Care Organizations”;Indian Health Amendments of 1992
Pub. L. 102–573 § 301(2) · 106 Stat. 4526
Struck · 25 U.S.C. § 1631(b)(1)
Pub. L. 102–573, § 301(2), struck out “other” before “outpatient health care facility” in introductory provisions
Added · 25 U.S.C. § 1631(b)(1)
Pub. L. 102–573, § 301(2), added subpars. (F) and (G)
Source evidence
Code amendment note
Subsec. (b)(1). Pub. L. 102–573, § 301(2), struck out “other” before “outpatient health care facility” in introductory provisions and added subpars. (F) and (G).Enacted provision · exact public law section
(2) in subsection (b)(1)— (A) in the material preceding subparagraph (A), by striking out “other” before “outpatient”; (B) by striking out “and” at the end of subparagraph (D); (C) by striking out the period at the end of subparagraph (E) and inserting in lieu thereof a semicolon; and (D) by adding at the end the following new subparagraphs: “(F) the level of utilization of such hospital or facility by all eligible Indians and “(G) the distance between such hospital or facility and the nearest operating Service hospital.”;Indian Health Amendments of 1992
Pub. L. 102–573 § 301(3) · 106 Stat. 4526
Redesignated · 25 U.S.C. § 1631(c)
Pub. L. 102–573, § 301(3), redesignated subsec. (d) as (c)
Struck · 25 U.S.C. § 1631(c)
Pub. L. 102–573, § 301(3), struck out former subsec. (c) which read as follows: “The President shall include with the budget submitted under section 1105 of title 31, for each of the fiscal years 1990, 1991, and 1992, program information documents for the construction of 10 Indian health facilities which—
Source evidence
Code amendment note
Subsec. (c). Pub. L. 102–573, § 301(3), redesignated subsec. (d) as (c) and struck out former subsec. (c) which read as follows: “The President shall include with the budget submitted under section 1105 of title 31, for each of the fiscal years 1990, 1991, and 1992, program information documents for the construction of 10 Indian health facilities which—“(1) comply with applicable construction standards, and “(2) have been approved by the Secretary.”
Enacted provision · exact public law section
(3) by striking out subsection (c) and redesignating subsections (d) and (e) as subsections (c) and (d), respectively;Indian Health Amendments of 1992
Pub. L. 102–573 § 301(4) · 106 Stat. 4526
Amended · 25 U.S.C. § 1631(c)(1)
Pub. L. 102–573, § 301(4), amended introductory provisions generally. Prior to amendment, introductory provisions read as follows: “The Secretary shall submit to the Congress an annual report which sets forth—”
Source evidence
Code amendment note
Subsec. (c)(1). Pub. L. 102–573, § 301(4), amended introductory provisions generally. Prior to amendment, introductory provisions read as follows: “The Secretary shall submit to the Congress an annual report which sets forth—”.Enacted provision · exact public law section
(4) in subsection (c)(1) (as redesignated by paragraph (2) of this subsection), by amending the material preceding subparagraph (A) to read as follows: “(c) (1) The Secretary shall submit to the President, for inclusion in each report required to be transmitted to the Congress under section 801, a report which sets forth—”; andIndian Health Amendments of 1992
Pub. L. 102–573 § 301(5) · 106 Stat. 4526
Redesignated · 25 U.S.C. § 1631(c)(2)(5)
Pub. L. 102–573, § 301(5), redesignated pars. (3) to (5) as (2) to (4), respectively
Struck · 25 U.S.C. § 1631(c)(2)(5)
Pub. L. 102–573, § 301(5), struck out former par. (2) which read as follows: “The first report required under paragraph (1) shall be submitted by no later than the date that is 180 days after November 23, 1988, and, beginning in 1990, each subsequent annual report shall be submitted by the date that is 60 days after the date on which the President submits the budget to the Congress under section 1105 of title 31.”
Source evidence
Code amendment note
Subsec. (c)(2) to (5). Pub. L. 102–573, § 301(5), redesignated pars. (3) to (5) as (2) to (4), respectively, and struck out former par. (2) which read as follows: “The first report required under paragraph (1) shall be submitted by no later than the date that is 180 days after November 23, 1988, and, beginning in 1990, each subsequent annual report shall be submitted by the date that is 60 days after the date on which the President submits the budget to the Congress under section 1105 of title 31.”Enacted provision · exact public law section
(5) by striking out paragraph (2) of subsection (c) (as redesignated by paragraph (2)) and redesignating paragraphs (3), (4), and (5) of such subsection as paragraphs (2), (3), and (4), respectively.Indian Health Amendments of 1992
Pub. L. 102–573 title III § 301 · 106 Stat. 4526
Redesignated · 25 U.S.C. § 1631(d); 25 U.S.C. § 1631(e)
Pub. L. 102–573, §§ 301(3), 902(4)(B), redesignated subsec. (e) as (d)
Redesignated · 25 U.S.C. § 1631(d); 25 U.S.C. § 1631(e)
Pub. L. 102–573, §§ 301(3), 902(4)(B), substituted “section 102 of the Indian Self-Determination Act” for “sections 102 and 103(b) of the Indian Self-Determination Act”. Former subsec. (d) redesignated (c)
Source evidence
Code amendment note
Subsecs. (d), (e). Pub. L. 102–573, §§ 301(3), 902(4)(B), redesignated subsec. (e) as (d) and substituted “section 102 of the Indian Self-Determination Act” for “sections 102 and 103(b) of the Indian Self-Determination Act”. Former subsec. (d) redesignated (c).Enacted provision · exact public law section
SEC. 301. HEALTH FACILITIES CLOSURE AND PRIORITIES. Section 301 of the Act (25 U.S.C. 1631) is amended— (1) in subsection (a)(2), by striking out “Hospitals” and inserting “Health Care Organizations”; (2) in subsection (b)(1)— (A) in the material preceding subparagraph (A), by striking out “other” before “outpatient”; (B) by striking out “and” at the end of subparagraph (D); (C) by striking out the period at the end of subparagraph (E) and inserting in lieu thereof a semicolon; and (D) by adding at the end the following new subparagraphs: “(F) the level of utilization of such hospital or facility by all eligible Indians and “(G) the distance between such hospital or facility and the nearest operating Service hospital.”; (3) by striking out subsection (c) and redesignating subsections (d) and (e) as subsections (c) and (d), respectively; (4) in subsection (c)(1) (as redesignated by paragraph (2) of this subsection), by amending the material preceding subparagraph (A) to read as follows: “(c) (1) The Secretary shall submit to the President, for inclusion in each report required to be transmitted to the Congress under section 801, a report which sets forth—”; and (5) by striking out paragraph (2) of subsection (c) (as redesignated by paragraph (2)) and redesignating paragraphs (3), (4), and (5) of such subsection as paragraphs (2), (3), and (4), respectively.Patient Protection and Affordable Care Act
Pub. L. 111–148 title X § 10221(a) · 124 Stat. 119
Added · 25 U.S.C. § 1631
Pub. L. 111–148 added subsecs. (c) to (f)
Redesignated · 25 U.S.C. § 1631
Pub. L. 111–148 redesignated former subsec. (d) as (h)
Added · 25 U.S.C. § 1631
Pub. L. 111–148 added subsec. (g) at end
Struck · 25 U.S.C. § 1631
Pub. L. 111–148 struck out former subsec. (c) which related to annual report on health facility priority system
Source evidence
Code amendment note
Pub. L. 111–148 added subsecs. (c) to (f), redesignated former subsec. (d) as (h), added subsec. (g) at end, and struck out former subsec. (c) which related to annual report on health facility priority system.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.
17 of 17 references resolved to an enrolled provision
Editorial Notes
References in Text
The Indian Self-Determination and Education Assistance Act, referred to in subsecs. (c)(1)(B), (C), (e), and (h), is Pub. L. 93–638, , 88 Stat. 2203, which was classified principally to subchapter II (§ 450 et seq.) of chapter 14 of this title prior to editorial reclassification as chapter 46 (§ 5301 et seq.) of this title. Sections 102, 504, and 505 of the Act were classified to sections 450f, 458aaa–3, and 458aaa–4 of this title prior to editorial reclassification as sections 5321, 5384, and 5385, respectively, 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.
Codification
Amendment by Pub. L. 111–148 is based on sections 141 and 142 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 were enacted into law by section 10221(a) of Pub. L. 111–148.
Amendments1988–2010 · 3 rounds
2010
Pub. L. 111–148 added subsecs. (c) to (f), redesignated former subsec. (d) as (h), added subsec. (g) at end, and struck out former subsec. (c) which related to annual report on health facility priority system.
1992
Subsec. (a)(2). Pub. L. 102–573, § 301(1), substituted “Health Care Organizations” for “Hospitals”.
Subsec. (b)(1). Pub. L. 102–573, § 301(2), struck out “other” before “outpatient health care facility” in introductory provisions and added subpars. (F) and (G).
Subsec. (c). Pub. L. 102–573, § 301(3), redesignated subsec. (d) as (c) and struck out former subsec. (c) which read as follows: “The President shall include with the budget submitted under section 1105 of title 31, for each of the fiscal years 1990, 1991, and 1992, program information documents for the construction of 10 Indian health facilities which—
“(1) comply with applicable construction standards, and
“(2) have been approved by the Secretary.”
Subsec. (c)(1). Pub. L. 102–573, § 301(4), amended introductory provisions generally. Prior to amendment, introductory provisions read as follows: “The Secretary shall submit to the Congress an annual report which sets forth—”.
Subsec. (c)(2) to (5). Pub. L. 102–573, § 301(5), redesignated pars. (3) to (5) as (2) to (4), respectively, and struck out former par. (2) which read as follows: “The first report required under paragraph (1) shall be submitted by no later than the date that is 180 days after , and, beginning in 1990, each subsequent annual report shall be submitted by the date that is 60 days after the date on which the President submits the budget to the Congress under section 1105 of title 31.”
Subsecs. (d), (e). Pub. L. 102–573, §§ 301(3), 902(4)(B), redesignated subsec. (e) as (d) and substituted “section 102 of the Indian Self-Determination Act” for “sections 102 and 103(b) of the Indian Self-Determination Act”. Former subsec. (d) redesignated (c).
1988
Pub. L. 100–713 amended section generally, substituting subsecs. (a) to (e) relating to consultation, closure of facilities, and reports for former subsecs. (a) to (c) relating to construction and renovation of Service facilities.
Credits
1976–2010 · 4 acts
- 1976Pub. L. 94–437, title III, § 301, , 90 Stat. 1406
- 1988Pub. L. 100–713, title III, § 301, , 102 Stat. 4812
- 1992Pub. L. 102–573, title III, § 301, title IX, § 902(4)(B), , 106 Stat. 4560, 4591
- 2010Pub. L. 111–148, title X, § 10221(a), , 124 Stat. 935.
Show as published
(Pub. L. 94–437, title III, § 301, , 90 Stat. 1406; Pub. L. 100–713, title III, § 301, , 102 Stat. 4812; Pub. L. 102–573, title III, § 301, title IX, § 902(4)(B), , 106 Stat. 4560, 4591; Pub. L. 111–148, title X, § 10221(a), , 124 Stat. 935.)