Health service delivery areas: Geographic composition; list, 34262-34267 [07-3045]
Agencies
[Federal Register: June 21, 2007 (Volume 72, Number 119)]
[Notices]
[Page 34262-34267]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr21jn07-51]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Geographic Composition of the Contract Health Service Delivery
Areas (CHSDA) and Service Delivery Areas (SDA) of the Indian Health
Service
AGENCY: Indian Health Service (IHS), Department of Health and Human
Services (HHS).
ACTION: Notice.
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SUMMARY: The purpose of this notice is to revise and update the list of
Contract Health Service Delivery Areas (CHSDA) as defined in 42 CFR
part 136, Subparts A-C and Service Delivery Areas (SDA) as established
by the Director, Indian Health Service (IHS) administratively to
effectuate the intent of Congress. This list replaces and supplements
the FR notice dated January 10, 1984 (49 FR 1291) establishing CHSDAs
and FR notice dated August 25, 1988 (53 FR 32460) establishing Health
Service Delivery Areas (HSDAs).
EFFECTIVE DATE: June 21, 2007.
FOR FURTHER INFORMATION CONTACT: Hankie Ortiz, Director, Division of
Regulatory Affairs, 801 Thompson Avenue, Rockville, Maryland 20852,
telephone: (301) 443-1116. (This is not a toll-free number.)
SUPPLEMENTARY INFORMATION: On September 16, 1987, the Department of
Health and Human Services (HHS) published new final regulations
governing eligibility for the Indian Health Service (IHS) services at
52 FR 35044. In the Fiscal Year 1988 Appropriations Act, Section 315,
Public Law 100-202, Congress delayed implementation of the new
regulations for one year and imposed a moratorium on the use of
appropriated funds for implementation of the new regulations in
subsequent fiscal years. In Section 719(a) ofthe Indian Health Care
Amendments of 1988, Public Law 100-713, Congress directed that during
the moratorium that IHS should provide services pursuant to the
criteria for eligibility for such services that were in effect on
September 15, 1987. Because the moratorium continues in effect, for the
convenience of the public, the HHS republished the eligibility
regulations in effect on September 15, 1987. These regulations appear
re-designated in the Code of Federal Regulations at Title 42, Part 136,
Subparts A-C.
The regulations of September 16, 1987, that are under moratorium,
provided that the IHS would designate and publish as a notice in the
Federal Register specific geographic areas within the United States
including Indian reservations and areas surrounding those reservations
as Health Service Delivery Areas (HSDAs). The HSDAs are the geographic
areas within which direct and contract health services may be made
available by the IHS to eligible individuals who reside within the
areas. In anticipation of the Congressional moratorium being lifted,
the IHS on August 25, 1988 published at 53 FR 32460 a list of HSDAs. If
the Congressional moratorium were lifted, the list was to be effective
September 16, 1988 or such later date as may be estblished by Congress.
Because the Congressional moratorium continues in effect, the HSDA list
never became effective.
As noted above, the IHS currently provides services under
regulations in effect on September 15, 1987 and republished at 42 CFR
Part 136, Subparts A-C. Subpart C defines a Contract Health Service
Delivery Area (CHSDA) as the geographic area within which contract
health services will be made available by the IHS to members of an
identified Indian community who reside in the area. It should be
clearly understood that residence within a CHSDA or Service Delivery
Area (SDA) by a person who is within the scope of the Indian health
program, as set forth in 42 CFR 136.12, creates no legal entitlement to
contract health services but only potential eligibility for services.
Services needed but not available at an IHS/tribal facility are
provided under the Contract Health Services (CHS) program depending on
the availability of funds, the person's relative medical priority, and
the actual availability and accessibility of alternate resources in
accordance with the regulations.
The purpose of this FR notice is to revise and update the list of
CHSDAs and SDAs as last published in 1984. The current eligibility
regulations at 42 CFR 136.22(a)(1)-(5) defines certain CHSDAs by
designating some States as CHSDAs and certain counties within a state
as a CHSDA. In addition, Section 136.22(a)(6) provides that:
With respect to all other reservations (i.e., other than those not
specifically listed in 42 CFR 136.22(a)(1)-(5)) within the scope of the
Indian health program, the CHSDA shall consist of a county which
includes all or part of a reservation, and any county or counties
[[Page 34263]]
which have a common boundary with the reservation.
The counties included or excluded from the following list of CHSDAs
were determined by applying the regulations at 42 CFR 136.22 except
where otherwise provided for by regulations, public laws, or
congressional action in the appropriations process.
The list includes those CHSDAs as defined in the regulations at 42
CFR 136.22, including those CHSDAs designated as exceptions within the
funded scope and exceptions provided by legislation. In addition, many
of the newly recognized tribes do not have reservations and either
Congress has legislatively designated counties to serve as SDAs or the
Director, IHS exercised reasonable administrative discretion to
designate SDAs to effectuate the intent of Congress for these tribes.
The SDAs function as CHSDAs for the purposes of operating a CHS program
pursuant to the ISDEAA, Pub. L. 93-638. Thus, the CHSDA list
incorporates the SDAs that operate as CHSDAs for newly recognized
tribes recognized as of the date of publication of this Notice.
The CHSDA and SDA list has been modified and updated to include the
name of the tribe, with the respective reservation in parenthesis
underneath the name of the tribe, and/or the counties comprising the
CHSDA or SDA. Any mistakes in the list of CHSDAs and SDAs should be
brought to the attention of Hankie Ortiz, Director, Division of
Regulatory Affairs, 801 Thompson Avenue, Rockville, Maryland 20852,
telephone: (301) 443-1116. Any corrections of mistaken inclusions or
exclusions of a county or counties in a CHSDA or SDA may be made
administratively and included in a later FR notice. Redesignation of
areas included or excluded from a CHSDA for reasons other than a
mistake is governed by 42 CFR 136.22(b) and may be made by the
Director, IHS.
The CHSDA and SDA counties for all tribes and reservations within
the funded scope of the IHS program are as follows:
Contract Health Service Delivery Areas and Service Delivery Areas
------------------------------------------------------------------------
Tribe/Reservation County/State
------------------------------------------------------------------------
Ak Chin Indian Community (Ak Chin Pinal, AZ.
Indian Reservation).
Alabama-Coushatta Tribe................ Polk, TX.\1\
Alaska................................. Entire State.\2\
Arapaho Tribe (Wind River Reservation). Hot Springs, WY, Fremont, WY,
Sublette, WY.
Aroostook Band of Micmac............... Aroostook, ME.\3\
Assiniboine-Sioux Tribe (Fort Peck Daniels, MT, McCone, MT,
Reservation). Richland, MT, Roosevelt, MT,
Sheridan, MT, Valley, MT.
Bad River Band of Lake Superior Ashland, WI, Iron, WI.
Chippewa (Bad River Reservation).
Bay Mills Indian Community (Bay Mills Chippewa, MI.
Reservation).
Blackfeet Tribe (Blackfeet Reservation) Glacier, MT, Pondera, MT.
Bois Forte Band of Chippewa (Nett Lake Itasca, MN, Koochiching, MN,
Reservation). St. Louis, MN.
Brigham City Intermountain School (\4\).
Health Center.
Bums Paiute Tribe (Bums Paiute Indian Harney, OR.
Colony).
California............................. Entire State, except for the
counties listed in
footnote.\5\
Catawba Indian Nation.................. All Counties in SC,\13\
Cabarrus, NC, Cleveland, NC,
Gaston, NC, Mecklenburg, NC,
Rutherford, NC, Union, NC.
Cayuga Nation of New York.............. Allegany, NY,\13\ Cattaraugus,
NY, Chautaugua, NY, Erie, NY,
Warren, PA.
Cheyenne River Sioux (Cheyenne River Corson, SD, Dewey, SD, Haakon,
Reservation). SD, Meade, SD, Perkins, SD,
Potter, SD, Stanley, SD,
Sully, SD, Walworth, SD,
Ziebach, SD.
Chippewa-Cree Indians (Rocky Boy Chouteau, MT, Hill, MT,
Reservation). Liberty, MT.
Chitimacha Tribe....................... St. Mary Parish, LA.
Cocopah Tribe.......................... Yuma, AZ, Imperial, CA.
Coeur D'Alene Tribe (Coeur D'Alene Benewah, ID, Kootenai, ID,
Reservation). Latah, ID, Spokane, WA,
Whitman, WA.
Colorado River Indian Tribes (Colorado La Paz, AZ, Riverside, CA, San
River Reservation). Bernardino, CA, Yuma, AZ.
Confederated Salish & Kootenai Tribes Flathead, MT, Lake, MT,
(Flathead Reservation). Missoula, MT, Sanders, MT.
Confederated Tribes of Chehalis Grays Harbor, WA, Lewis, WA,
(Chehalis Reservation). Thurston, WA.
Confederated Tribes of Colville Chelan, WA,\6\ Douglas, WA,
(Colville Reservation). Ferry, WA, Grant, WA, Lincoln,
WA, Okanogan, WA, Stevens, WA.
Confederated Tribes of Coos, Lower Coos, OR,\7\ Curry, OR,
Umpqua & Siuslaw Indians. Douglas, OR, Lane, OR,
Lincoln, OR.
Confederated Tribes of Goshute (Goshute Nevada, Juab, UT, Toole, UT.
Reservation).
Confederated Tribes of Grand Ronde Polk, OR,\8\ Washington, OR,
(Grand Ronde Community). Marion, OR, Yamhill, OR,
Tillamook, OR, Multnomah, OR.
Confederated Tribes of Siletz (Siletz Benton, OR,\9\ Clackamas, OR,
Reservation). Lane, OR, Lincoln, OR, Linn,
OR, Marion, OR, Multnomah, OR,
Polk, OR, Tillamook, OR,
Washington, OR, Yam Hill, OR.
Confederated Tribes of Umatilla Umatilla, OR, Union, OR.
(Umatilla Reservation).
Confederated Tribes of Warm Springs Clackamas, OR, Jefferson, OR,
(Warm Springs Reservation). Linn, OR, Marion, OR, Wasco,
OR.
Confederated Tribes & Bands of Yakima Klickitat, WA, Lewis, WA,
Nation (Yakama Reservation). Skamania, WA,\10\ Yakima, WA.
Coquille Tribe......................... Coos, OR,\13\ Curry, OR,
Douglas, OR, Jackson, OR,
Lane, OR.
Coushatta Tribe........................ Allen Parish, LA, Jefferson
Davis, LA.
Cow Creek Band of Umpqua............... Coos, OR,\11\ Deshutes, OR,
Douglas, OR, Jackson, OR,
Josephine, OR, Klamath, OR,
Lane, OR.
Cowlitz Indian Tribe................... Clark, WA,\13\ Cowlitz, WA,
King, WA, Lewis, WA, Pierce,
WA, Skamania, WA, Thurston,
WA.
Crow Tribe (Crow Reservation).......... Big Horn, MT, Carbon, MT,
Treasure, MT,\l4\ Yellowstone,
MT, Big Horn, WY, Sheridan,
WY.
Crow Creek Sioux Tribe (Crow Creek Brule, SD, Buffalo, SD, Hand,
Reservation). SD, Hughes, SD, Hyde, SD,
Lyman, SD, Stanley, SD.
Eastern Band of Cherokee Indians Cherokee, NC, Graham, NC,
(Cherokee Reservation). Haywood, NC, Jackson, NC,
Swain, NC.
[[Page 34264]]
Flandreau Santee Sioux Tribe........... Moody, SD.
Fond du Lac Band of Chippewa (Fond du Carlton, MN, St. Louis, MN.
Lac Reservation).
Forest County Potawatomi Community..... Forest, WI, Marinette, WI,
Oconto, WI.
Fort Belknap Indian Community (Fort Blaine, MT, Phillips, MT.
Belknap Reservation).
Fort McDermitt Paiute and Shoshone Nevada, Malheur, OR.
(Fort McDermitt Reservation).
Fort McDowell Yavapai Nation (Fort Maricopa, AZ.
McDowell Reservation).
Fort Mojave Indian Tribe............... Nevada, Mohave, AZ, San
Bernardino, CA.
Gila River Indian Community (Gila River Maricopa, AZ, Pinal, AZ.
Reservation).
Grand Portage Band of Chippewa (Grand Cook, MN.
Portage Reservation).
Grand Traverse Band of Ottawa & Antrim, MI,\15\ Benzie, MI,
Chippewa. Charlevoix, MI, Grand
Traverse, MI, Leelanau, MI,
Manistee, MI.
Hannahville Indian Community........... Delta, MI, Menominee, MI.
Haskell Indian Health Center........... Douglas, KS.\l6\ \17\.
Havasupai Tribe (Havasupai Reservation) Coconino, AZ.
Ho-Chunk Nation of Wisconsin (Winnebago Adams, WI,\18\ Clark, WI,
Tribe of Wisconsin). Columbia, WI, Crawford, WI,
Dane, WI, Eau Claire, WI,
Houston, MN, Jackson, WI,
Juneau, WI, La Crosse, WI,
Marathon, WI, Monroe, WI,
Sauk, WI, Shawano, WI, Vernon,
WI, Wood, WI.
Hoh Indian Tribe (Hoh Reservation)..... Jefferson, WA.
Hopi Tribe............................. Apache, AZ, Coconino, AZ,
Navajo, AZ.
Houlton Band of Maliseet Indians....... Aroostook, ME.\19\
Hualapai Indian Tribe (Hualapai Coconino, AZ, Mohave, AZ,
Reservation). Yavapai, AZ.
Huron Potawatomi Inc................... Allegan, MI,\13\ Barry, MI,
Branch, MI, Calhoun, MI,
Kalamazoo, MI, Kent, MI,
Ottawa, MI.
Iowa Tribe............................. Brown, KS, Doniphan, KS,
Richardson, NE.
Jamestown S'Klallam Tribe.............. Clallam, WA, Jefferson, WA.
Jena Band of Choctaw Indians........... Grand Parish, LA,\13\ LaSalle
Parish, LA, Rapides Parish,
LA.
Jicarilla Apache Nation (Jicarilla Archuleta, CO, Rio Arriba, NM,
Apache Reservation). Sandoval, NM.
Kaibab Band of Paiute (Kaibab Coconino, AZ, Mohave, AZ, Kane,
Reservation). UT.
Kalispel Indian Community (Kalispel Pend Oreille, WA, Spokane, WA.
Reservation).
Keweenaw Bay Indian Community (L'Anse Baraga, MI, Houghton, MI,
Reservation). Ontonagon, MI.
Kickapoo Tribe of Indians (Kickapoo Brown, KS, Jackson, KS.
Reservation).
Kickapoo Traditional Tribe of Texas.... Maverick, TX.\20\
Klamath Indian Tribe................... Klamath, OR.\21\
Kootenai Tribe......................... Boundary, ID.
Lac Courte Oreilles Band of Lake Sawyer, WI.
Superior Chippewa (Lac Courte Oreilles
Reservation).
Lac du Flambeau Band of Lake Superior Iron, WI, Oneida, WI, Vilas,
Chippewa (Lac du Flambeau Reservation). WI.
Lac Vieux Desert Band of Lake Superior Gogebic, MI.
Chippewa.
Leech Lake Band of Chippewa (Leech Lake Beltrami, MN, Cass, MN,
Reservation). Hubbard, MN, Itasca, MN.
Little River Band of Ottawa Indians.... Kent, MI,\22\ Muskegon, MI,
Newaygo, MI, Oceana, MI,
Ottawa, MI, Manistee, MI,
Mason, MI, Wexford, MI, Lake,
MI.
Little Traverse Bay Bands of Odawa..... Alcona, MI,\22\ Alger, MI,
Alpena, MI, Antrim, MI,
Benzie, MI, Charlevoix, MI,
Cheboygan, MI, Chippewa, MI,
Crawford, MI, Delta, MI,
Emmet, MI, Grand Traverse, MI,
Iosco, MI, Kalkaska, MI,
Leelanau, MI, Luce, MI,
Mackinac, MI, Manistee, MI,
Missaukee, MI, Montmorency,
MI, Ogemaw, MI, Oscoda, MI,
Otsego, MI, Presque Isle, MI,
Schoolcraft, MI, Roscommon,
MI, Wexford, MI.
Lower Brule Sioux Tribe (Lower Brule Brule, SD, Buffalo, SD, Hughes,
Reservation). SD, Lyman, SD, Stanley, SD.
Lower Elwha Tribal Community (Lower Clallam, WA.
Elwha Reservation).
Lower Sioux Indian Community (Lower Redwood, MN, Renville, MN.
Sioux Reservation).
Lummi Tribe (Lummi Reservation)........ Whatcom, WA.
Makah Indian Tribe (Makah Reservation). Clallam, WA.
Mashantucket Pequot Tribe.............. New London, CT.\23\
Match-e-be-nash-she-wish Band of Allegan, MI,\13\ Barry, MI,
Pottawatomi. Kalamazoo, MI, Kent, MI,
Ottawa, MI.
Menominee Indian Tribe................. Langlade, WI, Menominee, WI,
Oconto, WI, Shawano, WI.
Mescalero Apache Tribe (Mescalero Chaves, NM, Lincoln, NM, Otero,
Reservation). NM
Miccosukee Tribe....................... Broward, FL, Collier, FL, Miami-
Dade, FL.
Mille Lacs Band of Chippewa (Mille Lacs Aitkin, MN, Kanebec, MN, Mille
Reservation). Lacs, MN, Pine, MN.
Mississippi Band of Choctaw Indians.... Attala, MS, Jasper, MS,\24\
Jones, MS, Kemper, MS, Leake,
MS, Neshoba, MS, Newton, MS,
Noxubee, MS, Scott, MS,\25\
Winston, MS.
Mohegan Indian Tribe................... Fairfield, CT, Hartford, CT,
Litchfield, CT, Middlesex, CT,
New Haven, CT, New London, CT,
Tolland, CT, Windham, CT.
Muckleshoot Indian Tribe............... King, WA, Pierce, WA.
Narragansett Indian Tribe.............. Washington, RI.\26\
Navajo Nation (Navajo Reservation)..... Apache, AZ, Bernalillo, NM,
Cibola, NM, Coconino, AZ,
Kane, UT, McKinley, NM,
Montezuma, CO, Navajo, AZ, Rio
Arriba, NM, Sandoval, NM, San
Juan, NM, San Juan, UT,
Socorro, NM, Valencia, NM.
Nevada................................. Entire State.\27\
[[Page 34265]]
Nez Perce Tribe........................ Clearwater, ID Idaho, ID,
Latah, ID, Lewis, ID, Nez
Perce, ID.
Nisqually Indian Tribe (Nisqually Pierce, WA, Thurston, WA.
Reservation).
Nooksack Indian Tribe.................. Whatcom, WA.
Northern Cheyenne Tribe (Northern Big Horn, MT, Carter, MT,\28\
Cheyenne Reservation). Rosebud, MT.
Northwestern Band of Shoshone Nation Box Elder, UT.\29\
(Washakie).
Oglala Sioux Tribe (Pine Ridge Bennett, SD, Cherry, NE,
Reservation). Custer, SD, Dawes, NE, Fall
River, SD, Jackson, SD,
Mellete, SD, Pennington, SD,
Shannon, SD, Sheridan, NE,
Todd, SD, Washabaugh, SD.
Oklahoma............................... Entire State.\30\
Omaha Tribe............................ Burt, NE, Cuming, NE, Monona,
IA, Thurston, NE, Wayne, NE.
Oneida Nation.......................... Chenango, NY, Cortland, NY,
Herkimer, NY, Madison, NY,
Oneida, NY, Onondaga, NY.
Oneida Tribe of Indians................ Brown, WI, Outagamie, WI.
Onondaga Nation........................ Onondaga, NY.
Paiute Indian Tribe of Utah............ Iron, UT,\31\ Millard, UT,
Sevier, UT, Washington, UT.
Pascua Yaqui Tribe..................... Pima, AZ.\32\
Passamaquoddy Tribe.................... Aroostook, ME,\33\ Washington,
ME.
Passamaquoddy Pleasant Point........... South Washington, ME from
Baring, ME North to Milbridge,
ME, South and West to
Alexander, ME.\34\
Penobscot Tribe........................ Aroostook, ME, Penobscot, ME.
Poarch Band of Creek Indians........... Baldwin, AL,\35\ Escambia, AL,
Escambia, FL, Elmore, AL,
Mobile, AL, Monroe, AL.
Pokagon Band of Potawatomi Indians..... Allegan, MI, Berrien, MI, Cass,
MI, Elkhart, IN,\13\
Kosciusko, IN, La Porte, IN,
Marshall, IN, St. Joseph, IN,
Starke, IN, Van Buren, MI.
Ponca Tribe (Northern)................. Boyd, NE,\36\ Charles Mix, SD,
Douglas, NE, Knox, NE,
Lancaster, NE, Madison, NE.
Port Gamble Indian Community........... Kitsap, WA.
Prairie Band of Potawatomi Nation...... Jackson, KS.
Prairie Island Indian Community Goodhue, MN.
(Prairie Island Reservation).
Pueblo of Acoma........................ Cibola, NM.
Pueblo of Cochiti...................... Sandoval, NM, Sante Fe, NM.
Pueblo of Jemez........................ Sandoval, NM.
Pueblo of Isleta....................... Bernalillo, NM, Cibola, NM,
Socorro, NM, Torrance, NM,
Valencia, NM.
Pueblo of Laguna....................... Bemalillo, NM, Cibola, NM,
Sandoval, NM, Valencia, NM.
Pueblo of Nambe........................ Santa Fe, NM.
Pueblo of Picuris...................... Taos, NM.
Pueblo of Pojoaque..................... Rio Arriba, NM, Santa Fe, NM.
Pueblo of San Felipe................... Sandoval, NM.
Pueblo of San Ildefonso................ Los Alamos, NM, Rio Arriba, NM,
Sandoval, NM, Santa Fe, NM
Pueblo of San Juan..................... Rio Arriba, NM.
Pueblo of Sandia....................... Bernalillo, NM, Sandoval, NM.
Pueblo of Santa Ana.................... Sandoval, NM.
Pueblo of Santa Clara.................. Los Alamos, NM, Rio Arriba, NM,
Sandoval, NM, Santa Fe, NM.
Pueblo of Santo Domingo................ Sandoval, NM, Santa Fe, NM.
Pueblo of Taos......................... Colfax, NM, Taos, NM.
Pueblo of Tesuque...................... Santa Fe, NM.
Pueblo of Zia.......................... Sandoval, NM.
Puyallup Tribe......................... King, WA, Pierce, WA, Thurston,
WA.
Quechan Tribe (Fort Yuma Indian Yuma, AZ, Imperial, CA.
Reservation).
Quileute Tribe (Quileute Reservation).. Clallam, WA, Jefferson, WA
Quinault Tribe (Ouinalt Reservation)... Grays Harbor, WA, Jefferson,
WA.
Rapid City............................ Pennington, SD.\37\
Red Cliff Band of Lake Superior Band of Bayfield, WI.
Chippewa.
Red Lake Band of Chippewa Indians (Red Beltrami, MN, Clearwater, MN,
Lake Reservation). Koochiching, MN, Lake of the
Woods, MN, Marshall, MN,
Pennington, MN, Polk, MN,
Roseau, MN.
Rosebud Sioux Tribe (Rosebud Bennett, SD, Cherry, NE,
Reservation). Gregory, SD, Lyman, SD,
Mellette, SD, Todd, SD, Tripp,
SD.
Sac & Fox Tribe of the Mississippi in Tama, IA.
Iowa.
Sac & Fox Nation of Missouri in Kansas Brown, KS, Richardson, NE.
& Nebraska.
Saginaw Chippewa Indian Tribe (Isabella Arenac, MI,\38\ Clare, MI,
Reservation). Isabella, MI, Midland, MI,
Missaukee, MI.
St. Croix Chippewa Indians(St. Croix Barron, WI, Burnett, WI, Pine,
Reservation). MN, Polk, WI, Washburn, WI.
St. Regis Band of Mohawk Indians....... Franklin, NY, St. Lawrence, NY.
Salt River Pima-Maricopa Indian Maricopa, AZ.
Community (Salt River Reservation).
Samish Indian Tribe.................... Clallam, WA,\13\ Island, WA,
Jefferson, WA, King, WA,
Kitsap, WA, Pierce, WA, San
Juan, WA, Skagit, WA,
Snohomish, WA, Whatcom, WA.
San Carlos Apache Tribe (San Carlos Apache, AZ Cochise, AZ, Gila,
Reservation). AZ, Graham, AZ, Greenlee, AZ,
Pinal, AZ.
San Juan Southern Paiute Tribe (Navajo Coconino, AZ San Juan, UT.
Reservation).
Santee Sioux (Santee Reservation)...... Bon Homme, SD, Knox, NE.
Sauk-Suiattle Indian Tribe............. Snohomish, WA, Skagit, WA.
[[Page 34266]]
Sault St. Marie Tribe of Chippewa...... Alger, MI,\39\ Chippewa, MI,
Delta, MI, Luce, MI, Mackinac,
MI, Marquette, MI,
Schoolcraft, MI.
Seminole Tribe of Florida.............. Broward, FL, Collier, FL,
Glades, FL, Hendrv, FL.
Seneca Nation.......................... Allegany, NY, Cattaraugus, NY,
Chautaugua, NY, Erie, NY,
Warren, PA.
Shakopee Mdewakanton Sioux Community Scott, MN.
(Prior Lake).
Shoal Water Bay Tribe (Shoalwater Bay Pacific, WA.
Reservation).
Shoshone Tribe (Wind River Reservation) Hot Springs, WY, Fremont, WY,
Sublette, WY.
Shoshone-Bannock Tribe (Fort Hall Bannock,ID, Bingham, ID,
Reservation). Caribou, ID, Lemhi, ID,\40\
Power, ID.
Shoshone-Paiute Tribe (Duck Valley Nevada, Owyhee, ID.
Reservation).
Sisseton-Wahpeton Sioux Tribe (Lake Codington, SD, Day, SD, Grant,
Traverse Reservation). SD, Marshall, SD, Richland,
ND, Roberts, SD, Sargent, ND,
Traverse, MN.
Skokomish Indian Tribe (Skokomish Mason, WA.
Reservation).
Skull Valley Band of Goshute Indians... Tooele, UT.
Snoqualmie Tribe....................... King, WA,\13\ Snohomish, WA,
Pierce, WA, Island, WA, Mason,
WA.
Sokaogon Chippewa (Mole Lake).......... Forest, WI.
Southern Ute Indian Tribe (Southern Ute Archuleta, CO, La Plata, CO,
Reservation). Montezuma, CO, Rio Arriba, NM,
San Juan, NM.
Spirit Lake Tribe (Fort Totten) Benson, ND, Eddy, ND, Nelson,
(Devil's Lake Sioux Reservation). ND, Ramsey, ND.
Spokane Tribe (Spokane Reservation).... Ferry, WA, Lincoln, WA,
Stevens, WA.
Squaxin Island Tribe (Squaxin Island Mason, WA.
Reservation).
Standing Rock Sioux Tribe.............. Adams, ND, Campbell, SD,
Corson, SD, Dewey, SD, Emmons,
ND, Grant, ND, Morton, ND,
Perkins, SD, Sioux, ND,
Walworth, SD, Ziebach, SD.
Stockbridge Munsee Community........... Menominee, WI, Shawano, WI.
Stillaguamish Tribe.................... Snohomish, WA.
Suquamish Indian Tribe (Port Madison Kitsap, WA.
Reservation).
Swinomish Indians (Swinomish Skagit, WA.
Reservation).
Three Affiliated Tribes (Fort Berthold Dunn, ND, Mercer, ND, McKenzie,
Reservation). ND, McLean, ND, Mountrail, ND,
Ward, ND.
Tohono O'odham Nation (Papago)......... Maricopa, AZ, Pima, AZ, Pinal,
AZ.
Tonawanda Band of Seneca............... Genesee, NY, Erie, NY, Niagara,
NY.
Tonto Apache Tribe of Arizona.......... Gila, AZ.
Trenton Service Unit................... Divide, ND,\41\ McKenzie, ND,
Williams, ND, Richland, MT,
Roosevelt, MT, Sheridan, MT.
Tulalip Tribes (Tulalip Reservation)... Snohomish, WA.
Tunica-Biloxi Indian Tribe............. Avoyelles, LA, Rapides, LA.\42\
Turtle Mountain Band of Chippewa (See Rolette, ND.\43\
also, Trenton Service Unit).
Tuscarora Nation....................... Niagara, NY.
Upper Sioux Community (Upper Sioux Chippewa, MN, Yellow Medicine,
Reservation). MN.
Upper Skagit Indian Tribe.............. Skagit, WA.
Ute Indian Tribe (Uintah & Ouray Carbon, UT, Daggett, UT,
Reservation). Duchesne, UT, Emery, UT,
Grand, UT, Rio Blanco, CO,
Summit, UT, Uintah, UT, Utah,
UT, Wasatch, UT.
Ute Mountain Tribe (Ute Mountain Apache, AZ, La Plata, CO,
Reservation). Montezuma, CO, San Juan, NM,
San Juan, UT.
Wampangoag Tribe of Gay Head (Aquinnah) Dukes, MA.\12\
Washoe Tribe of Nevada & California.... Entire State of NV, Entire
State of CA, except for the
counties listed in footnote.
White Earth Band of Chippewa (White Becker, MN, Clearwater, MN,
Earth Reservation). Mahnomen, MN, Norman, MN,
Polk, MN.
White Mountain Apache (Fort Apache Apache, AZ, Coconino, AZ, Gila,
Reservation). AZ, Graham, AZ, Greenlee, AZ,
Navajo, AZ.
Winnebago Tribe........................ Dakota, NE, Dixon, NE, Monona,
IA, Thurston, NE, Wayne, NE,
Woodbury, IA.
Yankton Sioux Tribe.................... Bon Homme, SD, Boyde, NE,
Charles Mix, SD, Douglas, SD,
Gregory, SD, Hutchinson, SD,
Knox, NE.
Yavapai-Apache Nation (Camp Verde Yavapai, AZ.
Indian Reservation).
Yavapai-Prescott Tribe (Yavapai Yavapai, AZ.
Reservation).
Ysleta Del Sur Pueblo of Texas......... El Paso, TX.\1\
Zuni Tribe (Zuni Reservation).......... Apache, AZ, Cibola, NM,
McKinley, NM, Valencia, NM.
------------------------------------------------------------------------
\1\ Public Law 100-89, Restoration Act for Ysleta Del Sur and Alabama
and Coushatta Tribes of Texas establishes service areas for ``members
of the tribe'' by sections 101(3) and 105(a) for the Pueblo and
sections 201(3) and 206(a) respectively.
\2\ Entire State of Alaska is included as a CHSDA by regulation (42 CFR
136.22(a)(1)).
\3\ Aroostook Band of Micmac was recognized by Congress on November 26,
1991 through the Aroostook Band of Micmac Settlement Act. Aroostook
County was defined as the SDA.
\4\ Special programs established by Congress irrespective of the
eligibility regulations. Eligibility for services at these facilities
is based on the legislative history of the appropriation of funds for
the particular facility, rather than the eligibility regulations and
historically services have been provided at Brigham City (Pub. L. 88-
358).
\5\ Entire State of California, excluding counties of Alameda, Contra
Costa, Los Angeles, Marin, Orange, Sacramento, San Francisco, San
Mateo, Santa Clara, Kern, Merced, Monterey, Napa, San Benito, San
Joaquin, San Luis Obispo, Santa Cruz, Solano, Stanislaus, and Ventura,
is designated a CHSDA (25 U.S.C. 1680).
\6\ Historically part of the Coleville Service Unit population since
1970.
\7\ Members of the tribe residing in these counties were specified as
eligible for Federal services and benefits without regard to the
existence of a Federal Indian reservation (Pub. L. 98-481, and H.
Rept. No. 98-904).
[[Page 34267]]
\8\ Grande Ronde Tribe of Oregon recognized by Pub. L. 98-165, signed
into law on November 22, 1983, provides for eligibility in these six
counties without regard to the existence of a reservation.
\9\ In order to carry out the Congressional intent of the Siletz
Restoration Act, Pub. L. 95-195, as expressed in H. Report No. 95-623,
at page 4, Siletz tribal members residing in these counties are
eligible for contract health services.
\10\ Historically part of the Yakirna Service Unit population since
1979.
\11\ Cow Creek Band of Umpqua recognized by Pub. L. 97-391, signed into
law on December 29, 1983. House Rept. No. 97-862 designates Douglas,
Jackson, and Josephine Counties as a service area without regard to
the existence of a reservation. The IRS later exercised administrative
discretion to add Coos, Deshutes, Klamath and Lane counties to the
service delivery area.
\12\ Members of the tribe residing in Martha's Vineyard [are] deemed to
be living ``on or near an Indian reservation'' for the purposes of
eligibility for Federal services (Sec. 12, Pub. L. 100-95).
\13\ This is a newly recognized tribe, as documented at 67 FR 46329,
July 12, 2002. The counties listed were designated administratively as
the SDA, to function as a CHSDA, for the purposes of the operating a
CHS program pursuant to the ISDEAA, Pub. L. 93-638.
\14\ Historically part of Crow Service Unit population.
\15\ Historically part of the Grande Traverse Service Unit population
since 1980.
\16\ Historically part of Kansas Service Unit since 1979.
\17\ Special programs established by Congress irrespective of the
eligibility regulations. Eligibility for services at these facilities
is based on the legislative history of the appropriation of funds for
the particular facility, rather than the eligibility regulations and
historically services have been provided at Haskell (H. Rept. No. 95-
392).
\18\ The counties included in this CHSDA were designated by regulation
(42 CFR 136.22(a)(5)).
\19\ Public Law 97-428 provides for eligibility in or around the Town of
Houlton without regard to existence of a reservation.
\20\ Texas Band of Kickapoo was recognized by Pub. L. 97-429, signed
into law on January 8, 1983.The Act provides for eligibility for
Kickapoo tribal members residing in Maverick County without regard to
the existence of a reservation.
\21\ Legislative history states that for the purpose of Federal services
and benefits ``members of the tribe residing in Klamath County shall
be deemed to be residing in or near a reservation''. (Pub. L. 99-398,
Sec. 2(2)).
\22\ The Little River Band of Ottawa Indians and the Little Traverse Bay
Bands of Odawa Indians were recognized by Congress (Pub. L. 103-324,
Sec. 4(b)(2)) and the listed counties were designated as the SDA, to
function as a CHSDA, for the purposes of the operating a CHS program
pursuant to the ISDEAA, Pub. L. 93-638.
\23\ Mashantucket Pequot Indian Claims Settlement Act, Pub. L. 98-134,
signed into law on October 18, 1983, provides for a reservation in New
London.
\24\ Choctaw Indians residing in Jasper and Noxubee Counties, MS, will
continue to be eligible for contract health services. These two
counties were inadvertently omitted from 42 CFR 136.22.
\25\ Historically part of the Choctaw Service Unit population since
1970.
\26\ Narragansett Indians recognized by Pub. L. 95-395, signed into law
September 30, 1978. Lands in Washington County are now federally
restricted and the Bureau of Indian Affairs considers them as the
Narragansett Indian Reservation.
\27\ Entire State of Nevada is included as a CHSDA by regulation (42 CFR
136.22(a)(2)).
\28\ Historically part of the Northern Cheyenne Service Unit population
since 1979.
\29\ Land of Box Elder County, Utah, taken into trust for the tribe in
1986.
\30\ Entire State of Oklahoma is included as a CHSDA by regulation (42
CFR 136.22(a)(3)).
\31\ Paiute Indian Tribe of Utah Reservation Act, Pub. L. 96-227,
provides for the extension of services to these four counties without
regard to the existence of a reservation.
\32\ Legislative history (H.R. Report No. 95-1021) to Pub. L. 95-375,
Extension of Federal Benefits to Pascua Yaqui Indians, Arizona,
expresses congressional intent that lands conveyed to the tribes
pursuant to Act of October 8, 1964. (Pub. L. 88-350) shall be deemed a
Federal Indian Reservation.
\33\ Included to carry out the intention of Congress to fund and provide
contract health services to Penobscot and Passamaquoddy Indians in
Aroostook County (Pub. L. 96-420; H. Rept. 96-1353).
\34\ Included to carry out the intention of Congress to fund and provide
contract health services to Penobscot and Passamaquoddy Indians in
Aroostook County (Pub. L. 96-420; H. Rept. 96-1353).
\35\ Counties in the Service Unit designated by Congress for the Poarch
Band of Creek Indians (see H. Rept. 98-886, June 29, 1984; Cong.
Record, October 10, 1984, Pg. H11929).
\36\ Ponca Restoration Act, Pub. L. 101-484, recognized members of the
tribe residing in Boyd, Douglas, Knox, Madison or Lancaster counties
of Nebraska or Charles Mix county of South Dakota shall be deemed to
be residing on or near a reservation.
\37\ Special programs established by Congress irrespective of the
eligibility regulations. Eligibility for services at these facilities
is based on the legislative history of the appropriation of funds for
the particular facility, rather than the eligibility regulations and
historically services have been provided at Rapid City South Dakota
Hospital (S. Rept. No. 1154, FY 1967 Interior Approp. 89th Cong. 2d
Sess.).
\38\ Historically part of Isabella Reservation Area and Eastern Michigan
Service Unit population since 1979.
\39\ The counties included in this CHSDA were designated by regulation
(42 CFR 136.22(a)(4)).
\40\ Historically part of the Fort Hall Service Unit population since
1979.
\41\ The Secretary acting through the Service is directed to provide
contract health services to Turtle Mountain Band of Chippewa Indians
that reside in Trenton Service Area of Divide, Mackenzie, and Williams
counties in the state of North Dakota and the adjoining counties of
Riehl and, Roosevelt, and Sheridan in the state of Montana (Sec. 815,
Pub. L. 94-437).
\42\ Historically part of the Tunica Biloxi Service Unit population
since 1982.
\43\ The Secretary acting through the Service is directed to provide
contract health services to Turtle Mountain Band of Chippewa Indians
that reside in Trenton Service Area of Divide, Mackenzie, and Williams
counties in the state of North Dakota and the adjoining counties of
Richland, Roosevelt, and Sheridan in the state of Montana (Sec. 815,
Pub. L. 94-437).
Dated: May 11, 2007
Robert G. McSwaim,
Deputy Director, Indian Health Service.
[FR Doc. 07-3045 Filed 6-20-07; 8:45 am]
BILLING CODE 4165-16-M
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