Notice of Re-Designation of the Service Delivery Area for the Cowlitz Indian Tribe, 20608-20615 [2010-8831]

Download as PDF 20608 Federal Register / Vol. 75, No. 75 / Tuesday, April 20, 2010 / Notices Contact Person: Julius Cinque, MS, Scientific Review Officer, Center for Scientific Review, National Institutes of Health, 6701 Rockledge Drive, Room 5186, MSC 7846, Bethesda, MD 20892, (301) 435– 1252, cinquej@csr.nih.gov. (Catalogue of Federal Domestic Assistance Program Nos. 93.306, Comparative Medicine; 93.333, Clinical Research; 93.306, 93.333, 93.337, 93.393–93.396, 93.837–93.844, 93.846–93.878, 93.892, 93.893, National Institutes of Health, HHS) Dated: April 13, 2010. Jennifer Spaeth, Director, Office of Federal Advisory Committee Policy. [FR Doc. 2010–9095 Filed 4–19–10; 8:45 am] BILLING CODE 4140–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2010–N–0001] Risk Communication Advisory Committee; Notice of Meeting AGENCY: Food and Drug Administration, HHS. erowe on DSK5CLS3C1PROD with NOTICES ACTION: Notice. This notice announces a forthcoming meeting of a public advisory committee of the Food and Drug Administration (FDA). The meeting will be open to the public. Name of Committee: Risk Communication Advisory Committee. General Function of the Committee: To provide advice and recommendations to the agency on FDA’s regulatory issues. Date and Time: The meeting will be held on May 6, 2010, from 8 a.m. to 5 p.m. and May 7, 2010, from 8 a.m. to 2 p.m. Location: FDA White Oak Campus, 10903 New Hampshire Ave., Bldg. 31, Conference Center (rm. 1503), Silver Spring, MD 20993. Please note that all visitors must park in the visitors’ parking lot near Building 22 (for a campus map, see https://www.fda.gov/ AboutFDA/WorkingatFDA/Buildings andFacilities/WhiteOak CampusInformation/default.htm). The Campus is also served by several bus lines connecting to metro rail (see https://www.wmata.com/). Contact Person: Lee L. Zwanziger, Office of the Commissioner, Office of Policy, Planning and Preparedness, Office of Planning, Food and Drug Administration, 5600 Fishers Lane, rm. 14–90, Rockville, MD 20857, 301–827– 2895, FAX: 301–827–4050, e-mail: RCAC@fda.hhs.gov , or FDA Advisory Committee Information Line, 1–800– VerDate Nov<24>2008 14:55 Apr 19, 2010 Jkt 220001 741–8138 (301–443–0572 in the Washington, DC area), code 8732112560. Please call the Information Line for up-to-date information on this meeting. A notice in the Federal Register about last minute modifications that impact a previously announced advisory committee meeting cannot always be published quickly enough to provide timely notice. Therefore, you should always check the agency’s Web site and call the appropriate advisory committee hot line/phone line to learn about possible modifications before coming to the meeting. Agenda: On May 6 and 7, 2010, the Committee will review the state of current research in a range of fields relevant to improving risk communication at FDA, and discuss applications or gaps for strategic planning of risk communication at FDA. For more specific agenda information, please visit the following Web site and scroll down to the appropriate advisory committee link (https://www.fda.gov/ AdvisoryCommittees/Calendar/ default.htm), or call FDA Advisory Committee Information Line as listed above in the Contact Person section of the notice. FDA intends to make agenda information available at both these locations no later than 15 days before the meeting. FDA intends to make background material available to the public no later than 2 business days before the meeting. If FDA is unable to post the background material on its Web site prior to the meeting, the background material will be made publicly available at the location of the advisory committee meeting, and the background material will be posted on FDA’s Web site after the meeting. Background material is available at https://www.fda.gov/ AdvisoryCommittees/Calendar/ default.htm. Scroll down to the appropriate advisory committee link. Procedure: Visitors to the White Oak Campus must have a valid driver’s license or other picture ID, and must enter through Building 1. In order to help speed entrance through security, we request that attendees send an email giving their full names to RCAC@fda.hhs.gov with the word ‘‘registration’’ in the subject line, or telephone Lee Zwanziger (see Contact Person), by April 27, 2010. Interested persons may present data, information, or views, orally or in writing, on issues pending before the committee. Written submissions may be made to the contact person on or before May 3, 2010. Oral presentations from the public will be scheduled between approximately 3:15 p.m. and 4:15 p.m. on May 6, 2010, and between 1 p.m. and PO 00000 Frm 00054 Fmt 4703 Sfmt 4703 1:30 p.m. on May 7, 2010. Those desiring to make formal oral presentations should notify Lee Zwanziger and submit a brief statement of the general nature of the evidence or arguments they wish to present, the names and addresses of proposed participants, and an indication of the approximate time requested to make their presentation on or before April 27, 2010. Time allotted for each presentation may be limited. If the number of registrants requesting to speak is greater than can be reasonably accommodated during the scheduled open public hearing session, FDA may conduct a lottery to determine the speakers for the scheduled open public hearing session. The contact person will notify interested persons regarding their request to speak by April 28, 2010. Persons attending FDA’s advisory committee meetings are advised that the agency is not responsible for providing access to electrical outlets. FDA welcomes the attendance of the public at its advisory committee meetings and will make every effort to accommodate persons with physical disabilities or special needs. If you require special accommodations due to a disability, please contact Lee Zwanziger at least 7 days in advance of the meeting. FDA is committed to the orderly conduct of its advisory committee meetings. Please visit our Web site at https://www.fda.gov/Advisory Committees/AboutAdvisoryCommittees/ ucm111462.htm for procedures on public conduct during advisory committee meetings. Notice of this meeting is given under the Federal Advisory Committee Act (5 U.S.C. app. 2). Dated: April 14, 2010. Jill H. Warner, Acting Associate Commissioner for Special Medical Programs. [FR Doc. 2010–9056 Filed 4–19–10; 8:45 am] BILLING CODE 4160–01–S DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Notice of Re-Designation of the Service Delivery Area for the Cowlitz Indian Tribe Indian Health Service, HHS. Notice. AGENCY: ACTION: SUMMARY: This Notice advises the public that the Indian Health Service (IHS) proposes to expand the geographic boundaries of the Service Delivery Area E:\FR\FM\20APN1.SGM 20APN1 Federal Register / Vol. 75, No. 75 / Tuesday, April 20, 2010 / Notices (SDA) for the Cowlitz Indian Tribe. The Cowlitz SDA currently is comprised of Clark, Cowlitz, King, Lewis, Pierce, Skamania, and Thurston in the State of Washington. These counties were designated as the Tribe’s SDA in 67 FR 46329. It is proposed that Columbia County, Oregon, and Wahkiakum and Kittitas Counties, Washington be added to the existing SDA. DATES: This notice is effective 30 days after date of publication in the Federal Register. ADDRESSES: Comments may be mailed to Betty Gould, Regulations Officer, Indian Health Service, Suite 450, 12300 Twinbrook Parkway, Rockville, Maryland 20852. Comments will be made available for public inspection at this address from 8:30 a.m. to 5 p.m. Monday–Friday beginning approximately 2 weeks after publication of this notice. FOR FURTHER INFORMATION CONTACT: Carl Harper, Director, Office of Resource Access and Partnerships, Indian Health Service, Suite 360, 12300 Twinbrook Parkway, Rockville, Maryland 20852. Telephone 301/443–2694 (This is not a toll free number). SUPPLEMENTARY INFORMATION: The IHS currently provides services under regulations in effect on September 15, 1987 and IHS 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 CHS will be made available by the IHS to members of an identified Indian community who reside in the area. Residence with a CHSDA or 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 a IHS/Tribal facility are provided under the 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. As applicable to the Tribes, these regulations provide that, unless otherwise designated, a CHSDA shall consist of a county which includes all or part of a reservation and any county or counties which have a common boundary with the reservation (42 CFR 136.22(a)(6) (2007). The regulations also provide that after consultation with the Tribal governing body or bodies of those reservations included in the CHSDA, the Secretary may, from time to time, redesignate areas within the United States for inclusion in or exclusion from a CHDSA. The regulations require that certain criteria must be considered before any re-designation is made. The criteria are as follows: (1) The number of Indians residing in the area proposed to be so included or excluded; (2) Whether the Tribal governing body has determined that Indians residing in the area near the reservation are socially and economically affiliated with the Tribes; (3) The geographic proximity to the reservation of the area whose inclusion or exclusion is being considered; and (4) The level of funding which would be available for the provision of contract health services. Additionally, the regulations require that any re-designation of a CHSDA must be made in accordance with the Administrative Procedures Act (5 U.S.C. 553). In compliance with this requirement, we are publishing this proposal and requesting public comment. The purpose of this FR notice is to notify the public of the request of the Cowlitz Indian Tribe to expand their SDA as presented in their 08–3 Tribal resolution dated January 5, 2008, and 08–56 Tribal resolution, dated December 06, 2008. The Tribe’s request will expand their current SDA which incorporates Cowlitz, Clark, Skamania, King, Pierce, Thurston and Lewis Counties in the State of Washington, to include Columbia County in the State of Oregon, and Kittitas and Wahkiakum Counties in the State of Washington. Under 42 CFR 136.23 those otherwise eligible Indians who do not reside on a reservation but reside within a CHSDA must be either members of the Tribe or maintain close economic and social ties with the Tribe. In this case, the Tribe estimates the current eligible population will be increased by 35 individuals’ enrolled Cowlitz members who are actively involved with the Tribe, but not eligible for health services. In applying the aforementioned CHSDA re-designation criteria required by operative regulations (43 FR 35654), the following findings are made: 1. Columbia County, Oregon is contiguous with Clark County in the state of Washington. Kittitas County is contiguous to King County and Wahkiakum County is contiguous to Lewis in the State of Washington. 2. These three counties are not part of any other Tribes CHSDA. 3. It is important for the Cowlitz Indian Tribe to be able to deliver health care services to enrolled members residing in these three counties. The Tribe believes eligible Tribal members living in the counties proposed for expansion should also be eligible for CHS. 4. Most of the 35 Tribal members use the Cowlitz Clinic in Longview, Washington for their health care needs. It is estimated that members have a 40 minute drive to receive their health care. These Tribal members do not currently receive care under the CHS program. 5. The financial resources required to meet the immediate needs of the Tribal members residing in the three counties will not be substantial as the Tribe will use existing Federal allocations for contract health funds. Since CHS is a critical component of the Tribes’ overall health care system for its members, the Tribe feels that the members residing in the three counties should be included within the SDA for the Tribe. Accordingly, after considering the Tribes’ request in light of the criteria specified in the regulations, the IHS is proposing to re-designate the SDA for the Tribe to consist of Columbia County in the State of Oregon and Kittitas and Wahkiakum Counties in the State of Washington. This notice does not contain reporting or recordkeeping requirements subject to prior approval by the Office of Management and Budget under the Paperwork Reduction Act of 1980. erowe on DSK5CLS3C1PROD with NOTICES CONTRACT HEALTH SERVICE DELIVERY AREAS AND SERVICE DELIVERY AREAS Tribe/reservation County/state Ak Chin Indian Community of the Maricopa (Ak Chin) Indian Reservation, Arizona. Alabama-Coushatta Tribes of Texas ........................................................ Alaska ....................................................................................................... Arapaho Tribe of the Wind River Reservation, Wyoming ........................ Aroostook Band of Micmac Indians of Maine .......................................... VerDate Nov<24>2008 14:55 Apr 19, 2010 Jkt 220001 PO 00000 Frm 00055 Fmt 4703 Pinal, AZ. Polk, TX.1 Entire State.2 Hot Springs, WY, Fremont, WY, Sublette, WY. Aroostook, ME.3 Sfmt 4703 20609 E:\FR\FM\20APN1.SGM 20APN1 20610 Federal Register / Vol. 75, No. 75 / Tuesday, April 20, 2010 / Notices CONTRACT HEALTH SERVICE DELIVERY AREAS AND SERVICE DELIVERY AREAS—Continued Tribe/reservation County/state Assiniboine and Sioux Tribes of the Fort Peck Indian Reservation, Montana. Bad River Band of the Lake Superior Tribe of Chippewa Indians of the Bad River Reservation, Wisconsin. Bay Mills Indian Community, Michigan .................................................... Blackfeet Tribe of the Blackfeet Indian Reservation of Montana ............ Minnesota Chippewa Tribe, Minnesota Bois Forte Band (Nett Lake) ..... Brigham City Intermountain School Health Center, Utah ........................ Burns Paiute Tribe of the Burns Paiute Indian Colony of Oregon .......... California ................................................................................................... Catawba Indian Nation of South Carolina ................................................ Daniels, MT, McCone, MT, Richland, MT, Roosevelt, MT, Sheridan, MT, Valley, MT. Ashland, WI, Iron, WI. Cayuga Nation of New York ..................................................................... Cheyenne River Sioux Tribe of the Cheyenne River Reservation, South Dakota. Chippewa-Cree Indians of the Rocky Boy’s Reservation, Montana ........ Chitimacha Tribe of Louisiana .................................................................. Cocopah Tribe of Arizona ........................................................................ Coeur D’Alene Tribe of the Coeur D’Alene Reservation, Idaho .............. Colorado River Indian Tribes of the Colorado River Indian Reservation, Arizona and California. Confederated Salish & Kootenai Tribes of the Flathead Reservation, Montana. Confederated Tribes of the Chehalis Reservation, Washington .............. Confederated Tribes of the Colville Reservation, Washington ................ Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians of Oregon. Confederated Tribes of the Goshute Reservation, Nevada and Utah ..... Confederated Tribes of Grand Ronde Community of Oregon ................. Confederated Tribes of the Siletz Reservation, Oregon .......................... Confederated Tribes of the Umatilla Reservation, Oregon ...................... Confederated Tribes of the Warm Springs Reservation of Oregon ........ Confederated Tribes & Bands of the Yakama Nation, Washington ........ Coquille Tribe of Oregon .......................................................................... Coushatta Tribe of Louisiana ................................................................... Cow Creek Band of Umpqua Indians of Oregon ..................................... Cowlitz Indian Tribe, Washington ............................................................. Crow Tribe of Montana ............................................................................. Crow Creek Sioux Tribe of the Crow Creek Reservation, South Dakota Eastern Band of Cherokee Indians of North Carolina ............................. erowe on DSK5CLS3C1PROD with NOTICES Flandreau Santee Sioux Tribe of South Dakota ...................................... Fond du Lac Band of Chippewa Indians of Minnesota ............................ Forest County Potawatomi Community, Wisconsin ................................. Fort Belknap Indian Community of the Fort Belknap Reservation of Montana. Fort McDermitt Paiute and Shoshone Tribes of the Fort McDermitt Indian Reservation, Nevada and Oregon. Fort McDowell Yavapai Nation, Arizona .................................................. Fort Mojave Indian Tribe of Arizona, California and Nevada .................. Gila River Indian Community of the Gila River Indian Reservation, Arizona. Grand Portage Band of Chippewa Indians of Minnesota ........................ Grand Traverse Band of Ottawa & Chippewa Indians of Michigan ......... Hannahville Indian Community, Michigan ................................................ Haskell Indian Health Center ................................................................... Havasupai Tribe of the Havasupai Reservation, Arizona ........................ Ho-Chunk Nation of Wisconsin ................................................................ Hoh Indian Tribe of the Hoh Indian Reservation, Washington ................ VerDate Nov<24>2008 14:55 Apr 19, 2010 Jkt 220001 PO 00000 Frm 00056 Fmt 4703 Chippewa, MI. Glacier, MT, Pondera, MT. Itasca, MN, Koochiching, MN, St. Louis, MN. 4 Harney, OR. Entire State, except for the counties listed in the footnote.5 All Counties in SC,6 Cabarrus, NC, Cleveland, NC, Gaston, NC, Mecklenburg, NC, Rutherford, NC, Union, NC. Allegany, NY,7 Cattaraugus, NY, Chautaugua, NY, Erie, NY, Warren, PA. Corson, SD, Dewey, SD, Haakon, SD, Meade, SD, Perkins, SD, Potter, SD, Stanley, SD, Sully, SD, Walworth, SD, Ziebach, SD. Chouteau, MT, Hill, MT, Liberty, MT. St. Mary Parish, LA. Yuma, AZ, Imperial, CA. Benewah, ID, Kootenai, ID, Latah, ID, Spokane, WA, Whitman, WA. La Paz, AZ, Riverside, CA, San Bernardino, CA, Yuma, AZ. Flathead, MT, Lake, MT, Missoula, MT, Sanders, MT. Grays Harbor, WA, Lewis, WA, Thurston, WA. Chelan, WA,8 Douglas, WA, Ferry, WA, Grant, WA, Lincoln, WA, Okanogan, WA, Stevens, WA. Coos, OR,9 Curry, OR, Douglas, OR, Lane, OR, Lincoln, OR. Nevada, Juab, UT, Toole, UT. Polk, OR,10 Washington, OR, Marion, OR, Yamhill, OR, Tillamook, OR, Multnomah, OR. Benton, OR,11 Clackamas, OR, Lane, OR, Lincoln, OR, Linn, OR, Marion, OR, Multnomah, OR, Polk, OR, Tillamook, OR, Washington, OR, Yam Hill, OR. Umatilla, OR, Union, OR. Clackamas, OR, Jefferson, OR, Linn, OR, Marion, OR, Wasco, OR. Klickitat, WA, Lewis, WA, Skamania, WA,12 Yakima, WA. Coos, OR, Curry, OR, Douglas, OR, Jackson, OR, Lane, OR. Allen Parish, LA, Elton, LA.13 Coos, OR,14 Deshutes, OR, Douglas, OR, Jackson, OR, Josephine, OR, Klamath, OR, Lane, OR. Clark, WA, Cowlitz, WA, King, WA, Lewis, WA, Pierce, WA, Skamania, WA, Thurston, WA, Columbia, OR, Kitititas, WA, Wahkiakum, WA.15 Big Horn, MT, Carbon, MT, Treasure, MT,16 Yellowstone, MT, Big Horn, WY, Sheridan, WY. Brule, SD, Buffalo, SD, Hand, SD, Hughes, SD, Hyde, SD, Lyman, SD, Stanley, SD. Cherokee, NC, Graham, NC, Haywood, NC, Jackson, NC, Swain, NC. Moody, SD. Carlton, MN, St. Louis, MN. Forest, WI, Marinette, WI, Oconto, WI. Blaine, MT, Phillips, MT. Nevada, Malheur, OR. Maricopa, AZ. Nevada, Mohave, AZ, San Bernardino, CA. Maricopa, AZ, Pinal, AZ. Cook, MN. Antrim, MI,17 Benzie, MI, Charlevoix, MI, Grand Traverse, MI, Leelanau, MI, Manistee, MI. Delta, MI, Menominee, MI. Douglas, KS.18 Coconino, AZ. Adams, WI,19 Clark, WI, 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. Jefferson, WA. Sfmt 4703 E:\FR\FM\20APN1.SGM 20APN1 Federal Register / Vol. 75, No. 75 / Tuesday, April 20, 2010 / Notices 20611 CONTRACT HEALTH SERVICE DELIVERY AREAS AND SERVICE DELIVERY AREAS—Continued Tribe/reservation County/state Hopi Tribe of Arizona ............................................................................... Houlton Band of Maliseet Indians of Maine ............................................. Hualapai Indian Tribe of the Hualapai Indian Reservation, Arizona ........ Huron Potawatomi, Inc., Michigan ........................................................... Apache, AZ, Coconino, AZ, Navajo, AZ. Aroostook, ME.20 Coconino, AZ, Mohave, AZ, Yavapai, AZ. Allegan, MI,21 Barry, MI, Branch, MI, Calhoun, MI, Kalamazoo, MI, Kent, MI, Ottawa, MI. Brown, KS, Doniphan, KS, Richardson, NE. Clallam, WA, Jefferson, WA. Grand Parish, LA,22 LaSalle Parish, LA, Rapides Parish, LA. Archuleta, CO, Rio Arriba, NM, Sandoval, NM. Coconino, AZ, Mohave, AZ, Kane, UT. Iowa Tribe of Kansas and Nebraska ........................................................ Jamestown S’Klallam Tribe of Washington .............................................. Jena Band of Choctaw Indians, Louisiana ............................................... Jicarilla Apache Nation, New Mexico ....................................................... Kaibab Band of Paiute Indians of the Kaibab Indian Reservation, Arizona. Kalispel Indian Community of the Kalispel Indian Reservation, Washington. Keweenaw Bay Indian Community, Michigan .......................................... Kickapoo Tribe of Indians of the Kickapoo Reservation of Kansas ........ Kickapoo Traditional Tribe of Texas ........................................................ Klamath Tribes of Oregon ........................................................................ Kootenai Tribe of Idaho ............................................................................ Lac Courte Oreilles Band of Lake Superior Chippewa Indians of Wisconsin. Lac du Flambeau Band of Lake Superior Chippewa Indians of the Lac du Flambeau Reservation of Wisconsin. Lac Vieux Desert Band of Lake Superior Chippewa Indians, Michigan .. Leech Lake Band of Chippewa Indians of Minnesota ............................. Little River Band of Ottawa Indians, Michigan ......................................... Little Traverse Bay Bands of Odawa Indians, Michigan .......................... Lower Brule Sioux Tribe of the Lower Brule Reservation, South Dakota Lower Elwha Tribal Community of the Lower Elwha Reservation, Washington. Lower Sioux Indian Community in the State of Minnesota ...................... Lummi Tribe of the Lummi Reservation, Washington .............................. Makah Indian Tribe of the Makah Reservation, Washington ................... Mashantucket Pequot Tribe of Connecticut ............................................. Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan .... Menominee Indian Tribe of Wisconsin ..................................................... Mescalero Apache Tribe of the Mescalero Reservation, New Mexico .... Miccosukee Tribe of Indians of Florida .................................................... Mille Lacs Band of Chippewa Indians of Minnesota ................................ Mississippi Band of Choctaw Indians, Mississippi ................................... Mohegan Indian Tribe of Connecticut ...................................................... Muckleshoot Indian Tribe of the Muckleshoot Reservation, Washington Narragansett Indian Tribe of Rhode Island .............................................. Navajo Nation, Arizona, New Mexico and Utah ....................................... erowe on DSK5CLS3C1PROD with NOTICES Nevada ..................................................................................................... Nez Perce Tribe of Idaho ......................................................................... Nisqually Indian Tribe of the Nisqually Reservation, Washington ........... Nooksack Indian Tribe of Washington ..................................................... Northern Cheyenne Tribe Northern Cheyenne Indian Reservation, Montana. Northwestern Band of Shoshoni Nation of Utah (Washakie) .................. Oglala Sioux Tribe of the Pine Ridge Reservation, South Dakota .......... Oklahoma ................................................................................................. Omaha Tribe of Nebraska ........................................................................ Oneida Nation of New York ..................................................................... Oneida Tribe of Indians of Wisconsin ...................................................... Onondaga Nation of New York ................................................................ Paiute Indian Tribe of Utah ...................................................................... VerDate Nov<24>2008 14:55 Apr 19, 2010 Jkt 220001 PO 00000 Frm 00057 Fmt 4703 Pend Oreille, WA, Spokane, WA. Baraga, MI, Houghton, MI, Ontonagon, MI. Brown, KS, Jackson, KS. Maverick, TX.23 Klamath, OR.24 Boundary, ID. Sawyer, WI. Iron, WI, Oneida, WI, Vilas, WI. Gogebic, MI. Beltrami, MN, Cass, MN, Hubbard, MN, Itasca, MN. Kent, MI,25 Muskegon, MI, Newaygo, MI, Oceana, MI, Ottawa, MI, Manistee, MI, Mason, MI, Wexford, MI, Lake, MI. Alcona, MI,26 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. Brule, SD, Buffalo, SD, Hughes, SD, Lyman, SD, Stanley, SD. Clallam, WA. Redwood, MN, Renville, MN. Whatcom, WA. Clallam, WA. New London, CT.27 Allegan, MI,28 Barry, MI, Kalamazoo, MI, Kent, MI, Ottawa, MI. Langlade, WI, Menominee, WI, Oconto, WI, Shawano, WI. Chaves, NM, Lincoln, NM, Otero, NM. Broward, FL, Collier, FL, Miami-Dade, FL, Hendry, FL. Aitkin, MN, Kanebec, MN, Mille Lacs, MN, Pine, MN. Attala, MS, Jasper, MS,29 Jones, MS, Kemper, MS, Leake, MS, Neshoba, MS, Newton, MS, Noxubee, MS,30 Scott, MS,31 Winston, MS. Fairfield, CT, Hartford, CT, Litchfield, CT, Middlesex, CT, New Haven, CT, New London, CT, Tolland, CT, Windham, CT. King, WA, Pierce, WA. Washington, RI.32 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. Entire State.33 Clearwater, ID, Idaho, ID, Latah, ID, Lewis, ID, Nez Perce, ID. Pierce, WA, Thurston, WA. Whatcom, WA. Big Horn, MT, Carter, MT,34 Rosebud, MT. Box Elder, UT.35 Bennett, SD, Cherry, NE, Custer, SD, Dawes, NE, Fall River, SD, Jackson, SD,36 Mellete, SD, Pennington, SD, Shannon, SD, Sheridan, NE, Todd, SD. Entire State.37 Burt, NE, Cuming, NE, Monona, IA, Thurston, NE, Wayne, NE. Chenango, NY, Cortland, NY, Herkimer, NY, Madison, NY, Oneida, NY, Onondaga, NY. Brown, WI, Outagamie, WI. Onondaga, NY. Iron, UT,38 Millard, UT, Sevier, UT, Washington, UT. Sfmt 4703 E:\FR\FM\20APN1.SGM 20APN1 20612 Federal Register / Vol. 75, No. 75 / Tuesday, April 20, 2010 / Notices CONTRACT HEALTH SERVICE DELIVERY AREAS AND SERVICE DELIVERY AREAS—Continued Tribe/reservation County/state Pascua Yaqui Tribe of Arizona ................................................................ Passamaquoddy Tribe of Maine .............................................................. Passamaquoddy Tribe of Pleasant Point, Maine ..................................... Penobscot Tribe of Maine ........................................................................ Poarch Band of Creek Indians of Alabama ............................................. Pokagon Band of Potawatomi Indians, Michigan and Indiana ................ Pima, AZ.39 Aroostook, ME,40 Washington, ME. Washington, ME, south of State Route 9.41 Aroostook, ME,42 Penobscot, ME. Baldwin, AL,43 Escambia, AL, Mobile, AL, Monroe, AL, Escambia, FL. Allegan, MI, Berrien, MI, Cass, MI, Elkhart, IN,44 Kosciusko, IN, La Porte, IN, Marshall, IN, St. Joseph, IN, Starke, IN, Van Buren, MI. Boyd, NE,45 Burt, NE, Charles Mix, SD, Douglas, NE, Hall, NE, Holt, NE, Knox, NE, Lancaster, NE, Madison, NE, Platte, NE, Pottawattomie, IA, Sarpy, NE, Stanton, NE, Wayne, NE, Woodbury, IA. Kitsap, WA. Ponca Tribe of Nebraska ......................................................................... Port Gamble Indian Community of the Port Gamble Reservation, Washington. Prairie Band of Potawatomi Nation, Kansas ............................................ Prairie Island Indian Community in the State of Minnesota .................... Pueblo of Acoma, New Mexico ................................................................ Pueblo of Cochiti, New Mexico ................................................................ Pueblo of Jemez, New Mexico ................................................................. Pueblo of Isleta, New Mexico ................................................................... Pueblo of Laguna, New Mexico ............................................................... Pueblo of Nambe, New Mexico ................................................................ Pueblo of Picuris, New Mexico ................................................................ Pueblo of Pojoaque, New Mexico ............................................................ Pueblo of San Felipe, New Mexico .......................................................... Pueblo of San Ildefonso, New Mexico ..................................................... Pueblo of San Juan, New Mexico ............................................................ Pueblo of Sandia, New Mexico ................................................................ Pueblo of Santa Ana, New Mexico .......................................................... Pueblo of Santa Clara, New Mexico ........................................................ Pueblo of Santo Domingo, New Mexico .................................................. Pueblo of Taos, New Mexico ................................................................... Pueblo of Tesuque, New Mexico ............................................................. Pueblo of Zia, New Mexico ...................................................................... Puyallup Tribe of the Puyallup Reservation, Washington ........................ Quechan Tribe of the Fort Yuma Indian Reservation, California and Arizona. Quileute Tribe of the Quileute Reservation, Washington ........................ Quinault Tribe of the Quinault Reservation, Washington ........................ Rapid City, South Dakota ......................................................................... Red Cliff Band of Lake Superior Chippewa Indians of Wisconsin .......... Red Lake Band of Chippewa Indians, Minnesota .................................... Rosebud Sioux Tribe of the Rosebud Indian Reservation. South Dakota Sac & Fox Tribe of the Mississippi in Iowa .............................................. Sac & Fox Nation of Missouri in Kansas & Nebraska ............................. Saginaw Chippewa Indian Tribe of Michigan ........................................... St. Croix Chippewa Indians of Wisconsin ................................................ Saint Regis Mohawk Tribe, New York ..................................................... Salt River Pima-Maricopa Indian Community of Salt River Reservation, Arizona. Samish Indian Tribe, Washington ............................................................ San Carlos Apache Tribe of the San Carlos Reservation, Arizona ......... San Juan Southern Paiute Tribe of Arizona ............................................ Santee Sioux Nation, Nebraska ............................................................... Sauk-Suiattle Indian Tribe of Washington ................................................ Sault Ste. Marie Tribe of Chippewa Indians of Michigan ........................ erowe on DSK5CLS3C1PROD with NOTICES Seminole Tribe of Florida ......................................................................... Seneca Nation of New York ..................................................................... Shakopee Mdewakanton Sioux Community of Minnesota ...................... Shoalwater Bay Tribe of the Shoalwater Bay Indian Reservation, Washington. Shoshone Tribe of the Wind River Reservation, Wyoming ..................... Shoshone-Bannock Tribes of the Fort Hall Reservation of Idaho ........... Shoshone-Paiute Tribes of the Duck Valley Reservation, Nevada ......... Sisseton-Wahpeton Oyate of the Lake Traverse Reservation, South Dakota. VerDate Nov<24>2008 14:55 Apr 19, 2010 Jkt 220001 PO 00000 Frm 00058 Fmt 4703 Jackson, KS. Goodhue, MN. Cibola, NM. Sandoval, NM, Sante Fe, NM. Sandoval, NM. Bernalillo, NM, Torrance, NM, Valencia, NM. Bemalillo, NM, Cibola, NM, Sandoval, NM, Valencia, NM. Santa Fe, NM. Taos, NM. Rio Arriba, NM, Santa Fe, NM. Sandoval, NM. Los Alamos, NM, Rio Arriba, NM, Sandoval, NM, Santa Fe, NM. Rio Arriba, NM. Bernalillo, NM, Sandoval, NM. Sandoval, NM. Los Alamos, NM, Sandoval, NM, Santa Fe, NM. Sandoval, NM, Santa Fe, NM. Colfax, NM, Taos, NM. Santa Fe, NM. Sandoval, NM. King, WA, Pierce, WA, Thurston, WA. Yuma, AZ, Imperial, CA. Clallam, WA, Jefferson, WA. Grays Harbor, WA, Jefferson, WA. Pennington, SD.46 Bayfield, WI. Beltrami, MN, Clearwater, MN, Koochiching, MN, Lake of the Woods, MN, Marshall, MN, Pennington, MN, Polk, MN, Roseau, MN. Bennett, SD, Cherry, NE, Gregory, SD, Lyman, SD, Mellette, SD, Todd, SD, Tripp, SD. Tama, IA. Brown, KS, Richardson, NE. Arenac, MI,47 Clare, MI, Isabella, MI, Midland, MI, Missaukee, MI. Barron, WI, Burnett, WI, Pine, MN, Polk, WI, Washburn, WI. Franklin, NY, St. Lawrence, NY. Maricopa, AZ. Clallam, WA,48 Island, WA, Jefferson, WA, King, WA, Kitsap, WA, Pierce, WA, San Juan, WA, Skagit, WA, Snohomish, WA, Whatcom, WA. Apache, AZ, Cochise, AZ, Gila, AZ, Graham, AZ, Greenlee, AZ, Pinal, AZ. Coconino, AZ, San Juan, UT. Bon Homme, SD, Knox, NE. Snohomish, WA, Skagit, WA. Alger, MI,49 Chippewa, MI, Delta, MI, Luce, MI, Mackinac, MI, Marquette, MI, Schoolcraft, MI. Broward, Fl, Collier, Fl, Miami-Dade, FL, Glades, FL, Hendry, FL. Allegany, NY, Cattaraugus, NY, Chautaugua, NY, Erie, NY, Warren, PA. Scott, MN. Pacific, WA. Hot Springs, WY, Fremont, WY, Sublette, WY. Bannock, ID, Bingham, ID, Caribou, ID, Lemhi, ID,50 Power, ID. Nevada, Owyhee, ID. Codington, SD, Day, SD, Grant, SD, Marshall, SD, Richland, ND, Roberts, SD, Sargent, ND, Traverse, MN. Sfmt 4703 E:\FR\FM\20APN1.SGM 20APN1 Federal Register / Vol. 75, No. 75 / Tuesday, April 20, 2010 / Notices 20613 CONTRACT HEALTH SERVICE DELIVERY AREAS AND SERVICE DELIVERY AREAS—Continued Tribe/reservation County/state Skokomish Indian Tribe of Skokomish Reservation, Washington ........... Skull Valley Band of Goshute Indians of Utah ......................................... Snoqualmie Tribe, Washington ................................................................ Sokaogon Chippewa Community, Wisconsin .......................................... Southern Ute Indian Tribe of the Southern Ute Reservation, Colorado .. Mason, WA. Tooele, UT. King, WA,51 Snohomish, WA, Pierce, WA, Island, WA, Mason, WA. Forest, WI. Archuleta, CO, La Plata, CO, Montezuma, CO, Rio Arriba, NM, San Juan, NM. Benson, ND, Eddy, ND, Nelson, ND, Ramsey, ND. Ferry, WA, Lincoln, WA, Stevens, WA. Mason, WA. Adams, ND, Campbell, SD, Corson, SD, Dewey, SD, Emmons, ND, Grant, ND, Morton, ND, Perkins, SD, Sioux, ND, Walworth, SD, Ziebach, SD. Menominee, WI, Shawano, WI. Snohomish, WA. Kitsap, WA. Skagit, WA. Dunn, ND, Mercer, ND, McKenzie, ND, McLean, ND, Mountrail, ND, Ward, ND. Maricopa, AZ, Pima, AZ, Pinal, AZ. Genesee, NY, Erie, NY, Niagara, NY. Gila, AZ. Divide, ND,52 McKenzie, ND, Williams, ND, Richland, MT, Roosevelt, MT, Sheridan, MT. Snohomish, WA. Avoyelles, LA, Rapides, LA.53 Rolette, ND. Niagara, NY. Chippewa, MN, Yellow Medicine, MN. Skagit, WA. Carbon, UT, Daggett, UT, Duchesne, UT, Emery, UT, Grand, UT, Rio Blanco, CO, Summit, UT, Uintah, UT, Utah, UT, Wasatch, UT. Apache, AZ, La Plata, CO, Montezuma, CO, San Juan, NM, San Juan, UT. Dukes, MA.54 Entire State of NV. Entire State of CA, except for the counties listed in footnote. Becker, MN, Clearwater, MN, Mahnomen, MN, Norman, MN, Polk, MN. Apache, AZ, Coconino, AZ, Gila, AZ, Graham, AZ, Greenlee, AZ, Navajo, AZ. Dakota, NE, Dixon, NE, Monona, IA, Thurston, NE, Wayne, NE, Woodbury, IA. Bon Homme, SD, Boyde, NE, Charles Mix, SD, Douglas, SD, Gregory, SD, Hutchinson, SD, Knox, NE. Yavapai, AZ. Spirit Lake Tribe, North Dakota ................................................................ Spokane Tribe of the Spokane Reservation, Washington ....................... Squaxin Island Tribe of the Squaxin Island Reservation, Washington .... Standing Rock Sioux Tribe of North and South Dakota .......................... Stockbridge Munsee Community, Wisconsin ........................................... Stillaguamish Tribe of Washington ........................................................... Suquamish Indian Tribe of the Port Madison Reservation, Washington Swinomish Indians of the Swinomish Reservation, Washington ............. Three Affiliated Tribes of the Fort Berthold Reservation, North Dakota .. Tohono O’odham Nation of Arizona ......................................................... Tonawanda Band of Seneca Indians of New York .................................. Tonto Apache Tribe of Arizona ................................................................ Trenton Service Unit, North Dakota and Montana ................................... Tulalip Tribes of the Tulalip Reservation, Washington ............................ Tunica-Biloxi Indian Tribe of Louisiana .................................................... Turtle Mountain Band of Chippewa Indians of North Dakota .................. Tuscarora Nation of New York ................................................................. Upper Sioux Community, Minnesota ........................................................ Upper Skagit Indian Tribe of Washington ................................................ Ute Indian Tribe of the Uintah & Ouray Reservation, Utah ..................... Ute Mountain Tribe of the Ute Mountain Reservation, Colorado, New Mexico and Utah. Wampangoag Tribe of Gay Head (Aquinnah) of Massachusetts ............ Washoe Tribe of Nevada & California ..................................................... White Earth Band of Chippewa Indians of Minnesota ............................. White Mountain Apache Tribe of the Fort Apache Reservation, Arizona Winnebago Tribe of Nebraska ................................................................. Yankton Sioux Tribe of South Dakota ...................................................... erowe on DSK5CLS3C1PROD with NOTICES Yavapai-Apache Nation of the Camp Verde Indian Reservation, Arizona. Yavapai-Prescott Tribe of the Yavapai Reservation, Arizona .................. Ysleta Del Sur Pueblo of Texas ............................................................... Zuni Tribe of the Zuni Reservation, New Mexico .................................... Yavapai, AZ. El Paso, TX.55 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 (Public Law 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 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 operating a CHS program pursuant to the ISDEAA, Public Law 93–638. 7 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 operating a CHS program pursuant to the ISDEAA, Public Law 93–638. 8 Historically part of the Coleville Service Unit population since 1970. 9 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 (Public Law 98–481, and H. Rept. No. 98–904). 10 Confederated Tribes of Grande Ronde Community of Oregon recognized by Public Law 98–165, signed into law on November 22, 1983, provides for eligibility in these six counties without regard to the existence of a reservation. 11 In order to carry out the Congressional intent of the Siletz Restoration Act, Public Law 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. 12 Historically part of the Yakama Service Unit population since 1979. 13 Contract Health Service Delivery Area expanded administratively by the Director, IHS, through regulation (42 CFR 136.22(6)) to include city limits of Elton, LA. VerDate Nov<24>2008 14:55 Apr 19, 2010 Jkt 220001 PO 00000 Frm 00059 Fmt 4703 Sfmt 4703 E:\FR\FM\20APN1.SGM 20APN1 erowe on DSK5CLS3C1PROD with NOTICES 20614 Federal Register / Vol. 75, No. 75 / Tuesday, April 20, 2010 / Notices 14 Cow Creek Band of Umpqua Indians of Oregon recognized by Public Law 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 IHS later exercised administrative discretion to add Coos, Deshutes, Klamath and Lane counties to the service delivery area. 15 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 operating a CHS program pursuant to the ISDEAA, Public Law 93–638. It is proposed that Columbia County, OR, Kittitas, WA and Wahkiakum County, WA be added to the existing SDA. 16 Historically part of Crow Service Unit population. 17 Historically part of the Grande Traverse Service Unit population since 1980. 18 Historically part of Kansas Service Unit since 1979. 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). 19 The counties included in this CHSDA were designated by regulation (42 CFR 136.22(a)(5)). 20 Public Law 97–428 provides for eligibility in or around the Town of Houlton without regard to existence of a reservation. 21 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 operating a CHS program pursuant to the ISDEAA, Public Law 93–638. 22 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 operating a CHS program pursuant to the ISDEAA, Public Law 93–638. 23 Texas Band of Kickapoo was recognized by Public Law 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. 24 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)). 25 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 operating a CHS program pursuant to the ISDEAA, Pub. L. 93–638. 26 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 operating a CHS program pursuant to the ISDEAA, Pub. L. 93–638. 27 Mashantucket Pequot Indian Claims Settlement Act, Public Law 98–134, signed into law on October 18, 1983, provides for a reservation in New London. 28 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 operating a CHS program pursuant to the ISDEAA, Public Law 93–638. 29 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. 30 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. 31 Historically part of the Choctaw Service Unit population since 1970. 32 Narragansett Indians recognized by Public Law 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. 33 Entire State of Nevada is included as a CHSDA by regulation (42 CFR 136.22(a)(2)). 34 Historically part of the Northern Cheyenne Service Unit population since 1979. 35 Land of Box Elder County, Utah, taken into trust for the Tribe in 1986. 36 Washabaugh County, SD is part of Jackson County, SD, on November 5, 1968. 37 Entire State of Oklahoma is included as a CHSDA by regulation (42 CFR 136.22(a)(3)). 38 Paiute Indian Tribe of Utah Reservation Act, Public Law 96–227, provides for the extension of services to these four counties without regard to the existence of a reservation. 39 Legislative history (H.R. Report No. 95–1021) to Public Law 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. 40 Included to carry out the intention of Congress to fund and provide contract health services to Penobscot and Passamaquoddy Indians (Pub. L. 96–420; H. Rept. 96–1353). 41 Included to carry out the intention of Congress to fund and provide contract health services to Penobscot and Passamaquoddy Indians (Pub. L. 96–420; H. Rept. 96–1353) 42 Included to carry out the intention of Congress to fund and provide contract health services to Penobscot and Passamaquoddy Indians (Pub. L. 96–420; H. Rept. 96–1353) 43 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). 44 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 operating a CHS program pursuant to the ISDEAA, Public Law 93–638. 45 Ponca Restoration Act, Public Law 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. Public Law 104–109 added Burt, Hall, Holt, Platte, Sarpy, Stanton, and Wayne counties of Nebraska and Pottawattomie and Woodbury counties of Iowa. 46 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. 47 Historically part of Isabella Reservation Area and Eastern Michigan Service Unit population since 1979. 48 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 operating a CHS program pursuant to the ISDEAA, Public Law 93–638. 49 The counties included in this CHSDA were designated by regulation (42 CFR 136.22(a)(4)). 50 Historically part of the Fort Hall Service Unit population since 1979. 51 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 operating a CHS program pursuant to the ISDEAA, Public Law 93–638. 52 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). 53 Historically part of the Tunica Biloxi Service Unit population since 1982. 54 Members of the Tribe residing in Martha’s Vineyard [are] deemed to be living ‘‘on or near an Indian reservation’’ for purposes of eligibility for Federal services (Sec. 12, Pub. L. 100–95). 55 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. VerDate Nov<24>2008 14:55 Apr 19, 2010 Jkt 220001 PO 00000 Frm 00060 Fmt 4703 Sfmt 4703 E:\FR\FM\20APN1.SGM 20APN1 Federal Register / Vol. 75, No. 75 / Tuesday, April 20, 2010 / Notices Dated: April 8, 2010. Yvette Roubideaux, Director, Indian Health Service. [FR Doc. 2010–8831 Filed 4–19–10; 8:45 am] BILLING CODE 4165–16–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2010–N–0195] Risk Profile: Pathogens and Filth in Spices: Request for Comments and for Scientific Data and Information AGENCY: Food and Drug Administration, HHS. ACTION: Notice; request for comments and for scientific data and information. SUMMARY: The Food and Drug Administration (FDA) is requesting comments and scientific data and information that would assist the agency in its plans to conduct a risk profile for pathogens and filth in spices. The purpose of the risk profile is to ascertain the current state of knowledge about spices contaminated with microbiological pathogens and/or filth, and the effectiveness of current and potential new interventions to reduce or prevent illnesses from contaminated spices. erowe on DSK5CLS3C1PROD with NOTICES DATES: Submit electronic or written comments and scientific data and information by June 21, 2010. ADDRESSES: Submit electronic comments and scientific data and information to https:// www.regulations.gov. Submit written comments and scientific data and information to the Division of Dockets Management (HFA–305), Food and Drug Administration, 5630 Fishers Lane, rm. 1061, Rockville, MD 20852. FOR FURTHER INFORMATION CONTACT: Sherri B. Dennis, Center for Food Safety and Applied Nutrition (HFS–005), Food and Drug Administration, 5100 Paint Branch Pkwy., College Park, MD 20740, 301–436–1914. SUPPLEMENTARY INFORMATION: I. Background A risk profile is a science-based document that describes the current state of knowledge about a specific food safety problem or issue and provides an evaluation of the data and information to support current interventions or new approaches to reduce or prevent illnesses (Ref. 1). FDA has adapted this tool as a new approach to assist the agency in its regulatory decisionmaking. Unlike a quantitative risk assessment, VerDate Nov<24>2008 14:55 Apr 19, 2010 Jkt 220001 which provides information about the number of people affected by a hazard in food and how this number might be changed if various control options were implemented, a risk profile provides qualitative answers to questions about the hazard and options for controlling it, based on available data. The information in a risk profile may affect a range of decisions, such as whether or not to commission a quantitative risk assessment or a request for research, or whether or not to implement an immediate and/or provisional regulatory decision. In some cases, it may reveal that no further action is needed. The risk profile for pathogens and filth in spices will provide information for FDA to use in the development of plans to reduce or prevent illness from spices contaminated by microbial pathogens and/or filth. Concerns regarding the effectiveness of current control measures to reduce or prevent illness from spices have been renewed by recent outbreaks of Salmonella associated with spices, including the imported ground white and black pepper products linked to an April 2009 outbreak of Salmonella Rissen illness, and the black and red pepper products recalled in March 2010 in response to an outbreak of Salmonella Montevideo illness (Refs. 2 and 3). For the purpose of this risk profile, the term ‘‘spice’’ means any aromatic vegetable substances in the whole, broken, or ground form, except for those substances which have been traditionally regarded as foods, whose significant function in food is seasoning rather than nutritional, and from which no portion of any volatile oil or other flavoring principle has been removed. The specific hazards in spices to be considered in this risk profile include those microbiological pathogens and filth in spices that are identified in the published literature, outbreaks, recalls, and submissions to the Reportable Food Registry (RFR).1 For purposes of this risk profile, FDA considers ‘‘filth’’ to mean ‘‘extraneous materials’’ as defined in FDA’s Defect Levels Handbook (Ref. 4). The Defect Levels Handbook defines ‘‘extraneous materials’’ as ‘‘any foreign matter in a product associated with objectionable conditions or practices in production, storage, or distribution * * * [including] objectionable matter contributed by insects, rodents, and birds; decomposed material; and 1 The RFR is an electronic portal where responsible parties are required to file a report when there is a reasonable probability that the use of, or exposure to, an article of food will cause serious adverse health consequences or death to humans or animals (Ref. 5). PO 00000 Frm 00061 Fmt 4703 Sfmt 4703 20615 miscellaneous matter such as sand, soil, glass, rust, or other foreign substances.’’ The overall objectives of the risk profile are to: • Describe the nature and extent of the public health risk, by identifying the most commonly occurring microbial and filth hazards in spices; • Describe and evaluate current mitigation and control options; • Identify potential additional mitigation or control options; • Identify research needs and data gaps. The specific questions to be addressed by the risk profile include: • What is known about the frequency and levels of pathogen and/or filth contamination of spices throughout the food supply chain (e.g., on the farm, at primary processing/manufacturing, intermediary processing (where spices are used as ingredients in multicomponent products), distribution (including importation), retail sale/use, and the consumer’s home)? • What is known about differences in production and contamination of imported and domestic spices? • What is known about the effectiveness, cost, and practicality of currently available and potential future interventions to prevent human illnesses associated with pathogen and/ or filth contamination of spices (e.g., practices and/or technologies to reduce or prevent contamination, surveillance, inspection, import strategies, or guidance)? • What are the highest priority research needs related to prevention or reduction of pathogens and/or filth in spices? II. Request for Comments and for Scientific Data and Information FDA is requesting comments on the risk profile approach outlined previously in this document and the submission of scientific data and information relevant to the risk profile. The agency is particularly interested in the following types of information: 1. Data, including unpublished data, on the incidence of contamination in spices according to: a. Date tested, b. Country exporting the spice and/or country of origin if different, c. Type of spice, d. Pathogen(s) and/or filth type (e.g., insect, rodent, extraneous), e. Quantitative (enumeration) or qualitative (presence/absence) results, and f. Other product sample information (e.g., pre- or post-treatment, treatment type, stage of production/ processing). E:\FR\FM\20APN1.SGM 20APN1

Agencies

[Federal Register Volume 75, Number 75 (Tuesday, April 20, 2010)]
[Notices]
[Pages 20608-20615]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-8831]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


 Notice of Re-Designation of the Service Delivery Area for the 
Cowlitz Indian Tribe

AGENCY: Indian Health Service, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: This Notice advises the public that the Indian Health Service 
(IHS) proposes to expand the geographic boundaries of the Service 
Delivery Area

[[Page 20609]]

(SDA) for the Cowlitz Indian Tribe. The Cowlitz SDA currently is 
comprised of Clark, Cowlitz, King, Lewis, Pierce, Skamania, and 
Thurston in the State of Washington. These counties were designated as 
the Tribe's SDA in 67 FR 46329. It is proposed that Columbia County, 
Oregon, and Wahkiakum and Kittitas Counties, Washington be added to the 
existing SDA.

DATES: This notice is effective 30 days after date of publication in 
the Federal Register.

ADDRESSES: Comments may be mailed to Betty Gould, Regulations Officer, 
Indian Health Service, Suite 450, 12300 Twinbrook Parkway, Rockville, 
Maryland 20852. Comments will be made available for public inspection 
at this address from 8:30 a.m. to 5 p.m. Monday-Friday beginning 
approximately 2 weeks after publication of this notice.

FOR FURTHER INFORMATION CONTACT: Carl Harper, Director, Office of 
Resource Access and Partnerships, Indian Health Service, Suite 360, 
12300 Twinbrook Parkway, Rockville, Maryland 20852. Telephone 301/443-
2694 (This is not a toll free number).

SUPPLEMENTARY INFORMATION: The IHS currently provides services under 
regulations in effect on September 15, 1987 and IHS 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 CHS will be 
made available by the IHS to members of an identified Indian community 
who reside in the area. Residence with a CHSDA or 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 a IHS/Tribal facility are provided under the 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.
    As applicable to the Tribes, these regulations provide that, unless 
otherwise designated, a CHSDA shall consist of a county which includes 
all or part of a reservation and any county or counties which have a 
common boundary with the reservation (42 CFR 136.22(a)(6) (2007). The 
regulations also provide that after consultation with the Tribal 
governing body or bodies of those reservations included in the CHSDA, 
the Secretary may, from time to time, re-designate areas within the 
United States for inclusion in or exclusion from a CHDSA. The 
regulations require that certain criteria must be considered before any 
re-designation is made. The criteria are as follows:
    (1) The number of Indians residing in the area proposed to be so 
included or excluded;
    (2) Whether the Tribal governing body has determined that Indians 
residing in the area near the reservation are socially and economically 
affiliated with the Tribes;
    (3) The geographic proximity to the reservation of the area whose 
inclusion or exclusion is being considered; and
    (4) The level of funding which would be available for the provision 
of contract health services.
    Additionally, the regulations require that any re-designation of a 
CHSDA must be made in accordance with the Administrative Procedures Act 
(5 U.S.C. 553). In compliance with this requirement, we are publishing 
this proposal and requesting public comment.
    The purpose of this FR notice is to notify the public of the 
request of the Cowlitz Indian Tribe to expand their SDA as presented in 
their 08-3 Tribal resolution dated January 5, 2008, and 08-56 Tribal 
resolution, dated December 06, 2008. The Tribe's request will expand 
their current SDA which incorporates Cowlitz, Clark, Skamania, King, 
Pierce, Thurston and Lewis Counties in the State of Washington, to 
include Columbia County in the State of Oregon, and Kittitas and 
Wahkiakum Counties in the State of Washington.
    Under 42 CFR 136.23 those otherwise eligible Indians who do not 
reside on a reservation but reside within a CHSDA must be either 
members of the Tribe or maintain close economic and social ties with 
the Tribe. In this case, the Tribe estimates the current eligible 
population will be increased by 35 individuals' enrolled Cowlitz 
members who are actively involved with the Tribe, but not eligible for 
health services.
    In applying the aforementioned CHSDA re-designation criteria 
required by operative regulations (43 FR 35654), the following findings 
are made:
    1. Columbia County, Oregon is contiguous with Clark County in the 
state of Washington. Kittitas County is contiguous to King County and 
Wahkiakum County is contiguous to Lewis in the State of Washington.
    2. These three counties are not part of any other Tribes CHSDA.
    3. It is important for the Cowlitz Indian Tribe to be able to 
deliver health care services to enrolled members residing in these 
three counties. The Tribe believes eligible Tribal members living in 
the counties proposed for expansion should also be eligible for CHS.
    4. Most of the 35 Tribal members use the Cowlitz Clinic in 
Longview, Washington for their health care needs. It is estimated that 
members have a 40 minute drive to receive their health care. These 
Tribal members do not currently receive care under the CHS program.
    5. The financial resources required to meet the immediate needs of 
the Tribal members residing in the three counties will not be 
substantial as the Tribe will use existing Federal allocations for 
contract health funds.
    Since CHS is a critical component of the Tribes' overall health 
care system for its members, the Tribe feels that the members residing 
in the three counties should be included within the SDA for the Tribe.
    Accordingly, after considering the Tribes' request in light of the 
criteria specified in the regulations, the IHS is proposing to re-
designate the SDA for the Tribe to consist of Columbia County in the 
State of Oregon and Kittitas and Wahkiakum Counties in the State of 
Washington.
    This notice does not contain reporting or recordkeeping 
requirements subject to prior approval by the Office of Management and 
Budget under the Paperwork Reduction Act of 1980.

    Contract Health Service Delivery Areas and Service Delivery Areas
------------------------------------------------------------------------
           Tribe/reservation                       County/state
------------------------------------------------------------------------
Ak Chin Indian Community of the          Pinal, AZ.
 Maricopa (Ak Chin) Indian Reservation,
 Arizona.
Alabama-Coushatta Tribes of Texas......  Polk, TX.\1\
Alaska.................................  Entire State.\2\
Arapaho Tribe of the Wind River          Hot Springs, WY, Fremont, WY,
 Reservation, Wyoming.                    Sublette, WY.
Aroostook Band of Micmac Indians of      Aroostook, ME.\3\
 Maine.

[[Page 20610]]

 
Assiniboine and Sioux Tribes of the      Daniels, MT, McCone, MT,
 Fort Peck Indian Reservation, Montana.   Richland, MT, Roosevelt, MT,
                                          Sheridan, MT, Valley, MT.
Bad River Band of the Lake Superior      Ashland, WI, Iron, WI.
 Tribe of Chippewa Indians of the Bad
 River Reservation, Wisconsin.
Bay Mills Indian Community, Michigan...  Chippewa, MI.
Blackfeet Tribe of the Blackfeet Indian  Glacier, MT, Pondera, MT.
 Reservation of Montana.
Minnesota Chippewa Tribe, Minnesota      Itasca, MN, Koochiching, MN,
 Bois Forte Band (Nett Lake).             St. Louis, MN.
Brigham City Intermountain School        \4\
 Health Center, Utah.
Burns Paiute Tribe of the Burns Paiute   Harney, OR.
 Indian Colony of Oregon.
California.............................  Entire State, except for the
                                          counties listed in the
                                          footnote.\5\
Catawba Indian Nation of South Carolina  All Counties in SC,\6\
                                          Cabarrus, NC, Cleveland, NC,
                                          Gaston, NC, Mecklenburg, NC,
                                          Rutherford, NC, Union, NC.
Cayuga Nation of New York..............  Allegany, NY,\7\ Cattaraugus,
                                          NY, Chautaugua, NY, Erie, NY,
                                          Warren, PA.
Cheyenne River Sioux Tribe of the        Corson, SD, Dewey, SD, Haakon,
 Cheyenne River Reservation, South        SD, Meade, SD, Perkins, SD,
 Dakota.                                  Potter, SD, Stanley, SD,
                                          Sully, SD, Walworth, SD,
                                          Ziebach, SD.
Chippewa-Cree Indians of the Rocky       Chouteau, MT, Hill, MT,
 Boy's Reservation, Montana.              Liberty, MT.
Chitimacha Tribe of Louisiana..........  St. Mary Parish, LA.
Cocopah Tribe of Arizona...............  Yuma, AZ, Imperial, CA.
Coeur D'Alene Tribe of the Coeur         Benewah, ID, Kootenai, ID,
 D'Alene Reservation, Idaho.              Latah, ID, Spokane, WA,
                                          Whitman, WA.
Colorado River Indian Tribes of the      La Paz, AZ, Riverside, CA, San
 Colorado River Indian Reservation,       Bernardino, CA, Yuma, AZ.
 Arizona and California.
Confederated Salish & Kootenai Tribes    Flathead, MT, Lake, MT,
 of the Flathead Reservation, Montana.    Missoula, MT, Sanders, MT.
Confederated Tribes of the Chehalis      Grays Harbor, WA, Lewis, WA,
 Reservation, Washington.                 Thurston, WA.
Confederated Tribes of the Colville      Chelan, WA,\8\ Douglas, WA,
 Reservation, Washington.                 Ferry, WA, Grant, WA, Lincoln,
                                          WA, Okanogan, WA, Stevens, WA.
Confederated Tribes of Coos, Lower       Coos, OR,\9\ Curry, OR,
 Umpqua & Siuslaw Indians of Oregon.      Douglas, OR, Lane, OR,
                                          Lincoln, OR.
Confederated Tribes of the Goshute       Nevada, Juab, UT, Toole, UT.
 Reservation, Nevada and Utah.
Confederated Tribes of Grand Ronde       Polk, OR,\10\ Washington, OR,
 Community of Oregon.                     Marion, OR, Yamhill, OR,
                                          Tillamook, OR, Multnomah, OR.
Confederated Tribes of the Siletz        Benton, OR,\11\ Clackamas, OR,
 Reservation, Oregon.                     Lane, OR, Lincoln, OR, Linn,
                                          OR, Marion, OR, Multnomah, OR,
                                          Polk, OR, Tillamook, OR,
                                          Washington, OR, Yam Hill, OR.
Confederated Tribes of the Umatilla      Umatilla, OR, Union, OR.
 Reservation, Oregon.
Confederated Tribes of the Warm Springs  Clackamas, OR, Jefferson, OR,
 Reservation of Oregon.                   Linn, OR, Marion, OR, Wasco,
                                          OR.
Confederated Tribes & Bands of the       Klickitat, WA, Lewis, WA,
 Yakama Nation, Washington.               Skamania, WA,\12\ Yakima, WA.
Coquille Tribe of Oregon...............  Coos, OR, Curry, OR, Douglas,
                                          OR, Jackson, OR, Lane, OR.
Coushatta Tribe of Louisiana...........  Allen Parish, LA, Elton,
                                          LA.\13\
Cow Creek Band of Umpqua Indians of      Coos, OR,\14\ Deshutes, OR,
 Oregon.                                  Douglas, OR, Jackson, OR,
                                          Josephine, OR, Klamath, OR,
                                          Lane, OR.
Cowlitz Indian Tribe, Washington.......  Clark, WA, Cowlitz, WA, King,
                                          WA, Lewis, WA, Pierce, WA,
                                          Skamania, WA, Thurston, WA,
                                          Columbia, OR, Kitititas, WA,
                                          Wahkiakum, WA.\15\
Crow Tribe of Montana..................  Big Horn, MT, Carbon, MT,
                                          Treasure, MT,\16\ Yellowstone,
                                          MT, Big Horn, WY, Sheridan,
                                          WY.
Crow Creek Sioux Tribe of the Crow       Brule, SD, Buffalo, SD, Hand,
 Creek Reservation, South Dakota.         SD, Hughes, SD, Hyde, SD,
                                          Lyman, SD, Stanley, SD.
Eastern Band of Cherokee Indians of      Cherokee, NC, Graham, NC,
 North Carolina.                          Haywood, NC,
                                         Jackson, NC, Swain, NC.
Flandreau Santee Sioux Tribe of South    Moody, SD.
 Dakota.
Fond du Lac Band of Chippewa Indians of  Carlton, MN, St. Louis, MN.
 Minnesota.
Forest County Potawatomi Community,      Forest, WI, Marinette, WI,
 Wisconsin.                               Oconto, WI.
Fort Belknap Indian Community of the     Blaine, MT, Phillips, MT.
 Fort Belknap Reservation of Montana.
Fort McDermitt Paiute and Shoshone       Nevada, Malheur, OR.
 Tribes of the Fort McDermitt Indian
 Reservation, Nevada and Oregon.
Fort McDowell Yavapai Nation, Arizona..  Maricopa, AZ.
Fort Mojave Indian Tribe of Arizona,     Nevada, Mohave, AZ, San
 California and Nevada.                   Bernardino, CA.
Gila River Indian Community of the Gila  Maricopa, AZ, Pinal, AZ.
 River Indian Reservation, Arizona.
Grand Portage Band of Chippewa Indians   Cook, MN.
 of Minnesota.
Grand Traverse Band of Ottawa &          Antrim, MI,\17\ Benzie, MI,
 Chippewa Indians of Michigan.            Charlevoix, MI, Grand
                                          Traverse, MI, Leelanau, MI,
                                          Manistee, MI.
Hannahville Indian Community, Michigan.  Delta, MI, Menominee, MI.
Haskell Indian Health Center...........  Douglas, KS.\18\
Havasupai Tribe of the Havasupai         Coconino, AZ.
 Reservation, Arizona.
Ho-Chunk Nation of Wisconsin...........  Adams, WI,\19\ Clark, WI,
                                          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 of the Hoh Indian       Jefferson, WA.
 Reservation, Washington.

[[Page 20611]]

 
Hopi Tribe of Arizona..................  Apache, AZ, Coconino, AZ,
                                          Navajo, AZ.
Houlton Band of Maliseet Indians of      Aroostook, ME.\20\
 Maine.
Hualapai Indian Tribe of the Hualapai    Coconino, AZ, Mohave, AZ,
 Indian Reservation, Arizona.             Yavapai, AZ.
Huron Potawatomi, Inc., Michigan.......  Allegan, MI,\21\ Barry, MI,
                                          Branch, MI, Calhoun, MI,
                                          Kalamazoo, MI, Kent, MI,
                                          Ottawa, MI.
Iowa Tribe of Kansas and Nebraska......  Brown, KS, Doniphan, KS,
                                          Richardson, NE.
Jamestown S'Klallam Tribe of Washington  Clallam, WA, Jefferson, WA.
Jena Band of Choctaw Indians, Louisiana  Grand Parish, LA,\22\ LaSalle
                                          Parish, LA, Rapides Parish,
                                          LA.
Jicarilla Apache Nation, New Mexico....  Archuleta, CO, Rio Arriba, NM,
                                          Sandoval, NM.
Kaibab Band of Paiute Indians of the     Coconino, AZ, Mohave, AZ, Kane,
 Kaibab Indian Reservation, Arizona.      UT.
Kalispel Indian Community of the         Pend Oreille, WA, Spokane, WA.
 Kalispel Indian Reservation,
 Washington.
Keweenaw Bay Indian Community, Michigan  Baraga, MI, Houghton, MI,
                                          Ontonagon, MI.
Kickapoo Tribe of Indians of the         Brown, KS, Jackson, KS.
 Kickapoo Reservation of Kansas.
Kickapoo Traditional Tribe of Texas....  Maverick, TX.\23\
Klamath Tribes of Oregon...............  Klamath, OR.\24\
Kootenai Tribe of Idaho................  Boundary, ID.
Lac Courte Oreilles Band of Lake         Sawyer, WI.
 Superior Chippewa Indians of Wisconsin.
Lac du Flambeau Band of Lake Superior    Iron, WI, Oneida, WI, Vilas,
 Chippewa Indians of the Lac du           WI.
 Flambeau Reservation of Wisconsin.
Lac Vieux Desert Band of Lake Superior   Gogebic, MI.
 Chippewa Indians, Michigan.
Leech Lake Band of Chippewa Indians of   Beltrami, MN, Cass, MN,
 Minnesota.                               Hubbard, MN, Itasca, MN.
Little River Band of Ottawa Indians,     Kent, MI,\25\ Muskegon, MI,
 Michigan.                                Newaygo, MI, Oceana, MI,
                                          Ottawa, MI, Manistee, MI,
                                          Mason, MI, Wexford, MI, Lake,
                                          MI.
Little Traverse Bay Bands of Odawa       Alcona, MI,\26\ Alger, MI,
 Indians, Michigan.                       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 of the Lower     Brule, SD, Buffalo, SD, Hughes,
 Brule Reservation, South Dakota.         SD, Lyman, SD, Stanley, SD.
Lower Elwha Tribal Community of the      Clallam, WA.
 Lower Elwha Reservation, Washington.
Lower Sioux Indian Community in the      Redwood, MN, Renville, MN.
 State of Minnesota.
Lummi Tribe of the Lummi Reservation,    Whatcom, WA.
 Washington.
Makah Indian Tribe of the Makah          Clallam, WA.
 Reservation, Washington.
Mashantucket Pequot Tribe of             New London, CT.\27\
 Connecticut.
Match-e-be-nash-she-wish Band of         Allegan, MI,\28\ Barry, MI,
 Pottawatomi Indians of Michigan.         Kalamazoo, MI, Kent, MI,
                                          Ottawa, MI.
Menominee Indian Tribe of Wisconsin....  Langlade, WI, Menominee, WI,
                                          Oconto, WI, Shawano, WI.
Mescalero Apache Tribe of the Mescalero  Chaves, NM, Lincoln, NM, Otero,
 Reservation, New Mexico.                 NM.
Miccosukee Tribe of Indians of Florida.  Broward, FL, Collier, FL, Miami-
                                          Dade, FL, Hendry, FL.
Mille Lacs Band of Chippewa Indians of   Aitkin, MN, Kanebec, MN, Mille
 Minnesota.                               Lacs, MN, Pine, MN.
Mississippi Band of Choctaw Indians,     Attala, MS, Jasper, MS,\29\
 Mississippi.                             Jones, MS, Kemper, MS, Leake,
                                          MS, Neshoba, MS, Newton, MS,
                                          Noxubee, MS,\30\ Scott,
                                          MS,\31\ Winston, MS.
Mohegan Indian Tribe of Connecticut....  Fairfield, CT, Hartford, CT,
                                          Litchfield, CT, Middlesex, CT,
                                          New Haven, CT, New London, CT,
                                          Tolland, CT, Windham, CT.
Muckleshoot Indian Tribe of the          King, WA, Pierce, WA.
 Muckleshoot Reservation, Washington.
Narragansett Indian Tribe of Rhode       Washington, RI.\32\
 Island.
Navajo Nation, Arizona, New Mexico and   Apache, AZ, Bernalillo, NM,
 Utah.                                    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.\33\
Nez Perce Tribe of Idaho...............  Clearwater, ID, Idaho, ID,
                                          Latah, ID, Lewis, ID, Nez
                                          Perce, ID.
Nisqually Indian Tribe of the Nisqually  Pierce, WA, Thurston, WA.
 Reservation, Washington.
Nooksack Indian Tribe of Washington....  Whatcom, WA.
Northern Cheyenne Tribe Northern         Big Horn, MT, Carter, MT,\34\
 Cheyenne Indian Reservation, Montana.    Rosebud, MT.
Northwestern Band of Shoshoni Nation of  Box Elder, UT.\35\
 Utah (Washakie).
Oglala Sioux Tribe of the Pine Ridge     Bennett, SD, Cherry, NE,
 Reservation, South Dakota.               Custer, SD, Dawes, NE, Fall
                                          River, SD, Jackson, SD,\36\
                                          Mellete, SD, Pennington, SD,
                                          Shannon, SD, Sheridan, NE,
                                          Todd, SD.
Oklahoma...............................  Entire State.\37\
Omaha Tribe of Nebraska................  Burt, NE, Cuming, NE, Monona,
                                          IA, Thurston, NE, Wayne, NE.
Oneida Nation of New York..............  Chenango, NY, Cortland, NY,
                                          Herkimer, NY, Madison, NY,
                                          Oneida, NY, Onondaga, NY.
Oneida Tribe of Indians of Wisconsin...  Brown, WI, Outagamie, WI.
Onondaga Nation of New York............  Onondaga, NY.
Paiute Indian Tribe of Utah............  Iron, UT,\38\ Millard, UT,
                                          Sevier, UT, Washington, UT.

[[Page 20612]]

 
Pascua Yaqui Tribe of Arizona..........  Pima, AZ.\39\
Passamaquoddy Tribe of Maine...........  Aroostook, ME,\40\ Washington,
                                          ME.
Passamaquoddy Tribe of Pleasant Point,   Washington, ME, south of State
 Maine.                                   Route 9.\41\
Penobscot Tribe of Maine...............  Aroostook, ME,\42\ Penobscot,
                                          ME.
Poarch Band of Creek Indians of Alabama  Baldwin, AL,\43\ Escambia, AL,
                                          Mobile, AL, Monroe, AL,
                                          Escambia, FL.
Pokagon Band of Potawatomi Indians,      Allegan, MI, Berrien, MI, Cass,
 Michigan and Indiana.                    MI, Elkhart, IN,\44\
                                          Kosciusko, IN, La Porte, IN,
                                          Marshall, IN, St. Joseph, IN,
                                          Starke, IN, Van Buren, MI.
Ponca Tribe of Nebraska................  Boyd, NE,\45\ Burt, NE, Charles
                                          Mix, SD, Douglas, NE, Hall,
                                          NE, Holt, NE, Knox, NE,
                                          Lancaster, NE, Madison, NE,
                                          Platte, NE, Pottawattomie, IA,
                                          Sarpy, NE, Stanton, NE, Wayne,
                                          NE, Woodbury, IA.
Port Gamble Indian Community of the      Kitsap, WA.
 Port Gamble Reservation, Washington.
Prairie Band of Potawatomi Nation,       Jackson, KS.
 Kansas.
Prairie Island Indian Community in the   Goodhue, MN.
 State of Minnesota.
Pueblo of Acoma, New Mexico............  Cibola, NM.
Pueblo of Cochiti, New Mexico..........  Sandoval, NM, Sante Fe, NM.
Pueblo of Jemez, New Mexico............  Sandoval, NM.
Pueblo of Isleta, New Mexico...........  Bernalillo, NM, Torrance, NM,
                                          Valencia, NM.
Pueblo of Laguna, New Mexico...........  Bemalillo, NM, Cibola, NM,
                                          Sandoval, NM, Valencia, NM.
Pueblo of Nambe, New Mexico............  Santa Fe, NM.
Pueblo of Picuris, New Mexico..........  Taos, NM.
Pueblo of Pojoaque, New Mexico.........  Rio Arriba, NM, Santa Fe, NM.
Pueblo of San Felipe, New Mexico.......  Sandoval, NM.
Pueblo of San Ildefonso, New Mexico....  Los Alamos, NM, Rio Arriba, NM,
                                          Sandoval, NM, Santa Fe, NM.
Pueblo of San Juan, New Mexico.........  Rio Arriba, NM.
Pueblo of Sandia, New Mexico...........  Bernalillo, NM, Sandoval, NM.
Pueblo of Santa Ana, New Mexico........  Sandoval, NM.
Pueblo of Santa Clara, New Mexico......  Los Alamos, NM, Sandoval, NM,
                                          Santa Fe, NM.
Pueblo of Santo Domingo, New Mexico....  Sandoval, NM, Santa Fe, NM.
Pueblo of Taos, New Mexico.............  Colfax, NM, Taos, NM.
Pueblo of Tesuque, New Mexico..........  Santa Fe, NM.
Pueblo of Zia, New Mexico..............  Sandoval, NM.
Puyallup Tribe of the Puyallup           King, WA, Pierce, WA, Thurston,
 Reservation, Washington.                 WA.
Quechan Tribe of the Fort Yuma Indian    Yuma, AZ, Imperial, CA.
 Reservation, California and Arizona.
Quileute Tribe of the Quileute           Clallam, WA, Jefferson, WA.
 Reservation, Washington.
Quinault Tribe of the Quinault           Grays Harbor, WA, Jefferson,
 Reservation, Washington.                 WA.
Rapid City, South Dakota...............  Pennington, SD.\46\
Red Cliff Band of Lake Superior          Bayfield, WI.
 Chippewa Indians of Wisconsin.
Red Lake Band of Chippewa Indians,       Beltrami, MN, Clearwater, MN,
 Minnesota.                               Koochiching, MN, Lake of the
                                          Woods, MN, Marshall, MN,
                                          Pennington, MN, Polk, MN,
                                          Roseau, MN.
Rosebud Sioux Tribe of the Rosebud       Bennett, SD, Cherry, NE,
 Indian Reservation. South Dakota.        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 of         Arenac, MI,\47\ Clare, MI,
 Michigan.                                Isabella, MI, Midland, MI,
                                          Missaukee, MI.
St. Croix Chippewa Indians of Wisconsin  Barron, WI, Burnett, WI, Pine,
                                          MN, Polk, WI, Washburn, WI.
Saint Regis Mohawk Tribe, New York.....  Franklin, NY, St. Lawrence, NY.
Salt River Pima-Maricopa Indian          Maricopa, AZ.
 Community of Salt River Reservation,
 Arizona.
Samish Indian Tribe, Washington........  Clallam, WA,\48\ Island, WA,
                                          Jefferson, WA, King, WA,
                                          Kitsap, WA, Pierce, WA, San
                                          Juan, WA, Skagit, WA,
                                          Snohomish, WA, Whatcom, WA.
San Carlos Apache Tribe of the San       Apache, AZ, Cochise, AZ, Gila,
 Carlos Reservation, Arizona.             AZ, Graham, AZ, Greenlee, AZ,
                                          Pinal, AZ.
San Juan Southern Paiute Tribe of        Coconino, AZ, San Juan, UT.
 Arizona.
Santee Sioux Nation, Nebraska..........  Bon Homme, SD, Knox, NE.
Sauk-Suiattle Indian Tribe of            Snohomish, WA, Skagit, WA.
 Washington.
Sault Ste. Marie Tribe of Chippewa       Alger, MI,\49\ Chippewa, MI,
 Indians of Michigan.                     Delta, MI, Luce, MI, Mackinac,
                                          MI, Marquette, MI,
                                          Schoolcraft, MI.
Seminole Tribe of Florida..............  Broward, Fl, Collier, Fl, Miami-
                                          Dade, FL, Glades, FL, Hendry,
                                          FL.
Seneca Nation of New York..............  Allegany, NY, Cattaraugus, NY,
                                          Chautaugua, NY, Erie, NY,
                                          Warren, PA.
Shakopee Mdewakanton Sioux Community of  Scott, MN.
 Minnesota.
Shoalwater Bay Tribe of the Shoalwater   Pacific, WA.
 Bay Indian Reservation, Washington.
Shoshone Tribe of the Wind River         Hot Springs, WY, Fremont, WY,
 Reservation, Wyoming.                    Sublette, WY.
Shoshone-Bannock Tribes of the Fort      Bannock, ID, Bingham, ID,
 Hall Reservation of Idaho.               Caribou, ID, Lemhi, ID,\50\
                                          Power, ID.
Shoshone-Paiute Tribes of the Duck       Nevada, Owyhee, ID.
 Valley Reservation, Nevada.
Sisseton-Wahpeton Oyate of the Lake      Codington, SD, Day, SD, Grant,
 Traverse Reservation, South Dakota.      SD, Marshall, SD, Richland,
                                          ND, Roberts, SD, Sargent, ND,
                                          Traverse, MN.

[[Page 20613]]

 
Skokomish Indian Tribe of Skokomish      Mason, WA.
 Reservation, Washington.
Skull Valley Band of Goshute Indians of  Tooele, UT.
 Utah.
Snoqualmie Tribe, Washington...........  King, WA,\51\ Snohomish, WA,
                                          Pierce, WA, Island, WA, Mason,
                                          WA.
Sokaogon Chippewa Community, Wisconsin.  Forest, WI.
Southern Ute Indian Tribe of the         Archuleta, CO, La Plata, CO,
 Southern Ute Reservation, Colorado.      Montezuma, CO, Rio Arriba, NM,
                                          San Juan, NM.
Spirit Lake Tribe, North Dakota........  Benson, ND, Eddy, ND, Nelson,
                                          ND, Ramsey, ND.
Spokane Tribe of the Spokane             Ferry, WA, Lincoln, WA,
 Reservation, Washington.                 Stevens, WA.
Squaxin Island Tribe of the Squaxin      Mason, WA.
 Island Reservation, Washington.
Standing Rock Sioux Tribe of North and   Adams, ND, Campbell, SD,
 South Dakota.                            Corson, SD, Dewey, SD, Emmons,
                                          ND, Grant, ND, Morton, ND,
                                          Perkins, SD, Sioux, ND,
                                          Walworth, SD, Ziebach, SD.
Stockbridge Munsee Community, Wisconsin  Menominee, WI, Shawano, WI.
Stillaguamish Tribe of Washington......  Snohomish, WA.
Suquamish Indian Tribe of the Port       Kitsap, WA.
 Madison Reservation, Washington.
Swinomish Indians of the Swinomish       Skagit, WA.
 Reservation, Washington.
Three Affiliated Tribes of the Fort      Dunn, ND, Mercer, ND, McKenzie,
 Berthold Reservation, North Dakota.      ND, McLean, ND, Mountrail, ND,
                                          Ward, ND.
Tohono O'odham Nation of Arizona.......  Maricopa, AZ, Pima, AZ, Pinal,
                                          AZ.
Tonawanda Band of Seneca Indians of New  Genesee, NY, Erie, NY, Niagara,
 York.                                    NY.
Tonto Apache Tribe of Arizona..........  Gila, AZ.
Trenton Service Unit, North Dakota and   Divide, ND,\52\ McKenzie, ND,
 Montana.                                 Williams, ND, Richland, MT,
                                          Roosevelt, MT, Sheridan, MT.
Tulalip Tribes of the Tulalip            Snohomish, WA.
 Reservation, Washington.
Tunica-Biloxi Indian Tribe of Louisiana  Avoyelles, LA, Rapides, LA.\53\
Turtle Mountain Band of Chippewa         Rolette, ND.
 Indians of North Dakota.
Tuscarora Nation of New York...........  Niagara, NY.
Upper Sioux Community, Minnesota.......  Chippewa, MN, Yellow Medicine,
                                          MN.
Upper Skagit Indian Tribe of Washington  Skagit, WA.
Ute Indian Tribe of the Uintah & Ouray   Carbon, UT, Daggett, UT,
 Reservation, Utah.                       Duchesne, UT, Emery, UT,
                                          Grand, UT, Rio Blanco, CO,
                                          Summit, UT, Uintah, UT, Utah,
                                          UT, Wasatch, UT.
Ute Mountain Tribe of the Ute Mountain   Apache, AZ, La Plata, CO,
 Reservation, Colorado, New Mexico and    Montezuma, CO, San Juan, NM,
 Utah.                                    San Juan, UT.
Wampangoag Tribe of Gay Head (Aquinnah)  Dukes, MA.\54\
 of Massachusetts.
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 Indians of  Becker, MN, Clearwater, MN,
 Minnesota.                               Mahnomen, MN, Norman, MN,
                                          Polk, MN.
White Mountain Apache Tribe of the Fort  Apache, AZ, Coconino, AZ, Gila,
 Apache Reservation, Arizona.             AZ, Graham, AZ, Greenlee, AZ,
                                          Navajo, AZ.
Winnebago Tribe of Nebraska............  Dakota, NE, Dixon, NE, Monona,
                                          IA, Thurston, NE, Wayne, NE,
                                          Woodbury, IA.
Yankton Sioux Tribe of South Dakota....  Bon Homme, SD, Boyde, NE,
                                          Charles Mix, SD, Douglas, SD,
                                          Gregory, SD, Hutchinson, SD,
                                          Knox, NE.
Yavapai-Apache Nation of the Camp Verde  Yavapai, AZ.
 Indian Reservation, Arizona.
Yavapai-Prescott Tribe of the Yavapai    Yavapai, AZ.
 Reservation, Arizona.
Ysleta Del Sur Pueblo of Texas.........  El Paso, TX.\55\
Zuni Tribe of the Zuni Reservation, New  Apache, AZ, Cibola, NM,
 Mexico.                                  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 (Public Law
  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\ 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 operating a CHS
  program pursuant to the ISDEAA, Public Law 93-638.
\7\ 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 operating a CHS
  program pursuant to the ISDEAA, Public Law 93-638.
\8\ Historically part of the Coleville Service Unit population since
  1970.
\9\ 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 (Public Law 98-481, and H.
  Rept. No. 98-904).
\10\ Confederated Tribes of Grande Ronde Community of Oregon recognized
  by Public Law 98-165, signed into law on November 22, 1983, provides
  for eligibility in these six counties without regard to the existence
  of a reservation.
\11\ In order to carry out the Congressional intent of the Siletz
  Restoration Act, Public Law 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.
\12\ Historically part of the Yakama Service Unit population since 1979.
\13\ Contract Health Service Delivery Area expanded administratively by
  the Director, IHS, through regulation (42 CFR 136.22(6)) to include
  city limits of Elton, LA.

[[Page 20614]]

 
\14\ Cow Creek Band of Umpqua Indians of Oregon recognized by Public Law
  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 IHS later
  exercised administrative discretion to add Coos, Deshutes, Klamath and
  Lane counties to the service delivery area.
\15\ 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 operating a CHS
  program pursuant to the ISDEAA, Public Law 93-638. It is proposed that
  Columbia County, OR, Kittitas, WA and Wahkiakum County, WA be added to
  the existing SDA.
\16\ Historically part of Crow Service Unit population.
\17\ Historically part of the Grande Traverse Service Unit population
  since 1980.
\18\ Historically part of Kansas Service Unit since 1979. 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).
\19\ The counties included in this CHSDA were designated by regulation
  (42 CFR 136.22(a)(5)).
\20\ Public Law 97-428 provides for eligibility in or around the Town of
  Houlton without regard to existence of a reservation.
\21\ 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 operating a CHS
  program pursuant to the ISDEAA, Public Law 93-638.
\22\ 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 operating a CHS
  program pursuant to the ISDEAA, Public Law 93-638.
\23\ Texas Band of Kickapoo was recognized by Public Law 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.
\24\ 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)).
\25\ 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 operating a CHS program
  pursuant to the ISDEAA, Pub. L. 93-638.
\26\ 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 operating a CHS program
  pursuant to the ISDEAA, Pub. L. 93-638.
\27\ Mashantucket Pequot Indian Claims Settlement Act, Public Law 98-
  134, signed into law on October 18, 1983, provides for a reservation
  in New London.
\28\ 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 operating a CHS
  program pursuant to the ISDEAA, Public Law 93-638.
\29\ 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.
\30\ 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.
\31\ Historically part of the Choctaw Service Unit population since
  1970.
\32\ Narragansett Indians recognized by Public Law 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.
\33\ Entire State of Nevada is included as a CHSDA by regulation (42 CFR
  136.22(a)(2)).
\34\ Historically part of the Northern Cheyenne Service Unit population
  since 1979.
\35\ Land of Box Elder County, Utah, taken into trust for the Tribe in
  1986.
\36\ Washabaugh County, SD is part of Jackson County, SD, on November 5,
  1968.
\37\ Entire State of Oklahoma is included as a CHSDA by regulation (42
  CFR 136.22(a)(3)).
\38\ Paiute Indian Tribe of Utah Reservation Act, Public Law 96-227,
  provides for the extension of services to these four counties without
  regard to the existence of a reservation.
\39\ Legislative history (H.R. Report No. 95-1021) to Public Law 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.
\40\ Included to carry out the intention of Congress to fund and provide
  contract health services to Penobscot and Passamaquoddy Indians (Pub.
  L. 96-420; H. Rept. 96-1353).
\41\ Included to carry out the intention of Congress to fund and provide
  contract health services to Penobscot and Passamaquoddy Indians (Pub.
  L. 96-420; H. Rept. 96-1353)
\42\ Included to carry out the intention of Congress to fund and provide
  contract health services to Penobscot and Passamaquoddy Indians (Pub.
  L. 96-420; H. Rept. 96-1353)
\43\ 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).
\44\ 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 operating a CHS
  program pursuant to the ISDEAA, Public Law 93-638.
\45\ Ponca Restoration Act, Public Law 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. Public Law 104-109
  added Burt, Hall, Holt, Platte, Sarpy, Stanton, and Wayne counties of
  Nebraska and Pottawattomie and Woodbury counties of Iowa.
\46\ 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.
\47\ Historically part of Isabella Reservation Area and Eastern Michigan
  Service Unit population since 1979.
\48\ 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 operating a CHS
  program pursuant to the ISDEAA, Public Law 93-638.
\49\ The counties included in this CHSDA were designated by regulation
  (42 CFR 136.22(a)(4)).
\50\ Historically part of the Fort Hall Service Unit population since
  1979.
\51\ 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 operating a CHS
  program pursuant to the ISDEAA, Public Law 93-638.
\52\ 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).
\53\ Historically part of the Tunica Biloxi Service Unit population
  since 1982.
\54\ Members of the Tribe residing in Martha's Vineyard [are] deemed to
  be living ``on or near an Indian reservation'' for purposes of
  eligibility for Federal services (Sec. 12, Pub. L. 100-95).
\55\ 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.



[[Page 20615]]

    Dated: April 8, 2010.
Yvette Roubideaux,
Director, Indian Health Service.
[FR Doc. 2010-8831 Filed 4-19-10; 8:45 am]
BILLING CODE 4165-16-P

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