Notice To Propose the Re-Designation of the Service Delivery Area for the Tolowa Dee-ni' Nation, Formerly Known as Smith River Rancheria, 20346-20353 [2017-08669]
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20346
Federal Register / Vol. 82, No. 82 / Monday, May 1, 2017 / Notices
ANNUAL BURDEN ESTIMATES—Continued
Study MIS to track program participation ..........................
Staff and community partner interview topic guide ...........
Participant interview topic guide ........................................
Participant survey tracking letter .......................................
Estimated Total Annual Burden
Hours: 6,760.
In compliance with the requirements
of the Paperwork Reduction Act of 1995
(Pub. L. 104–13, 44 U.S.C. Chap 35), the
Administration for Children and
Families is soliciting public comment
on the specific aspects of the
information collection described above.
Copies of the proposed collection of
information can be obtained and
comments may be forwarded by writing
to the Administration for Children and
Families, Office of Planning, Research
and Evaluation, 330 C Street SW.,
Washington DC 20201. Attn: ACF
Reports Clearance Officer. Email
address: infocollection@acf.hhs.gov. All
requests should be identified by the title
of the information collection.
The Department specifically requests
comments on: (a) Whether the proposed
collection of the information is
necessary for the proper performance of
the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
the quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
other forms of information technology.
Consideration will be given to
comments and suggestions submitted
within 60 days of this publication.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2017–08740 Filed 4–28–17; 8:45 am]
BILLING CODE 4184–41–P
srobinson on DSK5SPTVN1PROD with NOTICES
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Notice To Propose the Re-Designation
of the Service Delivery Area for the
Tolowa Dee-ni’ Nation, Formerly
Known as Smith River Rancheria
AGENCY:
Indian Health Service, HHS.
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Number of
responses per
respondent
Number of
respondents
Instrument
ACTION:
120
150
180
3,000
150
2
1
3
Notice; extension of comment
period.
This document extends the
comment period for the Tolowa Dee ni’
redesignation of the Tribe’s Service
Delivery Area (SDA), which was
published in the Federal Register on
March 31, 2017. The comment period
for the notice, which would have ended
on May 1, 2017, is extended for 60 days.
DATES: The comment period for the
proposed SDA expansion published in
the March 31, 2017, Federal Register
(82 FR 16051) is extended to June 30,
2017.
ADDRESSES: Because of staff and
resource limitations, we cannot accept
comments by facsimile (FAX)
transmission. You may submit
comments in one of four ways (please
choose only one of the ways listed):
1. Electronically. You may submit
electronic comments on this regulation
to https://www.regulations.gov. Follow
the ‘‘Submit a Comment’’ instructions.
2. By regular mail. You may mail
written comments to the following
address ONLY: Evonne Bennett-Barnes,
Indian Health Service, 5600 Fishers
Lane, Mailstop: 09E70, Rockville,
Maryland 20857.
Please allow sufficient time for mailed
comments to be received before the
close of the comment period.
3. By express or overnight mail. You
may send written comments to the
above address.
4. By hand or courier. If you prefer,
you may deliver (by hand or courier)
your written comments before the close
of the comment period to the address
above.
If you intend to deliver your
comments to the Rockville address,
please call telephone number (301) 443–
1116 in advance to schedule your
arrival with a staff member.
Comments will be made available for
public inspection at the Rockville
address from 8:30 a.m. to 5:00 p.m.,
Monday–Friday, two weeks after
publication of this notice.
SUPPLEMENTARY INFORMATION: Inspection
of Public Comments: All comments
received before the close of the
comment period are available for
SUMMARY:
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Average
burden hours
per response
1.00
1.00
1.00
0.10
Total burden
hours
Total annual
burden hours
18,000
300
180
900
6,000
100
60
300
viewing by the public, including any
personally identifiable or confidential
business information that is included in
a comment.
FOR FURTHER INFORMATION CONTACT:
Terri Schmidt, Acting Director, Office of
Resource Access and Partnerships,
Indian Health Service, 5600 Fishers
Lane, Mailstop: 10E85C, Rockville,
Maryland 20857. Telephone 301–443–
2694 (This is not a toll free number).
Background: The IHS currently
provides services under regulations
codified at 42 CFR part 136, subparts A
through C. Subpart C defines a Contract
Health Service Delivery Area, now
known as PRC Service Delivery Area, as
the geographic area within which PRC
will be made available by the IHS to
members of an identified Indian
community who reside in the Service
Delivery Area. Potential eligibility for
services alone, or residence in a PRC
Service Delivery Area by a person who
is within the scope of the Indian health
program, as set forth in 42 CFR 136.12,
does not create a legal entitlement to
PRC. Services needed, but not available
at an IHS/Tribal facility, are provided
under the PRC 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 PRC Service
Delivery Area 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)
(2016). The regulations also provide that
after consultation with the Tribal
governing body or bodies on those
reservations included within the PRC
Service Delivery Area, the Secretary
may from time to time, re-designate
areas within the United States for
inclusion in or exclusion from a PRC
Service Delivery Area. The regulations
require that certain criteria must be
considered before any re-designation is
made. The criteria are as follows:
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Federal Register / Vol. 82, No. 82 / Monday, May 1, 2017 / Notices
(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 PRC.
Additionally, the regulations require
that any re-designation of a PRC Service
Delivery Area 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 comments.
Congress designated the entire state of
California as a PRC Service Delivery
Area, excluding certain counties, under
section 810 of the Indian Healthcare
Improvement Act, Public Law 94–437,
as amended (25 U.S.C. 1680). IHS has
utilized the congressionally established
PRC Service Delivery Area for the
purposes of administering PRC benefits
to members of the Tribe. Thus, members
of the Tribe who reside outside of the
statutorily established California PRC
Service Delivery Area do not reside
within the Tolowa Dee-ni’s current PRC
Service Delivery Area and are currently
not eligible for PRC services.
IHS has historically established PRC
Service Delivery Areas in accordance
with Congressional intent but has
preserved regulatory flexibility to redesignate areas as appropriate for
inclusion in or exclusion from PRC
service delivery under PRC regulations.
One of the criteria for such redesignations is the geographic proximity
of the expanded area to the existing
reservation or service delivery area.
Here, IHS proposes to expand the
Tribe’s PRC Service Delivery Area
beyond the geographic description in 25
U.S.C. 1680 to include a county adjacent
to the Tribe’s existing PRC Service
Delivery Area, in a neighboring state.
There are already PRC Service Delivery
Areas that include part of the state of
California and part of another state, for
example, Cocopah Tribe of Arizona,
(Yuma, Arizona, and Imperial,
California); Colorado River Indian
Tribes of the Colorado River Indian
Reservation, Arizona and California, (La
Paz, Arizona; Riverside, California; San
Bernardino, California; and Yuma,
Arizona); Fort Mojave Indian Tribe of
Arizona, California and Nevada,
(Nevada; Mohave, Arizona; San
Bernardino, California); and the
Quechan Tribe of Fort Yuma Indian
Reservation, California and Arizona,
(Yuma, Arizona; and Imperial,
California).
The Tolowa Dee-ni’ Nation has a
significant number of members who are
not residents of California. According to
the Tribe’s estimates, 177 enrolled
Tolowa Dee-ni’ members are nonresidents who remain actively involved
with the Tribe, and reside in Curry
20347
County in the State of Oregon and are
not currently eligible for PRC care.
Under 42 CFR 136.23, those otherwise
eligible Indians who do not reside on a
reservation, but reside within a PRC
Service Delivery Area must be either
members of the Tribe or other IHS
beneficiaries who maintain close
economic and social ties with the Tribe.
In this case, in applying the
aforementioned PRC Service Delivery
Area re-designation criteria required by
operative regulations codified at 42 CFR
part 136, subpart C, the following
findings are made:
1. By expanding, the Tribe estimates
the current eligible population will be
increased by 177.
2. The Tribe has determined that
these 177 individuals are members of
the Tribe and they are socially and
economically affiliated with the Tribe.
3. The expanded area including Curry
County in the State of Oregon maintains
a common boundary with the State of
California and the statutorily created
California PRC Service Delivery Area.
4. Generally, the Tribal members
located in Curry County in the State of
Oregon currently do not use the Indian
health system for their PRC health care
needs. The Tribe will use its existing
Federal allocation for PRC funds to
provide services to the expanded
population. No additional financial
resources will be allocated by IHS to the
Tribe to provide services to Tribal
members residing in Curry County in
the State of Oregon.
PURCHASED/REFERRED CARE SERVICE DELIVERY AREAS
Tribe/reservation
County/state
Ak Chin Indian Community .......................................................................
Alabama-Coushatta Tribes of Texas ........................................................
Alaska .......................................................................................................
Arapahoe Tribe of the Wind River Reservation, Wyoming ......................
Aroostook Band of Micmacs ....................................................................
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 ............
Brigham City Intermountain School Health Center, Utah ........................
Burns Paiute Tribe ....................................................................................
California ...................................................................................................
Catawba Indian Nation .............................................................................
Pinal, AZ.
Polk, TX.1
Entire State.2
Hot Springs, WY, Fremont, WY, Sublette, WY.
Aroostook, ME.3
Daniels, MT, McCone, MT, Richland, MT, Roosevelt, MT, Sheridan,
MT, Valley, MT.
Ashland, WI, Iron, WI.
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Cayuga Nation ..........................................................................................
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 .................................................................................
Colorado River Indian Tribes of the Colorado River Indian Reservation,
Arizona and California.
Confederated Salish and Kootenai Tribes of the Flathead Reservation
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Chippewa, MI.
Glacier, MT, Pondera, MT.
(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.
Alleghany, NY,7 Cattaraugus, NY, Chautauqua, 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.
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PURCHASED/REFERRED CARE SERVICE DELIVERY AREAS—Continued
Tribe/reservation
County/state
Confederated Tribes and Bands of the Yakama Nation ..........................
Confederated Tribes of Siletz Indians of Oregon ....................................
Klickitat, WA, Lewis, WA, Skamania, WA,8 Yakima, WA.
Benton, OR,9 Clackamas, OR, Lane, OR, Lincoln, OR, Linn, OR, Marion, OR, Multnomah, OR, Polk, OR, Tillamook, OR, Washington, OR,
Yam Hill, OR.
Grays Harbor, WA, Lewis, WA, Thurston, WA.
Chelan, WA,10 Douglas, WA, Ferry, WA, Grant, WA, Lincoln, WA,
Okanogan, WA, Stevens, WA.
Coos, OR,11 Curry, OR, Douglas, OR, Lane, OR, Lincoln, OR.
Nevada, Juab, UT, Toole, UT.
Marion, OR, Multnomah, OR, Polk, OR,12 Tillamook, OR, Washington,
OR, Yam Hill, OR.
Umatilla, OR, Union, OR.
Clackamas, OR, Jefferson, OR, Linn, OR, Marion, OR, Wasco, OR.
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.
Columbia, OR,15 Clark, WA, Cowlitz, WA, King, WA, Lewis, WA,
Peirce, WA, Skamania, WA, Thurston, WA, Kittitas, WA, Wahkiakum,
WA.
Brule, SD, Buffalo, SD, Hand, SD, Hughes, SD, Hyde, SD, Lyman, SD,
Stanley, SD.
Big Horn, MT, Carbon, MT, Treasure, MT,16 Yellowstone, MT, Big
Horn, WY, Sheridan, WY.
Cherokee, NC, Graham, NC, Haywood, NC, Jackson, NC, Swain, NC.
Fremont, WY, Hot Springs, WY, Sublette, WY.
Moody, SD.
Forest, WI, Marinette, WI, Oconto, WI.
Blaine, MT, Phillips, MT.
Confederated Tribes of the Chehalis Reservation ...................................
Confederated Tribes of the Colville Reservation .....................................
Confederated Tribes of the Coos, Lower Umpqua and Siuslaw Indians
Confederated Tribes of the Goshute Reservation, Nevada and Utah .....
Confederated Tribes of the Grand Ronde Community of Oregon ...........
Confederated Tribes of the Umatilla Indian Reservation .........................
Confederated Tribes of the Warm Springs Reservation of Oregon ........
Coquille Indian Tribe ................................................................................
Coushatta Tribe of Louisiana ...................................................................
Cow Creek Band of Umpqua Tribe of Indians .........................................
Cowlitz Indian Tribe ..................................................................................
Crow Creek Sioux Tribe of the Crow Creek Reservation, South Dakota
Crow Tribe of Montana .............................................................................
Eastern Band of Cherokee Indians ..........................................................
Eastern Shoshone Tribe of the Wind River Reservation, Wyoming ........
Flandreau Santee Sioux Tribe of South Dakota ......................................
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.
For 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 Traverse Band of Ottawa and Chippewa Indians, Michigan ........
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Hannahville Indian Community, Michigan ................................................
Haskell Indian Health Center ...................................................................
Havasupai Tribe of the Havasupai Reservation, Arizona ........................
Ho-Chunk Nation of Wisconsin ................................................................
Hoh Indian Tribe .......................................................................................
Hopi Tribe of Arizona ...............................................................................
Houlton Band of Maliseet Indians ............................................................
Hualapai Indian Tribe of the Hualapai Indian Reservation, Arizona ........
Iowa Tribe of Kansas and Nebraska ........................................................
Jamestown S’Klallam Tribe ......................................................................
Jena Band of Choctaw Indians ................................................................
Jicarilla Apache Nation, New Mexico .......................................................
Kaibab Band of Paiute Indians of the Kaibab Indian Reservation, Arizona.
Kalispel Indian Community of the Kalispel Reservation ..........................
Kewa Pueblo, New Mexico ......................................................................
Keweenaw Bay Indian Community, Michigan ..........................................
Kickapoo Traditional Tribe of Texas ........................................................
Kickapoo Tribe of Indians of the Kickapoo Reservation in Kansas .........
Klamath Tribes .........................................................................................
Koi Nation of Northern California (formerly known as Lower Lake
Rancheria, California).
Kootenai Tribe of Idaho ............................................................................
Lac Courte Oreilles Band of Superior Chippewa Indians of Wisconsin ..
Lac du Flambeau Band of Lake Superior Chippewa Indians of the Lac
du Flambeau Reservation Wisconsin.
Lac Vieux Desert Band of Lake Superior Chippewa Indians of Michigan
Little River Band of Ottawa Indians, Michigan .........................................
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Nevada, Malheur, OR.
Maricopa, AZ.
Nevada, Mohave, AZ, San Bernardino, CA.
Maricopa, AZ, Pinal, AZ.
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
Clarrie, WI, Houston, MN, Jackson, WI, Juneau, WI, La Crosse, WI,
Marathon, WI, Monroe, WI, Sauk, WI, Shawano, WI, Vernon, WI,
Wood, WI.
Jefferson, WA.
Apache, AZ, Coconino, AZ, Navajo, AZ.
Aroostook, ME.20
Coconino, AZ, Mohave, AZ, Yavapai, AZ.
Brown, KS, Doniphan, KS, Richardson, NE.
Clallam, WA, Jefferson, WA.
Grand Parish, LA,21 LaSalle Parish, LA, Rapides, LA.
Archuleta, CO, Rio Arriba, NM, Sandoval, NM.
Coconino, AZ, Mohave, AZ, Kane, UT.
Pend Oreille, WA, Spokane, WA.
Sandoval, NM, Santa Fe, NM.
Baraga, MI, Houghton, MI, Ontonagon, MI.
Maverick, TX.22
Brown, KS, Jackson, KS.
Klamath, OR.23
Lake, CA, Sonoma, CA.24
Boundary, ID.
Sawyer, WI.
Iron, WI, Oneida, WI, Vilas, WI.
Gogebic, MI.
Kent, MI,25 Lake, MI, Manistee, MI, Mason, MI, Muskegon, MI,
Newaygo, MI, Oceana, MI, Ottawa, MI, Wexford, MI.
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PURCHASED/REFERRED CARE SERVICE DELIVERY AREAS—Continued
Tribe/reservation
County/state
Little Traverse Bay Bands of Odawa Indians, Michigan ..........................
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
Barnstable, MA, Bristol, MA, Norfolk, MA, Plymouth, MA, Suffolk,
MA.28
Allegan, MI,29 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.
Itasca, MN, Koochiching, MN, St. Louis, MN.
Carlton, MN, St. Louis, MN.
Cook, MN.
Beltrami, MN, Cass, MN, Hubbard, MN, Itasca, MN.
Aitkin, MN, Kanebec, MN, Mille Lacs, MN, Pine, MN.
Becker, MN, Clearwater, MN, Mahnomen, MN, Norman, MN, Polk, MN.
Attala, MS, Jasper, MS,30 Jones, MS, Kemper, MS, Leake, MS,
Neshoba, MS, Newton, MS, Noxubee, MS,31 Scott, MS,32 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.33
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.34
Clearwater, ID, Idaho, ID, Latah, ID, Lewis, ID, Nez Perce, ID.
Pierce, WA, Thurston, WA.
Whatcom, WA.
Big Horn, MT, Carter, MT,35 Rosebud, MT.
Lower Brule Sioux Tribe of the Lower Brule Reservation, South Dakota
Lower Elwha Tribal Community ...............................................................
Lower Sioux Indian Community in the State of Minnesota ......................
Lummi Tribe of the Lummi Reservation ...................................................
Makah Indian Tribe of the Makah Indian Reservation .............................
Mashantucket Pequot Indian Tribe ..........................................................
Mashpee Wampanoag Tribe ....................................................................
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 ....................................................................
Minnesota Chippewa Tribe, Minnesota, Bois Forte Band (Nett Lake) ....
Minnesota Chippewa Tribe, Minnesota, Fond du Lac Band ....................
Minnesota Chippewa Tribe, Minnesota, Grand Portage Band ................
Minnesota Chippewa Tribe, Minnesota, Leech Lake Band .....................
Minnesota Chippewa Tribe, Minnesota Mille Lacs Band .........................
Minnesota Chippewa Tribe, Minnesota White Earth Band ......................
Mississippi Band of Choctaw Indians .......................................................
Mohegan Tribe of Indians of Connecticut ................................................
Muckleshoot Indian Tribe .........................................................................
Narragansett Indian Tribe .........................................................................
Navajo Nation, Arizona, New Mexico, & Utah .........................................
Nevada .....................................................................................................
Nez Perce Tribe .......................................................................................
Nisqually Indian Tribe ...............................................................................
Nooksack Indian Tribe ..............................................................................
Northern Cheyenne Tribe of the Northern Cheyenne Indian Reservation, Montana.
Northwestern Band of Shoshone Nation ..................................................
Nottawaseppi Huron Band of the Pottawatomi, Michigan .......................
Oglala Sioux Tribe ....................................................................................
Ohkay Owingeh, New Mexico ..................................................................
Oklahoma .................................................................................................
Omaha Tribe of Nebraska ........................................................................
Oneida Nation ...........................................................................................
Oneida Nation of New York .....................................................................
Onondaga Nation .....................................................................................
Paiute Indian Tribe of Utah ......................................................................
Pascua Yaqui Tribe of Arizona ................................................................
Passamaquoddy Tribe ..............................................................................
Penobscot Nation .....................................................................................
Poarch Band of Creeks ............................................................................
Pokagon Band of Pottawatomi Indians, Michigan and Indiana ...............
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Ponca Tribe of Nebraska .........................................................................
Port Gamble S’Klallam Tribe ....................................................................
Prairie Band of Pottawatomi Nation .........................................................
Prairie Island Indian Community in the State of Minnesota ....................
Pueblo of Acoma, New Mexico ................................................................
Pueblo of Cochiti, New Mexico ................................................................
Pueblo of Isleta, New Mexico ...................................................................
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Box Elder, UT.36
Allegan, MI,37 Barry, MI, Branch, MI, Calhoun, MI, Kalamazoo, MI,
Kent, MI, Ottawa, MI.
Bennett, SD, Cherry, NE, Custer, SD, Dawes, NE, Fall River, SD,
Jackson, SD,38 Mellete, SD, Pennington, SD, Shannon, SD, Sheridan, NE, Todd, SD.
Rio Arriba, NM.
Entire State.39
Burt, NE, Cuming, NE, Monona, IA, Thurston, NE, Wayne, NE.
Brown, WI, Outagamie, WI.
Chenango, NY, Cortland, NY, Herkimer, NY, Madison, NY, Oneida,
NY, Onondaga, NY.
Onondaga, NY.
Iron, UT,40 Millard, UT, Sevier, UT, Washington, UT.
Pima, AZ.41
Aroostook, ME,42 43 Hancock, ME,44 Washington, ME.
Aroostook, ME,45 Penobscot, ME.
Baldwin, AL,46 Elmore, AL, Escambia, AL, Mobile, AL, Monroe, AL,
Escambia, FL.
Allegan, MI,47 Berrien, MI, Cass, MI, Elkhart, IN, Kosciusko, IN, La
Porte, IN, Marshall, IN, St. Joseph, IN, Starke, IN, Van Buren, MI.
Boyd, NE,48 Burt, NE, Charles Mix, SD, Douglas, NE, Hall, NE, Holt,
NE, Knox, NE, Lancaster, NE, Madison, NE, Platte, NE,
Pottawatomie, IA, Sarpy, NE, Stanton, NE, Wayne, NE, Woodbury,
IA.
Kitsap, WA.
Jackson, KS.
Goodhue, MN.
Cibola, NM.
Sandoval, NM, Santa Fe, NM.
Bernalillo, NM, Torrance, NM, Valencia, NM.
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PURCHASED/REFERRED CARE SERVICE DELIVERY AREAS—Continued
Tribe/reservation
County/state
Pueblo of Jemez, 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 Sandia, New Mexico ................................................................
Pueblo of Santa Ana, New Mexico ..........................................................
Pueblo of Santa Clara, New Mexico ........................................................
Pueblo of Taos, New Mexico ...................................................................
Pueblo of Tesuque, Mexico ......................................................................
Pueblo of Zia, New Mexico ......................................................................
Puyallup Tribe of the Puyallup Reservation .............................................
Quechan Tribe of the Fort Yuma Indian Reservation, Arizona and California.
Quileute Tribe of the Quileute Reservation ..............................................
Quinault Indian Nation ..............................................................................
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 Nation of Missouri in Kansas and Nebraska .........................
Sac & Fox Tribe of the Mississippi in Iowa ..............................................
Saginaw Chippewa Indian Tribe of Michigan ...........................................
Saint Regis Mohawk Tribe .......................................................................
Salt River Pima-Maricopa Indian Community of the Salt River Reservation, Arizona.
Samish Indian Nation ...............................................................................
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 ........................................................................
Sault Ste. Marie Tribe of Chippewa Indians, Michigan ............................
Seminole Tribe of Florida .........................................................................
Seneca Nation of Indians .........................................................................
Shakopee Mdewakanton Sioux Community of Minnesota ......................
Shinnecock Indian Nation .........................................................................
Shoalwater Bay Tribe of the Shoalwater Bay Indian Reservation ...........
Shoshone-Bannock Tribes of the Fort Hall Reservation .........................
Shoshone-Paiute Tribes of the Duck Valley Reservation, Nevada .........
Sisseton-Wahpeton Oyate of the Lake Traverse Reservation, South
Dakota.
Skokomish Indian Tribe ............................................................................
Skull Valley Band of Goshute Indians of Utah .........................................
Snoqualmie Indian Tribe ..........................................................................
Sokaogon Chippewa Community, Wisconsin ..........................................
Southern Ute Indian Tribe of the Southern Ute Reservation, Colorado ..
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Spirit Lake Tribe, North Dakota ................................................................
Spokane Tribe of the Spokane Reservation ............................................
Squaxin Island Tribe of the Squaxin Island Reservation .........................
St. Croix Chippewa Indians of Wisconsin ................................................
Standing Rock Sioux Tribe of North & South Dakota ..............................
Stillaguamish Tribe of Indians of Washington ..........................................
Stockbridge Munsee Community, Wisconsin ...........................................
Suquamish Indian Tribe of the Port Madison Reservation ......................
Swinomish Indian Tribal Community ........................................................
Tejon Indian Tribe ....................................................................................
Three Affiliated Tribes of the Fort Berthold Reservation, North Dakota ..
Tohono O’odham Nation of Arizona .........................................................
Tolowa Dee-ni’ Nation (Smith River Rancheria) ......................................
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Sandoval, NM.
Bernalillo, 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.
Bernalillo, NM, Sandoval, NM.
Sandoval, NM.
Los Alamos, NM, Sandoval, NM, Santa Fe, NM.
Colfax, NM, Taos, NM.
Sana 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.49
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.
Brown, KS, Richardson, NE.
Tama, IA.
Arenac, MI,50 Clare, MI, Isabella, MI, Midland, MI, Missaukee, MI.
Franklin, NY, St. Lawrence, NY.
Maricopa, AZ.
Clallam, WA,51 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,52 Chippewa, MI, Delta, MI, Luce, MI, Mackinac, MI, Marquette, MI, Schoolcraft, MI.
Broward, FL, Collier, FL, Miami-Dade, FL, Glades, FL, Hendry, FL.
Alleghany, NY, Cattaraugus, NY, Chautauqua, NY, Erie, NY, Warren,
PA.
Scott, MN.
Nassau, NY,53 Suffolk, NY.
Pacific, WA.
Bannock, ID, Bingham, ID, Caribou, ID, Lemhi, ID,54 Power, ID.
Nevada, Owyhee, ID.
Codington, SD, Day, SD, Grant, SD, Marshall, SD, Richland, ND, Roberts, SD, Sargent, ND, Traverse, MN.
Mason, WA.
Tooele, UT.
Island, WA, King, WA,55 Mason, WA, Pierce, WA, Snohomish, 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.
Barron, WI, Burnett, WI, Pine, MN, Polk, WI, Washburn, WI.
Adams, ND, Campbell, SD, Corson, SD, Dewey, SD, Emmons, ND,
Grant, ND, Morton, ND, Perkins, SD, Sioux, ND, Walworth, SD,
Ziebach, SD.
Snohomish, WA.
Menominee, WI, Shawano, WI.
Kitsap, WA.
Skagit, WA.
Kern, CA.56
Dunn, ND, Mercer, ND, McKenzie, ND, McLean, ND, Mountrail, ND,
Ward, ND.
Maricopa, AZ, Pima, AZ, Pinal, AZ.
Del Norte, CA, Curry, OR.57
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PURCHASED/REFERRED CARE SERVICE DELIVERY AREAS—Continued
Tribe/reservation
County/state
Tonawanda Band of Seneca ....................................................................
Tonto Apache Tribe of Arizona ................................................................
Trenton Service Unit, North Dakota and Montana ...................................
Genesee, NY, Erie, NY, Niagara, NY.
Gila, AZ.
Divide, ND,58 McKenzie, ND, Williams, ND, Richland, MT, Roosevelt,
MT, Sheridan, MT.
Snohomish, WA.
Avoyelles, LA, Rapides, LA.59
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,60 Barnstable, MA, Bristol, MA, Norfolk, MA, Plymouth, MA,
Suffolk, MA.61
Nevada, California except for the counties listed in footnote.
Apache, AZ, Coconino, AZ, Gila, AZ, Graham, AZ, Greenlee, AZ, Navajo, AZ.
Sacramento, CA.62
Dakota, NE, Dixon, NE, Monona, IA, Thurston, NE, Wayne, NE,
Woodbury, IA.
Bon Homme, SD, Boyd, NE, Charles Mix, SD, Douglas, SD, Gregory,
SD, Hutchinson, SD, Knox, NE.
Yavapai, AZ.
Tulalip Tribes of Washington ....................................................................
Tunica-Biloxi Indian Tribe .........................................................................
Turtle Mountain Band of Chippewa Indians of North Dakota ..................
Tuscarora Nation ......................................................................................
Upper Sioux Community, Minnesota ........................................................
Upper Skagit Indian Tribe ........................................................................
Ute Indian Tribe of the Uintah & Ouray Reservation, Utah .....................
Ute Mountain Ute Tribe ............................................................................
Wampanoag Tribe of Gay Head (Aquinnah) ...........................................
Washoe Tribe of Nevada & California .....................................................
White Mountain Apache Tribe of the Fort Apache Reservation, Arizona
Wilton Rancheria, California .....................................................................
Winnebago Tribe of Nebraska .................................................................
Yankton Sioux Tribe of South Dakota ......................................................
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Yavapai-Apache Nation of the Camp Verde Indian Reservation, Arizona.
Yavapai-Prescott Indian Tribe ..................................................................
Ysleta Del Sur Pueblo of Texas ...............................................................
Zuni Tribe of the Zuni Reservation, New Mexico ....................................
Yavapai, AZ.
El Paso, TX.63
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 Micmacs was recognized by Congress on November 26, 1991, through the Aroostook Band of Micmac Settlement Act.
Aroostook County, ME, was defined as the SDA.
4 Special programs have been 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. Historically services
have been provided at Brigham City Intermountain School Health Center, Utah (Public Law 88–358).
5 Entire State of California, excluding the 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 The counties were recognized after the January 1984 CHSDA FRN was published, in accordance with Public Law 103–116, Catawba Indian
Tribe of South Carolina Land Claims Settlement Act of 1993, dated October 27, 1993.
7 There is no reservation for the Cayuga Nation; the service delivery area consists of those counties identified by the Cayuga Nation.
8 Skamania County, WA, has historically been a part of the Yakama Service Unit population since 1979.
9 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, members of the Confederated Tribes of Siletz Indians of Oregon residing in these counties are eligible for contract health services.
10 Chelan County, WA, has historically been a part of the Colville Service Unit population since 1970.
11 Pursuant to Public Law 98–481 (H. Rept. No. 98–904), Coos, Lower Umpqua and Siuslaw Restoration Act, 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
12 The Confederated Tribes of Grand Ronde Community of Oregon were recognized by Public Law 98–165 which was signed into law on November 22, 1983, and provides for eligibility in these six counties without regard to the existence of a reservation.
13 The CHSDA for the Coushatta Tribe of Louisiana was expanded administratively by the Director, IHS, through regulation (42 CFR 136.22(6))
to include city limits of Elton, LA.
14 Cow Creek Band of Umpqua Tribe of Indians 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
administratively expanded the CHSDA to include the counties of Coos, OR, Deshutes, OR, Klamath, OR, and Lane, OR.
15 The Cowlitz Indian Tribe was recognized in July 2002 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. The CHSDA was administratively expanded to include Columbia County, OR, Kittitas, WA, and Wahkiakum County, WA, as published at
67884 FR December 21, 2009.
16 Treasure County, MT, has historically been a part of the Crow Service Unit population.
17 The counties listed have historically been a part of the Grand Traverse Service Unit population since 1980.
18 Haskell Indian Health Center has historically been a part of Kansas Service Unit since 1979. Special programs have been 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. Historically services have been provided at Haskell Indian Health Center
(H. Rept. No. 95–392).
19 CHSDA counties for the Ho-Chunk Nation of Wisconsin were designated by regulation (42 CFR 136.22(a)(5)). Dane County, WI, was added
to the reservation by the Bureau of Indian Affairs in 1986.
20 Public Law 97–428 provides that any member of the Houlton Band of Maliseet Indians in or around the Town of Houlton shall be eligible
without regard to existence of a reservation.
21 The Jena Band of Choctaw Indian was Federally acknowledged as documented at 60 FR 28480, May 31, 1995. 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 Kickapoo Traditional Tribe of Texas, formerly known as the 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.
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23 The Klamath Indian Tribe Restoration Act (Pub. L. 99–398, Sec. 2(2)) 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’’.
24 The Koi Nation of Northern California, formerly known as the Lower Lake Rancheria, was reaffirmed by the Secretary of the Bureau of Indian Affairs on December 29, 2000. The counties listed were designated administratively as the SDA, to function as a PRC SDA, for the purposes of operating a PRC program pursuant to the ISDEAA, Public Law 93–638.
25 The Little Traverse Bay Bands of Odawa Indians and the Little River Band of Ottawa Indians Act recognized the Little River Band of Ottawa
Indians and the Little Traverse Bay Bands of Odawa Indians. Pursuant to Public Law 103–324, Sec. 4(b) 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.
26 The Little Traverse Bay Bands of Odawa Indians and the Little River Band of Ottawa Indians Act recognized the Little River Band of Ottawa
Indians and the Little Traverse Bay Bands of Odawa Indians. Pursuant to Public Law 103–324, Sec. 4(b) 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.
27 Mashantucket Pequot Indian Claims Settlement Act, Public Law 98–134, signed into law on October 18, 1983, provides a reservation for the
Mashantucket Pequot Indian Tribe in New London County, CT.
28 The Mashpee Wampanoag Tribe was recognized in February 2007, as documented at 72 FR 8007, February 22, 2007. 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 The Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan was recognized in October 1998, as documented at 63 FR 56936,
October 23, 1998. 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.
30 Members of the Mississippi Band of Choctaw Indians residing in Jasper and Noxubee Counties, MS, are eligible for contract health services;
these two counties were inadvertently omitted from 42 CFR 136.22.
31Members of the Mississippi Band of Choctaw Indians residing in Jasper and Noxubee Counties, MS, are eligible for contract health services;
these two counties were inadvertently omitted from 42 CFR 136.22.
32 Scott County, MS, has historically been a part of the Choctaw Service Unit population since 1970.
33 The Narragansett Indian Tribe was recognized by Public Law 95–395, signed into law September 30, 1978. Lands in Washington County,
RI, are now Federally restricted and the Bureau of Indian Affairs considers them as the Narragansett Indian Reservation.
34 Entire State of Nevada is included as a CHSDA by regulation (42 CFR 136.22(a)(2)).
35 Carter County, MT, has historically been a part of the Northern Cheyenne Service Unit population since 1979.
36 Land of Box Elder County, Utah, was taken into trust for the Northwestern Band of Shoshoni Nation in 1986.
37 The Nottawaseppi Huron Band of the Potawatomi, Michigan, formerly known as the Huron Band of Potawatomi, Inc., was recognized in December 1995, as documented at 60 FR 66315, December 21, 1995. 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.
38 Washabaugh County, SD, merged and became part of Jackson County, SD, in 1983; both were/are CHSDA counties for the Oglala Sioux
Tribe.
39 Entire State of Oklahoma is included as a CHSDA by regulation (42 CFR 136.22(a)(3)).
40 Paiute Indian Tribe of Utah Restoration Act, Public Law 96–227, provides for the extension of services for the Paiute Indian Tribe of Utah to
these four counties without regard to the existence of a reservation.
41 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 Pascua Yaqui Tribe of Arizona pursuant to Act of October 8, 1964. (Pub. L. 88–350)
shall be deemed a Federal Indian Reservation.
42 The Maine Indian Claims Settlement Act of 1980 (Pub. L. 96–420; H. Rept. 96–1353) includes the intent of Congress to fund and provide
contract health services to the Passamaquoddy Tribe and the Penobscot Nation.
43 The Passamaquoddy Tribe has two reservations: Indian Township and Pleasant Point. The PRC SDA for the Passamaquoddy Tribe at Indian Township, ME, is Aroostook County, ME, Washington County, ME, and Hancock County, ME. The PRC SDA for the Passamaquoddy Tribe
at Pleasant Point, ME, is Washington County, ME, south of State Route 9, and Aroostook County, ME.
44 The Passamaquoddy Tribe’s counties listed are designated administratively as the SDA, to function as a PRC SDA, for the purposes of operating a PRC program pursuant to the ISDEAA, Public Law 93–638.
45 The Maine Indian Claims Settlement Act of 1980 (Pub. L. 96–420; H. Rept. 96–1353) includes the intent of Congress to fund and provide
PRC to the Passamaquoddy Tribe and the Penobscot Nation.
46 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).
47 Public Law 103–323 restored Federal recognition to the Pokagon Band of Potawatomi Indians, Michigan and Indiana, in 1994 and identified
counties to serve as the SDA.
48 The Ponca Restoration Act, Public Law 101–484, recognized members of the Ponca Tribe of Nebraska in Boyd, Douglas, Knox, Madison or
Lancaster counties of Nebraska or Charles Mix county of South Dakota as residing on or near a reservation. Public Law 104–109 made technical
corrections to laws relating to Native Americans and added Burt, Hall, Holt, Platte, Sarpy, Stanton, and Wayne counties of Nebraska and
Pottawatomie and Woodbury counties of Iowa to the Ponca Tribe of Nebraska SDA.
49 Special programs have been 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. Historically services
have been provided at Rapid City (S. Rept. No. 1154, FY 1967 Interior Approp. 89th Cong. 2d Sess.).
50 Historically part of Isabella Reservation Area for the Saginaw Chippewa Indian Tribe of Michigan and the Eastern Michigan Service Unit population since 1979.
51 The Samish Indian Tribe Nation was Federally acknowledged in April 1996 as documented at 61 FR 15825, April 9, 1996. 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 CHSDA counties for the Sault Ste. Marie Tribe of Chippewa Indians, Michigan, were designated by regulation (42 CFR 136.22(a)(4)).
53 The Shinnecock Indian Nation was Federally acknowledged in June 2010 as documented at 75 FR 34760, June 18, 2010. 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.
54 Lemhi County, ID, has historically been a part of the Fort Hall Service Unit population since 1979.
55 The Snoqualmie Indian Tribe was Federally acknowledged in August 1997 as documented at 62 FR 45864, August 29, 1997. 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.
56 On December 30, 2011 the Office of Assistant Secretary-Indian Affairs reaffirmed the Federal recognition of the Tejon Indian Tribe. The
county listed was 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.
57 The counties listed are designated administratively as the SDA, to function as a PRC SDA, for the purposes of operating a PRC program
pursuant to the ISDEAA, Public Law 93–638.
58 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 Unit, North Dakota and Montana, in 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).
59 Rapides County, LA, has historically been a part of the Tunica Biloxi Service Unit population since 1982.
60 According to Public Law 100–95, Sec. 12, members of the Wampanoag Tribe of Gay Head (Aquinnah) residing on Martha’s Vineyard are
deemed to be living on or near an Indian reservation for the purposes of eligibility for Federal services.
61 The counties listed are designated administratively as the SDA, to function as a PRC SDA, for the purposes of operating a PRC program
pursuant to the ISDEAA, Public Law 93–638.
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62 The Wilton Rancheria, California had Federal recognition restored in July 2009 as documented at 74 FR 33468, July 13, 2009. Sacramento
County, CA, was designated administratively as the SDA, to function as a CHSDA. Sacramento County was not covered when Congress originally established the State of California as a CHSDA excluding certain counties including Sacramento County (25 U.S.C. 1680).
63 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.
This comment period is being
extended to allow all interested parties
the opportunity to comment on the
proposed SDA. Therefore, we are
extending the comment period until
June 30, 2017.
Dated: April 24, 2017.
Chris Buchanan,
Assistant Surgeon General, USPHS, Acting
Director, Indian Health Service.
[FR Doc. 2017–08669 Filed 4–28–17; 8:45 a.m.]
BILLING CODE 4160–16–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Purpose
Indian Health Service
Office of Direct Service and
Contracting Tribes; Tribal Management
Grant Program
Announcement Type: New and
Competing Continuation.
Funding Announcement Number:
HHS–2017–IHS–TMD–0001.
Catalog of Federal Domestic
Assistance Number: 93.228.
Key Dates
Application Deadline Date: June 4,
2017.
Review Date: June 23–30, 2017.
Earliest Anticipated Start Date:
September 1, 2017.
Signed Tribal Resolutions Due Date:
June 4, 2017.
Proof of Non-Profit Status Due Date:
June 4, 2017.
I. Funding Opportunity Description
Statutory Authority
srobinson on DSK5SPTVN1PROD with NOTICES
The Indian Health Service (IHS) is
accepting competitive grant applications
for the Tribal Management Grant (TMG)
program. This program is authorized
under 25 U.S.C. 5322(b)(2) and 25
U.S.C. 5322(e) of the Indian SelfDetermination and Education
Assistance Act (ISDEAA), Public Law
(Pub. L.) 93–638, as amended. This
program is described in the Catalog of
Federal Domestic Assistance (CFDA)
under 93.228.
Background
The TMG Program is a competitive
grant program that is capacity building
and developmental in nature and has
been available for Federally-recognized
Indian Tribes and Tribal organizations
(T/TO) since shortly after the passage of
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the ISDEAA in 1975. It was established
to assist T/TO to prepare for assuming
all or part of existing IHS programs,
functions, services, and activities
(PFSAs) and further develop and
improve their health management
capability. The TMG Program provides
competitive grants to T/TO to establish
goals and performance measures for
current health programs; assess current
management capacity to determine if
new components are appropriate;
analyze programs to determine if T/TO
management is practicable; and develop
infrastructure systems to manage or
organize PFSAs.
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The purpose of this IHS grant
announcement is to announce the
availability of the TMG Program to
enhance and develop health
management infrastructure and assist T/
TO in assuming all or part of existing
IHS PSFAs through a Title I contract
and assist established Title I contractors
and Title V compactors to further
develop and improve their management
capability. In addition, TMGs are
available to T/TO under the authority of
25 U.S.C. 5322(e) for (1) obtaining
technical assistance from providers
designated by the T/TO (including T/TO
that operate mature contracts) for the
purposes of program planning and
evaluation, including the development
of any management systems necessary
for contract management and the
development of cost allocation plans for
indirect cost rates; and (2) planning,
designing, monitoring, and evaluating
Federal programs serving the T/TO,
including Federal administrative
functions.
II. Award Information
Type of Award
Grant.
Estimated Funds Available
The total amount of funding
identified for the current fiscal year (FY)
2017 is approximately $2,412,000.
Individual award amounts are
anticipated to be between $50,000 and
$100,000. The amount of funding
available for new and competing
continuation awards issued under this
announcement is subject to the
availability of appropriations and
budgetary priorities of the Agency. The
IHS is under no obligation to make
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awards that are selected for funding
under this announcement.
Anticipated Number of Awards
Approximately 16–18 awards will be
issued under this program
announcement.
Project Period
The project periods vary based on the
project type selected. Project periods
could run from one, two, or three years
and will run consecutively from the
earliest anticipated start date of
September 1, 2017 through August 31,
2018 for one year projects; September 1,
2017 through August 31, 2019 for two
year projects; and September 1, 2017
through August 31, 2020 for three year
projects. Please refer to ‘‘Eligible TMG
Project Types, Maximum Funding
Levels and Project Periods’’ below for
additional details. State the number of
years for the project period and include
the exact dates.
III. Eligibility Information
I.
1. Eligibility
Eligible Applicants: ‘‘Indian Tribes’’
and ‘‘Tribal organizations’’ (T/TO) as
defined by the ISDEAA are eligible to
apply for the TMG Program. The
definitions for each entity type are
outlined below. Only one application
per T/TO is allowed.
Definitions: ‘‘Indian Tribe’’ means any
Indian tribe, band, nation, or other
organized group or community,
including any Alaska Native village or
regional or village corporation as
defined in or established pursuant to the
Alaska Native Claims Settlement Act (85
Stat. 688) [43 U.S.C. 1601 et seq.], which
is recognized as eligible for the special
programs and services provided by the
United States to Indians because of their
status as Indians. 25 U.S.C. 5304(e).
‘‘Tribal organization’’ means the
recognized governing body of any
Indian tribe; any legally established
organization of Indians which is
controlled, sanctioned, or chartered by
such governing body or which is
democratically elected by the adult
members of the Indian community to be
served by such organization and which
includes the maximum participation of
Indians in all phases of its activities. 25
U.S.C. 5304(l).
Tribal organizations must provide
proof of non-profit status.
E:\FR\FM\01MYN1.SGM
01MYN1
Agencies
[Federal Register Volume 82, Number 82 (Monday, May 1, 2017)]
[Notices]
[Pages 20346-20353]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-08669]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Notice To Propose the Re-Designation of the Service Delivery Area
for the Tolowa Dee-ni' Nation, Formerly Known as Smith River Rancheria
AGENCY: Indian Health Service, HHS.
ACTION: Notice; extension of comment period.
-----------------------------------------------------------------------
SUMMARY: This document extends the comment period for the Tolowa Dee
ni' redesignation of the Tribe's Service Delivery Area (SDA), which was
published in the Federal Register on March 31, 2017. The comment period
for the notice, which would have ended on May 1, 2017, is extended for
60 days.
DATES: The comment period for the proposed SDA expansion published in
the March 31, 2017, Federal Register (82 FR 16051) is extended to June
30, 2017.
ADDRESSES: Because of staff and resource limitations, we cannot accept
comments by facsimile (FAX) transmission. You may submit comments in
one of four ways (please choose only one of the ways listed):
1. Electronically. You may submit electronic comments on this
regulation to https://www.regulations.gov. Follow the ``Submit a
Comment'' instructions.
2. By regular mail. You may mail written comments to the following
address ONLY: Evonne Bennett-Barnes, Indian Health Service, 5600
Fishers Lane, Mailstop: 09E70, Rockville, Maryland 20857.
Please allow sufficient time for mailed comments to be received
before the close of the comment period.
3. By express or overnight mail. You may send written comments to
the above address.
4. By hand or courier. If you prefer, you may deliver (by hand or
courier) your written comments before the close of the comment period
to the address above.
If you intend to deliver your comments to the Rockville address,
please call telephone number (301) 443-1116 in advance to schedule your
arrival with a staff member.
Comments will be made available for public inspection at the
Rockville address from 8:30 a.m. to 5:00 p.m., Monday-Friday, two weeks
after publication of this notice.
SUPPLEMENTARY INFORMATION: Inspection of Public Comments: All comments
received before the close of the comment period are available for
viewing by the public, including any personally identifiable or
confidential business information that is included in a comment.
FOR FURTHER INFORMATION CONTACT: Terri Schmidt, Acting Director, Office
of Resource Access and Partnerships, Indian Health Service, 5600
Fishers Lane, Mailstop: 10E85C, Rockville, Maryland 20857. Telephone
301-443-2694 (This is not a toll free number).
Background: The IHS currently provides services under regulations
codified at 42 CFR part 136, subparts A through C. Subpart C defines a
Contract Health Service Delivery Area, now known as PRC Service
Delivery Area, as the geographic area within which PRC will be made
available by the IHS to members of an identified Indian community who
reside in the Service Delivery Area. Potential eligibility for services
alone, or residence in a PRC Service Delivery Area by a person who is
within the scope of the Indian health program, as set forth in 42 CFR
136.12, does not create a legal entitlement to PRC. Services needed,
but not available at an IHS/Tribal facility, are provided under the PRC
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 PRC Service Delivery Area 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) (2016). The regulations also provide that after
consultation with the Tribal governing body or bodies on those
reservations included within the PRC Service Delivery Area, the
Secretary may from time to time, re-designate areas within the United
States for inclusion in or exclusion from a PRC Service Delivery Area.
The regulations require that certain criteria must be considered before
any re-designation is made. The criteria are as follows:
[[Page 20347]]
(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 PRC.
Additionally, the regulations require that any re-designation of a
PRC Service Delivery Area 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
comments.
Congress designated the entire state of California as a PRC Service
Delivery Area, excluding certain counties, under section 810 of the
Indian Healthcare Improvement Act, Public Law 94-437, as amended (25
U.S.C. 1680). IHS has utilized the congressionally established PRC
Service Delivery Area for the purposes of administering PRC benefits to
members of the Tribe. Thus, members of the Tribe who reside outside of
the statutorily established California PRC Service Delivery Area do not
reside within the Tolowa Dee-ni's current PRC Service Delivery Area and
are currently not eligible for PRC services.
IHS has historically established PRC Service Delivery Areas in
accordance with Congressional intent but has preserved regulatory
flexibility to re-designate areas as appropriate for inclusion in or
exclusion from PRC service delivery under PRC regulations. One of the
criteria for such re-designations is the geographic proximity of the
expanded area to the existing reservation or service delivery area.
Here, IHS proposes to expand the Tribe's PRC Service Delivery Area
beyond the geographic description in 25 U.S.C. 1680 to include a county
adjacent to the Tribe's existing PRC Service Delivery Area, in a
neighboring state. There are already PRC Service Delivery Areas that
include part of the state of California and part of another state, for
example, Cocopah Tribe of Arizona, (Yuma, Arizona, and Imperial,
California); Colorado River Indian Tribes of the Colorado River Indian
Reservation, Arizona and California, (La Paz, Arizona; Riverside,
California; San Bernardino, California; and Yuma, Arizona); Fort Mojave
Indian Tribe of Arizona, California and Nevada, (Nevada; Mohave,
Arizona; San Bernardino, California); and the Quechan Tribe of Fort
Yuma Indian Reservation, California and Arizona, (Yuma, Arizona; and
Imperial, California).
The Tolowa Dee-ni' Nation has a significant number of members who
are not residents of California. According to the Tribe's estimates,
177 enrolled Tolowa Dee-ni' members are non-residents who remain
actively involved with the Tribe, and reside in Curry County in the
State of Oregon and are not currently eligible for PRC care.
Under 42 CFR 136.23, those otherwise eligible Indians who do not
reside on a reservation, but reside within a PRC Service Delivery Area
must be either members of the Tribe or other IHS beneficiaries who
maintain close economic and social ties with the Tribe. In this case,
in applying the aforementioned PRC Service Delivery Area re-designation
criteria required by operative regulations codified at 42 CFR part 136,
subpart C, the following findings are made:
1. By expanding, the Tribe estimates the current eligible
population will be increased by 177.
2. The Tribe has determined that these 177 individuals are members
of the Tribe and they are socially and economically affiliated with the
Tribe.
3. The expanded area including Curry County in the State of Oregon
maintains a common boundary with the State of California and the
statutorily created California PRC Service Delivery Area.
4. Generally, the Tribal members located in Curry County in the
State of Oregon currently do not use the Indian health system for their
PRC health care needs. The Tribe will use its existing Federal
allocation for PRC funds to provide services to the expanded
population. No additional financial resources will be allocated by IHS
to the Tribe to provide services to Tribal members residing in Curry
County in the State of Oregon.
Purchased/Referred Care Service Delivery Areas
------------------------------------------------------------------------
Tribe/reservation County/state
------------------------------------------------------------------------
Ak Chin Indian Community............... Pinal, AZ.
Alabama-Coushatta Tribes of Texas...... Polk, TX.\1\
Alaska................................. Entire State.\2\
Arapahoe Tribe of the Wind River Hot Springs, WY, Fremont, WY,
Reservation, Wyoming. Sublette, WY.
Aroostook Band of Micmacs.............. Aroostook, ME.\3\
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.
Brigham City Intermountain School (\4\).
Health Center, Utah.
Burns Paiute Tribe..................... Harney, OR.
California............................. Entire State, except for the
counties listed in the
footnote.\5\
Catawba Indian Nation.................. All Counties in SC,\6\
Cabarrus, NC, Cleveland, NC,
Gaston, NC, Mecklenburg, NC,
Rutherford, NC, Union, NC.
Cayuga Nation.......................... Alleghany, NY,\7\ Cattaraugus,
NY, Chautauqua, 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.................... Benewah, ID, Kootenai, ID,
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 and Kootenai Tribes Flathead, MT, Lake, MT,
of the Flathead Reservation. Missoula, MT, Sanders, MT.
[[Page 20348]]
Confederated Tribes and Bands of the Klickitat, WA, Lewis, WA,
Yakama Nation. Skamania, WA,\8\ Yakima, WA.
Confederated Tribes of Siletz Indians Benton, OR,\9\ Clackamas, OR,
of Oregon. Lane, OR, Lincoln, OR, Linn,
OR, Marion, OR, Multnomah, OR,
Polk, OR, Tillamook, OR,
Washington, OR, Yam Hill, OR.
Confederated Tribes of the Chehalis Grays Harbor, WA, Lewis, WA,
Reservation. Thurston, WA.
Confederated Tribes of the Colville Chelan, WA,\10\ Douglas, WA,
Reservation. Ferry, WA, Grant, WA, Lincoln,
WA, Okanogan, WA, Stevens, WA.
Confederated Tribes of the Coos, Lower Coos, OR,\11\ Curry, OR,
Umpqua and Siuslaw Indians. Douglas, OR, Lane, OR,
Lincoln, OR.
Confederated Tribes of the Goshute Nevada, Juab, UT, Toole, UT.
Reservation, Nevada and Utah.
Confederated Tribes of the Grand Ronde Marion, OR, Multnomah, OR,
Community of Oregon. Polk, OR,\12\ Tillamook, OR,
Washington, OR, Yam Hill, OR.
Confederated Tribes of the Umatilla Umatilla, OR, Union, OR.
Indian Reservation.
Confederated Tribes of the Warm Springs Clackamas, OR, Jefferson, OR,
Reservation of Oregon. Linn, OR, Marion, OR, Wasco,
OR.
Coquille Indian Tribe.................. 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 Tribe of Coos, OR,\14\ Deshutes, OR,
Indians. Douglas, OR, Jackson, OR,
Josephine, OR, Klamath, OR,
Lane, OR.
Cowlitz Indian Tribe................... Columbia, OR,\15\ Clark, WA,
Cowlitz, WA, King, WA, Lewis,
WA, Peirce, WA, Skamania, WA,
Thurston, WA, Kittitas, WA,
Wahkiakum, WA.
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.
Crow Tribe of Montana.................. Big Horn, MT, Carbon, MT,
Treasure, MT,\16\ Yellowstone,
MT, Big Horn, WY, Sheridan,
WY.
Eastern Band of Cherokee Indians....... Cherokee, NC, Graham, NC,
Haywood, NC, Jackson, NC,
Swain, NC.
Eastern Shoshone Tribe of the Wind Fremont, WY, Hot Springs, WY,
River Reservation, Wyoming. Sublette, WY.
Flandreau Santee Sioux Tribe of South Moody, SD.
Dakota.
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.
For 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 Traverse Band of Ottawa and Antrim, MI,\17\ Benzie, MI,
Chippewa Indians, 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 Clarrie, 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....................... Jefferson, WA.
Hopi Tribe of Arizona.................. Apache, AZ, Coconino, AZ,
Navajo, AZ.
Houlton Band of Maliseet Indians....... Aroostook, ME.\20\
Hualapai Indian Tribe of the Hualapai Coconino, AZ, Mohave, AZ,
Indian Reservation, Arizona. Yavapai, AZ.
Iowa Tribe of Kansas and Nebraska...... Brown, KS, Doniphan, KS,
Richardson, NE.
Jamestown S'Klallam Tribe.............. Clallam, WA, Jefferson, WA.
Jena Band of Choctaw Indians........... Grand Parish, LA,\21\ LaSalle
Parish, LA, Rapides, 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 Reservation.
Kewa Pueblo, New Mexico................ Sandoval, NM, Santa Fe, NM.
Keweenaw Bay Indian Community, Michigan Baraga, MI, Houghton, MI,
Ontonagon, MI.
Kickapoo Traditional Tribe of Texas.... Maverick, TX.\22\
Kickapoo Tribe of Indians of the Brown, KS, Jackson, KS.
Kickapoo Reservation in Kansas.
Klamath Tribes......................... Klamath, OR.\23\
Koi Nation of Northern California Lake, CA, Sonoma, CA.\24\
(formerly known as Lower Lake
Rancheria, California).
Kootenai Tribe of Idaho................ Boundary, ID.
Lac Courte Oreilles Band of Superior Sawyer, WI.
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 Wisconsin.
Lac Vieux Desert Band of Lake Superior Gogebic, MI.
Chippewa Indians of Michigan.
Little River Band of Ottawa Indians, Kent, MI,\25\ Lake, MI,
Michigan. Manistee, MI, Mason, MI,
Muskegon, MI, Newaygo, MI,
Oceana, MI, Ottawa, MI,
Wexford, MI.
[[Page 20349]]
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........... Clallam, WA.
Lower Sioux Indian Community in the Redwood, MN, Renville, MN.
State of Minnesota.
Lummi Tribe of the Lummi Reservation... Whatcom, WA.
Makah Indian Tribe of the Makah Indian Clallam, WA.
Reservation.
Mashantucket Pequot Indian Tribe....... New London, CT.\27\
Mashpee Wampanoag Tribe................ Barnstable, MA, Bristol, MA,
Norfolk, MA, Plymouth, MA,
Suffolk, MA.\28\
Match-e-be-nash-she-wish Band of Allegan, MI,\29\ 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............ Broward, FL, Collier, FL, Miami-
Dade, FL, Hendry, FL.
Minnesota Chippewa Tribe, Minnesota, Itasca, MN, Koochiching, MN,
Bois Forte Band (Nett Lake). St. Louis, MN.
Minnesota Chippewa Tribe, Minnesota, Carlton, MN, St. Louis, MN.
Fond du Lac Band.
Minnesota Chippewa Tribe, Minnesota, Cook, MN.
Grand Portage Band.
Minnesota Chippewa Tribe, Minnesota, Beltrami, MN, Cass, MN,
Leech Lake Band. Hubbard, MN, Itasca, MN.
Minnesota Chippewa Tribe, Minnesota Aitkin, MN, Kanebec, MN, Mille
Mille Lacs Band. Lacs, MN, Pine, MN.
Minnesota Chippewa Tribe, Minnesota Becker, MN, Clearwater, MN,
White Earth Band. Mahnomen, MN, Norman, MN,
Polk, MN.
Mississippi Band of Choctaw Indians.... Attala, MS, Jasper, MS,\30\
Jones, MS, Kemper, MS, Leake,
MS, Neshoba, MS, Newton, MS,
Noxubee, MS,\31\ Scott,
MS,\32\ Winston, MS.
Mohegan Tribe of Indians of Connecticut Fairfield, CT, Hartford, CT,
Litchfield, CT, Middlesex, CT,
New Haven, CT, New London, CT,
Tolland, CT, Windham, CT.
Muckleshoot Indian Tribe............... King, WA, Pierce, WA.
Narragansett Indian Tribe.............. Washington, RI.\33\
Navajo Nation, Arizona, New Mexico, & 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.\34\
Nez Perce Tribe........................ Clearwater, ID, Idaho, ID,
Latah, ID, Lewis, ID, Nez
Perce, ID.
Nisqually Indian Tribe................. Pierce, WA, Thurston, WA.
Nooksack Indian Tribe.................. Whatcom, WA.
Northern Cheyenne Tribe of the Northern Big Horn, MT, Carter, MT,\35\
Cheyenne Indian Reservation, Montana. Rosebud, MT.
Northwestern Band of Shoshone Nation... Box Elder, UT.\36\
Nottawaseppi Huron Band of the Allegan, MI,\37\ Barry, MI,
Pottawatomi, Michigan. Branch, MI, Calhoun, MI,
Kalamazoo, MI, Kent, MI,
Ottawa, MI.
Oglala Sioux Tribe..................... Bennett, SD, Cherry, NE,
Custer, SD, Dawes, NE, Fall
River, SD, Jackson, SD,\38\
Mellete, SD, Pennington, SD,
Shannon, SD, Sheridan, NE,
Todd, SD.
Ohkay Owingeh, New Mexico.............. Rio Arriba, NM.
Oklahoma............................... Entire State.\39\
Omaha Tribe of Nebraska................ Burt, NE, Cuming, NE, Monona,
IA, Thurston, NE, Wayne, NE.
Oneida Nation.......................... Brown, WI, Outagamie, WI.
Oneida Nation of New York.............. Chenango, NY, Cortland, NY,
Herkimer, NY, Madison, NY,
Oneida, NY, Onondaga, NY.
Onondaga Nation........................ Onondaga, NY.
Paiute Indian Tribe of Utah............ Iron, UT,\40\ Millard, UT,
Sevier, UT, Washington, UT.
Pascua Yaqui Tribe of Arizona.......... Pima, AZ.\41\
Passamaquoddy Tribe.................... Aroostook, ME,42 43 Hancock,
ME,\44\ Washington, ME.
Penobscot Nation....................... Aroostook, ME,\45\ Penobscot,
ME.
Poarch Band of Creeks.................. Baldwin, AL,\46\ Elmore, AL,
Escambia, AL, Mobile, AL,
Monroe, AL, Escambia, FL.
Pokagon Band of Pottawatomi Indians, Allegan, MI,\47\ Berrien, MI,
Michigan and Indiana. Cass, MI, Elkhart, IN,
Kosciusko, IN, La Porte, IN,
Marshall, IN, St. Joseph, IN,
Starke, IN, Van Buren, MI.
Ponca Tribe of Nebraska................ Boyd, NE,\48\ Burt, NE, Charles
Mix, SD, Douglas, NE, Hall,
NE, Holt, NE, Knox, NE,
Lancaster, NE, Madison, NE,
Platte, NE, Pottawatomie, IA,
Sarpy, NE, Stanton, NE, Wayne,
NE, Woodbury, IA.
Port Gamble S'Klallam Tribe............ Kitsap, WA.
Prairie Band of Pottawatomi Nation..... Jackson, KS.
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, Santa Fe, NM.
Pueblo of Isleta, New Mexico........... Bernalillo, NM, Torrance, NM,
Valencia, NM.
[[Page 20350]]
Pueblo of Jemez, New Mexico............ Sandoval, NM.
Pueblo of Laguna, New Mexico........... Bernalillo, 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 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 Taos, New Mexico............. Colfax, NM, Taos, NM.
Pueblo of Tesuque, Mexico.............. Sana Fe, NM.
Pueblo of Zia, New Mexico.............. Sandoval, NM.
Puyallup Tribe of the Puyallup King, WA, Pierce, WA, Thurston,
Reservation. WA.
Quechan Tribe of the Fort Yuma Indian Yuma, AZ, Imperial, CA.
Reservation, Arizona and California.
Quileute Tribe of the Quileute Clallam, WA, Jefferson, WA.
Reservation.
Quinault Indian Nation................. Grays Harbor, WA, Jefferson,
WA.
Rapid City, South Dakota............... Pennington, SD.\49\
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 Nation of Missouri in Kansas Brown, KS, Richardson, NE.
and Nebraska.
Sac & Fox Tribe of the Mississippi in Tama, IA.
Iowa.
Saginaw Chippewa Indian Tribe of Arenac, MI,\50\ Clare, MI,
Michigan. Isabella, MI, Midland, MI,
Missaukee, MI.
Saint Regis Mohawk Tribe............... Franklin, NY, St. Lawrence, NY.
Salt River Pima-Maricopa Indian Maricopa, AZ.
Community of the Salt River
Reservation, Arizona.
Samish Indian Nation................... Clallam, WA,\51\ 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............. Snohomish, WA, Skagit, WA.
Sault Ste. Marie Tribe of Chippewa Alger, MI,\52\ Chippewa, MI,
Indians, 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 Indians............... Alleghany, NY, Cattaraugus, NY,
Chautauqua, NY, Erie, NY,
Warren, PA.
Shakopee Mdewakanton Sioux Community of Scott, MN.
Minnesota.
Shinnecock Indian Nation............... Nassau, NY,\53\ Suffolk, NY.
Shoalwater Bay Tribe of the Shoalwater Pacific, WA.
Bay Indian Reservation.
Shoshone-Bannock Tribes of the Fort Bannock, ID, Bingham, ID,
Hall Reservation. Caribou, ID, Lemhi, ID,\54\
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.
Skokomish Indian Tribe................. Mason, WA.
Skull Valley Band of Goshute Indians of Tooele, UT.
Utah.
Snoqualmie Indian Tribe................ Island, WA, King, WA,\55\
Mason, WA, Pierce, WA,
Snohomish, 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. Stevens, WA.
Squaxin Island Tribe of the Squaxin Mason, WA.
Island Reservation.
St. Croix Chippewa Indians of Wisconsin Barron, WI, Burnett, WI, Pine,
MN, Polk, WI, Washburn, WI.
Standing Rock Sioux Tribe of North & Adams, ND, Campbell, SD,
South Dakota. Corson, SD, Dewey, SD, Emmons,
ND, Grant, ND, Morton, ND,
Perkins, SD, Sioux, ND,
Walworth, SD, Ziebach, SD.
Stillaguamish Tribe of Indians of Snohomish, WA.
Washington.
Stockbridge Munsee Community, Wisconsin Menominee, WI, Shawano, WI.
Suquamish Indian Tribe of the Port Kitsap, WA.
Madison Reservation.
Swinomish Indian Tribal Community...... Skagit, WA.
Tejon Indian Tribe..................... Kern, CA.\56\
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.
Tolowa Dee-ni' Nation (Smith River Del Norte, CA, Curry, OR.\57\
Rancheria).
[[Page 20351]]
Tonawanda Band of Seneca............... Genesee, NY, Erie, NY, Niagara,
NY.
Tonto Apache Tribe of Arizona.......... Gila, AZ.
Trenton Service Unit, North Dakota and Divide, ND,\58\ McKenzie, ND,
Montana. Williams, ND, Richland, MT,
Roosevelt, MT, Sheridan, MT.
Tulalip Tribes of Washington........... Snohomish, WA.
Tunica-Biloxi Indian Tribe............. Avoyelles, LA, Rapides, LA.\59\
Turtle Mountain Band of Chippewa Rolette, ND.
Indians of North Dakota.
Tuscarora Nation....................... Niagara, NY.
Upper Sioux Community, Minnesota....... Chippewa, MN, Yellow Medicine,
MN.
Upper Skagit Indian Tribe.............. 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 Ute Tribe................. Apache, AZ, La Plata, CO,
Montezuma, CO, San Juan, NM,
San Juan, UT.
Wampanoag Tribe of Gay Head (Aquinnah). Dukes, MA,\60\ Barnstable, MA,
Bristol, MA, Norfolk, MA,
Plymouth, MA, Suffolk, MA.\61\
Washoe Tribe of Nevada & California.... Nevada, California except for
the counties listed in
footnote.
White Mountain Apache Tribe of the Fort Apache, AZ, Coconino, AZ, Gila,
Apache Reservation, Arizona. AZ, Graham, AZ, Greenlee, AZ,
Navajo, AZ.
Wilton Rancheria, California........... Sacramento, CA.\62\
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, Boyd, 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 Indian Tribe.......... Yavapai, AZ.
Ysleta Del Sur Pueblo of Texas......... El Paso, TX.\63\
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 Micmacs was recognized by Congress on November 26,
1991, through the Aroostook Band of Micmac Settlement Act. Aroostook
County, ME, was defined as the SDA.
\4\ Special programs have been 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. Historically services have been provided at Brigham City
Intermountain School Health Center, Utah (Public Law 88-358).
\5\ Entire State of California, excluding the 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\ The counties were recognized after the January 1984 CHSDA FRN was
published, in accordance with Public Law 103-116, Catawba Indian Tribe
of South Carolina Land Claims Settlement Act of 1993, dated October
27, 1993.
\7\ There is no reservation for the Cayuga Nation; the service delivery
area consists of those counties identified by the Cayuga Nation.
\8\ Skamania County, WA, has historically been a part of the Yakama
Service Unit population since 1979.
\9\ 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, members of the Confederated Tribes of Siletz Indians
of Oregon residing in these counties are eligible for contract health
services.
\10\ Chelan County, WA, has historically been a part of the Colville
Service Unit population since 1970.
\11\ Pursuant to Public Law 98-481 (H. Rept. No. 98-904), Coos, Lower
Umpqua and Siuslaw Restoration Act, 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
\12\ The Confederated Tribes of Grand Ronde Community of Oregon were
recognized by Public Law 98-165 which was signed into law on November
22, 1983, and provides for eligibility in these six counties without
regard to the existence of a reservation.
\13\ The CHSDA for the Coushatta Tribe of Louisiana was expanded
administratively by the Director, IHS, through regulation (42 CFR
136.22(6)) to include city limits of Elton, LA.
\14\ Cow Creek Band of Umpqua Tribe of Indians 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
administratively expanded the CHSDA to include the counties of Coos,
OR, Deshutes, OR, Klamath, OR, and Lane, OR.
\15\ The Cowlitz Indian Tribe was recognized in July 2002 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.
The CHSDA was administratively expanded to include Columbia County,
OR, Kittitas, WA, and Wahkiakum County, WA, as published at 67884 FR
December 21, 2009.
\16\ Treasure County, MT, has historically been a part of the Crow
Service Unit population.
\17\ The counties listed have historically been a part of the Grand
Traverse Service Unit population since 1980.
\18\ Haskell Indian Health Center has historically been a part of Kansas
Service Unit since 1979. Special programs have been 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. Historically services have been provided at
Haskell Indian Health Center (H. Rept. No. 95-392).
\19\ CHSDA counties for the Ho-Chunk Nation of Wisconsin were designated
by regulation (42 CFR 136.22(a)(5)). Dane County, WI, was added to the
reservation by the Bureau of Indian Affairs in 1986.
\20\ Public Law 97-428 provides that any member of the Houlton Band of
Maliseet Indians in or around the Town of Houlton shall be eligible
without regard to existence of a reservation.
\21\ The Jena Band of Choctaw Indian was Federally acknowledged as
documented at 60 FR 28480, May 31, 1995. 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\ Kickapoo Traditional Tribe of Texas, formerly known as the 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.
[[Page 20352]]
\23\ The Klamath Indian Tribe Restoration Act (Pub. L. 99-398, Sec.
2(2)) 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''.
\24\ The Koi Nation of Northern California, formerly known as the Lower
Lake Rancheria, was reaffirmed by the Secretary of the Bureau of
Indian Affairs on December 29, 2000. The counties listed were
designated administratively as the SDA, to function as a PRC SDA, for
the purposes of operating a PRC program pursuant to the ISDEAA, Public
Law 93-638.
\25\ The Little Traverse Bay Bands of Odawa Indians and the Little River
Band of Ottawa Indians Act recognized the Little River Band of Ottawa
Indians and the Little Traverse Bay Bands of Odawa Indians. Pursuant
to Public Law 103-324, Sec. 4(b) 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.
\26\ The Little Traverse Bay Bands of Odawa Indians and the Little River
Band of Ottawa Indians Act recognized the Little River Band of Ottawa
Indians and the Little Traverse Bay Bands of Odawa Indians. Pursuant
to Public Law 103-324, Sec. 4(b) 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.
\27\ Mashantucket Pequot Indian Claims Settlement Act, Public Law 98-
134, signed into law on October 18, 1983, provides a reservation for
the Mashantucket Pequot Indian Tribe in New London County, CT.
\28\ The Mashpee Wampanoag Tribe was recognized in February 2007, as
documented at 72 FR 8007, February 22, 2007. 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\ The Match-e-be-nash-she-wish Band of Pottawatomi Indians of
Michigan was recognized in October 1998, as documented at 63 FR 56936,
October 23, 1998. 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.
\30\ Members of the Mississippi Band of Choctaw Indians residing in
Jasper and Noxubee Counties, MS, are eligible for contract health
services; these two counties were inadvertently omitted from 42 CFR
136.22.
\31\Members of the Mississippi Band of Choctaw Indians residing in
Jasper and Noxubee Counties, MS, are eligible for contract health
services; these two counties were inadvertently omitted from 42 CFR
136.22.
\32\ Scott County, MS, has historically been a part of the Choctaw
Service Unit population since 1970.
\33\ The Narragansett Indian Tribe was recognized by Public Law 95-395,
signed into law September 30, 1978. Lands in Washington County, RI,
are now Federally restricted and the Bureau of Indian Affairs
considers them as the Narragansett Indian Reservation.
\34\ Entire State of Nevada is included as a CHSDA by regulation (42 CFR
136.22(a)(2)).
\35\ Carter County, MT, has historically been a part of the Northern
Cheyenne Service Unit population since 1979.
\36\ Land of Box Elder County, Utah, was taken into trust for the
Northwestern Band of Shoshoni Nation in 1986.
\37\ The Nottawaseppi Huron Band of the Potawatomi, Michigan, formerly
known as the Huron Band of Potawatomi, Inc., was recognized in
December 1995, as documented at 60 FR 66315, December 21, 1995. 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.
\38\ Washabaugh County, SD, merged and became part of Jackson County,
SD, in 1983; both were/are CHSDA counties for the Oglala Sioux Tribe.
\39\ Entire State of Oklahoma is included as a CHSDA by regulation (42
CFR 136.22(a)(3)).
\40\ Paiute Indian Tribe of Utah Restoration Act, Public Law 96-227,
provides for the extension of services for the Paiute Indian Tribe of
Utah to these four counties without regard to the existence of a
reservation.
\41\ 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 Pascua Yaqui
Tribe of Arizona pursuant to Act of October 8, 1964. (Pub. L. 88-350)
shall be deemed a Federal Indian Reservation.
\42\ The Maine Indian Claims Settlement Act of 1980 (Pub. L. 96-420; H.
Rept. 96-1353) includes the intent of Congress to fund and provide
contract health services to the Passamaquoddy Tribe and the Penobscot
Nation.
\43\ The Passamaquoddy Tribe has two reservations: Indian Township and
Pleasant Point. The PRC SDA for the Passamaquoddy Tribe at Indian
Township, ME, is Aroostook County, ME, Washington County, ME, and
Hancock County, ME. The PRC SDA for the Passamaquoddy Tribe at
Pleasant Point, ME, is Washington County, ME, south of State Route 9,
and Aroostook County, ME.
\44\ The Passamaquoddy Tribe's counties listed are designated
administratively as the SDA, to function as a PRC SDA, for the
purposes of operating a PRC program pursuant to the ISDEAA, Public Law
93-638.
\45\ The Maine Indian Claims Settlement Act of 1980 (Pub. L. 96-420; H.
Rept. 96-1353) includes the intent of Congress to fund and provide PRC
to the Passamaquoddy Tribe and the Penobscot Nation.
\46\ 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).
\47\ Public Law 103-323 restored Federal recognition to the Pokagon Band
of Potawatomi Indians, Michigan and Indiana, in 1994 and identified
counties to serve as the SDA.
\48\ The Ponca Restoration Act, Public Law 101-484, recognized members
of the Ponca Tribe of Nebraska in Boyd, Douglas, Knox, Madison or
Lancaster counties of Nebraska or Charles Mix county of South Dakota
as residing on or near a reservation. Public Law 104-109 made
technical corrections to laws relating to Native Americans and added
Burt, Hall, Holt, Platte, Sarpy, Stanton, and Wayne counties of
Nebraska and Pottawatomie and Woodbury counties of Iowa to the Ponca
Tribe of Nebraska SDA.
\49\ Special programs have been 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. Historically services have been provided at Rapid City
(S. Rept. No. 1154, FY 1967 Interior Approp. 89th Cong. 2d Sess.).
\50\ Historically part of Isabella Reservation Area for the Saginaw
Chippewa Indian Tribe of Michigan and the Eastern Michigan Service
Unit population since 1979.
\51\ The Samish Indian Tribe Nation was Federally acknowledged in April
1996 as documented at 61 FR 15825, April 9, 1996. 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\ CHSDA counties for the Sault Ste. Marie Tribe of Chippewa Indians,
Michigan, were designated by regulation (42 CFR 136.22(a)(4)).
\53\ The Shinnecock Indian Nation was Federally acknowledged in June
2010 as documented at 75 FR 34760, June 18, 2010. 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.
\54\ Lemhi County, ID, has historically been a part of the Fort Hall
Service Unit population since 1979.
\55\ The Snoqualmie Indian Tribe was Federally acknowledged in August
1997 as documented at 62 FR 45864, August 29, 1997. 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.
\56\ On December 30, 2011 the Office of Assistant Secretary-Indian
Affairs reaffirmed the Federal recognition of the Tejon Indian Tribe.
The county listed was 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.
\57\ The counties listed are designated administratively as the SDA, to
function as a PRC SDA, for the purposes of operating a PRC program
pursuant to the ISDEAA, Public Law 93-638.
\58\ 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 Unit, North Dakota and Montana, in
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).
\59\ Rapides County, LA, has historically been a part of the Tunica
Biloxi Service Unit population since 1982.
\60\ According to Public Law 100-95, Sec. 12, members of the Wampanoag
Tribe of Gay Head (Aquinnah) residing on Martha's Vineyard are deemed
to be living on or near an Indian reservation for the purposes of
eligibility for Federal services.
\61\ The counties listed are designated administratively as the SDA, to
function as a PRC SDA, for the purposes of operating a PRC program
pursuant to the ISDEAA, Public Law 93-638.
[[Page 20353]]
\62\ The Wilton Rancheria, California had Federal recognition restored
in July 2009 as documented at 74 FR 33468, July 13, 2009. Sacramento
County, CA, was designated administratively as the SDA, to function as
a CHSDA. Sacramento County was not covered when Congress originally
established the State of California as a CHSDA excluding certain
counties including Sacramento County (25 U.S.C. 1680).
\63\ 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.
This comment period is being extended to allow all interested
parties the opportunity to comment on the proposed SDA. Therefore, we
are extending the comment period until June 30, 2017.
Dated: April 24, 2017.
Chris Buchanan,
Assistant Surgeon General, USPHS, Acting Director, Indian Health
Service.
[FR Doc. 2017-08669 Filed 4-28-17; 8:45 a.m.]
BILLING CODE 4160-16-P