Re-designation of the Delivery Area for the Passamaquoddy Tribe at Indian Township, 46997-47004 [2017-21759]
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46997
Federal Register / Vol. 82, No. 194 / Tuesday, October 10, 2017 / Notices
This study will provide insight on
individual and community level PrEPrelated decision-making, and identify
barriers and facilitators to successful
PrEP initiation and PrEP acceptability.
Findings will improve programming, in
line with the CDC Division of HIV/AIDS
Prevention goal of high-impact
prevention to reduce HIV infections in
the Unite States. Findings will also
assist the CDC and frontline public
health programs in identifying and
designing programs and intervention
approaches that encourage, support, and
maintain appropriate PrEP uptake
among eligible MSM and anticipate
future HIV prevention needs, including
anticipated changes in PrEP delivery.
The total annual burden hours are
335. There are no costs to the
respondents other than their time, travel
costs, and the total estimated annual
burden hours.
ESTIMATED ANNUALIZED BURDEN HOURS
Type of respondent
General
General
General
General
General
Public—Adults
Public—Adults
Public—Adults
Public—Adults
Public—Adults
.....................
.....................
.....................
.....................
.....................
Number of
responses per
respondent
Number of
respondents
Form name
Average
burden per
response
(in hours)
Total
burden
hours
600
300
60
60
300
1
1
1
1
1
5/60
1/60
45/60
1
5/60
50
5
45
60
25
General Public—Adults .....................
Screener #1 ......................................
Consent Forms .................................
In-depth Interview Guide ..................
Focus Group Moderator Guide ........
Eligibility verification (verification of
continuing eligibility).
Behavioral Assessment ....................
300
1
30/60
150
Total ...........................................
...........................................................
........................
........................
........................
335
Leroy A. Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
[FR Doc. 2017–21750 Filed 10–6–17; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Re-designation of the Delivery Area for
the Passamaquoddy Tribe at Indian
Township
Indian Health Service,
Department of Health and Human
Services.
ACTION: Final Notice.
AGENCY:
This final notice advises the
public that the Indian Health Service
(IHS) has decided to expand the
geographic boundaries of the
Purchased/Referred Care Delivery Area
(PRCDA) for the Passamaquoddy Tribe’s
reservation at Indian Township
(Passamaquoddy at Indian Township or
Tribe) in the State of Maine.
DATES: October 10, 2017.
Inspection of Public Comments: The
IHS published a Federal Register Notice
entitled, ‘‘Notice To Propose the ReDesignation of the Service Delivery Area
for the Passamaquoddy Tribe at Indian
Township,’’ on March 8, 2017 (82 FR
12968), and did not receive any
comments regarding the notice.
FOR FURTHER INFORMATION CONTACT:
Terri Schmidt, Acting Director, Office of
sradovich on DSK3GMQ082PROD with NOTICES
SUMMARY:
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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).
SUPPLEMENTARY INFORMATION: The
Passamaquoddy PRCDA previously
covered Aroostook and Washington
Counties in the State of Maine. The
expanded PRCDA for the Tribe’s
reservation at Indian Township includes
Hancock County in the State of Maine.
This notice only relates to the expansion
of the Tribe’s PRCDA for the Indian
Township reservation.
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
Purchased/Referred Care (PRC) to the
Passamaquoddy Tribe. The
Passamaquoddy Tribe has two
reservations: Indian Township and
Pleasant Point. The PRCDA for the
Indian Township reservation is
Aroostook County, Maine, and
Washington County, Maine. The PRCDA
for the Pleasant Point reservation is
Washington County, Maine, south of
State Route 9, and Aroostook County,
Maine.
Background: The IHS currently
provides services under regulations
codified at 42 CFR part 136, subparts A
through C. Subpart C defines a PRCDA,
formerly referred to as a Contract Health
Service Delivery Area or Purchased/
Referred Care 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 area.
Residence in a PRCDA by a person who
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is within the scope of the Indian health
program, as set forth in 42 CFR 136.12,
creates no legal entitlement to PRC, only
potential eligibility for services.
Services needed but not available at an
IHS or 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 PRCDA shall
consist of a county that includes all or
part of a reservation and any county or
counties that have a common boundary
with the reservation, 42 CFR
136.22(a)(6). The regulations also
provide that after consultation with the
Tribal governing body or bodies on
those reservations included within the
PRCDA, the Secretary may from time to
time, re-designate areas within the
United States for inclusion in or
exclusion from a PRCDA. The
regulations require that certain criteria
must be considered before any redesignation is made. The criteria are as
follows:
(1) The number of Indians residing in
the area proposed to be so included or
excluded;
(2) Whether the Tribal governing body
has determined that Indians residing in
the area near the reservation are socially
and economically affiliated with the
Tribe;
(3) The geographic proximity to the
reservation of the area whose inclusion
or exclusion is being considered; and
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Federal Register / Vol. 82, No. 194 / Tuesday, October 10, 2017 / Notices
(4) The level of funding which would
be available for the provision of PRC, 42
CFR 136.22(b).
Additionally, the regulations require
that any re-designation of a PRCDA
must be made in accordance with the
Administrative Procedures Act (5 U.S.C.
553). See 42 CFR 136.22(c). In
compliance with this requirement, we
are publishing this final notice.
The Passamaquoddy Tribe is a
federally recognized Tribe with two
separate reservations, Indian Township
and Pleasant Point, located
approximately 50 miles apart. Each
respective reservation elects its own
governing body and each reservation
has a separate PRCDA. The Indian
Township reservation of the
Passamaquoddy Tribe has a PRCDA
consisting of Aroostook and Washington
Counties in the State of Maine. The
PRCDA for the Passamaquoddy Tribe’s
reservation at Pleasant Point is
Washington County, Maine, south of
State Route 9, and Aroostook County,
Maine. The IHS adopted a PRCDA for
each of the Passamaquoddy Tribe’s
reservations for the purposes of
administering benefits under the IHS
PRC program. Thus, members of the
Tribe who reside outside of Aroostook
and Washington Counties do not reside
within the PRCDA of the
Passamaquoddy Tribe and they are
currently not eligible for PRC services
from the Tribe.
The Passamaquoddy Tribe has a
significant number of members who are
not residents of Aroostook and
Washington Counties. According to
Tribal estimates, 257 enrolled
Passamaquoddy members reside in
Hancock County in the State of Maine
and remain actively involved with the
Tribe, but they are not currently eligible
for PRC services. The Tribe provides
direct services to its members by
operating a clinic in Washington
County.
Under 42 CFR 136.23, those otherwise
eligible Indians who do not reside on a
reservation but reside within a PRCDA
must be either members of the Tribe or
maintain close economic and social ties
with the Tribe. In this case, in applying
the aforementioned PRCDA redesignation criteria required by
operative regulations, the following
findings are made:
1. By expanding, the Tribe estimates
the current eligible population will be
increased by 257.
2. The Tribe has determined that
these 257 individuals are socially and
economically affiliated with the Tribe.
3. The expanded area, Hancock
County, Maine, maintains a common
boundary with Washington County,
Maine, the county in which the Tribe’s
Indian Township reservation is located.
4. 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 the IHS to
the Tribe to provide services to Tribal
members residing in Hancock County.
The IHS did not receive comments in
response to the notice proposing to
expand the Tribe’s PRCDA.
Accordingly, the purpose of this Federal
Register notice is to notify the public
that the IHS has decided to expand the
PRCDA of the Passamaquoddy Tribe’s
Indian Township reservation to include
Hancock County in the State of Maine.
This final notice will expand the current
PRCDA for the Tribe’s reservation at
Indian Township to include Hancock
County in the State of Maine. This final
notice does not change or expand the
PRCDA for the Tribe’s Pleasant Point
reservation. No additional financial
resources will be allocated by the IHS to
the Tribe to provide services to Tribal
members residing in Hancock County in
the State of Maine.
PURCHASED/REFERRED CARE 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—Permanently
Closed on May 17, 1984.
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.
sradovich on DSK3GMQ082PROD with NOTICES
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
Confederated Tribes and Bands of the Yakama Nation ..........................
Confederated Tribes of Siletz Indians of Oregon ....................................
Confederated Tribes of the Chehalis 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.
Klickitat, WA, Lewis, WA, Skamania, W,8 Yakima, WA.
Benton, OR,9 Clackamas, OR, Lane, OR, Lincoln, OR, Linn, OR, Marion, OR, Multnomah, OR, Polk, OR, Tillamook, OR, Washington, OR,
Yamhill, OR.
Grays Harbor, WA, Lewis, WA, Thurston, WA.
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46999
PURCHASED/REFERRED CARE DELIVERY AREAS—Continued
Tribe/reservation
County/state
Confederated Tribes of the Colville Reservation .....................................
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, Yamhill, 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.
Clark, WA, Cowlitz, WA, King, WA, Lewis, WA, Peirce, WA, Skamania,
WA, Thurston, WA, Columbia, OR,15 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.
Hot Springs, WY, Fremont, WY, Sublette, WY.
Moody, SD.
Forest, WI, Marinette, WI, Oconto, WI.
Blaine, MT, Phillips, MT.
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.
Fort McDowell Yavapai Nation, Arizona ..................................................
Fort Mojave Indian Tribe of Arizona, California and Nevada ..................
Gila River Indian Community of the Gila River Indian Reservation, Arizona.
Grand Traverse Band of Ottawa and Chippewa Indians, Michigan ........
Hannahville Indian Community, Michigan ................................................
Haskell Indian Health Center ...................................................................
Havasupai Tribe of the Havasupai Reservation, Arizona ........................
Ho-Chunk Nation of Wisconsin ................................................................
sradovich on DSK3GMQ082PROD with NOTICES
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 of Wisconsin.
Lac Vieux Desert Band of Lake Superior Chippewa Indians of Michigan
Little River Band of Ottawa Indians, Michigan .........................................
Little Traverse Bay Bands of Odawa Indians, Michigan ..........................
Lower Brule Sioux Tribe of the Lower Brule Reservation, South Dakota
Lower Elwha Tribal Community ...............................................................
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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
Claire, WI, Houston, MN, Jackson, WI, Juneau, WI, La Crosse, WI,
Marathon, WI, Monroe, WI, Sauk, WI, Shawano, WI, Vernon, WI,
Wood, WI.
Jefferson, WA.
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 Muskegon, MI, Newaygo, MI, Oceana, MI, Ottawa, MI,
Manistee, MI, Mason, MI, Wexford, MI, Lake, MI.
Alcona, MI,26 Alger, MI, Alpena, MI, Antrim, MI, Benzie, MI, Charlevoix,
MI, Cheboygan, MI, Chippewa, MI, Crawford, MI, Delta, MI, Emmet,
MI, Grand Traverse, MI, Iosco, MI, Kalkaska, MI, Leelanau, MI,
Luce, MI, Mackinac, MI, Manistee, MI, Missaukee, MI, Montmorency,
MI, Ogemaw, MI, Oscoda, MI, Otsego, MI, Presque Isle, MI,
Schoolcraft, MI, Roscommon, MI, Wexford, MI.
Brule, SD, Buffalo, SD, Hughes, SD, Lyman, SD, Stanley, SD.
Clallam, WA.
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PURCHASED/REFERRED CARE DELIVERY AREAS—Continued
Tribe/reservation
County/state
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 ....................................................................
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 Scott, MS,31 Winston,
MS.
Fairfield, CT, Hartford, CT, Litchfield, CT, Middlesex, CT, New Haven,
CT, New London, CT, Tolland, CT, Windham, CT.
King, WA, Pierce, WA.
Washington, RI.32
Apache, AZ, Bernalillo, NM, Cibola, NM, Coconino, AZ, Kane, UT,
McKinley, NM, Montezuma, CO, Navajo, AZ, Rio Arriba, NM,
Sandoval, NM, San Juan, NM, San Juan, UT, Socorro, NM, Valencia, NM.
Entire State.33
Clearwater, ID, Idaho, ID, Latah, ID, Lewis, ID, Nez Perce, ID.
Pierce, WA, Thurston, WA.
Whatcom, WA.
Big Horn, MT, Carter, MT,34 Rosebud, MT.
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 ......................................................................
Pamunkey Indian Tribe ............................................................................
Pascua Yaqui Tribe of Arizona ................................................................
Passamaquoddy Tribe ..............................................................................
Penobscot Nation .....................................................................................
Poarch Band of Creeks ............................................................................
Pokagon Band of Pottawatomi Indians, Michigan and Indiana ...............
sradovich on DSK3GMQ082PROD with NOTICES
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 ...................................................................
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 ..........................................................
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Box Elder, UT.35
Allegan, MI,36 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,37 Mellette, SD, Pennington, SD, Shannon, SD, Sheridan, NE, Todd, SD.
Rio Arriba, NM.
Entire State.38
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,39 Millard, UT, Sevier, UT, Washington, UT.
Caroline, Hanover, Henrico, King William, King and Queen, New Kent,
Richmond (Independent City).40
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.
Sandoval, NM.
Bernalillo, NM, Cibola, NM, Sandoval, NM, Valencia, NM.
Santa Fe, NM.
Taos, NM.
Rio Arriba, NM, Santa Fe, NM.
Sandoval, NM.
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Tribe/reservation
County/state
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, New 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 .........................
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 ..
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 ..............................
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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 .........................................................
Tonawanda Band of Seneca ....................................................................
Tonto Apache Tribe of Arizona ................................................................
Trenton Service Unit, North Dakota and Montana ...................................
Tulalip Tribes of Washington ....................................................................
Tunica-Biloxi Indian Tribe .........................................................................
Turtle Mountain Band of Chippewa Indians of North Dakota ..................
Tuscarora Nation ......................................................................................
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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.
Santa Fe, NM.
Sandoval, NM.
King, WA, Pierce, WA, Thurston, WA.
Yuma, AZ, Imperial, CA.
Clallam, WA, Jefferson, WA.
Grays Harbor, WA, Jefferson, WA.
Pennington, SD.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.
Codington, SD, Day, SD, Grant, SD, Marshall, SD, Richland, ND, Roberts, SD, Sargent, ND, Traverse, MN.
Mason, WA.
Tooele, UT.
King, WA,55 Snohomish, WA, Pierce, WA, Island, WA, Mason, WA.
Forest, WI.
Archuleta, CO, La Plata, CO, Montezuma, CO, Rio Arriba, NM, San
Juan, NM.
Benson, ND, Eddy, ND, Nelson, ND, Ramsey, ND.
Ferry, WA, Lincoln, WA, Stevens, WA.
Mason, WA.
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.
Genesee, NY, Erie, NY, Niagara, NY.
Gila, AZ.
Divide, ND,57 McKenzie, ND, Williams, ND, Richland, MT, Roosevelt,
MT, Sheridan, MT.
Snohomish, WA.
Avoyelles, LA, Rapides, LA.58
Rolette, ND.
Niagara, NY.
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Federal Register / Vol. 82, No. 194 / Tuesday, October 10, 2017 / Notices
PURCHASED/REFERRED CARE DELIVERY AREAS—Continued
Tribe/reservation
County/state
Ute Indian Tribe of the Uintah & Ouray Reservation, Utah .....................
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,59 Barnstable, MA, Bristol, MA, Norfolk, MA, Plymouth, MA,
Suffolk, MA.60
Nevada, California except for the counties listed in footnote.
Apache, AZ, Coconino, AZ, Gila, AZ, Graham, AZ, Greenlee, AZ, Navajo, AZ.
Sacramento, CA.61
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.
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.62
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 (Pub. L. 88–358). The Brigham Intermountain School Health Center was renamed to Intermountain Inter-Tribal School in 1974 and was permanently closed on May 17, 1984.
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, Deschutes, 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 included 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.
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 PRCDA, 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.
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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 Scott County, MS, has historically been a part of the Choctaw Service Unit population since 1970.
32 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.
33 Entire State of Nevada is included as a CHSDA by regulation (42 CFR 136.22(a)(2))
34 Carter County, MT, has historically been a part of the Northern Cheyenne Service Unit population since 1979.
35 Land of Box Elder County, Utah, was taken into trust for the Northwestern Band of Shoshoni Nation in 1986.
36 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.
37 Washabaugh County, SD, merged and became part of Jackson County, SD, in 1983; both were/are CHSDA counties for the Oglala Sioux
Tribe.
38 Entire State of Oklahoma is included as a CHSDA by regulation (42 CFR 136.22(a)(3)).
39 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.
40 In the Federal Register on July 08, 2015 (80 FR 39144), the Pamunkey Indian Tribe was officially recognized as an Indian Tribe within the
meaning of Federal law. The counties listed were designated administratively as the Tribe’s PRCDA, as announced in the Federal Register on
July 28, 2017 (82 FR 35227).
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 PRCDA for the Passamaquoddy Tribe at Indian
Township, ME, is Aroostook County, ME, Washington County, ME, and Hancock County, ME. The PRCDA 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 PRCDA, 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.
51The 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. Kern County was not covered when Congress originally established the State of California as a CHSDA excluding
certain counties including Kern County (25 U.S.C. 1680).
57 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).
58 Rapides County, LA, has historically been a part of the Tunica Biloxi Service Unit population since 1982.
59 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.
60 The counties listed are designated administratively as the SDA, to function as a PRCDA, for the purposes of operating a PRC program pursuant to the ISDEAA, Public Law 93–638.
61 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).
62 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.
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Federal Register / Vol. 82, No. 194 / Tuesday, October 10, 2017 / Notices
Dated: October 2, 2017.
Michael D. Weahkee,
Assistant Surgeon General, U.S. Public Health
Service, Acting Director, Indian Health
Service.
[FR Doc. 2017–21759 Filed 10–6–17; 8:45 a.m.]
BILLING CODE 4165–16–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Re-Designation of the Delivery Area for
the Tolowa Dee-ni’ Nation, Formerly
Known as Smith River Rancheria
Indian Health Service, HHS.
Final notice.
AGENCY:
ACTION:
The Secretary of the
Department of Health and Human
Services hereby issues this final notice
to re-designate the Purchased/Referred
Care Delivery Area (PRCDA) for the
Tolowa Dee-ni’ Nation (Tribe)
(previously known as the Smith River
Rancheria of Smith River, California), to
provide Purchased/Referred Care (PRC)
services to their Tribal members
residing in Curry County, Oregon,
which is in the Portland Area Indian
Health Service (IHS). The Tolowa Deeni’s Tribal Headquarters is located 3
miles south of the California-Oregon
border in Northern California.
The 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, was
designated by the IHS as a PRCDA,
formerly known as a Contract Health
Service Delivery Area, in accordance
with statute. The current PRCDA for
Tolowa Dee-ni’ Tribal members is the
statutorily specified California PRCDA.
The expanded PRCDA for the Tolowa
Dee-ni’ Tribe includes the statutorily
specified California PRCDA and Curry
County in the State of Oregon.
DATES: This notice shall take effect on
October 10, 2017.
FOR FURTHER INFORMATION CONTACT:
Terri Schmidt, Acting Director, Office of
Resource Access and Partnerships,
Indian Health Service, 5600 Fishers
Lane, Mail stop: 10E85C, Rockville,
Maryland 20857. Telephone 301/443–
2694 (This is not a toll free number).
SUPPLEMENTARY INFORMATION:
Background: The IHS currently
provides services under regulations
codified at 42 CFR part 136, subparts A
through C. Subpart C defines a
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SUMMARY:
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Purchased/Referred Care Delivery Area
(PRCDA) as the geographic area within
which Purchased/Referred Care will be
made available by the Indian Health
Service (IHS) to members of an
identified Indian community who reside
in the Area. PRCDAs were previously
known as Contract Health Service
Delivery Areas (CHSDAs) and more
recently, the IHS referred to them as
Purchased/Referred Care Service
Delivery Areas (PRCSDAs) or PRCDAs,
but the IHS intends to consistently refer
to them as PRCDAs going forward.
Residence in a PRCDA by a person who
is within the scope of the Indian health
program, as set forth in 42 CFR 136.12,
creates no legal entitlement to PRC, only
potential eligibility for services.
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 PRCDA shall
consist of a county that includes all or
part of a reservation and any county or
counties that have a common boundary
with the reservation, 42 CFR
136.22(a)(6). The regulations also
provide that after consultation with the
Tribal governing body or bodies on
those reservations included within the
PRCDA, the Secretary may from time to
time, re-designate areas within the
United States for inclusion in or
exclusion from a PRCDA. The
regulations require that certain criteria
must be considered before any redesignation is made. The criteria are as
follows:
(1) The number of Indians residing in
the area proposed to be so included or
excluded;
(2) Whether the Tribal governing body
has determined that Indians residing in
the area near the reservation are socially
and economically affiliated with the
Tribe;
(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, 42
CFR 136.22(b).
Additionally, the regulations require
that any re-designation of a PRCDA
must be made in accordance with the
Administrative Procedures Act (5 U.S.C.
553). See 42 CFR 136.22(c). In
compliance with this requirement, we
are publishing this final notice.
Congress directed the IHS to designate
the entire State of California as a
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PRCDA, excluding certain counties,
under section 810 of the Indian
Healthcare Improvement Act, Public
Law 94–437, as amended (25 U.S.C.
1680). The IHS has utilized the
congressionally specified PRCDA 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
PRCDA do not reside within the Tolowa
Dee-ni’s current PRCDA and are
currently not eligible for PRC services.
The IHS has historically established
PRCDAs in accordance with
Congressional intent but has preserved
regulatory flexibility to re-designate
areas as appropriate for inclusion in or
exclusion from PRCDA under PRC
regulations. One of the criteria for such
re-designations is the geographic
proximity of the expanded area to the
existing reservation or PRCDA. Here, the
IHS is expanding the Tribe’s PRCDA
beyond the geographic description in 25
U.S.C. 1680 to include a county adjacent
to the Tribe’s existing PRCDA, in a
neighboring state. There are already
PRCDAs 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’ Tribe has a
significant number of Tribal members
who are not residents of California. The
Tribe asserts that 177 Tribal members
reside outside of its PRCDA, in Curry
County, in the State of Oregon, and are
not able to access PRC funds from either
the California Area facility (Smith River
Howonquet Indian Health Center) or
from the closest Portland Area facility.
Under 42 CFR 136.23, those otherwise
eligible Indians who do not reside on a
reservation, but reside within a PRCDA
must be either members of the Tribe or
maintain close economic and social ties
with the Tribe. In this case, in applying
the aforementioned PRCDA redesignation 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.
E:\FR\FM\10OCN1.SGM
10OCN1
Agencies
[Federal Register Volume 82, Number 194 (Tuesday, October 10, 2017)]
[Notices]
[Pages 46997-47004]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-21759]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Re-designation of the Delivery Area for the Passamaquoddy Tribe
at Indian Township
AGENCY: Indian Health Service, Department of Health and Human Services.
ACTION: Final Notice.
-----------------------------------------------------------------------
SUMMARY: This final notice advises the public that the Indian Health
Service (IHS) has decided to expand the geographic boundaries of the
Purchased/Referred Care Delivery Area (PRCDA) for the Passamaquoddy
Tribe's reservation at Indian Township (Passamaquoddy at Indian
Township or Tribe) in the State of Maine.
DATES: October 10, 2017.
Inspection of Public Comments: The IHS published a Federal Register
Notice entitled, ``Notice To Propose the Re-Designation of the Service
Delivery Area for the Passamaquoddy Tribe at Indian Township,'' on
March 8, 2017 (82 FR 12968), and did not receive any comments regarding
the notice.
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).
SUPPLEMENTARY INFORMATION: The Passamaquoddy PRCDA previously covered
Aroostook and Washington Counties in the State of Maine. The expanded
PRCDA for the Tribe's reservation at Indian Township includes Hancock
County in the State of Maine. This notice only relates to the expansion
of the Tribe's PRCDA for the Indian Township reservation.
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
Purchased/Referred Care (PRC) to the Passamaquoddy Tribe. The
Passamaquoddy Tribe has two reservations: Indian Township and Pleasant
Point. The PRCDA for the Indian Township reservation is Aroostook
County, Maine, and Washington County, Maine. The PRCDA for the Pleasant
Point reservation is Washington County, Maine, south of State Route 9,
and Aroostook County, Maine.
Background: The IHS currently provides services under regulations
codified at 42 CFR part 136, subparts A through C. Subpart C defines a
PRCDA, formerly referred to as a Contract Health Service Delivery Area
or Purchased/Referred Care 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 area. Residence in a
PRCDA by a person who is within the scope of the Indian health program,
as set forth in 42 CFR 136.12, creates no legal entitlement to PRC,
only potential eligibility for services. Services needed but not
available at an IHS or 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 PRCDA shall consist of a county that includes
all or part of a reservation and any county or counties that have a
common boundary with the reservation, 42 CFR 136.22(a)(6). The
regulations also provide that after consultation with the Tribal
governing body or bodies on those reservations included within the
PRCDA, the Secretary may from time to time, re-designate areas within
the United States for inclusion in or exclusion from a PRCDA. The
regulations require that certain criteria must be considered before any
re-designation is made. The criteria are as follows:
(1) The number of Indians residing in the area proposed to be so
included or excluded;
(2) Whether the Tribal governing body has determined that Indians
residing in the area near the reservation are socially and economically
affiliated with the Tribe;
(3) The geographic proximity to the reservation of the area whose
inclusion or exclusion is being considered; and
[[Page 46998]]
(4) The level of funding which would be available for the provision
of PRC, 42 CFR 136.22(b).
Additionally, the regulations require that any re-designation of a
PRCDA must be made in accordance with the Administrative Procedures Act
(5 U.S.C. 553). See 42 CFR 136.22(c). In compliance with this
requirement, we are publishing this final notice.
The Passamaquoddy Tribe is a federally recognized Tribe with two
separate reservations, Indian Township and Pleasant Point, located
approximately 50 miles apart. Each respective reservation elects its
own governing body and each reservation has a separate PRCDA. The
Indian Township reservation of the Passamaquoddy Tribe has a PRCDA
consisting of Aroostook and Washington Counties in the State of Maine.
The PRCDA for the Passamaquoddy Tribe's reservation at Pleasant Point
is Washington County, Maine, south of State Route 9, and Aroostook
County, Maine. The IHS adopted a PRCDA for each of the Passamaquoddy
Tribe's reservations for the purposes of administering benefits under
the IHS PRC program. Thus, members of the Tribe who reside outside of
Aroostook and Washington Counties do not reside within the PRCDA of the
Passamaquoddy Tribe and they are currently not eligible for PRC
services from the Tribe.
The Passamaquoddy Tribe has a significant number of members who are
not residents of Aroostook and Washington Counties. According to Tribal
estimates, 257 enrolled Passamaquoddy members reside in Hancock County
in the State of Maine and remain actively involved with the Tribe, but
they are not currently eligible for PRC services. The Tribe provides
direct services to its members by operating a clinic in Washington
County.
Under 42 CFR 136.23, those otherwise eligible Indians who do not
reside on a reservation but reside within a PRCDA must be either
members of the Tribe or maintain close economic and social ties with
the Tribe. In this case, in applying the aforementioned PRCDA re-
designation criteria required by operative regulations, the following
findings are made:
1. By expanding, the Tribe estimates the current eligible
population will be increased by 257.
2. The Tribe has determined that these 257 individuals are socially
and economically affiliated with the Tribe.
3. The expanded area, Hancock County, Maine, maintains a common
boundary with Washington County, Maine, the county in which the Tribe's
Indian Township reservation is located.
4. 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 the IHS to the Tribe to provide services
to Tribal members residing in Hancock County.
The IHS did not receive comments in response to the notice
proposing to expand the Tribe's PRCDA. Accordingly, the purpose of this
Federal Register notice is to notify the public that the IHS has
decided to expand the PRCDA of the Passamaquoddy Tribe's Indian
Township reservation to include Hancock County in the State of Maine.
This final notice will expand the current PRCDA for the Tribe's
reservation at Indian Township to include Hancock County in the State
of Maine. This final notice does not change or expand the PRCDA for the
Tribe's Pleasant Point reservation. No additional financial resources
will be allocated by the IHS to the Tribe to provide services to Tribal
members residing in Hancock County in the State of Maine.
Purchased/Referred Care 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--Permanently
Closed on May 17, 1984.
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.
Confederated Tribes and Bands of the Klickitat, WA, Lewis, WA,
Yakama Nation. Skamania, W,\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, Yamhill, OR.
Confederated Tribes of the Chehalis Grays Harbor, WA, Lewis, WA,
Reservation. Thurston, WA.
[[Page 46999]]
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, Yamhill, 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................... Clark, WA, Cowlitz, WA, King,
WA, Lewis, WA, Peirce, WA,
Skamania, WA, Thurston, WA,
Columbia, OR,\15\ 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 Hot Springs, WY, Fremont, 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.
Fort McDowell Yavapai Nation, Arizona.. Maricopa, AZ.
Fort Mojave Indian Tribe of Arizona, Nevada, Mohave, AZ, San
California and Nevada. Bernardino, CA.
Gila River Indian Community of the Gila Maricopa, AZ, Pinal, AZ.
River Indian Reservation, Arizona.
Grand 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 Claire, WI,
Houston, MN, Jackson, WI,
Juneau, WI, La Crosse, WI,
Marathon, WI, Monroe, WI,
Sauk, WI, Shawano, WI, Vernon,
WI, Wood, WI.
Hoh Indian Tribe....................... 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 of Wisconsin.
Lac Vieux Desert Band of Lake Superior Gogebic, MI.
Chippewa Indians of Michigan.
Little River Band of Ottawa Indians, Kent, MI,\25\ Muskegon, MI,
Michigan. Newaygo, MI, Oceana, MI,
Ottawa, MI, Manistee, MI,
Mason, MI, Wexford, MI, Lake,
MI.
Little Traverse Bay Bands of Odawa Alcona, MI,\26\ Alger, MI,
Indians, Michigan. Alpena, MI, Antrim, MI,
Benzie, MI, Charlevoix, MI,
Cheboygan, MI, Chippewa, MI,
Crawford, MI, Delta, MI,
Emmet, MI, Grand Traverse, MI,
Iosco, MI, Kalkaska, MI,
Leelanau, MI, Luce, MI,
Mackinac, MI, Manistee, MI,
Missaukee, MI, Montmorency,
MI, Ogemaw, MI, Oscoda, MI,
Otsego, MI, Presque Isle, MI,
Schoolcraft, MI, Roscommon,
MI, Wexford, MI.
Lower Brule Sioux Tribe of the Lower Brule, SD, Buffalo, SD, Hughes,
Brule Reservation, South Dakota. SD, Lyman, SD, Stanley, SD.
Lower Elwha Tribal Community........... Clallam, WA.
[[Page 47000]]
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 Scott, MS,\31\
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.\32\
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.\33\
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,\34\
Cheyenne Indian Reservation, Montana. Rosebud, MT.
Northwestern Band of Shoshone Nation... Box Elder, UT.\35\
Nottawaseppi Huron Band of the Allegan, MI,\36\ 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,\37\
Mellette, SD, Pennington, SD,
Shannon, SD, Sheridan, NE,
Todd, SD.
Ohkay Owingeh, New Mexico.............. Rio Arriba, NM.
Oklahoma............................... Entire State.\38\
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,\39\ Millard, UT,
Sevier, UT, Washington, UT.
Pamunkey Indian Tribe.................. Caroline, Hanover, Henrico,
King William, King and Queen,
New Kent, Richmond
(Independent City).\40\
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.
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.
[[Page 47001]]
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, New Mexico.......... Santa 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.
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................ King, WA,\55\ Snohomish, WA,
Pierce, WA, Island, WA, Mason,
WA.
Sokaogon Chippewa Community, Wisconsin. Forest, WI.
Southern Ute Indian Tribe of the Archuleta, CO, La Plata, CO,
Southern Ute Reservation, Colorado. Montezuma, CO, Rio Arriba, NM,
San Juan, NM.
Spirit Lake Tribe, North Dakota........ Benson, ND, Eddy, ND, Nelson,
ND, Ramsey, ND.
Spokane Tribe of the Spokane Ferry, WA, Lincoln, WA,
Reservation. 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.
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,\57\ 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.\58\
Turtle Mountain Band of Chippewa Rolette, ND.
Indians of North Dakota.
Tuscarora Nation....................... Niagara, NY.
[[Page 47002]]
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,\59\ Barnstable, MA,
Bristol, MA, Norfolk, MA,
Plymouth, MA, Suffolk, MA.\60\
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.\61\
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.\62\
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 (Pub. L. 88-358). The Brigham
Intermountain School Health Center was renamed to Intermountain Inter-
Tribal School in 1974 and was permanently closed on May 17, 1984.
\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, Deschutes, 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 included 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.
\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 PRCDA, 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.
[[Page 47003]]
\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\ Scott County, MS, has historically been a part of the Choctaw
Service Unit population since 1970.
\32\ 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.
\33\ Entire State of Nevada is included as a CHSDA by regulation (42 CFR
136.22(a)(2))
\34\ Carter County, MT, has historically been a part of the Northern
Cheyenne Service Unit population since 1979.
\35\ Land of Box Elder County, Utah, was taken into trust for the
Northwestern Band of Shoshoni Nation in 1986.
\36\ 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.
\37\ Washabaugh County, SD, merged and became part of Jackson County,
SD, in 1983; both were/are CHSDA counties for the Oglala Sioux Tribe.
\38\ Entire State of Oklahoma is included as a CHSDA by regulation (42
CFR 136.22(a)(3)).
\39\ 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.
\40\ In the Federal Register on July 08, 2015 (80 FR 39144), the
Pamunkey Indian Tribe was officially recognized as an Indian Tribe
within the meaning of Federal law. The counties listed were designated
administratively as the Tribe's PRCDA, as announced in the Federal
Register on July 28, 2017 (82 FR 35227).
\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 PRCDA for the Passamaquoddy Tribe at Indian
Township, ME, is Aroostook County, ME, Washington County, ME, and
Hancock County, ME. The PRCDA 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 PRCDA, 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. Kern County was not covered
when Congress originally established the State of California as a
CHSDA excluding certain counties including Kern County (25 U.S.C.
1680).
\57\ 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).
\58\ Rapides County, LA, has historically been a part of the Tunica
Biloxi Service Unit population since 1982.
\59\ 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.
\60\ The counties listed are designated administratively as the SDA, to
function as a PRCDA, for the purposes of operating a PRC program
pursuant to the ISDEAA, Public Law 93-638.
\61\ 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).
\62\ Public Law 100-89, Restoration Act for Ysleta Del Sur and Alabama
and Coushatta Tribes of Texas establishes service areas for ``members
of the Tribe'' by sections 101(3) and 105(a) for the Pueblo and
sections 201(3) and 206(a) respectively.
[[Page 47004]]
Dated: October 2, 2017.
Michael D. Weahkee,
Assistant Surgeon General, U.S. Public Health Service, Acting Director,
Indian Health Service.
[FR Doc. 2017-21759 Filed 10-6-17; 8:45 a.m.]
BILLING CODE 4165-16-P