Notice of Purchased/Referred Care Delivery Area Designations for the Chickahominy Indian Tribe, the Chickahominy Indian Tribe-Eastern Division, the Upper Mattaponi Tribe, the Rappahannock Tribe, Inc., the Monacan Indian Nation, and the Nansemond Indian Tribe, 3698-3705 [2020-00905]
Download as PDF
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Federal Register / Vol. 85, No. 14 / Wednesday, January 22, 2020 / Notices
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this ICR are
summarized in the table below.
TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Form name
ANEW Application including the ANEW Program-Specific
Tables and Attachments ..................................................
HRSA specifically requests comments
on (1) the necessity and utility of the
proposed information collection for the
proper performance of the agency’s
functions; (2) the accuracy of the
estimated burden; (3) ways to enhance
the quality, utility, and clarity of the
information to be collected; and (4) the
use of automated collection techniques
or other forms of information
technology to minimize the information
collection burden.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2020–00941 Filed 1–21–20; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Notice of Purchased/Referred Care
Delivery Area Designations for the
Chickahominy Indian Tribe, the
Chickahominy Indian Tribe—Eastern
Division, the Upper Mattaponi Tribe,
the Rappahannock Tribe, Inc., the
Monacan Indian Nation, and the
Nansemond Indian Tribe
Indian Health Service, HHS.
Notice.
AGENCY:
ACTION:
Notice is hereby given that
the Indian Health Service (IHS) is
establishing the geographic boundaries
of the Purchased/Referred Care Delivery
Area (PRCDA) (formerly Contract Health
Service Delivery Area or CHSDA) for six
newly recognized Tribes: The
Chickahominy Indian Tribe, the
Chickahominy Indian Tribe—Eastern
Division, the Upper Mattaponi Tribe,
the Rappahannock Tribe, Inc., the
Monacan Indian Nation, and the
Nansemond Indian Tribe.
DATES: This notice is effective as of
February 21, 2020.
ADDRESSES: This notice can be found at
https://www.federalregister.gov. Written
requests for information or comments
submitted by postal mail or delivery
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SUMMARY:
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Number of
responses per
respondent
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Average
burden per
response
(in hours)
Total burden
hours
236
1
236
7
1,652
236
........................
236
........................
1,652
should be addressed to: CDR John Rael,
Director, Office of Resource Access and
Partnerships, Indian Health Service,
5600 Fishers Lane, Mail Stop: 10E85C,
Rockville, MD 20857, (301) 443–0609
(This is not a toll-free number).
SUPPLEMENTARY INFORMATION: The IHS
currently provides services under
regulations in effect on September 15,
1987, and republished in the Code of
Federal Regulations (CFR) at 42 CFR
part 136, subparts A–C. When Tribes are
recognized under Federal law, either
Congress legislatively designates
counties to serve as PRCDAs, or the
Director, IHS, exercises reasonable
administrative discretion to designate
PRCDAs to effectuate the intent of
Congress for these Tribes. The Director,
IHS, publishes a notice in the Federal
Register (FR) when there are revisions
or updates to the list of PRCDAs,
including the designation of PRCDAs for
newly recognized Tribes.
At 42 CFR part 136 subpart C, a
PRCDA is defined as the geographic area
within which Purchased/Referred Care
(PRC) will be made available by the IHS
to members of an identified Indian
community who reside in the area. The
regulations provide that, unless
otherwise designated, a PRCDA shall
consist of a county which includes all
or part of a reservation and any county
or counties which have a common
boundary with the reservation (42 CFR
136.22(a)(6)). Residence within 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 but 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 relative
medical priority of the services to be
provided, and the actual availability and
accessibility of alternate resources in
accordance with the regulations.
Under the Thomasina E. Jordan
Indian Tribes of Virginia Federal
Recognition Act of 2017 (Recognition
PO 00000
Total
responses
Sfmt 4703
Act), Public Law 115–121, the
Chickahominy Indian Tribe, the
Chickahominy Indian Tribe—Eastern
Division, the Upper Mattaponi Tribe,
the Rappahannock Tribe, Inc., the
Monacan Indian Nation, and the
Nansemond Indian Tribe were officially
recognized as Indian Tribes within the
meaning of Federal law. The
Recognition Act sets forth service areas
for each of the six newly recognized
Tribes, for the purpose of the delivery
of Federal services to Tribal members.
Four of these six service areas include
specific references to counties and
independent cities in the state of
Virginia. IHS is establishing four
PRCDAs in this notice based upon those
specific references. The remaining two
service areas enumerated by Congress in
the Recognition Act do not specify
either counties or independent cities.
Instead, Congress has indicated a
mileage radius for those two service
areas. Since IHS establishes PRCDAs for
the administration of PRC by county,
IHS has interpreted this language to
mean all counties within or intersected
by the radius specified by Congress in
the Recognition Act, as well as the
independent cities within the
contiguous area formed by those
counties.
The purpose of this FR notice is to
notify the public of the establishment of
the six newly recognized Tribes’
PRCDAs, consistent with the
Congressional intent expressed in the
Recognition Act. The Tribes’ PRCDAs
are designated as follows:
Chickahominy Indian Tribe—New
Kent County, James City County,
Charles City County, and Henrico
County, Virginia.
Chickahominy Indian Tribe—Eastern
Division—New Kent County, James City
County, Charles City County, and
Henrico County, Virginia.
Upper Mattaponi Tribe—Richmond
County, Middlesex County, Essex
County, King and Queen County, King
William County, New Kent County,
Hanover County, Caroline County,
Henrico County, Charles City County,
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James City County, and the independent
city of Richmond, Virginia.
Rappahannock Tribe, Inc.—King and
Queen County, Caroline County, Essex
County, and King William County,
Virginia.
Monacan Indian Nation—Amherst
County, Nelson County, Albemarle
County, Buckingham County,
Appomattox County, Campbell County,
Bedford County, Botetourt County,
Rockbridge County, Augusta County,
and the independent cities of
Lynchburg, Lexington, Buena Vista,
Staunton, Waynesboro, and
Charlottesville, Virginia.
Nansemond Indian Tribe—The
independent cities of Chesapeake,
Hampton, Newport News, Norfolk,
Portsmouth, Suffolk, and Virginia
Beach, Virginia.
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, the Tribes
estimated the eligible user populations
to be as follows: 654 enrolled
Chickahominy members; 59 enrolled
Chickahominy Eastern Division
members; 202 enrolled Upper Mattaponi
3699
members; 202 enrolled Rappahannock
members; 881 enrolled Monacan
members; 95 enrolled Nansemond
members. The financial resources
required to meet the immediate needs of
the Tribal members residing in the
PRCDAs were determined by the IHS,
through consultation with the
individual Tribes, and will be placed in
the Nashville Area PRC budget.
This notice does not contain reporting
or recordkeeping requirements subject
to prior approval by the Office of
Management and Budget under the
Paperwork Reduction Act.
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 ........................
Burns Paiute Tribe ....................................................................................
California ...................................................................................................
Catawba Indian Nation (AKA Catawba Tribe of South Carolina) ............
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.
Cayuga Nation ..........................................................................................
Chickahominy Indian Tribe .......................................................................
Chickahominy Indian Tribe—Eastern Division .........................................
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 ...................................
Confederated Tribes of the Colville Reservation .....................................
Confederated Tribes of the Coos, Lower Umpqua and Siuslaw Indians
Confederated Tribes of the Goshute Reservation, Nevada and Utah .....
Confederated Tribes of the Grand Ronde Community of Oregon ...........
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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 ........
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Chippewa, MI.
Glacier, MT, Pondera, MT.
Permanently closed on May 17, 1984.4
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.
New Kent, VA, James City, VA, Charles City, VA, Henrico, VA.8
New Kent, VA, James City, VA, Charles City, VA, Henrico, VA.9
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, WA,10 Yakima, WA.
Benton, OR,11 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.
Chelan, WA,12 Douglas, WA, Ferry, WA, Grant, WA, Lincoln, WA,
Okanogan, WA, Stevens, WA.
Coos, OR,13 Curry, OR, Douglas, OR, Lane, OR, Lincoln, OR.
Nevada, Juab, UT, Toole, UT.
Marion, OR, Multnomah, OR, Polk, OR,14 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, the city limits of Elton, LA.15
Coos, OR,16 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,17 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,18 Yellowstone, MT, Big
Horn, WY, Sheridan, WY.
Cherokee, NC, Graham, NC, Haywood, NC, Jackson, NC, Swain, NC.
Hot Springs, WY, Fremont, WY, Sublette, WY.
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Federal Register / Vol. 85, No. 14 / Wednesday, January 22, 2020 / Notices
PURCHASED/REFERRED CARE DELIVERY AREAS—Continued
Tribe/reservation
County/state
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 ................................................................
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 (previously listed as the Pueblo of Santo
Domingo).
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 ..........................
khammond on DSKJM1Z7X2PROD with NOTICES
Lower Brule Sioux Tribe of the Lower Brule Reservation, South Dakota
Lower Elwha Tribal Community ...............................................................
Lower Sioux Indian Community in the State of Minnesota ......................
Lummi Tribe of the Lummi Reservation ...................................................
Makah Indian Tribe of the Makah Indian Reservation .............................
Mashantucket Pequot Indian Tribe ..........................................................
Mashpee Wampanoag Tribe ....................................................................
Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan ....
Menominee Indian Tribe of Wisconsin .....................................................
Mescalero Apache Tribe of the Mescalero Reservation, New Mexico ....
Miccosukee Tribe of Indians ....................................................................
Minnesota Chippewa Tribe, Minnesota, Bois Forte Band (Nett Lake) ....
Minnesota Chippewa Tribe, Minnesota, Fond du Lac Band ....................
Minnesota Chippewa Tribe, Minnesota, Grand Portage Band ................
Minnesota Chippewa Tribe, Minnesota, Leech Lake Band .....................
Minnesota Chippewa Tribe, Minnesota, Mille Lacs Band ........................
Minnesota Chippewa Tribe, Minnesota, White Earth Band .....................
Mississippi Band of Choctaw Indians .......................................................
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Moody, SD.
Forest, WI, Marinette, WI, Oconto, WI.
Blaine, MT, Phillips, MT.
The entire State of Nevada, Malheur, OR.
Maricopa, AZ.
The entire State of Nevada, Mohave, AZ, San Bernardino, CA.
Maricopa, AZ, Pinal, AZ.
Antrim, MI,19 Benzie, MI, Charlevoix, MI, Grand Traverse, MI,
Leelanau, MI, Manistee, MI.
Delta, MI, Menominee, MI.
Douglas, KS.20
Coconino, AZ.
Adams, WI,21 Clark, WI, Columbia, WI, Crawford, WI, Dane, WI, Eau
Clarrie, WI, Houston, MN, Jackson, WI, Juneau, WI, La Crosse, WI,
Marathon, WI, Monroe, WI, Sauk, WI, Shawano, WI, Vernon, WI,
Wood, WI.
Jefferson, WA.
Apache, AZ, Coconino, AZ, Navajo, AZ.
Aroostook, ME.22
Coconino, AZ, Mohave, AZ, Yavapai, AZ.
Brown, KS, Doniphan, KS, Richardson, NE.
Clallam, WA, Jefferson, WA.
Grand Parish, LA,23 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.24
Brown, KS, Jackson, KS.
Klamath, OR.25
Lake, CA, Sonoma, CA.26
Boundary, ID.
Sawyer, WI.
Iron, WI, Oneida, WI, Vilas, WI.
Gogebic, MI.
Kent, MI,27 Muskegon, MI, Newaygo, MI, Oceana, MI, Ottawa, MI,
Manistee, MI, Mason, MI, Wexford, MI, Lake, MI.
Alcona, MI,28 Alger, MI, Alpena, MI, Antrim, MI, Benzie, MI, Charlevoix,
MI, Cheboygan, MI, Chippewa, MI, Crawford, MI, Delta, MI, Emmet,
MI, Grand Traverse, MI, Iosco, MI, Kalkaska, MI, Leelanau, MI,
Luce, MI, Mackinac, MI, Manistee, MI, Missaukee, MI, Montmorency,
MI, Ogemaw, MI, Oscoda, MI, Otsego, MI, Presque Isle, MI,
Schoolcraft, MI, Roscommon, MI, Wexford, MI.
Brule, SD, Buffalo, SD, Hughes, SD, Lyman, SD, Stanley, SD.
Clallam, WA.
Redwood, MN, Renville, MN.
Whatcom, WA.
Clallam, WA.
New London, CT.29
Barnstable, MA, Bristol, MA, Norfolk, MA, Plymouth, MA, Suffolk,
MA.30
Allegan, MI,31 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,32 Jones, MS, Kemper, MS, Leake, MS,
Neshoba, MS, Newton, MS, Noxubee, MS,33 Scott, MS,34 Winston,
MS
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3701
PURCHASED/REFERRED CARE DELIVERY AREAS—Continued
Tribe/reservation
County/state
Mohegan Tribe of Indians of Connecticut. ...............................................
Fairfield, CT, Hartford, CT, Litchfield, CT, Middlesex, CT, New Haven,
CT, New London, CT, Tolland, CT, Windham, CT.
Amherst, VA, Nelson, VA, Albemarle, VA, Buckingham, VA, Appomattox, VA, Campbell, VA, Bedford, VA, Botetourt, VA, Rockbridge,
VA, Augusta, VA, and the independent cities of Lynchburg, VA, Lexington, VA, Buena Vista, VA, Staunton, VA, Waynesboro, VA, and
Charlottesville, VA.35
King, WA, Pierce, WA.
The independent cities of Chesapeake, VA, Hampton, VA, Newport
News, VA, Norfolk, VA, Portsmouth, VA, Suffolk, VA, and Virginia
Beach, VA.36
Washington, RI.37
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.38
Clearwater, ID, Idaho, ID, Latah, ID, Lewis, ID, Nez Perce, ID.
Pierce, WA, Thurston, WA.
Whatcom, WA.
Big Horn, MT, Carter, MT,39 Rosebud, MT.
Monacan Indian Nation. ...........................................................................
Muckleshoot Indian Tribe .........................................................................
Nansemond 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 (previously listed as the Oneida Tribe of Indians of Wisconsin).
Oneida Indian Nation (previously listed as the 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 ...............
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Ponca Tribe of Nebraska .........................................................................
Port Gamble S’Klallam Tribe ....................................................................
Prairie Band of Pottawatomi Nation .........................................................
Prairie Island Indian Community in the State of Minnesota ....................
Pueblo of Acoma, New Mexico ................................................................
Pueblo of Cochiti, New Mexico ................................................................
Pueblo of Isleta, New Mexico ...................................................................
Pueblo of Jemez, New Mexico .................................................................
Pueblo of Laguna, New Mexico ...............................................................
Pueblo of Nambe, New Mexico ................................................................
Pueblo of Picuris, New Mexico ................................................................
Pueblo of Pojoaque, New Mexico ............................................................
Pueblo of San Felipe, New Mexico ..........................................................
Pueblo of San Ildefonso, New Mexico .....................................................
Pueblo of Sandia, New Mexico ................................................................
Pueblo of Santa Ana, New Mexico ..........................................................
Pueblo of Santa Clara, New Mexico ........................................................
Pueblo of Taos, New Mexico ...................................................................
Pueblo of Tesuque, Mexico ......................................................................
Pueblo of Zia, New Mexico ......................................................................
Puyallup Tribe of the Puyallup Reservation .............................................
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Box Elder, UT.40
Allegan, MI,41 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,42 Mellette, SD, Pennington, SD, Shannon, SD, Sheridan, NE, Todd, SD.
Rio Arriba, NM.
Entire State.43
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,44 Millard, UT, Sevier, UT, Washington, UT.
Caroline, VA, Hanover, VA, Henrico, VA, King William, VA, King and
Queen, VA, New Kent, VA, and the independent city of Richmond,
VA.45
Pima, AZ.46
Aroostook, ME,47 48 Hancock, ME,49 Washington, ME.
Aroostook, ME,50 Penobscot, ME.
Baldwin, AL,51 Elmore, AL, Escambia, AL, Mobile, AL, Monroe, AL,
Escambia, FL.
Allegan, MI,52 Berrien, MI, Cass, MI, Elkhart, IN, Kosciusko, IN, La
Porte, IN, Marshall, IN, St. Joseph, IN, Starke, IN, Van Buren, MI.
Boyd, NE,53 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.
Los Alamos, NM, Rio Arriba, NM, Sandoval, NM, Santa Fe, NM.
Bernalillo, NM, Sandoval, NM.
Sandoval, NM.
Los Alamos, NM, Sandoval, NM, Santa Fe, NM.
Colfax, NM, Taos, NM.
Sana Fe, NM.
Sandoval, NM.
King, WA, Pierce, WA, Thurston, WA.
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PURCHASED/REFERRED CARE DELIVERY AREAS—Continued
Tribe/reservation
County/state
Quechan Tribe of the Fort Yuma Indian Reservation, Arizona and California.
Quileute Tribe of the Quileute Reservation ..............................................
Quinault Indian Nation ..............................................................................
Rapid City, South Dakota .........................................................................
Rappahannock Tribe, Inc. ........................................................................
Red Cliff Band of Lake Superior Chippewa Indians of Wisconsin ..........
Red Lake Band of Chippewa Indians, Minnesota ....................................
Rosebud Sioux Tribe of the Rosebud Indian Reservation, South Dakota
Sac & Fox Nation of Missouri in Kansas and Nebraska .........................
Sac & Fox Tribe of the Mississippi in Iowa ..............................................
Saginaw Chippewa Indian Tribe of Michigan ...........................................
Saint Regis Mohawk Tribe .......................................................................
Salt River Pima-Maricopa Indian Community of the Salt River Reservation, Arizona.
Samish Indian Nation ...............................................................................
San Carlos Apache Tribe of the San Carlos Reservation, Arizona .........
San Juan Southern Paiute Tribe of Arizona ............................................
Santee Sioux Nation, Nebraska ...............................................................
Sauk-Suiattle Indian Tribe ........................................................................
Sault Ste. Marie Tribe of Chippewa Indians, Michigan ............................
Seminole Tribe of Florida .........................................................................
Seneca Nation of Indians .........................................................................
Shakopee Mdewakanton Sioux Community of Minnesota ......................
Shinnecock Indian Nation .........................................................................
Shoalwater Bay Tribe of the Shoalwater Bay Indian Reservation ...........
Shoshone-Bannock Tribes of the Fort Hall Reservation .........................
Shoshone-Paiute Tribes of the Duck Valley Reservation, Nevada .........
Sisseton-Wahpeton Oyate of the Lake Traverse Reservation, South
Dakota.
Skokomish Indian Tribe ............................................................................
Skull Valley Band of Goshute Indians of Utah .........................................
Snoqualmie Indian Tribe ..........................................................................
Sokaogon Chippewa Community, Wisconsin ..........................................
Southern Ute Indian Tribe of the Southern Ute Reservation, Colorado ..
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 .........................................................
Tolowa Dee-ni’ Nation (formerly known as Smith River Rancheria of
California).
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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Yuma, AZ, Imperial, CA.
Clallam, WA, Jefferson, WA.
Grays Harbor, WA, Jefferson, WA.
Pennington, SD.54
King and Queen County, VA, Caroline County, VA, Essex County, VA,
King William County, VA.55
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,56 Clare, MI, Isabella, MI, Midland, MI, Missaukee, MI.
Franklin, NY, St. Lawrence, NY.
Maricopa, AZ.
Clallam, WA,57 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,58 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,59 Suffolk, NY.
Pacific, WA.
Bannock, ID, Bingham, ID, Caribou, ID, Lemhi, ID,60 Power, ID.
The entire state of Nevada, Owyhee, ID.
Codington, SD, Day, SD, Grant, SD, Marshall, SD, Richland, ND, Roberts, SD, Sargent, ND, Traverse, MN.
Mason, WA.
Tooele, UT.
King, WA,61 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.62
Dunn, ND, Mercer, ND, McKenzie, ND, McLean, ND, Mountrail, ND,
Ward, ND.
Maricopa, AZ, Pima, AZ, Pinal, AZ.
California, Curry, OR.63
Genesee, NY, Erie, NY, Niagara, NY.
Gila, AZ.
Divide, ND,64 McKenzie, ND, Williams, ND, Richland, MT, Roosevelt,
MT, Sheridan, MT.
Snohomish, WA.
Avoyelles, LA, Rapides, LA.65
Rolette, ND.
Niagara, NY.
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PURCHASED/REFERRED CARE DELIVERY AREAS—Continued
Tribe/reservation
County/state
Upper Mattaponi Tribe ..............................................................................
Caroline, VA, Charles City, VA, Essex, VA, Hanover, VA, Henrico, VA,
James City, VA, King and Queen, VA, King William, VA, Middlesex,
VA, New Kent, VA, Richmond, VA and the independent city of Richmond, VA.66
Chippewa, MN, Yellow Medicine, MN.
Skagit, WA.
Carbon, UT, Daggett, UT, Duchesne, UT, Emery, UT, Grand, UT, Rio
Blanco, CO, Summit, UT, Uintah, UT, Utah, UT, Wasatch, UT.
Apache, AZ, La Plata, CO, Montezuma, CO, San Juan, NM, San Juan,
UT.
Dukes, MA,67 Barnstable, MA, Bristol, MA, Norfolk, MA, Plymouth, MA,
Suffolk, MA.68
Nevada, California except for the counties listed in footnote.
Apache, AZ, Coconino, AZ, Gila, AZ, Graham, AZ, Greenlee, AZ, Navajo, AZ.
Sacramento, CA.69
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.
Upper Sioux Community, Minnesota ........................................................
Upper Skagit Indian Tribe ........................................................................
Ute Indian Tribe of the Uintah & Ouray Reservation, Utah .....................
Ute Mountain Ute Tribe ............................................................................
Wampanoag Tribe of Gay Head (Aquinnah) ...........................................
Washoe Tribe of Nevada & California .....................................................
White Mountain Apache Tribe of the Fort Apache Reservation, Arizona
Wilton Rancheria, California .....................................................................
Winnebago Tribe of Nebraska .................................................................
Yankton Sioux Tribe of South Dakota ......................................................
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Yavapai-Apache Nation of the Camp Verde Indian Reservation, Arizona.
Yavapai-Prescott Indian Tribe ..................................................................
Ysleta Del Sur Pueblo of Texas ...............................................................
Zuni Tribe of the Zuni Reservation, New Mexico ....................................
Yavapai, AZ.
El Paso, TX.70
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).
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 The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115–121, officially recognized the Chickahominy Indian Tribe as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe’s PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed
in the Recognition Act.
9 The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115–121, officially recognized the Chickahominy Indian Tribe—Eastern Division as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal
services. The IHS administratively designated the Tribe’s PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed in the Recognition Act.
10 Skamania County, WA, has historically been a part of the Yakama Service Unit population since 1979.
11 In order to carry out the Congressional intent of the Siletz Restoration Act, Public Law 95–195, as expressed in H. Report No. 95–623, at
page 4, members of the Confederated Tribes of Siletz Indians of Oregon residing in these counties are eligible for contract health services.
12 Chelan County, WA, has historically been a part of the Colville Service Unit population since 1970.
13 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.
14 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.
15 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.
16 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.
17 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.
18 Treasure County, MT, has historically been a part of the Crow Service Unit population.
19 The counties listed have historically been a part of the Grand Traverse Service Unit population since 1980.
20 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).
21 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.
22 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.
23 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.
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24 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.
25 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’’.
26 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.
27 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.
28 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.
29 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.
30 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.
31 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.
32 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.
33 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.
34 Scott County, MS, has historically been a part of the Choctaw Service Unit population since 1970.
35 The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115–121, officially recognized the Monacan
Indian Nation as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe’s PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed in the
Recognition Act.
36 The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115–121, officially recognized the
Nansemond Indian Tribe as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The
IHS administratively designated the Tribe’s PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed in the Recognition Act.
37 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.
38 Entire State of Nevada is included as a CHSDA by regulation (42 CFR 136.22 (a)(2)).
39 Carter County, MT, has historically been a part of the Northern Cheyenne Service Unit population since 1979.
40 Land of Box Elder County, Utah, was taken into trust for the Northwestern Band of Shoshoni Nation in 1986.
41 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.
42 Washabaugh County, SD, merged and became part of Jackson County, SD, in 1983; both were/are CHSDA counties for the Oglala Sioux
Tribe.
43 Entire State of Oklahoma is included as a CHSDA by regulation (42 CFR 136.22 (a)(3)).
44 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.
45 In the Federal Register on July 8, 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 PRCDA, for the purposes of operating a PRC program.
46 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.
47 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.
48 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.
49 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.
50 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.
51 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).
52 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.
53 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.
54 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.).
55 The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115–121, officially recognized the Rappahannock Tribe, Inc. as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe’s PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed
in the Recognition Act.
56 Historically part of Isabella Reservation Area for the Saginaw Chippewa Indian Tribe of Michigan and the Eastern Michigan Service Unit population since 1979.
57 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.
58 CHSDA counties for the Sault Ste. Marie Tribe of Chippewa Indians, Michigan, were designated by regulation (42 CFR 136.22(a)(4)).
59 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.
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60 Lemhi
County, ID, has historically been a part of the Fort Hall Service Unit population since 1979.
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.
62 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.
63 The counties listed are designated administratively as the SDA, to function as a PRC SDA, for the purposes of operating a PRC program
pursuant to the ISDEAA, Public Law 93–638.
64 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).
65 Rapides County, LA, has historically been a part of the Tunica Biloxi Service Unit population since 1982.
66 The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115–121, officially recognized the Upper
Mattaponi Tribe as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe’s PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed in
the Recognition Act.
67 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.
68 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.
69 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).
70 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.
61 The
Chris Buchanan,
RADM, Assistant Surgeon General, Deputy
Director, Indian Health Service.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.361, Nursing Research,
National Institutes of Health, HHS)
[FR Doc. 2020–00905 Filed 1–21–20; 8:45 a.m.]
Dated: January 15, 2020.
Miguelina Perez,
Program Analyst, Office of Federal Advisory
Committee Policy.
BILLING CODE 4165–16–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[FR Doc. 2020–00897 Filed 1–21–20; 8:45 am]
BILLING CODE 4140–01–P
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National Institutes of Health
National Institute of Nursing Research;
Notice of Closed Meeting
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended, notice is hereby given of the
following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
National Institutes of Health
Name of Committee: National Institute of
Nursing Research Initial Review Group.
Date: February 27–28, 2020.
Time: 8:00 a.m. to 12:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: Bethesda Marriott Suites, 6711
Democracy Boulevard, Bethesda, MD 20817.
Contact Person: Cheryl Nordstrom, Ph.D.
Scientific Review Officer, Scientific Review
Branch, National Institute of Nursing
Research, National Institutes of Health, 6701
Rockledge Drive, Room 6187, Bethesda, Md
20892, (301) 827–1499, cheryl.nordstrom@
nih.gov.
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Eunice Kennedy Shriver National
Institute of Child Health & Human
Development; Notice of Closed
Meetings
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended, notice is hereby given of the
following meetings.
The meetings will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Institute of
Child Health and Human Development Initial
Review Group; Biobehavioral and Behavioral
Sciences Subcommittee.
Date: February 14, 2020.
Time: 8:00 a.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
PO 00000
Frm 00102
Fmt 4703
Sfmt 4703
Place: Bethesda North Marriott Hotel &
Conference Center, 5701 Marinelli Road,
Bethesda, MD 20852.
Contact Person: Bradley Monroe Cooke,
Scientific Review Officer, 6710B Rockledge
Drive, Bethesda, MD 20892, 703–292–8460,
brad.cooke@nih.gov.
Name of Committee: National Institute of
Child Health and Human Development Initial
Review Group; Health, Behavior, and Context
Subcommittee; Health, Behavior, and Context
Subcommittee.
Date: February 24, 2020.
Time: 8:00 a.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: Residence Inn Bethesda, 7335
Wisconsin Avenue, Bethesda, MD 20814.
Contact Person: Kimberly L. Houston, MD,
Scientific Review Officer, Eunice Kennedy
Shriver National Institute of Children Health
and Human Development, 6701B Rockledge
Drive, Room 2127B, Bethesda, MD 20892,
301–827–4902, kimberly.houston@nih.gov.
Name of Committee: National Institute of
Child Health and Human Development Initial
Review Group; Developmental Biology
Subcommittee Developmental Biology
Subcommittee.
Date: February 28, 2020.
Time: 8:00 a.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: Residence Inn Bethesda, 7335
Wisconsin Avenue, Bethesda, MD 20814.
Contact Person: Cathy J. Wedeen, Ph.D.,
Scientific Review Officer, Division of
Scientific Review, OD, Eunice Kennedy
Shriver National Institute of Child Health
and Human Development, NIH, DHHS,
6701B Rockledge Drive, Bethesda, MD 20892,
301–435–6878, wedeenc@mail.nih.gov.
Name of Committee: National Institute of
Child Health and Human Development Initial
Review Group; Pediatrics Subcommittee.
Date: March 5, 2020.
Time: 8:00 a.m. to 5:00 p.m.
Agenda: To review and evaluate grant
applications.
E:\FR\FM\22JAN1.SGM
22JAN1
Agencies
[Federal Register Volume 85, Number 14 (Wednesday, January 22, 2020)]
[Notices]
[Pages 3698-3705]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-00905]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Notice of Purchased/Referred Care Delivery Area Designations for
the Chickahominy Indian Tribe, the Chickahominy Indian Tribe--Eastern
Division, the Upper Mattaponi Tribe, the Rappahannock Tribe, Inc., the
Monacan Indian Nation, and the Nansemond Indian Tribe
AGENCY: Indian Health Service, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: Notice is hereby given that the Indian Health Service (IHS) is
establishing the geographic boundaries of the Purchased/Referred Care
Delivery Area (PRCDA) (formerly Contract Health Service Delivery Area
or CHSDA) for six newly recognized Tribes: The Chickahominy Indian
Tribe, the Chickahominy Indian Tribe--Eastern Division, the Upper
Mattaponi Tribe, the Rappahannock Tribe, Inc., the Monacan Indian
Nation, and the Nansemond Indian Tribe.
DATES: This notice is effective as of February 21, 2020.
ADDRESSES: This notice can be found at https://www.federalregister.gov.
Written requests for information or comments submitted by postal mail
or delivery should be addressed to: CDR John Rael, Director, Office of
Resource Access and Partnerships, Indian Health Service, 5600 Fishers
Lane, Mail Stop: 10E85C, Rockville, MD 20857, (301) 443-0609 (This is
not a toll-free number).
SUPPLEMENTARY INFORMATION: The IHS currently provides services under
regulations in effect on September 15, 1987, and republished in the
Code of Federal Regulations (CFR) at 42 CFR part 136, subparts A-C.
When Tribes are recognized under Federal law, either Congress
legislatively designates counties to serve as PRCDAs, or the Director,
IHS, exercises reasonable administrative discretion to designate PRCDAs
to effectuate the intent of Congress for these Tribes. The Director,
IHS, publishes a notice in the Federal Register (FR) when there are
revisions or updates to the list of PRCDAs, including the designation
of PRCDAs for newly recognized Tribes.
At 42 CFR part 136 subpart C, a PRCDA is defined as the geographic
area within which Purchased/Referred Care (PRC) will be made available
by the IHS to members of an identified Indian community who reside in
the area. The regulations provide that, unless otherwise designated, a
PRCDA shall consist of a county which includes all or part of a
reservation and any county or counties which have a common boundary
with the reservation (42 CFR 136.22(a)(6)). Residence within 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 but 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 relative medical priority
of the services to be provided, and the actual availability and
accessibility of alternate resources in accordance with the
regulations.
Under the Thomasina E. Jordan Indian Tribes of Virginia Federal
Recognition Act of 2017 (Recognition Act), Public Law 115-121, the
Chickahominy Indian Tribe, the Chickahominy Indian Tribe--Eastern
Division, the Upper Mattaponi Tribe, the Rappahannock Tribe, Inc., the
Monacan Indian Nation, and the Nansemond Indian Tribe were officially
recognized as Indian Tribes within the meaning of Federal law. The
Recognition Act sets forth service areas for each of the six newly
recognized Tribes, for the purpose of the delivery of Federal services
to Tribal members. Four of these six service areas include specific
references to counties and independent cities in the state of Virginia.
IHS is establishing four PRCDAs in this notice based upon those
specific references. The remaining two service areas enumerated by
Congress in the Recognition Act do not specify either counties or
independent cities. Instead, Congress has indicated a mileage radius
for those two service areas. Since IHS establishes PRCDAs for the
administration of PRC by county, IHS has interpreted this language to
mean all counties within or intersected by the radius specified by
Congress in the Recognition Act, as well as the independent cities
within the contiguous area formed by those counties.
The purpose of this FR notice is to notify the public of the
establishment of the six newly recognized Tribes' PRCDAs, consistent
with the Congressional intent expressed in the Recognition Act. The
Tribes' PRCDAs are designated as follows:
Chickahominy Indian Tribe--New Kent County, James City County,
Charles City County, and Henrico County, Virginia.
Chickahominy Indian Tribe--Eastern Division--New Kent County, James
City County, Charles City County, and Henrico County, Virginia.
Upper Mattaponi Tribe--Richmond County, Middlesex County, Essex
County, King and Queen County, King William County, New Kent County,
Hanover County, Caroline County, Henrico County, Charles City County,
[[Page 3699]]
James City County, and the independent city of Richmond, Virginia.
Rappahannock Tribe, Inc.--King and Queen County, Caroline County,
Essex County, and King William County, Virginia.
Monacan Indian Nation--Amherst County, Nelson County, Albemarle
County, Buckingham County, Appomattox County, Campbell County, Bedford
County, Botetourt County, Rockbridge County, Augusta County, and the
independent cities of Lynchburg, Lexington, Buena Vista, Staunton,
Waynesboro, and Charlottesville, Virginia.
Nansemond Indian Tribe--The independent cities of Chesapeake,
Hampton, Newport News, Norfolk, Portsmouth, Suffolk, and Virginia
Beach, Virginia.
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, the Tribes estimated the eligible user
populations to be as follows: 654 enrolled Chickahominy members; 59
enrolled Chickahominy Eastern Division members; 202 enrolled Upper
Mattaponi members; 202 enrolled Rappahannock members; 881 enrolled
Monacan members; 95 enrolled Nansemond members. The financial resources
required to meet the immediate needs of the Tribal members residing in
the PRCDAs were determined by the IHS, through consultation with the
individual Tribes, and will be placed in the Nashville Area PRC budget.
This notice does not contain reporting or recordkeeping
requirements subject to prior approval by the Office of Management and
Budget under the Paperwork Reduction Act.
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 Permanently closed on May 17,
Health Center, Utah. 1984.\4\
Burns Paiute Tribe..................... Harney, OR.
California............................. Entire State, except for the
counties listed in the
footnote.\5\
Catawba Indian Nation (AKA Catawba All Counties in SC,\6\
Tribe of South Carolina). 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.
Chickahominy Indian Tribe.............. New Kent, VA, James City, VA,
Charles City, VA, Henrico,
VA.\8\
Chickahominy Indian Tribe--Eastern New Kent, VA, James City, VA,
Division. Charles City, VA, Henrico,
VA.\9\
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, WA,\10\ Yakima, WA.
Confederated Tribes of Siletz Indians Benton, OR,\11\ 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.
Confederated Tribes of the Colville Chelan, WA,\12\ Douglas, WA,
Reservation. Ferry, WA, Grant, WA, Lincoln,
WA, Okanogan, WA, Stevens, WA.
Confederated Tribes of the Coos, Lower Coos, OR,\13\ 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,\14\ 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, the city
limits of Elton, LA.\15\
Cow Creek Band of Umpqua Tribe of Coos, OR,\16\ 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,\17\ 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,\18\ 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.
[[Page 3700]]
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 The entire State of Nevada,
Tribes of the Fort McDermitt Indian Malheur, OR.
Reservation, Nevada and Oregon.
Fort McDowell Yavapai Nation, Arizona.. Maricopa, AZ.
Fort Mojave Indian Tribe of Arizona, The entire State of Nevada,
California and Nevada. Mohave, AZ, San 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,\19\ 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.\20\
Havasupai Tribe of the Havasupai Coconino, AZ.
Reservation, Arizona.
Ho-Chunk Nation of Wisconsin........... Adams, WI,\21\ Clark, WI,
Columbia, WI, Crawford, WI,
Dane, WI, Eau Clarrie, WI,
Houston, MN, Jackson, WI,
Juneau, WI, La Crosse, WI,
Marathon, WI, Monroe, WI,
Sauk, WI, Shawano, WI, Vernon,
WI, Wood, WI.
Hoh Indian Tribe....................... Jefferson, WA.
Hopi Tribe of Arizona.................. Apache, AZ, Coconino, AZ,
Navajo, AZ.
Houlton Band of Maliseet Indians....... Aroostook, ME.\22\
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,\23\ 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 (previously Sandoval, NM, Santa Fe, NM.
listed as the Pueblo of Santo Domingo).
Keweenaw Bay Indian Community, Michigan Baraga, MI, Houghton, MI,
Ontonagon, MI.
Kickapoo Traditional Tribe of Texas.... Maverick, TX.\24\
Kickapoo Tribe of Indians of the Brown, KS, Jackson, KS.
Kickapoo Reservation in Kansas.
Klamath Tribes......................... Klamath, OR.\25\
Koi Nation of Northern California Lake, CA, Sonoma, CA.\26\
(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,\27\ 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,\28\ Alger, MI,
Indians, Michigan. Alpena, MI, Antrim, MI,
Benzie, MI, Charlevoix, MI,
Cheboygan, MI, Chippewa, MI,
Crawford, MI, Delta, MI,
Emmet, MI, Grand Traverse, MI,
Iosco, MI, Kalkaska, MI,
Leelanau, MI, Luce, MI,
Mackinac, MI, Manistee, MI,
Missaukee, MI, Montmorency,
MI, Ogemaw, MI, Oscoda, MI,
Otsego, MI, Presque Isle, MI,
Schoolcraft, MI, Roscommon,
MI, Wexford, MI.
Lower Brule Sioux Tribe of the Lower Brule, SD, Buffalo, SD, Hughes,
Brule Reservation, South Dakota. SD, Lyman, SD, Stanley, SD.
Lower Elwha Tribal Community........... Clallam, WA.
Lower Sioux Indian Community in the Redwood, MN, Renville, MN.
State of Minnesota.
Lummi Tribe of the Lummi Reservation... Whatcom, WA.
Makah Indian Tribe of the Makah Indian Clallam, WA.
Reservation.
Mashantucket Pequot Indian Tribe....... New London, CT.\29\
Mashpee Wampanoag Tribe................ Barnstable, MA, Bristol, MA,
Norfolk, MA, Plymouth, MA,
Suffolk, MA.\30\
Match-e-be-nash-she-wish Band of Allegan, MI,\31\ 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,\32\
Jones, MS, Kemper, MS, Leake,
MS, Neshoba, MS, Newton, MS,
Noxubee, MS,\33\ Scott,
MS,\34\ Winston, MS
[[Page 3701]]
Mohegan Tribe of Indians of Fairfield, CT, Hartford, CT,
Connecticut.. Litchfield, CT, Middlesex, CT,
New Haven, CT, New London, CT,
Tolland, CT, Windham, CT.
Monacan Indian Nation.................. Amherst, VA, Nelson, VA,
Albemarle, VA, Buckingham, VA,
Appomattox, VA, Campbell, VA,
Bedford, VA, Botetourt, VA,
Rockbridge, VA, Augusta, VA,
and the independent cities of
Lynchburg, VA, Lexington, VA,
Buena Vista, VA, Staunton, VA,
Waynesboro, VA, and
Charlottesville, VA.\35\
Muckleshoot Indian Tribe............... King, WA, Pierce, WA.
Nansemond Indian Tribe................. The independent cities of
Chesapeake, VA, Hampton, VA,
Newport News, VA, Norfolk, VA,
Portsmouth, VA, Suffolk, VA,
and Virginia Beach, VA.\36\
Narragansett Indian Tribe.............. Washington, RI.\37\
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.\38\
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,\39\
Cheyenne Indian Reservation, Montana. Rosebud, MT.
Northwestern Band of Shoshone Nation... Box Elder, UT.\40\
Nottawaseppi Huron Band of the Allegan, MI,\41\ 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,\42\
Mellette, SD, Pennington, SD,
Shannon, SD, Sheridan, NE,
Todd, SD.
Ohkay Owingeh, New Mexico.............. Rio Arriba, NM.
Oklahoma............................... Entire State.\43\
Omaha Tribe of Nebraska................ Burt, NE, Cuming, NE, Monona,
IA, Thurston, NE, Wayne, NE.
Oneida Nation (previously listed as the Brown, WI, Outagamie, WI.
Oneida Tribe of Indians of Wisconsin).
Oneida Indian Nation (previously listed Chenango, NY, Cortland, NY,
as the Oneida Nation of New York). Herkimer, NY, Madison, NY,
Oneida, NY, Onondaga, NY.
Onondaga Nation........................ Onondaga, NY.
Paiute Indian Tribe of Utah............ Iron, UT,\44\ Millard, UT,
Sevier, UT, Washington, UT.
Pamunkey Indian Tribe.................. Caroline, VA, Hanover, VA,
Henrico, VA, King William, VA,
King and Queen, VA, New Kent,
VA, and the independent city
of Richmond, VA.\45\
Pascua Yaqui Tribe of Arizona.......... Pima, AZ.\46\
Passamaquoddy Tribe.................... Aroostook, ME,\47\ \48\
Hancock, ME,\49\ Washington,
ME.
Penobscot Nation....................... Aroostook, ME,\50\ Penobscot,
ME.
Poarch Band of Creeks.................. Baldwin, AL,\51\ Elmore, AL,
Escambia, AL, Mobile, AL,
Monroe, AL, Escambia, FL.
Pokagon Band of Pottawatomi Indians, Allegan, MI,\52\ 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,\53\ 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.
Pueblo of San Ildefonso, New Mexico.... Los Alamos, NM, Rio Arriba, NM,
Sandoval, NM, Santa Fe, NM.
Pueblo of Sandia, New Mexico........... Bernalillo, NM, Sandoval, NM.
Pueblo of Santa Ana, New Mexico........ Sandoval, NM.
Pueblo of Santa Clara, New Mexico...... Los Alamos, NM, Sandoval, NM,
Santa Fe, NM.
Pueblo of Taos, New Mexico............. Colfax, NM, Taos, NM.
Pueblo of Tesuque, Mexico.............. Sana Fe, NM.
Pueblo of Zia, New Mexico.............. Sandoval, NM.
Puyallup Tribe of the Puyallup King, WA, Pierce, WA, Thurston,
Reservation. WA.
[[Page 3702]]
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.\54\
Rappahannock Tribe, Inc................ King and Queen County, VA,
Caroline County, VA, Essex
County, VA, King William
County, VA.\55\
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,\56\ 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,\57\ 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,\58\ 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,\59\ 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,\60\
Power, ID.
Shoshone-Paiute Tribes of the Duck The entire state of Nevada,
Valley Reservation, Nevada. Owyhee, 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,\61\ 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.\62\
Three Affiliated Tribes of the Fort Dunn, ND, Mercer, ND, McKenzie,
Berthold Reservation, North Dakota. ND, McLean, ND, Mountrail, ND,
Ward, ND.
Tohono O'odham Nation of Arizona....... Maricopa, AZ, Pima, AZ, Pinal,
AZ.
Tolowa Dee-ni' Nation (formerly known California, Curry, OR.\63\
as Smith River Rancheria of
California).
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,\64\ 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.\65\
Turtle Mountain Band of Chippewa Rolette, ND.
Indians of North Dakota.
Tuscarora Nation....................... Niagara, NY.
[[Page 3703]]
Upper Mattaponi Tribe.................. Caroline, VA, Charles City, VA,
Essex, VA, Hanover, VA,
Henrico, VA, James City, VA,
King and Queen, VA, King
William, VA, Middlesex, VA,
New Kent, VA, Richmond, VA and
the independent city of
Richmond, VA.\66\
Upper Sioux Community, Minnesota....... Chippewa, MN, Yellow Medicine,
MN.
Upper Skagit Indian Tribe.............. Skagit, WA.
Ute Indian Tribe of the Uintah & Ouray Carbon, UT, Daggett, UT,
Reservation, Utah. Duchesne, UT, Emery, UT,
Grand, UT, Rio Blanco, CO,
Summit, UT, Uintah, UT, Utah,
UT, Wasatch, UT.
Ute Mountain Ute Tribe................. Apache, AZ, La Plata, CO,
Montezuma, CO, San Juan, NM,
San Juan, UT.
Wampanoag Tribe of Gay Head (Aquinnah). Dukes, MA,\67\ Barnstable, MA,
Bristol, MA, Norfolk, MA,
Plymouth, MA, Suffolk, MA.\68\
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.\69\
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.\70\
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).
\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\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
Recognition Act of 2017, Public Law 115-121, officially recognized the
Chickahominy Indian Tribe as an Indian Tribe within the meaning of
Federal law, and specified an area for the delivery of Federal
services. The IHS administratively designated the Tribe's PRCDA, for
the purposes of operating a PRC program, consistent with the
Congressional intent expressed in the Recognition Act.
\9\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
Recognition Act of 2017, Public Law 115-121, officially recognized the
Chickahominy Indian Tribe--Eastern Division as an Indian Tribe within
the meaning of Federal law, and specified an area for the delivery of
Federal services. The IHS administratively designated the Tribe's
PRCDA, for the purposes of operating a PRC program, consistent with
the Congressional intent expressed in the Recognition Act.
\10\ Skamania County, WA, has historically been a part of the Yakama
Service Unit population since 1979.
\11\ In order to carry out the Congressional intent of the Siletz
Restoration Act, Public Law 95-195, as expressed in H. Report No. 95-
623, at page 4, members of the Confederated Tribes of Siletz Indians
of Oregon residing in these counties are eligible for contract health
services.
\12\ Chelan County, WA, has historically been a part of the Colville
Service Unit population since 1970.
\13\ 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.
\14\ 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.
\15\ 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.
\16\ 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.
\17\ 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.
\18\ Treasure County, MT, has historically been a part of the Crow
Service Unit population.
\19\ The counties listed have historically been a part of the Grand
Traverse Service Unit population since 1980.
\20\ 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).
\21\ 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.
\22\ 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.
\23\ 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.
[[Page 3704]]
\24\ 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.
\25\ 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''.
\26\ 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.
\27\ 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.
\28\ 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.
\29\ 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.
\30\ 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.
\31\ 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.
\32\ 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.
\33\ 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.
\34\ Scott County, MS, has historically been a part of the Choctaw
Service Unit population since 1970.
\35\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
Recognition Act of 2017, Public Law 115-121, officially recognized the
Monacan Indian Nation as an Indian Tribe within the meaning of Federal
law, and specified an area for the delivery of Federal services. The
IHS administratively designated the Tribe's PRCDA, for the purposes of
operating a PRC program, consistent with the Congressional intent
expressed in the Recognition Act.
\36\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
Recognition Act of 2017, Public Law 115-121, officially recognized the
Nansemond Indian Tribe as an Indian Tribe within the meaning of
Federal law, and specified an area for the delivery of Federal
services. The IHS administratively designated the Tribe's PRCDA, for
the purposes of operating a PRC program, consistent with the
Congressional intent expressed in the Recognition Act.
\37\ 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.
\38\ Entire State of Nevada is included as a CHSDA by regulation (42 CFR
136.22 (a)(2)).
\39\ Carter County, MT, has historically been a part of the Northern
Cheyenne Service Unit population since 1979.
\40\ Land of Box Elder County, Utah, was taken into trust for the
Northwestern Band of Shoshoni Nation in 1986.
\41\ 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.
\42\ Washabaugh County, SD, merged and became part of Jackson County,
SD, in 1983; both were/are CHSDA counties for the Oglala Sioux Tribe.
\43\ Entire State of Oklahoma is included as a CHSDA by regulation (42
CFR 136.22 (a)(3)).
\44\ 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.
\45\ In the Federal Register on July 8, 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 PRCDA, for the purposes of operating a PRC
program.
\46\ 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.
\47\ 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.
\48\ 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.
\49\ 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.
\50\ 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.
\51\ 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).
\52\ 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.
\53\ 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.
\54\ 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.).
\55\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
Recognition Act of 2017, Public Law 115-121, officially recognized the
Rappahannock Tribe, Inc. as an Indian Tribe within the meaning of
Federal law, and specified an area for the delivery of Federal
services. The IHS administratively designated the Tribe's PRCDA, for
the purposes of operating a PRC program, consistent with the
Congressional intent expressed in the Recognition Act.
\56\ Historically part of Isabella Reservation Area for the Saginaw
Chippewa Indian Tribe of Michigan and the Eastern Michigan Service
Unit population since 1979.
\57\ 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.
\58\ CHSDA counties for the Sault Ste. Marie Tribe of Chippewa Indians,
Michigan, were designated by regulation (42 CFR 136.22(a)(4)).
\59\ 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.
[[Page 3705]]
\60\ Lemhi County, ID, has historically been a part of the Fort Hall
Service Unit population since 1979.
\61\ 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.
\62\ 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.
\63\ The counties listed are designated administratively as the SDA, to
function as a PRC SDA, for the purposes of operating a PRC program
pursuant to the ISDEAA, Public Law 93-638.
\64\ 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).
\65\ Rapides County, LA, has historically been a part of the Tunica
Biloxi Service Unit population since 1982.
\66\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
Recognition Act of 2017, Public Law 115-121, officially recognized the
Upper Mattaponi Tribe as an Indian Tribe within the meaning of Federal
law, and specified an area for the delivery of Federal services. The
IHS administratively designated the Tribe's PRCDA, for the purposes of
operating a PRC program, consistent with the Congressional intent
expressed in the Recognition Act.
\67\ 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.
\68\ 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.
\69\ 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).
\70\ 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.
Chris Buchanan,
RADM, Assistant Surgeon General, Deputy Director, Indian Health
Service.
[FR Doc. 2020-00905 Filed 1-21-20; 8:45 a.m.]
BILLING CODE 4165-16-P