Notice of Purchased/Referred Care Delivery Area Redesignation for the Minnesota Chippewa Tribe, Minnesota, Mille Lacs Band of Ojibwe, 65055-65062 [2020-22719]

Agencies

• DEPARTMENT OF HEALTH AND HUMAN SERVICES
• Indian Health Service

[Federal Register Volume 85, Number 199 (Wednesday, October 14, 2020)]
[Notices]
[Pages 65055-65062]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-22719]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Notice of Purchased/Referred Care Delivery Area Redesignation for 
the Minnesota Chippewa Tribe, Minnesota, Mille Lacs Band of Ojibwe

AGENCY: Indian Health Service, HHS.

ACTION: Notice.

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

SUMMARY: This Notice advises the public that the Indian Health Service 
(IHS) proposes to expand the geographic boundaries of the Purchased/
Referred Care Delivery Area (PRCDA) for the Mille Lacs Band of Ojibwe 
in the State of Minnesota to include the Minnesota counties of Crow 
Wing and Morrison in the State of Minnesota. The current PRCDA for the 
Mille Lacs Band of Ojibwe includes the Minnesota counties of Aitkin, 
Kanebec, Mille Lacs, and Pine. Mille Lacs Band of Ojibwe members 
residing outside of the PRCDA are eligible for direct care services, 
however, they are not eligible for Purchased/Referred Care (PRC) 
services. The sole purpose of this expansion would be to authorize 
additional Mille Lacs Band of Ojibwe members and beneficiaries to 
receive PRC services.

DATES: Comments must be submitted November 13, 2020.

ADDRESSES: Because of staff and resource limitations, we cannot accept 
comments by facsimile (FAX) transmission. You may submit comments in 
one of four ways (please choose only one of the ways listed):
    1. Electronically. You may submit electronic comments on this 
regulation to https://www.regulations.gov. Follow the ``Submit a 
Comment'' instructions.
    2. By regular mail. You may mail written comments to the following 
address ONLY: Evonne Bennett, Acting Director, Division of Regulatory 
and Policy Coordination, Indian Health Service, 5600 Fishers Lane, Mail 
Stop: 09E70, Rockville, Maryland 20857. Please allow sufficient time 
for mailed comments to be received before the close of the comment 
period.
    3. By express or overnight mail. You may send written comments to 
the above address.
    4. By hand or courier. If you prefer, you may deliver (by hand or 
courier) your written comments before the close of the comment period 
to the address above.
    If you intend to deliver your comments to the Rockville address, 
please call telephone number (301) 443-1116 in advance to schedule your 
arrival with a staff member.

SUPPLEMENTARY INFORMATION: Inspection of Public Comments: All comments 
received before the close of the comment period are available for 
viewing by the public, including any personally identifiable or 
confidential business information that is included in a comment.

FOR FURTHER INFORMATION CONTACT: CAPT John Rael, Director, Office of 
Resource Access and Partnerships, Indian Health Service, 5600 Fishers 
Lane, Mail Stop: 10E85C, Rockville, Maryland 20857. Telephone 301/443-
0969 (This is not a toll free number).

SUPPLEMENTARY INFORMATION: 
    Background: The IHS provides services under regulations in effect 
as of September 15, 1987, and republished at 42 CFR part 136, subparts 
A-C. Subpart C defines a Contract Health Service Delivery Area (CHSDA), 
now referred to as a PRCDA, as the geographic area within which PRC 
will be made available by the IHS to members of an identified Indian 
community who reside in the PRCDA. 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/
Tribal facility, are provided under the PRC program depending on the 
availability of funds, the person's relative medical priority, and the 
actual availability and accessibility of alternate resources in 
accordance with the regulations.
    The regulations at 42 CFR part 136, subpart C 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). The 
regulations also provide that after consultation with the Tribal 
governing body or bodies on those reservations included within the 
PRCDA, the Secretary may from time to time, redesignate areas within 
the United States for inclusion in or exclusion from a PRCDA. The 
regulations require that certain criteria must be considered before any 
redesignation is made. The criteria are as follows:
    (1) The number of Indians residing in the area proposed to be so 
included or excluded;
    (2) Whether the Tribal governing body has determined that Indians 
residing in the area near the reservation are socially and economically 
affiliated with the Tribe;
    (3) The geographic proximity to the reservation of the area whose 
inclusion or exclusion is being considered; and
    (4) The level of funding which would be available for the provision 
of PRC.
    Additionally, the regulations require that any redesignation of a 
PRCDA must be made in accordance with the procedures of the 
Administrative Procedure Act (5 U.S.C. 553). In compliance with this 
requirement, IHS is publishing this Notice and requesting public 
comments.
    The Minnesota Chippewa Tribe, Minnesota, Mille Lacs Band of Ojibwe 
Tribe's Reservation boundaries were established by the 1855 Treaty 
between the Chippewa and the United States. While the Mille Lacs Band 
of Ojibwe's PRCDA currently consists of Aitkin, Kanebec, Mille Lacs, 
and Pine counties in the State of Minnesota, the Mille Lacs Band of 
Ojibwe attests by Tribal Resolution that many Mille Lacs Band of Ojibwe 
members reside in the nearby Minnesota counties of Crow Wing and

[[Page 65056]]

Morrison. These counties are not currently part of a Tribe's designated 
PRCDA. Accordingly, IHS proposes to expand the Mille Lacs Band of 
Ojibwe's PRCDA to include the Minnesota Counties of Crow Wing and 
Morrison.
    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 other IHS beneficiaries who maintain close 
economic and social ties with the Tribe. In this case, applying the 
aforementioned PRCDA redesignation criteria required by operative 
regulations codified at 42 CFR part 136, subpart C, the following 
findings are made:
    1. By expanding, the Mille Lacs Band of Ojibwe estimates the 
current eligible population will be increased by 324.
    2. The Mille Lacs Band of Ojibwe has determined that these 324 
individuals are members of the Mille Lacs Band of Ojibwe and they are 
socially and economically affiliated with the Mille Lacs Band of 
Ojibwe.
    3. The expanded area including Crow Wing and Morrison counties in 
the State of Minnesota maintain a common boundary with the current 
PRCDA consisting of Aitkin, Kanebec, Mille Lacs, and Pine counties in 
the State of Minnesota.
    4. The Mille Lacs Band of Ojibwe will use its existing Federal 
allocation for PRC funds to provide services to the expanded 
population. No additional financial resources will be allocated by IHS 
to the Mille Lacs Band of Ojibwe to provide services to Mille Lacs Band 
of Ojibwe members residing in Crow Wing and Morrison counties in the 
State of Minnesota.
    This Notice does not contain reporting or recordkeeping 
requirements subject to prior approval by the Office of Management and 
Budget under the Paperwork Reduction Act of 1980.

------------------------------------------------------------------------
         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, Richland,
 Fort Peck Indian Reservation,        MT, Roosevelt, MT, Sheridan, MT,
 Montana.                             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,          Chippewa, MI.
 Michigan.
Blackfeet Tribe of the Blackfeet     Glacier, MT, Pondera, MT.
 Indian 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\ Cabarrus,
 Tribe of South Carolina).            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, SD,
 Cheyenne River Reservation, South    Meade, SD, Perkins, SD, Potter,
 Dakota.                              SD, Stanley, SD, Sully, SD,
                                      Walworth, SD, Ziebach, SD.
Chippewa-Cree Indians of the Rocky   Chouteau, MT, Hill, MT, Liberty,
 Boy's Reservation, Montana.          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     Flathead, MT, Lake, MT, Missoula,
 Tribes of the Flathead Reservation.  MT, Sanders, MT.
Confederated Tribes and Bands of     Klickitat, WA, Lewis, WA, Skamania,
 the Yakama Nation.                   WA,\10\ Yakima, WA.
Confederated Tribes of Siletz        Benton, OR,\11\ Clackamas, OR,
 Indians 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, Ferry,
 Reservation.                         WA, Grant, WA, Lincoln, WA,
                                      Okanogan, WA, Stevens, WA.
Confederated Tribes of the Coos,     Coos, OR,\13\ Curry, OR, Douglas,
 Lower Umpqua and Siuslaw Indians.    OR, Lane, OR, Lincoln, OR.
Confederated Tribes of the Goshute   The entire State of Nevada, Juab,
 Reservation, Nevada and Utah.        UT, Toole, UT.
Confederated Tribes of the Grand     Marion, OR, Multnomah, OR, Polk,
 Ronde Community of Oregon.           OR,\14\ Tillamook, OR, Washington,
                                      OR, Yamhill, OR.
Confederated Tribes of the Umatilla  Umatilla, OR, Union, OR.
 Indian Reservation.
Confederated Tribes of the Warm      Clackamas, OR, Jefferson, OR, Linn,
 Springs Reservation of Oregon.       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, SD,
 Creek Reservation, South Dakota.     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 65057]]

 
Flandreau Santee Sioux Tribe of      Moody, SD.
 South Dakota.
Forest County Potawatomi Community,  Forest, WI, Marinette, WI, Oconto,
 Wisconsin.                           WI.
Fort Belknap Indian Community of     Blaine, MT, Phillips, MT.
 the Fort Belknap Reservation of
 Montana.
Fort McDermitt Paiute and Shoshone   The entire State of Nevada,
 Tribes of the Fort McDermitt         Malheur, OR.
 Indian Reservation, Nevada and
 Oregon.
Fort McDowell Yavapai Nation,        Maricopa, AZ.
 Arizona.
Fort Mojave Indian Tribe of          The entire State of Nevada, Mohave,
 Arizona, California and Nevada.      AZ, San Bernardino, CA.
Gila River Indian Community of the   Maricopa, AZ, Pinal, AZ.
 Gila 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,        Delta, MI, Menominee, MI.
 Michigan.
Haskell Indian Health Center.......  Douglas, KS.\20\
Havasupai Tribe of the Havasupai     Coconino, AZ, Mohave, AZ.\21\
 Reservation, Arizona.
Ho-Chunk Nation of Wisconsin.......  Adams, WI,\22\ Clark, WI, Columbia,
                                      WI, Crawford, WI, Dane, WI, Eau
                                      Claire, WI, Houston, MN, Jackson,
                                      WI, Juneau, WI, La Crosse, WI,
                                      Marathon, WI, Monroe, WI, Sauk,
                                      WI, Shawano, WI, Vernon, WI, Wood,
                                      WI.
Hoh Indian Tribe...................  Jefferson, WA.
Hopi Tribe of Arizona..............  Apache, AZ, Coconino, AZ, Navajo,
                                      AZ.
Houlton Band of Maliseet Indians...  Aroostook, ME.\23\
Hualapai Indian Tribe of the         Coconino, AZ, Mohave, AZ, Yavapai,
 Hualapai Indian Reservation,         AZ.
 Arizona.
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,\24\ LaSalle
                                      Parish, LA, Rapides, LA.
Jicarilla Apache Nation, New Mexico  Archuleta, CO, Rio Arriba, NM,
                                      Sandoval, NM.
Kaibab Band of Paiute Indians of     Coconino, AZ, Mohave, AZ, Kane, UT.
 the Kaibab Indian Reservation,
 Arizona.
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,       Baraga, MI, Houghton, MI,
 Michigan.                            Ontonagon, MI.
Kickapoo Traditional Tribe of Texas  Maverick, TX.\25\
Kickapoo Tribe of Indians of the     Brown, KS, Jackson, KS.
 Kickapoo Reservation in Kansas.
Klamath Tribes.....................  Klamath, OR.\26\
Koi Nation of Northern California    Lake, CA, Sonoma, CA.\27\
 (formerly known as Lower Lake
 Rancheria, California).
Kootenai Tribe of Idaho............  Boundary, ID.
Lac Courte Oreilles Band of          Sawyer, WI.
 Superior Chippewa Indians of
 Wisconsin.
Lac du Flambeau Band of Lake         Iron, WI, Oneida, WI, Vilas, WI.
 Superior Chippewa Indians of the
 Lac du Flambeau Reservation of
 Wisconsin.
Lac Vieux Desert Band of Lake        Gogebic, MI.
 Superior Chippewa Indians of
 Michigan.
Little River Band of Ottawa          Kent, MI,\28\ Muskegon, MI,
 Indians, Michigan.                   Newaygo, MI, Oceana, MI, Ottawa,
                                      MI, Manistee, MI, Mason, MI,
                                      Wexford, MI, Lake, MI.
Little Shell Tribe of Chippewa       Blaine, MT, Cascade, MT, Glacier,
 Indians of Montana.                  MT, Hill, MT.\29\
Little Traverse Bay Bands of Odawa   Alcona, MI,\30\ Alger, MI, Alpena,
 Indians, Michigan.                   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       Brule, SD, Buffalo, SD, Hughes, SD,
 Lower Brule Reservation, South       Lyman, SD, Stanley, SD.
 Dakota.
Lower Elwha Tribal Community.......  Clallam, WA.
Lower Sioux Indian Community in the  Redwood, MN, Renville, MN.
 State of Minnesota.
Lummi Tribe of the Lummi             Whatcom, WA.
 Reservation.
Makah Indian Tribe of the Makah      Clallam, WA.
 Indian Reservation.
Mashantucket Pequot Indian Tribe...  New London, CT.\31\
Mashpee Wampanoag Tribe............  Barnstable, MA, Bristol, MA,
                                      Norfolk, MA, Plymouth, MA,
                                      Suffolk, MA.\32\
Match-e-be-nash-she-wish Band of     Allegan, MI,\33\ 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        Chaves, NM, Lincoln, NM, Otero, NM.
 Mescalero Reservation, New Mexico.
Miccosukee Tribe of Indians........  Broward, FL, Collier, FL, Miami-
                                      Dade, FL, Hendry, FL.
Minnesota Chippewa Tribe,            Itasca, MN, Koochiching, MN, St.
 Minnesota, Bois Forte Band (Nett     Louis, MN.
 Lake).
Minnesota Chippewa Tribe,            Carlton, MN, St. Louis, MN.
 Minnesota, Fond du Lac Band.
Minnesota Chippewa Tribe,            Cook, MN.
 Minnesota, Grand Portage Band.
Minnesota Chippewa Tribe,            Beltrami, MN, Cass, MN, Hubbard,
 Minnesota, Leech Lake Band.          MN, Itasca, MN.
Minnesota Chippewa Tribe,            Aitkin, MN, Crow Wing, MN,\34\
 Minnesota, Mille Lacs Band.          Kanebec, MN, Mille Lacs, MN,
                                      Morrison, MN,\35\ Pine, MN.
Minnesota Chippewa Tribe,            Becker, MN, Clearwater, MN,
 Minnesota, White Earth Band.         Mahnomen, MN, Norman, MN, Polk,
                                      MN.

[[Page 65058]]

 
Mississippi Band of Choctaw Indians  Attala, MS, Jasper, MS,\36\ Jones,
                                      MS, Kemper, MS, Leake, MS,
                                      Neshoba, MS, Newton, MS, Noxubee,
                                      MS,\37\ Scott, MS,\38\ Winston,
                                      MS.
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.\39\
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.\40\
Narragansett Indian Tribe..........  Washington, RI.\41\
Navajo Nation, Arizona, New Mexico,  Apache, AZ, Bernalillo, NM, Cibola,
 & Utah.                              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.\42\
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       Big Horn, MT, Carter, MT,\43\
 Northern Cheyenne Indian             Rosebud, MT.
 Reservation, Montana.
Northwestern Band of Shoshone        Box Elder, UT,\44\ Davis, UT, Salt
 Nation.                              Lake, UT, Weber, UT.\45\
Nottawaseppi Huron Band of the       Allegan, MI,\46\ Barry, MI, Branch,
 Pottawatomi, Michigan.               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,\47\ Mellette, SD,
                                      Pennington, SD, Shannon, SD,
                                      Sheridan, NE, Todd, SD.
Ohkay Owingeh, New Mexico..........  Rio Arriba, NM.
Oklahoma...........................  Entire State.\48\
Omaha Tribe of Nebraska............  Burt, NE, Cuming, NE, Monona, IA,
                                      Thurston, NE, Wayne, NE.
Oneida Nation (previously listed as  Brown, WI, Outagamie, WI.
 the Oneida Tribe of Indians of
 Wisconsin).
Oneida Indian Nation (previously     Chenango, NY, Cortland, NY,
 listed as the Oneida Nation of New   Herkimer, NY, Madison, NY, Oneida,
 York).                               NY, Onondaga, NY.
Onondaga Nation....................  Onondaga, NY.
Paiute Indian Tribe of Utah........  Iron, UT,\49\ 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.\50\
Pascua Yaqui Tribe of Arizona......  Pima, AZ.\51\
Passamaquoddy Tribe................  Aroostook, ME,52 53 Hancock,
                                      ME,\54\ Washington, ME.
Penobscot Nation...................  Aroostook, ME,\55\ Penobscot, ME.
Poarch Band of Creeks..............  Baldwin, AL,\56\ Elmore, AL,
                                      Escambia, AL, Mobile, AL, Monroe,
                                      AL, Escambia, FL.
Pokagon Band of Pottawatomi          Allegan, MI,\57\ Berrien, MI, Cass,
 Indians, Michigan and Indiana.       MI, Elkhart, IN, Kosciusko, IN, La
                                      Porte, IN, Marshall, IN, St.
                                      Joseph, IN, Starke, IN, Van Buren,
                                      MI.
Ponca Tribe of Nebraska............  Boyd, NE,\58\ 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   Goodhue, MN.
 the 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..........  Santa Fe, NM.
Pueblo of Zia, New Mexico..........  Sandoval, NM.
Puyallup Tribe of the Puyallup       King, WA, Pierce, WA, Thurston, WA.
 Reservation.

[[Page 65059]]

 
Quechan Tribe of the Fort Yuma       Yuma, AZ, Imperial, CA.
 Indian 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.\59\
Rappahannock Tribe, Inc............  King and Queen County, VA, Caroline
                                      County, VA, Essex County, VA, King
                                      William County, VA.\60\
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, Gregory,
 Indian Reservation, South Dakota.    SD, Lyman, SD, Mellette, SD, Todd,
                                      SD, Tripp, SD.
Sac & Fox Nation of Missouri in      Brown, KS, Richardson, NE.
 Kansas and Nebraska.
Sac & Fox Tribe of the Mississippi   Tama, IA.
 in Iowa.
Saginaw Chippewa Indian Tribe of     Arenac, MI,\61\ 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,\62\ 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, AZ,
 Carlos Reservation, Arizona.         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,\63\ Chippewa, MI, Delta,
 Indians, Michigan.                   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           Scott, MN.
 Community of Minnesota.
Shinnecock Indian Nation...........  Nassau, NY,\64\ Suffolk, NY.
Shoalwater Bay Tribe of the          Pacific, WA.
 Shoalwater Bay Indian Reservation.
Shoshone-Bannock Tribes of the Fort  Bannock, ID, Bingham, ID, Caribou,
 Hall Reservation.                    ID, Lemhi, ID,\65\ Power, ID.
Shoshone-Paiute Tribes of the Duck   The entire state of Nevada, Owyhee,
 Valley Reservation, Nevada.          ID.
Sisseton-Wahpeton Oyate of the Lake  Codington, SD, Day, SD, Grant, SD,
 Traverse Reservation, South Dakota.  Marshall, SD, Richland, ND,
                                      Roberts, SD, Sargent, ND,
                                      Traverse, MN.
Skokomish Indian Tribe.............  Mason, WA.
Skull Valley Band of Goshute         Tooele, UT.
 Indians of Utah.
Snoqualmie Indian Tribe............  King, WA,\66\ Snohomish, WA,
                                      Pierce, WA, Island, WA, Mason, WA.
Sokaogon Chippewa Community,         Forest, WI.
 Wisconsin.
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, Stevens,
 Reservation.                         WA.
Squaxin Island Tribe of the Squaxin  Mason, WA.
 Island Reservation.
St. Croix Chippewa Indians of        Barron, WI, Burnett, WI, Pine, MN,
 Wisconsin.                           Polk, WI, Washburn, WI.
Standing Rock Sioux Tribe of North   Adams, ND, Campbell, SD, Corson,
 & South Dakota.                      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,        Menominee, WI, Shawano, WI.
 Wisconsin.
Suquamish Indian Tribe of the Port   Kitsap, WA.
 Madison Reservation.
Swinomish Indian Tribal Community..  Skagit, WA.
Tejon Indian Tribe.................  The State of California including
                                      Kern, CA.\67\
Three Affiliated Tribes of the Fort  Dunn, ND, Mercer, ND, McKenzie, ND,
 Berthold Reservation, North Dakota.  McLean, ND, Mountrail, ND, Ward,
                                      ND.
Tohono O'odham Nation of Arizona...  Maricopa, AZ, Pima, AZ, Pinal, AZ.
Tolowa Dee-ni' Nation (formerly      California, Curry, OR.\68\
 known 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   Divide, ND,\69\ McKenzie, ND,
 and Montana.                         Williams, ND, Richland, MT,
                                      Roosevelt, MT, Sheridan, MT.
Tulalip Tribes of Washington.......  Snohomish, WA.
Tunica-Biloxi Indian Tribe.........  Avoyelles, LA, Rapides, LA.\70\
Turtle Mountain Band of Chippewa     Rolette, ND.
 Indians of North Dakota.
Tuscarora Nation...................  Niagara, NY.
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.\71\
Upper Sioux Community, Minnesota...  Chippewa, MN, Yellow Medicine, MN.

[[Page 65060]]

 
Upper Skagit Indian Tribe..........  Skagit, WA.
Ute Indian Tribe of the Uintah &     Carbon, UT, Daggett, UT, Duchesne,
 Ouray Reservation, Utah.             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          Dukes, MA,\72\ Barnstable, MA,
 (Aquinnah).                          Bristol, MA, Norfolk, MA,
                                      Plymouth, MA, Suffolk, MA.\73\
Washoe Tribe of Nevada & California  The State of Nevada, The State of
                                      California except for the counties
                                      listed in footnote.
White Mountain Apache Tribe of the   Apache, AZ, Coconino, AZ, Gila, AZ,
 Fort Apache Reservation, Arizona.    Graham, AZ, Greenlee, AZ, Navajo,
                                      AZ.
Wilton Rancheria, California.......  The State of California including
                                      Sacramento, CA.\74\
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    Yavapai, AZ.
 Verde Indian Reservation, Arizona.
Yavapai-Prescott Indian Tribe......  Yavapai, AZ.
Ysleta Del Sur Pueblo of Texas.....  El Paso, TX.\75\
Zuni Tribe of the Zuni Reservation,  Apache, AZ, Cibola, NM, McKinley,
 New Mexico.                          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(b)) 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\ The PRCDA for the Havasupai Tribe of Arizona was expanded
  administratively by the Director, IHS, through regulation (42 CFR
  136.22(b)) to include Mohave County in the State of Arizona.
\22\ 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.
\23\ 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.
\24\ 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.
\25\ 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.
\26\ 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''.

[[Page 65061]]

 
\27\ 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.
\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\ In Public Law 116-92, that became law on December 20, 2019,
  Congress federally recognized the Little Shell Tribe of Chippewa
  Indians of Montana. Consistent with Public Law 116-92, the IHS
  designated the counties as the PRCDA for the Little Shell Tribe of
  Chippewa Indians of Montana.
\30\ 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.
\31\ 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.
\32\ 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.
\33\ 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.
\34\ The PRCDA for the Mille Lacs Band of Ojibwe was expanded
  administratively by the Director, IHS, through regulation (42 CFR
  136.22(b)) to include the counties of Crow Wing and Morrison in the
  State of Minnesota.
\35\ The PRCDA for the Mille Lacs Band of Ojibwe was expanded
  administratively by the Director, IHS, through regulation (42 CFR
  136.22(b)) to include the counties of Crow Wing and Morrison in the
  State of Minnesota.
\36\ 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.
\37\ 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.
\38\ Scott County, MS, has historically been a part of the Choctaw
  Service Unit population since 1970.
\39\ 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.
\40\ 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.
\41\ 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.
\42\ Entire State of Nevada is included as a CHSDA by regulation (42 CFR
  136.22 (a)(2)).
\43\ Carter County, MT, has historically been a part of the Northern
  Cheyenne Service Unit population since 1979.
\44\ Land of Box Elder County, Utah, was taken into trust for the
  Northwestern Band of Shoshone Nation in 1986.
\45\ The PRCDA for the Northwestern Band of Shoshone Nation was expanded
  administratively by the Director, IHS, through regulation (42 CFR
  136.22(b)) to include the counties of Davis, Salt Lake, and Weber, in
  the State of Utah.
\46\ 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.
\47\ Washabaugh County, SD, merged and became part of Jackson County,
  SD, in 1983; both were/are CHSDA counties for the Oglala Sioux Tribe.
\48\ Entire State of Oklahoma is included as a CHSDA by regulation (42
  CFR 136.22 (a)(3)).
\49\ 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.
\50\ 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.
\51\ 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.
\52\ 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.
\53\ 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.
\54\ 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.
\55\ 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.
\56\ 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).
\57\ 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.
\58\ 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.
\59\ 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.).
\60\ 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.
\61\ Historically part of Isabella Reservation Area for the Saginaw
  Chippewa Indian Tribe of Michigan and the Eastern Michigan Service
  Unit population since 1979.
\62\ 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.

[[Page 65062]]

 
\63\ CHSDA counties for the Sault Ste. Marie Tribe of Chippewa Indians,
  Michigan, were designated by regulation (42 CFR 136.22(a)(4)).
\64\ 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.
\65\ Lemhi County, ID, has historically been a part of the Fort Hall
  Service Unit population since 1979.
\66\ 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.
\67\ On December 30, 2011 the Office of Assistant Secretary-Indian
  Affairs reaffirmed the Federal recognition of the Tejon Indian Tribe.
  Kern County, CA, was designated administratively as part of the
  Tribe's CHSDA in addition to the CHSDA established by Congress for the
  State of California. Kern 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).
\68\ 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.
\69\ 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, Public Law 94-437).
\70\ Rapides County, LA, has historically been a part of the Tunica
  Biloxi Service Unit population since 1982.
\71\ 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.
\72\ 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.
\73\ 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.
\74\ 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 part of the Rancheria's
  CHSDA in addition to the CHSDA established by Congress for the State
  of California. 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).
\75\ 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.


Michael D. Weahkee,
Assistant Surgeon General, RADM, U.S. Public Health Service, Director, 
Indian Health Service.
[FR Doc. 2020-22719 Filed 10-13-20; 8:45 a.m.]
BILLING CODE 4165-16-P