Notice of Purchased/Referred Care Delivery Area Redesignation for the Hoh Indian Tribe in the State of Washington, 37071-37076 [2023-12042]
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Federal Register / Vol. 88, No. 108 / Tuesday, June 6, 2023 / Notices
ACTION:
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[Docket No. FDA–2013–N–0845]
Bracco Diagnostics et al.; Withdrawal
of Approval of 52 New Drug
Applications and 77 Abbreviated New
Drug Applications; Correction
Food and Drug Administration,
HHS.
ACTION:
Notice; correction.
The Food and Drug
Administration (FDA) is correcting a
notice that appeared in the Federal
Register on July 19, 2013. The
document announced the withdrawal of
approval of 52 new drug applications
(NDAs) and 77 abbreviated new drug
applications (ANDAs) from multiple
applicants, withdrawn as of August 19,
2013. The document erroneously
included the withdrawal of ANDA
075328 for Pemoline tablets, 18.75
milligrams (mg), 37.5 mg, and 75 mg,
held by Vintage Pharmaceuticals, 120
Vintage Dr., Huntsville, AL 35811. This
notice corrects that error.
FOR FURTHER INFORMATION CONTACT:
Kimberly Lehrfeld, Center for Drug
Evaluation and Research, Food and
Drug Administration, 10903 New
Hampshire Ave., Bldg. 51, Rm. 6226,
Silver Spring, MD 20993–0002, 301–
796–3137, Kimberly.Lehrfeld@
fda.hhs.gov.
SUMMARY:
In the
Federal Register of Friday, July 19, 2013
(78 FR 43210), appearing on page 43213
in FR Doc. 2013–17324, the following
correction is made:
On page 43213, in the table, the entry
for ANDA 075328 is removed.
In a separate notice published in this
issue of the Federal Register, FDA is
withdrawing the approval of ANDA
075328 under 21 CFR 314.150(d).
SUPPLEMENTARY INFORMATION:
Dated: May 31, 2023.
Lauren K. Roth,
Associate Commissioner for Policy.
[FR Doc. 2023–11990 Filed 6–5–23; 8:45 am]
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BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Notice of Purchased/Referred Care
Delivery Area Redesignation for the
Hoh Indian Tribe in the State of
Washington
AGENCY:
Indian Health Service, HHS.
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Notice is hereby given that
the Indian Health Service (IHS) has
decided to expand the geographic
boundaries of the Purchased/Referred
Care Delivery Area (PRCDA) for the Hoh
Indian Tribe in the State of Washington
to include the county of Clallam in the
State of Washington. The final PRCDA
for the Hoh Indian Tribe is now the
Washington counties of Jefferson and
Clallam. The sole purpose of this
expansion is to authorize additional
Hoh Indian Tribe members and
beneficiaries to receive Purchased/
Referred Care (PRC) services.
DATES: This expansion is effective as of
the publication date of this notice.
ADDRESSES: This notice can be found at
https://www.federalregister.gov. Written
requests for information should be
delivered to: CAPT John Rael, Director,
Office of Resource Access and
Partnerships, Indian Health Service,
5600 Fishers Lane, Mail Stop 10E85C,
Rockville, MD 20857, or by phone at
(301) 443–0609 (this is not a toll-free
number).
SUPPLEMENTARY INFORMATION: 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. 42 CFR 136.22(b). The
SUMMARY:
Food and Drug Administration
AGENCY:
Notice.
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37071
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). 42 CFR
136.22(c). In compliance with this
requirement, the IHS published a
proposed notice of redesignation and
requested public comments on January
18, 2023 (88 FR 2940). In response, the
IHS received one comment and that
comment expressed support of the
proposed expansion.
Through a letter from the Hoh Indian
Tribe, dated July 28, 2021, the Tribe
expressed its support for the expansion,
described the geographic proximity of
Clallam County to the Tribe’s
reservation, and explained why many of
its members need to live in the town
nearest to the reservation, which is in
Clallam County. In support of this
expansion, the IHS adopts the following
findings:
1. By expanding the PRCDA to
include Clallam County, the Hoh Indian
Tribe’s eligible population will be
increased by an estimated 41 Tribal
members residing in Clallam County.
This expansion will increase the Hoh
Indian Tribe’s total PRC-eligible
population to 73.
2. The IHS is construing the letter
from the Tribe, dated July 28, 2021, to
mean that the Tribal members within
the expanded PRCDA are socially and
economically affiliated with the Hoh
Indian Tribe.
3. Clallam County in the State of
Washington is ‘‘on or near’’ the
reservation, as described by the Tribe in
its correspondence dated July 28, 2021,
and as it maintains a common boundary
with the current PRCDA consisting of
Jefferson County in the State of
Washington.
4. The Portland Area IHS administers
the PRC program for the Hoh Indian
Tribe and will use its existing Federal
allocation for PRC funds to provide
services to the expanded population. No
additional financial resources will be
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Federal Register / Vol. 88, No. 108 / Tuesday, June 6, 2023 / Notices
allocated by IHS to the Portland Area
IHS to provide services to Hoh Indian
Tribe members residing in Clallam
County in the State of Washington.
Public Comments: The IHS received
one comment and that comment
expressed support of the proposed
expansion.
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) .............................
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 ............................
Confederated Tribes of the Umatilla Indian Reservation ..........................................
Confederated Tribes of the Warm Springs Reservation of Oregon ..........................
Coquille Indian Tribe .................................................................................................
Coushatta Tribe of Louisiana ....................................................................................
Cow Creek Band of Umpqua Tribe of Indians ..........................................................
Cowlitz Indian Tribe ...................................................................................................
Crow Creek Sioux Tribe of the Crow Creek Reservation, South Dakota .................
Crow Tribe of Montana ..............................................................................................
Eastern Band of Cherokee Indians ...........................................................................
Eastern Shoshone Tribe of the Wind River Reservation, Wyoming .........................
Flandreau Santee Sioux Tribe of South Dakota .......................................................
Forest County Potawatomi Community, Wisconsin ..................................................
Fort Belknap Indian Community of the Fort Belknap Reservation of Montana ........
Fort McDermitt Paiute and Shoshone Tribes of the Fort McDermitt Indian Reservation, Nevada and Oregon.
Fort McDowell Yavapai Nation, Arizona ...................................................................
Fort Mojave Indian Tribe of Arizona, California and Nevada ...................................
Gila River Indian Community of the Gila River Indian Reservation, Arizona ...........
Grand Traverse Band of Ottawa and Chippewa Indians, Michigan .........................
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Hannahville Indian Community, Michigan .................................................................
Haskell Indian Health Center ....................................................................................
Havasupai Tribe of the Havasupai Reservation, Arizona .........................................
Ho-Chunk Nation of Wisconsin .................................................................................
Hoh Indian Tribe ........................................................................................................
Hopi Tribe of Arizona ................................................................................................
Houlton Band of Maliseet Indians .............................................................................
Hualapai Indian Tribe of the Hualapai Indian Reservation, Arizona .........................
Iowa Tribe of Kansas and Nebraska .........................................................................
Jamestown S’Klallam Tribe .......................................................................................
Jena Band of Choctaw Indians .................................................................................
Jicarilla Apache Nation, New Mexico ........................................................................
Kaibab Band of Paiute Indians of the Kaibab Indian Reservation, Arizona .............
Kalispel Indian Community of the Kalispel Reservation ...........................................
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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.
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.
The entire State of 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 Deschutes, 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.
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, Mohave, AZ.21
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.
Jefferson, WA, Clallam, WA.76
Apache, AZ, Coconino, AZ, Navajo, AZ.
Aroostook, ME.23
Coconino, AZ, Mohave, AZ, Yavapai, AZ.
Brown, KS, Doniphan, KS, Richardson, NE.
Clallam, WA, Jefferson, WA.
Grand Parish, LA,24 LaSalle Parish, LA, Rapides, LA.
Archuleta, CO, Rio Arriba, NM, Sandoval, NM.
Coconino, AZ, Mohave, AZ, Kane, UT.
Pend Oreille, WA, Spokane, WA.
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Tribe/reservation
County/state
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 Shell Tribe of Chippewa Indians of Montana ...................................................
Little Traverse Bay Bands of Odawa Indians, Michigan ...........................................
Lower Brule Sioux Tribe of the Lower Brule Reservation, South Dakota ................
Lower Elwha Tribal Community ................................................................................
Lower Sioux Indian Community in the State of Minnesota .......................................
Lummi Tribe of the Lummi Reservation ....................................................................
Makah Indian Tribe of the Makah Indian Reservation ..............................................
Mashantucket Pequot Indian Tribe ...........................................................................
Mashpee Wampanoag Tribe .....................................................................................
Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan .....................
Menominee Indian Tribe of Wisconsin ......................................................................
Mescalero Apache Tribe of the Mescalero Reservation, New Mexico .....................
Miccosukee Tribe of Indians .....................................................................................
Minnesota Chippewa Tribe, Minnesota, Bois Forte Band (Nett Lake) .....................
Minnesota Chippewa Tribe, Minnesota, Fond du Lac Band .....................................
Minnesota Chippewa Tribe, Minnesota, Grand Portage Band .................................
Minnesota Chippewa Tribe, Minnesota, Leech Lake Band ......................................
Minnesota Chippewa Tribe, Minnesota, Mille Lacs Band .........................................
Minnesota Chippewa Tribe, Minnesota, White Earth Band ......................................
Mississippi Band of Choctaw Indians ........................................................................
Mohegan Tribe of Indians of Connecticut .................................................................
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) ...........
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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 ................................
Ponca Tribe of Nebraska ..........................................................................................
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Sandoval, NM, Santa Fe, NM.
Baraga, MI, Houghton, MI, Ontonagon, MI.
Maverick, TX.25
Brown, KS, Jackson, KS.
Klamath, OR.26
Lake, CA, Sonoma, CA.27
Boundary, ID.
Sawyer, WI.
Iron, WI, Oneida, WI, Vilas, WI.
Gogebic, MI.
Kent, MI,28 Muskegon, MI, Newaygo, MI, Oceana, MI, Ottawa, MI, Manistee, MI,
Mason, MI, Wexford, MI, Lake, MI.
Blaine, MT, Cascade, MT, Glacier, MT, Hill, MT.29
Alcona, MI,30 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.31
Barnstable, MA, Bristol, MA, Norfolk, MA, Plymouth, MA, Suffolk, MA.32
Allegan, MI,33 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, Crow Wing, MN,34 Kanabec, MN, Mille Lacs, MN, Morrison, MN,35
Pine, MN.
Becker, MN, Clearwater, MN, Mahnomen, MN, Norman, MN, Polk, MN.
Attala, MS, Jasper, MS,36 Jones, MS, Kemper, MS, Leake, MS, Neshoba, MS,
Newton, MS, Noxubee, MS,37 Scott, MS,38 Winston, MS.
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.39
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.40
Washington, RI.41
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.42
Clearwater, ID, Idaho, ID, Latah, ID, Lewis, ID, Nez Perce, ID.
Pierce, WA, Thurston, WA.
Whatcom, WA.
Big Horn, MT, Carter, MT,43 Rosebud, MT.
Box Elder, UT,44 Davis, UT, Salt Lake, UT, Weber, UT.45
Allegan, MI,46 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,47
Mellette, SD, Pennington, SD, Shannon, SD, Sheridan, NE, Todd, SD.
Rio Arriba, NM.
Entire State.48
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,49 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.50
Pima, AZ.51
Aroostook, ME,52 53 Hancock, ME,54 Washington, ME.
Aroostook, ME,55 Penobscot, ME.
Baldwin, AL,56 Elmore, AL, Escambia, AL, Mobile, AL, Monroe, AL, Escambia,
FL.
Allegan, MI,57 Berrien, MI, Cass, MI, Elkhart, IN, Kosciusko, IN, La Porte, IN,
Marshall, IN, St. Joseph, IN, Starke, IN, Van Buren, MI.
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.
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Tribe/reservation
County/state
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 ..............................................................
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 .........
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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 ...............................................
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 .......................................................................................................
Upper Mattaponi Tribe ...............................................................................................
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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.
Santa Fe, NM.
Sandoval, NM.
King, WA, Pierce, WA, Thurston, WA.
Yuma, AZ, Imperial, CA.
Clallam, WA, Jefferson, WA.
Grays Harbor, WA, Jefferson, WA.
Pennington, SD.59
King and Queen County, VA, Caroline County, VA, Essex County, VA, King William County, VA.60
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,61 Clare, MI, Isabella, MI, Midland, MI, Missaukee, MI.
Franklin, NY, St. Lawrence, NY.
Maricopa, AZ.
Clallam, WA,62 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,63 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,64 Suffolk, NY.
Pacific, WA.
Bannock, ID, Bingham, ID, Caribou, ID, Lemhi, ID,65 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,66 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.
The State of California including Kern, CA.67
Dunn, ND, Mercer, ND, McKenzie, ND, McLean, ND, Mountrail, ND, Ward, ND.
Maricopa, AZ, Pima, AZ, Pinal, AZ.
California, Curry, OR.68
Genesee, NY, Erie, NY, Niagara, NY.
Gila, AZ.
Divide, ND,69 McKenzie, ND, Williams, ND, Richland, MT, Roosevelt, MT, Sheridan, MT.
Snohomish, WA.
Avoyelles, LA, Rapides, LA.70
Rolette, ND.
Niagara, NY.
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
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Tribe/reservation
County/state
Upper Sioux Community, Minnesota .........................................................................
Upper Skagit Indian Tribe .........................................................................................
Ute Indian Tribe of the Uintah & Ouray Reservation, Utah ......................................
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,72 Barnstable, MA, Bristol, MA, Norfolk, MA, Plymouth, MA, Suffolk,
MA.73
The State of Nevada, The State of California except for the counties listed in
footnote.
Apache, AZ, Coconino, AZ, Gila, AZ, Graham, AZ, Greenlee, AZ, Navajo, AZ.
The State of California including Sacramento, CA.74
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.
Yavapai, AZ.
El Paso, TX.75
Apache, AZ, Cibola, NM, McKinley, NM, Valencia, NM.
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 .......................................................................
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 .....................................................
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37075
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’’.
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.
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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.
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, Pub. L. 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, CA, 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.
76 The PRCDA for the Hoh Indian Tribe of Washington was expanded administratively by the Director, IHS, through regulation (42 CFR 136.22(b)) to include
Clallam, WA.
Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2023–12042 Filed 6–5–23; 8:45 a.m.]
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Agencies
[Federal Register Volume 88, Number 108 (Tuesday, June 6, 2023)]
[Notices]
[Pages 37071-37076]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-12042]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Notice of Purchased/Referred Care Delivery Area Redesignation for
the Hoh Indian Tribe in the State of Washington
AGENCY: Indian Health Service, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: Notice is hereby given that the Indian Health Service (IHS)
has decided to expand the geographic boundaries of the Purchased/
Referred Care Delivery Area (PRCDA) for the Hoh Indian Tribe in the
State of Washington to include the county of Clallam in the State of
Washington. The final PRCDA for the Hoh Indian Tribe is now the
Washington counties of Jefferson and Clallam. The sole purpose of this
expansion is to authorize additional Hoh Indian Tribe members and
beneficiaries to receive Purchased/Referred Care (PRC) services.
DATES: This expansion is effective as of the publication date of this
notice.
ADDRESSES: This notice can be found at https://www.federalregister.gov.
Written requests for information should be delivered to: CAPT John
Rael, Director, Office of Resource Access and Partnerships, Indian
Health Service, 5600 Fishers Lane, Mail Stop 10E85C, Rockville, MD
20857, or by phone at (301) 443-0609 (this is not a toll-free number).
SUPPLEMENTARY INFORMATION: 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. 42 CFR
136.22(b). 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). 42 CFR 136.22(c). In
compliance with this requirement, the IHS published a proposed notice
of redesignation and requested public comments on January 18, 2023 (88
FR 2940). In response, the IHS received one comment and that comment
expressed support of the proposed expansion.
Through a letter from the Hoh Indian Tribe, dated July 28, 2021,
the Tribe expressed its support for the expansion, described the
geographic proximity of Clallam County to the Tribe's reservation, and
explained why many of its members need to live in the town nearest to
the reservation, which is in Clallam County. In support of this
expansion, the IHS adopts the following findings:
1. By expanding the PRCDA to include Clallam County, the Hoh Indian
Tribe's eligible population will be increased by an estimated 41 Tribal
members residing in Clallam County. This expansion will increase the
Hoh Indian Tribe's total PRC-eligible population to 73.
2. The IHS is construing the letter from the Tribe, dated July 28,
2021, to mean that the Tribal members within the expanded PRCDA are
socially and economically affiliated with the Hoh Indian Tribe.
3. Clallam County in the State of Washington is ``on or near'' the
reservation, as described by the Tribe in its correspondence dated July
28, 2021, and as it maintains a common boundary with the current PRCDA
consisting of Jefferson County in the State of Washington.
4. The Portland Area IHS administers the PRC program for the Hoh
Indian Tribe and will use its existing Federal allocation for PRC funds
to provide services to the expanded population. No additional financial
resources will be
[[Page 37072]]
allocated by IHS to the Portland Area IHS to provide services to Hoh
Indian Tribe members residing in Clallam County in the State of
Washington.
Public Comments: The IHS received one comment and that comment
expressed support of the proposed expansion.
------------------------------------------------------------------------
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 The entire State of Nevada,
Reservation, Nevada and Utah. Juab, UT, Toole, UT.
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\ Deschutes, 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.
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, 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, Clallam, WA.\76\
Hopi Tribe of Arizona.................. Apache, AZ, Coconino, AZ,
Navajo, AZ.
Houlton Band of Maliseet Indians....... Aroostook, ME.\23\
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,\24\ 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.
[[Page 37073]]
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.\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 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,\28\ Muskegon, MI,
Michigan. Newaygo, MI, Oceana, MI,
Ottawa, MI, Manistee, MI,
Mason, MI, Wexford, MI, Lake,
MI.
Little Shell Tribe of Chippewa Indians Blaine, MT, Cascade, MT,
of Montana. Glacier, MT, Hill, MT.\29\
Little Traverse Bay Bands of Odawa Alcona, MI,\30\ 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.\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 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, Crow Wing, MN,\34\
Mille Lacs Band. Kanabec, MN, Mille Lacs, MN,
Morrison, MN,\35\ 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,\36\
Jones, MS, Kemper, MS, Leake,
MS, Neshoba, MS, Newton, MS,
Noxubee, MS,\37\ Scott,
MS,\38\ Winston, MS.
Mohegan Tribe of Indians of Connecticut Fairfield, CT, Hartford, CT,
Litchfield, CT, Middlesex, CT,
New Haven, CT, New London, CT,
Tolland, CT, Windham, CT.
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,
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.\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 Northern Big Horn, MT, Carter, MT,\43\
Cheyenne Indian Reservation, Montana. Rosebud, MT.
Northwestern Band of Shoshone Nation... Box Elder, UT,\44\ Davis, UT,
Salt Lake, UT, Weber, UT.\45\
Nottawaseppi Huron Band of the Allegan, MI,\46\ 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,\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 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,\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 Indians, Allegan, MI,\57\ 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,\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.
[[Page 37074]]
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.............. Santa Fe, NM.
Pueblo of Zia, New Mexico.............. Sandoval, NM.
Puyallup Tribe of the Puyallup King, WA, Pierce, WA, Thurston,
Reservation. WA.
Quechan Tribe of the Fort Yuma Indian Yuma, AZ, Imperial, CA.
Reservation, Arizona and California.
Quileute Tribe of the Quileute Clallam, WA, Jefferson, WA.
Reservation.
Quinault Indian Nation................. Grays Harbor, WA, Jefferson,
WA.
Rapid City, South Dakota............... Pennington, SD.\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,
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,\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,
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,\63\ 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,\64\ 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,\65\
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,\66\ 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..................... The State of California
including Kern, CA.\67\
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.\68\
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,\69\ 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.\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\
[[Page 37075]]
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,\72\ Barnstable, MA,
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 Fort Apache, AZ, Coconino, AZ, Gila,
Apache Reservation, Arizona. AZ, 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 Verde Yavapai, AZ.
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, 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(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''.
\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.
[[Page 37076]]
\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.
\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, Pub. L. 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, CA, 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.
\76\ The PRCDA for the Hoh Indian Tribe of Washington was expanded
administratively by the Director, IHS, through regulation (42 CFR
136.22(b)) to include Clallam, WA.
Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2023-12042 Filed 6-5-23; 8:45 a.m.]
BILLING CODE 4165-16-P