The Congress finds the following:
Federal health services to maintain and improve the health of the Indians are consonant with and required by the Federal Government’s historical and unique legal relationship with, and resulting responsibility to, the American Indian people.
A major national goal of the United States is to provide the resources, processes, and structure that will enable Indian tribes and tribal members to obtain the quantity and quality of health care services and opportunities that will eradicate the health disparities between Indians and the general population of the United States.
A major national goal of the United States is to provide the quantity and quality of health services which will permit the health status of Indians to be raised to the highest possible level and to encourage the maximum participation of Indians in the planning and management of those services.
Federal health services to Indians have resulted in a reduction in the prevalence and incidence of preventable illnesses among, and unnecessary and premature deaths of, Indians.
Despite such services, the unmet health needs of the American Indian people are severe and the health status of the Indians is far below that of the general population of the United States.
Pub. L. 94–437, § 290 Stat. 1400Pub. L. 102–573, § 3(a)106 Stat. 4526Pub. L. 111–148, title X, § 10221(a)124 Stat. 935(, , ; , , ; , , .)
Editorial Notes
Codification
Pub. L. 111–148section 10221(a) of Pub. L. 111–148Amendment by is based on section 102 of title I of S. 1790, One Hundred Eleventh Congress, as reported by the Committee on Indian Affairs of the Senate in Dec. 2009, which was enacted into law by .
Amendments
Pub. L. 111–1482010— redesignated subsecs. (a), (b), (c), and (d) as pars. (1), (3), (4), and (5), respectively, realigned margins, and added par. (2).
Pub. L. 102–5731992— substituted “finds the following:” for “finds that—” in introductory provisions and struck out last sentence of subsec. (d) which compared death rates of Indians to those of all Americans for tuberculosis, influenza and pneumonia, and compared death rates for infants, subsec. (e) which related to threat to fulfillment of Federal responsibility to Indians posed by low health status of American Indian people, subsec. (f) which enumerated causes imperiling improvements in Indian health, and subsec. (g) which related to confidence of Indian people in Federal Indian health services.
Statutory Notes and Related Subsidiaries
Short Title of 2021 Amendment
Pub. L. 116–311, § 1134 Stat. 4927
section 1645 of this title“This Act [amending ] may be cited as the ‘Proper and Reimbursed Care for Native Veterans Act’ or the ‘PRC for Native Veterans Act’.”
, , , provided that:
Short Title of 2010 Amendment
Pub. L. 111–148, title X, § 10221(a)124 Stat. 935
Pub. L. 111–148lololsection 11705 of Title 42“This Act [probably means S. 1790 as enacted into law by , enacting subchapter V–A of this chapter, sections 1616p to 1616r, 1621y, 1638a, 1638e to 1638g, 1647 to 1647d, 1660d to 1660h, 1663, 1663a, 1675, 1678, 1678a, 1679, and 1680p to 1680v of this title, amending sections 1601 to 1603, 1615, 1616, 1621, 1621a, 1621c to 1621f, 1621h, 1621j to 1621m, 1621 to 1621q, 1621t to 1621v, 1631, 1637, 1638b, 1641, 1642, 1644, 1645, 1652, 1659, 1660b, 1661, 1680b, 1680c, 1680, and 1680 of this title and sections 1395, 1395qq, 11705, 11706, 11709, and 11711 of Title 42, The Public Health and Welfare, repealing sections 1616p, 1621w, 1638a, 1647, 1660d, 1663, 1675, 1678, 1679, and 1680k of this title, and enacting provisions set out as a note under ] may be cited as the ‘Indian Health Care Improvement Reauthorization and Extension Act of 2009’.”
Section 1(a) of S. 1790, One Hundred Eleventh Congress, as reported by the Committee on Indian Affairs of the Senate in Dec. 2009, which was enacted into law by , , , provided that:
Short Title of 2000 Amendment
Pub. L. 106–417, § 1114 Stat. 1812
section 1645 of this titlesection 1645 of this title“This Act [enacting and amending , amending sections 1395qq and 1396j of Title 42, The Public Health and Welfare, and enacting provisions set out as notes under ] may be cited as the ‘Alaska Native and American Indian Direct Reimbursement Act of 2000’.”
, , , provided that:
Short Title of 1996 Amendment
Pub. L. 104–313, § 1(a)110 Stat. 3820
“This Act [amending sections 1603, 1613a, 1621j, 1645, 1665e, 1665j, and 1680k of this title] may be cited as the ‘Indian Health Care Improvement Technical Corrections Act of 1996’.”
, , , provided that:
Short Title of 1992 Amendment
Pub. L. 102–573, § 1106 Stat. 4526
“This Act [see Tables for classification] may be cited as the ‘Indian Health Amendments of 1992’.”
, , , provided that:
Short Title of 1990 Amendment
Pub. L. 101–630, title V, § 501104 Stat. 4556
“This title [enacting sections 1621h, 1637, 1659, and 1660 of this title, amending sections 1653, 1657, and 2474 of this title, and enacting provisions set out as notes under sections 1621h, 1653, and 2415 of this title] may be cited as the ‘Indian Health Care Amendments of 1990’.”
, , , provided that:
Short Title of 1988 Amendment
Pub. L. 100–713, § 1102 Stat. 4784
section 5316 of Title 5section 1635 of this titlesection 254r of Title 42section 1396j of Title 42section 1396j of Title 42“This Act [enacting sections 1616 to 1616j, 1621a to 1621g, 1636, 1651 to 1658, 1661, 1662, and 1680a to 1680j of this title and sections 254s and 295j of Title 42, The Public Health and Welfare, amending sections 1603, 1612 to 1613a, 1614, 1615, 1621, 1631, 1632, 1634, 1674, 1676, and 1678 to 1680 of this title and , Government Organization and Employees, repealing and , enacting provisions set out as notes under this section and sections 1611, 1621b, 1661, and 1677 of this title and sections 254r, 1395qq, and 1396j of Title 42, amending provisions set out as a note under , and repealing provisions set out as a note under ] may be cited as the ‘Indian Health Care Amendments of 1988’.”
, , , provided that:
Short Title of 1980 Amendment
Pub. L. 96–537, § 1(a)94 Stat. 3173
section 294y–1 of Title 42section 1658 of this title“this Act [enacting sections 1622, 1634, and 1676 to 1680 of this title, amending sections 1603, 1612 to 1614, 1621, 1651 to 1657, and 1674 of this title and , The Public Health and Welfare, and repealing ] may be cited as the ‘Indian Health Care Amendments of 1980’.”
, , , provided that:
Short Title
Pub. L. 94–437, § 190 Stat. 1400
section 1671 of this title“That this Act [enacting this chapter and sections 1395qq and 1396j of Title 42, The Public Health and Welfare, amending sections 234, 1395f, 1395n, and 1396d of Title 42, and enacting provisions set out as notes under and sections 1395qq and 1396j of Title 42] may be cited as the ‘Indian Health Care Improvement Act’.”
, , , provided:
Separability
Pub. L. 100–713, title VIII, § 801102 Stat. 4839
“If any provision of this Act, any amendment made by this Act [see Short Title of 1988 Amendment note above], or the application of such provision or amendment to any person or circumstances is held to be invalid, the remainder of this Act, the remaining amendments made by this Act, and the application of such provision or amendment to persons or circumstances other than those to which it is held invalid, shall not be affected thereby.”
, , , provided that:
Availability of Appropriations
Pub. L. 100–713, § 4102 Stat. 4785
2 U.S.C. 651(c)(2)(A)“Any new spending authority (described in subsection (c)(2)(A) or (B) of section 401 of the Congressional Budget Act of 1974 [, (B)]) which is provided under this Act [see Short Title of 1988 Amendment note above] shall be effective for any fiscal year only to such extent or in such amounts as are provided in appropriation Acts.”
, , , provided that: