§ 1616. — Community Health Representative Program.
[Laws in effect as of January 24, 2002]
[Document not affected by Public Laws enacted between
January 24, 2002 and December 19, 2002]
[CITE: 25USC1616]
TITLE 25--INDIANS
CHAPTER 18--INDIAN HEALTH CARE
SUBCHAPTER I--INDIAN HEALTH PROFESSIONAL PERSONNEL
Sec. 1616. Community Health Representative Program
(a) Under the authority of section 13 of this title, the Secretary
shall maintain a Community Health Representative Program under which the
Service--
(1) provides for the training of Indians as health
paraprofessionals, and
(2) uses such paraprofessionals in the provision of health care,
health promotion, and disease prevention services to Indian
communities.
(b) The Secretary, acting through the Community Health
Representative Program of the Service, shall--
(1) provide a high standard of training for paraprofessionals to
Community Health Representatives to ensure that the Community Health
Representatives provide quality health care, health promotion, and
disease prevention services to the Indian communities served by such
Program,
(2) in order to provide such training, develop and maintain a
curriculum that--
(A) combines education in the theory of health care with
supervised practical experience in the provision of health care,
and
(B) provides instruction and practical experience in health
promotion and disease prevention activities, with appropriate
consideration given to lifestyle factors that have an impact on
Indian health status, such as alcoholism, family dysfunction,
and poverty,
(3) maintain a system which identifies the needs of Community
Health Representatives for continuing education in health care,
health promotion, and disease prevention and maintain programs that
meet the needs for such continuing education,
(4) maintain a system that provides close supervision of
Community Health Representatives,
(5) maintain a system under which the work of Community Health
Representatives is reviewed and evaluated, and
(6) promote traditional health care practices of the Indian
tribes served consistent with the Service standards for the
provision of health care, health promotion, and disease prevention.
(Pub. L. 94-437, title I, Sec. 107, as added Pub. L. 100-713, title I,
Sec. 107, Nov. 23, 1988, 102 Stat. 4788; amended Pub. L. 102-573, title
I, Sec. 105, Oct. 29, 1992, 106 Stat. 4535.)
Amendments
1992--Subsec. (b)(2). Pub. L. 102-573, Sec. 105(1), inserted ``and
maintain'' in introductory provisions.
Subsec. (b)(2)(B). Pub. L. 102-573, Sec. 105(2), inserted at end
``with appropriate consideration given to lifestyle factors that have an
impact on Indian health status, such as alcoholism, family dysfunction,
and poverty,''.
Subsec. (b)(3). Pub. L. 102-573, Sec. 105(3), substituted
``maintain'' for ``develop'' in two places.
Subsec. (b)(4). Pub. L. 102-573, Sec. 105(4), struck out ``develop
and'' before ``maintain''.
Subsec. (b)(5). Pub. L. 102-573, Sec. 105(3), substituted
``maintain'' for ``develop''.
