§ 1621c. — Diabetes prevention, treatment, and control.
[Laws in effect as of January 24, 2002]
[Document not affected by Public Laws enacted between
January 24, 2002 and December 19, 2002]
[CITE: 25USC1621c]
TITLE 25--INDIANS
CHAPTER 18--INDIAN HEALTH CARE
SUBCHAPTER II--HEALTH SERVICES
Sec. 1621c. Diabetes prevention, treatment, and control
(a) Incidence and complications
The Secretary, in consultation with the tribes, shall determine--
(1) by tribe and by Service unit of the Service, the incidence
of, and the types of complications resulting from, diabetes among
Indians; and
(2) based on paragraph (1), the measures (including patient
education) each Service unit should take to reduce the incidence of,
and prevent, treat, and control the complications resulting from,
diabetes among tribes within that Service unit.
(b) Screening
The Secretary shall screen each Indian who receives services from
the Service for diabetes and for conditions which indicate a high risk
that the individual will become diabetic. Such screening may be done by
a tribe or tribal organization operating health care programs or
facilities with funds from the Service under the Indian Self-
Determination Act [25 U.S.C. 450f et seq.].
(c) Model diabetes projects
(1) The Secretary shall continue to maintain through fiscal year
2000 each model diabetes project in existence on October 29, 1992, and
located--
(A) at the Claremore Indian Hospital in Oklahoma;
(B) at the Fort Totten Health Center in North Dakota;
(C) at the Sacaton Indian Hospital in Arizona;
(D) at the Winnebago Indian Hospital in Nebraska;
(E) at the Albuquerque Indian Hospital in New Mexico;
(F) at the Perry, Princeton, and Old Town Health Centers in
Maine;
(G) at the Bellingham Health Center in Washington;
(H) at the Fort Berthold Reservation;
(I) at the Navajo Reservation;
(J) at the Papago Reservation;
(K) at the Zuni Reservation; or
(L) in the States of Alaska, California, Minnesota, Montana,
Oregon, or Utah.
(2) The Secretary may establish new model diabetes projects under
this section taking into consideration applications received under this
section from all service areas, except that the Secretary may not
establish a greater number of such projects in one service area than in
any other service area until there is an equal number of such projects
established with respect to all service areas from which the Secretary
receives qualified applications during the application period (as
determined by the Secretary).
(d) Control officer; registry of patients
The Secretary shall--
(1) employ in each area office of the Service at least one
diabetes control officer who shall coordinate and manage on a full-
time basis activities within that area office for the prevention,
treatment, and control of diabetes;
(2) establish in each area office of the Service a registry of
patients with diabetes to track the incidence of diabetes and the
complications from diabetes in that area;
(3) ensure that data collected in each area office regarding
diabetes and related complications among Indians is disseminated to
all other area offices; and
(4) evaluate the effectiveness of services provided through
model diabetes projects established under this section.
(e) Authorization of appropriations
Funds appropriated under this section in any fiscal year shall be in
addition to base resources appropriated to the Service for that year.
(Pub. L. 94-437, title II, Sec. 204, as added Pub. L. 100-713, title II,
Sec. 203(c), Nov. 23, 1988, 102 Stat. 4806; amended Pub. L. 102-573,
title II, Secs. 204, 217(b)(3), title IX, Sec. 901(2), Oct. 29, 1992,
106 Stat. 4546, 4559, 4590.)
References in Text
The Indian Self-Determination Act, referred to in subsec. (b), is
title I of Pub. L. 93-638, Jan. 4, 1975, 88 Stat. 2206, as amended,
which is classified principally to part A (Sec. 450f et seq.) of
subchapter II of chapter 14 of this title. For complete classification
of this Act to the Code, see Short Title note set out under section 450
of this title and Tables.
Amendments
1992--Subsec. (a). Pub. L. 102-573, Sec. 901(2), redesignated par.
(1) as entire subsec., redesignated subpars. (A) and (B) as pars. (1)
and (2), respectively, substituted ``paragraph (1)'' for ``subparagraph
(A)'' in par. (2), and struck out former par. (2) which read as follows:
``Within 18 months after November 23, 1988, the Secretary shall prepare
and transmit to the President and the Congress a report describing the
determinations made and measures taken under paragraph (1) and making
recommendations for additional funding to prevent, treat, and control
diabetes among Indians.''
Subsec. (c). Pub. L. 102-573, Sec. 204(1), amended subsec. (c)
generally. Prior to amendment, subsec. (c) read as follows:
``(1) The Secretary shall continue to maintain during fiscal years
1988 through 1991 each of the following model diabetes projects which
are in existence on November 23, 1988:
``(A) Claremore Indian Hospital in Oklahoma;
``(B) Fort Totten Health Center in North Dakota;
``(C) Sacaton Indian Hospital in Arizona;
``(D) Winnebago Indian Hospital in Nebraska;
``(E) Albuquerque Indian Hospital in New Mexico;
``(F) Perry, Princeton, and Old Town Health Centers in Maine;
and
``(G) Bellingham Health Center in Washington.
``(2) The Secretary shall establish in fiscal year 1989, and
maintain during fiscal years 1989 through 1991, a model diabetes project
in each of the following locations:
``(A) Fort Berthold Reservation;
``(B) the Navajo Reservation;
``(C) the Papago Reservation;
``(D) the Zuni Reservation; and
``(E) the States of Alaska, California, Minnesota, Montana,
Oregon, and Utah.''
Subsec. (d)(4). Pub. L. 102-573, Sec. 204(2), added par. (4).
Subsec. (e). Pub. L. 102-573, Sec. 217(b)(3), substituted ``this
section'' for ``subsection (c) of this section'' and struck out at
beginning ``There are authorized to be appropriated such sums as may be
necessary to carry out the provisions of this section.''
