§ 1621j. — California contract health services demonstration 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: 25USC1621j]
TITLE 25--INDIANS
CHAPTER 18--INDIAN HEALTH CARE
SUBCHAPTER II--HEALTH SERVICES
Sec. 1621j. California contract health services demonstration
program
(a) Establishment
The Secretary shall establish a demonstration program to evaluate
the use of a contract care intermediary to improve the accessibility of
health services to California Indians.
(b) Agreement with California Rural Indian Health Board
(1) In establishing such program, the Secretary shall enter into an
agreement with the California Rural Indian Health Board to reimburse the
Board for costs (including reasonable administrative costs) incurred,
during the period of the demonstration program, in providing medical
treatment under contract to California Indians described in section
1679(b) of this title throughout the California contract health services
delivery area described in section 1680 of this title with respect to
high-cost contract care cases.
(2) Not more than 5 percent of the amounts provided to the Board
under this section for any fiscal year may be for reimbursement for
administrative expenses incurred by the Board during such fiscal year.
(3) No payment may be made for treatment provided under the
demonstration program to the extent payment may be made for such
treatment under the Catastrophic Health Emergency Fund described in
section 1621a of this title or from amounts appropriated or otherwise
made available to the California contract health service delivery area
for a fiscal year.
(c) Advisory board
There is hereby established an advisory board which shall advise the
California Rural Indian Health Board in carrying out the demonstration
pursuant to this section. The advisory board shall be composed of
representatives, selected by the California Rural Indian Health Board,
from not less than 8 tribal health programs serving California Indians
covered under such demonstration, at least one half of whom are not
affiliated with the California Rural Indian Health Board.
(d) Commencement and termination dates
The demonstration program described in this section shall begin on
January 1, 1993, and shall terminate on September 30, 1997.
(e) Report
Not later than July 1, 1998, the California Rural Indian Health
Board shall submit to the Secretary a report on the demonstration
program carried out under this section, including a statement of its
findings regarding the impact of using a contract care intermediary on--
(1) access to needed health services;
(2) waiting periods for receiving such services; and
(3) the efficient management of high-cost contract care cases.
(f) ``High-cost contract care cases'' defined
For the purposes of this section, the term ``high-cost contract care
cases'' means those cases in which the cost of the medical treatment
provided to an individual--
(1) would otherwise be eligible for reimbursement from the
Catastrophic Health Emergency Fund established under section 1621a
of this title, except that the cost of such treatment does not meet
the threshold cost requirement established pursuant to section
1621a(b)(2) of this title; and
(2) exceeds $1,000.
(g) Authorization of appropriations
There are authorized to be appropriated for each of the fiscal years
1996 through 2000 such sums as may be necessary to carry out the
purposes of this section.
(Pub. L. 94-437, title II, Sec. 211, as added Pub. L. 102-573, title II,
Sec. 206(c), Oct. 29, 1992, 106 Stat. 4549; amended Pub. L. 104-313,
Sec. 2(c), Oct. 19, 1996, 110 Stat. 3822.)
Amendments
1996--Subsec. (g). Pub. L. 104-313 substituted ``1996 through 2000''
for ``1993, 1994, 1995, 1996, and 1997''.
Termination of Advisory Boards
Advisory boards established after Jan. 5, 1973, to terminate not
later than the expiration of the 2-year period beginning on the date of
their establishment, unless, in the case of a board established by the
President or an officer of the Federal Government, such board is renewed
by appropriate action prior to the expiration of such 2-year period, or
in the case of a board established by Congress, its duration is
otherwise provided by law. See sections 3(2) and 14 of Pub. L. 92-463,
Oct. 6, 1972, 86 Stat. 770, 776, set out in the Appendix to Title 5,
Government Organization and Employees.
Section Referred to in Other Sections
This section is referred to in section 1621w of this title.
