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§ 1621m. —  Epidemiology centers.



[Laws in effect as of January 24, 2002]
[Document not affected by Public Laws enacted between
  January 24, 2002 and December 19, 2002]
[CITE: 25USC1621m]

 
                            TITLE 25--INDIANS
 
                     CHAPTER 18--INDIAN HEALTH CARE
 
                     SUBCHAPTER II--HEALTH SERVICES
 
Sec. 1621m. Epidemiology centers

    (a)(1) The Secretary shall establish an epidemiology center in each 
Service area to carry out the functions described in paragraph (3).
    (2) To assist such centers in carrying out such functions, the 
Secretary shall perform the following:
        (A) In consultation with the Centers for Disease Control and 
    Indian tribes, develop sets of data (which to the extent 
    practicable, shall be consistent with the uniform data sets used by 
    the States with respect to the year 2000 health objectives) for 
    uniformly defining health status for purposes of the objectives 
    specified in section 1602(b) of this title. Such sets shall consist 
    of one or more categories of information. The Secretary shall 
    develop formats for the uniform collecting and reporting of 
    information on such categories.
        (B) Establish and maintain a system for monitoring the progress 
    made toward meeting each of the health status objectives described 
    in section 1602(b) of this title.

    (3) In consultation with Indian tribes and urban Indian communities, 
each area epidemiology center established under this subsection shall, 
with respect to such area--
        (A) collect data relating to, and monitor progress made toward 
    meeting, each of the health status objectives described in section 
    1602(b) of this title using the data sets and monitoring system 
    developed by the Secretary pursuant to paragraph (2);
        (B) evaluate existing delivery systems, data systems, and other 
    systems that impact the improvement of Indian health;
        (C) assist tribes and urban Indian communities in identifying 
    their highest priority health status objectives and the services 
    needed to achieve such objectives, based on epidemiological data;
        (D) make recommendations for the targeting of services needed by 
    tribal, urban, and other Indian communities;
        (E) make recommendations to improve health care delivery systems 
    for Indians and urban Indians;
        (F) work cooperatively with tribal providers of health and 
    social services in order to avoid duplication of existing services; 
    and
        (G) provide technical assistance to Indian tribes and urban 
    Indian organizations in the development of local health service 
    priorities and incidence and prevalence rates of disease and other 
    illness in the community.

    (4) Epidemiology centers established under this subsection shall be 
subject to the provisions of the Indian Self-Determination Act (25 
U.S.C. 450f et seq.).
    (5) The director of the Centers for Disease Control shall provide 
technical assistance to the centers in carrying out the requirements of 
this subsection.
    (6) The Service shall assign one epidemiologist from each of its 
area offices to each area epidemiology center to provide such center 
with technical assistance necessary to carry out this subsection.
    (b)(1) The Secretary may make grants to Indian tribes, tribal 
organizations, and eligible intertribal consortia or Indian 
organizations to conduct epidemiological studies of Indian communities.
    (2) An intertribal consortia or Indian organization is eligible to 
receive a grant under this subsection if--
        (A) it is incorporated for the primary purpose of improving 
    Indian health; and
        (B) it is representative of the tribes or urban Indian 
    communities in which it is located.

    (3) An application for a grant under this subsection shall be 
submitted in such manner and at such time as the Secretary shall 
prescribe.
    (4) Applicants for grants under this subsection shall--
        (A) demonstrate the technical, administrative, and financial 
    expertise necessary to carry out the functions described in 
    paragraph (5);
        (B) consult and cooperate with providers of related health and 
    social services in order to avoid duplication of existing services; 
    and
        (C) demonstrate cooperation from Indian tribes or urban Indian 
    organizations in the area to be served.

    (5) A grant awarded under paragraph (1) may be used to--
        (A) carry out the functions described in subsection (a)(3) of 
    this section;
        (B) provide information to and consult with tribal leaders, 
    urban Indian community leaders, and related health staff, on health 
    care and health services management issues; and
        (C) provide, in collaboration with tribes and urban Indian 
    communities, the Service with information regarding ways to improve 
    the health status of Indian people.

    (6) There are authorized to be appropriated to carry out the 
purposes of this subsection not more than $12,000,000 for fiscal year 
1993 and such sums as may be necessary for each of the fiscal years 
1994, 1995, 1996, 1997, 1998, 1999, and 2000.

(Pub. L. 94-437, title II, Sec. 214, as added Pub. L. 102-573, title II, 
Sec. 210, Oct. 29, 1992, 106 Stat. 4551.)

                       References in Text

    The Indian Self-Determination Act, referred to in subsec. (a)(4), 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.

                  Section Referred to in Other Sections

    This section is referred to in section 1621w of this title.



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