§ 1644. — Grants to and contracts with tribal organizations.
[Laws in effect as of January 24, 2002]
[Document not affected by Public Laws enacted between
January 24, 2002 and December 19, 2002]
[CITE: 25USC1644]
TITLE 25--INDIANS
CHAPTER 18--INDIAN HEALTH CARE
SUBCHAPTER III-A--ACCESS TO HEALTH SERVICES
Sec. 1644. Grants to and contracts with tribal organizations
(a) Access to health services
The Secretary, acting through the Service, shall make grants to or
enter into contracts with tribal organizations to assist such
organizations in establishing and administering programs on or near
Federal Indian reservations and trust areas and in or near Alaska Native
villages to assist individual Indians to--
(1) enroll under section 1818 of part A and sections 1836 and
1837 of part B of title XVIII of the Social Security Act [42 U.S.C.
1395i-2, 1395o, 1395p];
(2) pay monthly premiums for coverage due to financial need of
such individual; and
(3) apply for medical assistance provided pursuant to title XIX
of the Social Security Act [42 U.S.C. 1396 et seq.].
(b) Terms and conditions
The Secretary, acting through the Service, shall place conditions as
deemed necessary to effect the purpose of this section in any contract
or grant which the Secretary makes with any tribal organization pursuant
to this section. Such conditions shall include, but are not limited to,
requirements that the organization successfully undertake to--
(1) determine the population of Indians to be served that are or
could be recipients of benefits under titles XVIII and XIX of the
Social Security Act [42 U.S.C. 1395 et seq., 1396 et seq.];
(2) assist individual Indians in becoming familiar with and
utilizing such benefits;
(3) provide transportation to such individual Indians to the
appropriate offices for enrollment or application for medical
assistance;
(4) develop and implement--
(A) a schedule of income levels to determine the extent of
payments of premiums by such organizations for coverage of needy
individuals; and
(B) methods of improving the participation of Indians in
receiving the benefits provided under titles XVIII and XIX of
the Social Security Act [42 U.S.C. 1395 et seq., 1396 et seq.].
(c) Application for medical assistance
The Secretary, acting through the Service, may enter into an
agreement with an Indian tribe, tribal organization, or urban Indian
organization which provides for the receipt and processing of
applications for medical assistance under title XIX of the Social
Security Act [42 U.S.C. 1396 et seq.] and benefits under title XVIII of
the Social Security Act [42 U.S.C. 1395 et seq.] at a Service facility
or a health care facility administered by such tribe or organization
pursuant to a contract under the Indian Self-Determination Act [25
U.S.C. 450f et seq.].
(Pub. L. 94-437, title IV, Sec. 404, as added Pub. L. 96-537, Sec. 6,
Dec. 17, 1980, 94 Stat. 3176; amended Pub. L. 102-573, title IV,
Sec. 403, Oct. 29, 1992, 106 Stat. 4566.)
References in Text
The Social Security Act, referred to in subsecs. (a)(1), (3),
(b)(1), (4)(B), and (c), is act Aug. 14, 1935, ch. 531, 49 Stat. 620, as
amended. Titles XVIII and XIX of the Act are classified generally to
subchapters XVIII (Sec. 1395 et seq.) and XIX (Sec. 1396 et seq.) of
chapter 7 of Title 42, The Public Health and Welfare. For complete
classification of this Act to the Code, see section 1305 of Title 42 and
Tables.
The Indian Self-Determination Act, referred to in subsec. (c), 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.
Codification
Section was formerly classified to section 1622 of this title.
Amendments
1992--Subsec. (b)(4). Pub. L. 102-573, Sec. 403(1), amended par. (4)
generally. Prior to amendment, par. (4) read as follows: ``develop and
implement a schedule of income levels to determine the extent of payment
of premiums by such organization for coverage of needy individuals; and
methods of improving the participation of Indians in receiving the
benefits provided pursuant to titles XVIII and XIX of the Social
Security Act.''
Subsec. (c). Pub. L. 102-573, Sec. 403(2), amended subsec. (c)
generally. Prior to amendment, subsec. (c) read as follows: ``There are
authorized to be appropriated $5,000,000 for the fiscal year ending
September 30, 1981, $5,750,000 for the fiscal year ending September 30,
1982, $6,615,000 for the fiscal year ending September 30, 1983, and
$7,610,000 for the fiscal year ending September 30, 1984.''
