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Notice

Notice of Purchased/Referred Care Delivery Area Redesignation for the Northwestern Band of the Shoshone Nation

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Start Preamble

AGENCY:

Indian Health Service, Health and Human Services (HHS).

ACTION:

Notice.

SUMMARY:

This Notice advises the public that the Indian Health Service (IHS) proposes to expand the geographic boundaries of the Purchased/Referred Care Delivery Area (PRCDA) for the Northwestern Band of the Shoshone Nation (NWBSN) in the State of Utah to include the Utah counties of Box Elder, Davis, Salt Lake, and Weber. The current PRCDA for the NWBSN is Box Elder County in the State of Utah. Tribal members residing on the Fort Hall Indian Reservation are provided health services through the IHS direct care facility in Fort Hall, Idaho, or by Purchased/Referred Care (PRC) referrals to private providers. NWBSN members residing outside of the PRCDA are eligible for direct care services, however, they are not eligible for PRC services. The sole purpose of this expansion would be to authorize additional Tribal members and beneficiaries to receive PRC services.

DATES:

Comments must be submitted August 10, 2020.

ADDRESSES:

In commenting, please refer to FR Number 2020-14760. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. You may submit comments in one of four ways (please choose only one of the ways listed):

1. Electronically. You may submit electronic comments on this regulation to http://www.regulations.gov. Follow the “Submit a Comment” instructions.

2. By regular mail. You may mail written comments to the following address ONLY: Evonne Bennett, Acting Director, Division of Regulatory and Policy Coordination, Indian Health Service, 5600 Fishers Lane, Mail Stop: 09E70, Rockville, Maryland 20857. Please allow sufficient time for mailed comments to be received before the close of the comment period.

3. By express or overnight mail. You may send written comments to the above address.

4. By hand or courier. If you prefer, you may deliver (by hand or courier) your written comments before the close of the comment period to the address above.

If you intend to deliver your comments to the Rockville address, please call telephone number (301) 443-1116 in advance to schedule your arrival with a staff member.

Start Further Info

FOR FURTHER INFORMATION CONTACT:

CDR John Rael, Director, Office of Resource Access and Partnerships, Indian Health Service, 5600 Fishers Lane, Mail Stop: 10E85C, Rockville, Maryland 20857. Telephone 301/443-0969 (This is not a toll free number).

End Further Info End Preamble Start Supplemental Information

SUPPLEMENTARY INFORMATION:

Inspection of Public Comments: All comments received before the close of the comment period are available for viewing by the public, including any personally identifiable or confidential business information that is included in a comment.

Background: The IHS provides services under regulations in effect as of September 15, 1987, and republished at 42 CFR part 136, subparts A-C. Subpart C defines a Contract Health Service Delivery Area (CHSDA), now referred to as a PRCDA, as the geographic area within which PRC will be made available by the IHS to members of an identified Indian community who reside in the PRCDA. Residence within a PRCDA by a person who is within the scope of the Indian health program, as set forth in 42 CFR 136.12, creates no legal entitlement to PRC but only potential eligibility for services. Services needed, but not available at an IHS/Tribal facility, are provided under the PRC program depending on the availability of funds, the person's relative medical priority, and the actual availability and accessibility of alternate resources in accordance with the regulations.

The regulations at 42 CFR part 136, subpart C, provide that, unless otherwise designated, a PRCDA shall consist of a county which includes all Start Printed Page 41598or part of a reservation and any county or counties which have a common boundary with the reservation. The regulations also provide that after consultation with the Tribal governing body or bodies on those reservations included within the PRCDA, the Secretary may from time to time, redesignate areas within the United States for inclusion in or exclusion from a PRCDA. The regulations require that certain criteria must be considered before any redesignation is made. The criteria are as follows:

(1) The number of Indians residing in the area proposed to be so included or excluded;

(2) Whether the Tribal governing body has determined that Indians residing in the area near the reservation are socially and economically affiliated with the Tribe;

(3) The geographic proximity to the reservation of the area whose inclusion or exclusion is being considered; and

(4) The level of funding which would be available for the provision of PRC.

Additionally, the regulations require that any redesignation of a PRCDA must be made in accordance with the procedures of the Administrative Procedure Act (5 U.S.C. 553). In compliance with this requirement, IHS is publishing this Notice and requesting public comments.

The NWBSN is a federally recognized Tribe that was signatory to the Treaty of Box Elder of 1863 and the Treaty of Fort Bridger of 1868. The NWBSN traditionally lived in small family groups scattered throughout its identified historic use area. These ancestral lands included areas across the States of Utah and Idaho. While the NWBSN's PRCDA currently consists of Box Elder County in the State of Utah, the NWBSN attests by Tribal Resolution that many NWBSN members reside outside of Box Elder County. Specifically, many NWBSN members reside in the nearby Utah counties of Davis, Salt Lake, and Weber. These counties are not currently part of a Tribe's designated PRCDA. Accordingly, IHS proposes to expand the NWBSN's PRCDA to include the Utah counties of Davis, Salt Lake, and Weber.

Under 42 CFR 136.23, those otherwise eligible Indians who do not reside on a reservation, but reside within a PRCDA, must be either members of the Tribe or other IHS beneficiaries who maintain close economic and social ties with the Tribe. In this case, applying the aforementioned PRCDA redesignation criteria required by operative regulations codified at 42 CFR part 136, subpart C, the following findings are made:

1. By expanding, the NWBSN estimates the current eligible population will be increased by 171.

2. The NWBSN has determined that these 171 individuals are members of the NWBSN and they are socially and economically affiliated with the NWBSN.

3. The expanded area including Davis, Salt Lake and Weber Counties in the State of Utah maintain a boundary on or near the current Box Elder County, Utah PRCDA.

4. The NWBSN will use its existing Federal allocation for PRC funds to provide services to the expanded population. No additional financial resources will be allocated by IHS to the NWBSN to provide services to NWBSN members residing in Davis, Salt Lake, and Weber counties in the State of Utah.

This Notice does not contain reporting or recordkeeping requirements subject to prior approval by the Office of Management and Budget under the Paperwork Reduction Act of 1980.

Tribe/reservationCounty/state
Ak Chin Indian CommunityPinal, AZ.
Alabama-Coushatta Tribes of TexasPolk, TX.1
AlaskaEntire State.2
Arapahoe Tribe of the Wind River Reservation, WyomingHot Springs, WY, Fremont, WY, Sublette, WY.
Aroostook Band of MicmacsAroostook, ME.3
Assiniboine and Sioux Tribes of the Fort Peck Indian Reservation, MontanaDaniels, MT, McCone, MT, Richland, MT, Roosevelt, MT, Sheridan, MT, Valley, MT.
Bad River Band of the Lake Superior Tribe of Chippewa Indians of the Bad River Reservation, WisconsinAshland, WI, Iron, WI.
Bay Mills Indian Community, MichiganChippewa, MI.
Blackfeet Tribe of the Blackfeet Indian Reservation of MontanaGlacier, MT, Pondera, MT.
Brigham City Intermountain School Health Center, UtahPermanently closed on May 17, 1984.4
Burns Paiute TribeHarney, OR.
CaliforniaEntire State, except for the counties listed in the footnote.5
Catawba Indian Nation (AKA Catawba Tribe of South Carolina)All Counties in SC,6 Cabarrus, NC, Cleveland, NC, Gaston, NC, Mecklenburg, NC, Rutherford, NC, Union, NC.
Cayuga NationAlleghany, NY,7 Cattaraugus, NY, Chautauqua, NY, Erie, NY, Warren, PA.
Chickahominy Indian TribeNew Kent, VA, James City, VA, Charles City, VA, Henrico, VA.8
Chickahominy Indian Tribe—Eastern DivisionNew Kent, VA, James City, VA, Charles City, VA, Henrico, VA.9
Cheyenne River Sioux Tribe of the Cheyenne River Reservation, South DakotaCorson, SD, Dewey, SD, Haakon, SD, Meade, SD, Perkins, SD, Potter, SD, Stanley, SD, Sully, SD, Walworth, SD, Ziebach, SD.
Chippewa-Cree Indians of the Rocky Boy's Reservation, MontanaChouteau, MT, Hill, MT, Liberty, MT.
Chitimacha Tribe of LouisianaSt. Mary Parish, LA.
Cocopah Tribe of ArizonaYuma, AZ, Imperial, CA.
Coeur D'Alene TribeBenewah, ID, Kootenai, ID, Latah, ID, Spokane, WA, Whitman, WA.
Colorado River Indian Tribes of the Colorado River Indian Reservation, Arizona and CaliforniaLa Paz, AZ, Riverside, CA, San Bernardino, CA, Yuma, AZ.
Confederated Salish and Kootenai Tribes of the Flathead ReservationFlathead, MT, Lake, MT, Missoula, MT, Sanders, MT.
Confederated Tribes and Bands of the Yakama NationKlickitat, WA, Lewis, WA, Skamania, WA,10 Yakima, WA.
Confederated Tribes of Siletz Indians of OregonBenton, OR,11 Clackamas, OR, Lane, OR, Lincoln, OR, Linn, OR, Marion, OR, Multnomah, OR, Polk, OR, Tillamook, OR, Washington, OR, Yamhill, OR.
Confederated Tribes of the Chehalis ReservationGrays Harbor, WA, Lewis, WA, Thurston, WA.
Confederated Tribes of the Colville ReservationChelan, WA,12 Douglas, WA, Ferry, WA, Grant, WA, Lincoln, WA, Okanogan, WA, Stevens, WA.
Confederated Tribes of the Coos, Lower Umpqua and Siuslaw IndiansCoos, OR,13 Curry, OR, Douglas, OR, Lane, OR, Lincoln, OR.
Confederated Tribes of the Goshute Reservation, Nevada and UtahThe entire State of Nevada, Juab, UT, Toole, UT.
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Confederated Tribes of the Grand Ronde Community of OregonMarion, OR, Multnomah, OR, Polk, OR,14 Tillamook, OR, Washington, OR, Yamhill, OR.
Confederated Tribes of the Umatilla Indian ReservationUmatilla, OR, Union, OR.
Confederated Tribes of the Warm Springs Reservation of OregonClackamas, OR, Jefferson, OR, Linn, OR, Marion, OR, Wasco, OR.
Coquille Indian TribeCoos, OR, Curry, OR, Douglas, OR, Jackson, OR, Lane, OR.
Coushatta Tribe of LouisianaAllen Parish, LA, the city limits of Elton, LA.15
Cow Creek Band of Umpqua Tribe of IndiansCoos, OR,16 Deshutes, OR, Douglas, OR, Jackson, OR, Josephine, OR, Klamath, OR, Lane, OR.
Cowlitz Indian TribeClark, WA, Cowlitz, WA, King, WA, Lewis, WA, Peirce, WA, Skamania, WA, Thurston, WA, Columbia, OR,17 Kittitas, WA, Wahkiakum, WA.
Crow Creek Sioux Tribe of the Crow Creek Reservation, South DakotaBrule, SD, Buffalo, SD, Hand, SD, Hughes, SD, Hyde, SD, Lyman, SD, Stanley, SD.
Crow Tribe of MontanaBig Horn, MT, Carbon, MT, Treasure, MT,18 Yellowstone, MT, Big Horn, WY, Sheridan, WY.
Eastern Band of Cherokee IndiansCherokee, NC, Graham, NC, Haywood, NC, Jackson, NC, Swain, NC.
Eastern Shoshone Tribe of the Wind River Reservation, WyomingHot Springs, WY, Fremont, WY, Sublette, WY.
Flandreau Santee Sioux Tribe of South DakotaMoody, SD.
Forest County Potawatomi Community, WisconsinForest, WI, Marinette, WI, Oconto, WI.
Fort Belknap Indian Community of the Fort Belknap Reservation of MontanaBlaine, MT, Phillips, MT.
Fort McDermitt Paiute and Shoshone Tribes of the Fort McDermitt Indian Reservation, Nevada and OregonThe entire State of Nevada, Malheur, OR.
Fort McDowell Yavapai Nation, ArizonaMaricopa, AZ.
Fort Mojave Indian Tribe of Arizona, California and NevadaThe entire State of Nevada, Mohave, AZ, San Bernardino, CA.
Gila River Indian Community of the Gila River Indian Reservation, ArizonaMaricopa, AZ, Pinal, AZ.
Grand Traverse Band of Ottawa and Chippewa Indians, MichiganAntrim, MI,19 Benzie, MI, Charlevoix, MI, Grand Traverse, MI, Leelanau, MI, Manistee, MI.
Hannahville Indian Community, MichiganDelta, MI, Menominee, MI.
Haskell Indian Health CenterDouglas, KS.20
Havasupai Tribe of the Havasupai Reservation, ArizonaCoconino, AZ, Mohave, AZ.21
Ho-Chunk Nation of WisconsinAdams, WI,22 Clark, WI, Columbia, WI, Crawford, WI, Dane, WI, Eau Claire, WI, Houston, MN, Jackson, WI, Juneau, WI, La Crosse, WI, Marathon, WI, Monroe, WI, Sauk, WI, Shawano, WI, Vernon, WI, Wood, WI.
Hoh Indian TribeJefferson, WA.
Hopi Tribe of ArizonaApache, AZ, Coconino, AZ, Navajo, AZ.
Houlton Band of Maliseet IndiansAroostook, ME.23
Hualapai Indian Tribe of the Hualapai Indian Reservation, ArizonaCoconino, AZ, Mohave, AZ, Yavapai, AZ.
Iowa Tribe of Kansas and NebraskaBrown, KS, Doniphan, KS, Richardson, NE.
Jamestown S'Klallam TribeClallam, WA, Jefferson, WA.
Jena Band of Choctaw IndiansGrand Parish, LA,24 LaSalle Parish, LA, Rapides, LA.
Jicarilla Apache Nation, New MexicoArchuleta, CO, Rio Arriba, NM, Sandoval, NM.
Kaibab Band of Paiute Indians of the Kaibab Indian Reservation, ArizonaCoconino, AZ, Mohave, AZ, Kane, UT.
Kalispel Indian Community of the Kalispel ReservationPend Oreille, WA, Spokane, WA.
Kewa Pueblo, New Mexico (previously listed as the Pueblo of Santo Domingo)Sandoval, NM, Santa Fe, NM.
Keweenaw Bay Indian Community, MichiganBaraga, MI, Houghton, MI, Ontonagon, MI.
Kickapoo Traditional Tribe of TexasMaverick, TX.25
Kickapoo Tribe of Indians of the Kickapoo Reservation in KansasBrown, KS, Jackson, KS.
Klamath TribesKlamath, OR.26
Koi Nation of Northern California (formerly known as Lower Lake Rancheria, California)Lake, CA, Sonoma, CA.27
Kootenai Tribe of IdahoBoundary, ID.
Lac Courte Oreilles Band of Superior Chippewa Indians of WisconsinSawyer, WI.
Lac du Flambeau Band of Lake Superior Chippewa Indians of the Lac du Flambeau Reservation of WisconsinIron, WI, Oneida, WI, Vilas, WI.
Lac Vieux Desert Band of Lake Superior Chippewa Indians of MichiganGogebic, MI.
Little River Band of Ottawa Indians, MichiganKent, MI,28 Muskegon, MI, Newaygo, MI, Oceana, MI, Ottawa, MI, Manistee, MI, Mason, MI, Wexford, MI, Lake, MI.
Little Shell Tribe of Chippewa Indians of MontanaBlaine, MT, Cascade, MT, Glacier, MT, Hill, MT.29
Little Traverse Bay Bands of Odawa Indians, MichiganAlcona, MI,30 Alger, MI, Alpena, MI, Antrim, MI, Benzie, MI, Charlevoix, MI, Cheboygan, MI, Chippewa, MI, Crawford, MI, Delta, MI, Emmet, MI, Grand Traverse, MI, Iosco, MI, Kalkaska, MI, Leelanau, MI, Luce, MI, Mackinac, MI, Manistee, MI, Missaukee, MI, Montmorency, MI, Ogemaw, MI, Oscoda, MI, Otsego, MI, Presque Isle, MI, Schoolcraft, MI, Roscommon, MI, Wexford, MI.
Lower Brule Sioux Tribe of the Lower Brule Reservation, South DakotaBrule, SD, Buffalo, SD, Hughes, SD, Lyman, SD, Stanley, SD.
Lower Elwha Tribal CommunityClallam, WA.
Lower Sioux Indian Community in the State of MinnesotaRedwood, MN, Renville, MN.
Lummi Tribe of the Lummi ReservationWhatcom, WA.
Makah Indian Tribe of the Makah Indian ReservationClallam, WA.
Mashantucket Pequot Indian TribeNew London, CT.31
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Mashpee Wampanoag TribeBarnstable, MA, Bristol, MA, Norfolk, MA, Plymouth, MA, Suffolk, MA.32
Match-e-be-nash-she-wish Band of Pottawatomi Indians of MichiganAllegan, MI,33 Barry, MI, Kalamazoo, MI, Kent, MI, Ottawa, MI.
Menominee Indian Tribe of WisconsinLanglade, WI, Menominee, WI, Oconto, WI, Shawano, WI.
Mescalero Apache Tribe of the Mescalero Reservation, New MexicoChaves, NM, Lincoln, NM, Otero, NM.
Miccosukee Tribe of IndiansBroward, FL, Collier, FL, Miami-Dade, FL, Hendry, FL.
Minnesota Chippewa Tribe, Minnesota, Bois Forte Band (Nett Lake)Itasca, MN, Koochiching, MN, St. Louis, MN.
Minnesota Chippewa Tribe, Minnesota, Fond du Lac BandCarlton, MN, St. Louis, MN.
Minnesota Chippewa Tribe, Minnesota, Grand Portage BandCook, MN.
Minnesota Chippewa Tribe, Minnesota, Leech Lake BandBeltrami, MN, Cass, MN, Hubbard, MN, Itasca, MN.
Minnesota Chippewa Tribe, Minnesota, Mille Lacs BandAitkin, MN, Kanebec, MN, Mille Lacs, MN, Pine, MN.
Minnesota Chippewa Tribe, Minnesota, White Earth BandBecker, MN, Clearwater, MN, Mahnomen, MN, Norman, MN, Polk, MN.
Mississippi Band of Choctaw IndiansAttala, MS, Jasper, MS,34 Jones, MS, Kemper, MS, Leake, MS, Neshoba, MS, Newton, MS, Noxubee, MS,35 Scott, MS,36 Winston, MS.
Mohegan Tribe of Indians of ConnecticutFairfield, CT, Hartford, CT, Litchfield, CT, Middlesex, CT, New Haven, CT, New London, CT, Tolland, CT, Windham, CT.
Monacan Indian NationAmherst, VA, Nelson, VA, Albemarle, VA, Buckingham, VA, Appomattox, VA, Campbell, VA, Bedford, VA, Botetourt, VA, Rockbridge, VA, Augusta, VA, and the independent cities of Lynchburg, VA, Lexington, VA, Buena Vista, VA, Staunton, VA, Waynesboro, VA, and Charlottesville, VA.37
Muckleshoot Indian TribeKing, WA, Pierce, WA.
Nansemond Indian TribeThe independent cities of Chesapeake, VA, Hampton, VA, Newport News, VA, Norfolk, VA, Portsmouth, VA, Suffolk, VA, and Virginia Beach, VA.38
Narragansett Indian TribeWashington, RI.39
Navajo Nation, Arizona, New Mexico, & UtahApache, AZ, Bernalillo, NM, Cibola, NM, Coconino, AZ, Kane, UT, McKinley, NM, Montezuma, CO, Navajo, AZ, Rio Arriba, NM, Sandoval, NM, San Juan, NM, San Juan, UT, Socorro, NM, Valencia, NM.
NevadaEntire State.40
Nez Perce TribeClearwater, ID, Idaho, ID, Latah, ID, Lewis, ID, Nez Perce, ID.
Nisqually Indian TribePierce, WA, Thurston, WA.
Nooksack Indian TribeWhatcom, WA.
Northern Cheyenne Tribe of the Northern Cheyenne Indian Reservation, MontanaBig Horn, MT, Carter, MT,41 Rosebud, MT.
Northwestern Band of Shoshone NationBox Elder, UT,42 Davis, UT, Salt Lake, UT, Weber, UT.43
Nottawaseppi Huron Band of the Pottawatomi, MichiganAllegan, MI,44 Barry, MI, Branch, MI, Calhoun, MI, Kalamazoo, MI, Kent, MI, Ottawa, MI.
Oglala Sioux TribeBennett, SD, Cherry, NE, Custer, SD, Dawes, NE, Fall River, SD, Jackson, SD,45 Mellette, SD, Pennington, SD, Shannon, SD, Sheridan, NE, Todd, SD.
Ohkay Owingeh, New MexicoRio Arriba, NM.
OklahomaEntire State.46
Omaha Tribe of NebraskaBurt, NE, Cuming, NE, Monona, IA, Thurston, NE, Wayne, NE.
Oneida Nation (previously listed as the Oneida Tribe of Indians of Wisconsin)Brown, WI, Outagamie, WI.
Oneida Indian Nation (previously listed as the Oneida Nation of New York)Chenango, NY, Cortland, NY, Herkimer, NY, Madison, NY, Oneida, NY, Onondaga, NY.
Onondaga NationOnondaga, NY.
Paiute Indian Tribe of UtahIron, UT,47 Millard, UT, Sevier, UT, Washington, UT.
Pamunkey Indian TribeCaroline, VA, Hanover, VA, Henrico, VA, King William, VA, King and Queen, VA, New Kent, VA, and the independent city of Richmond, VA.48
Pascua Yaqui Tribe of ArizonaPima, AZ.49
Passamaquoddy TribeAroostook, ME,5051 Hancock, ME,52 Washington, ME.
Penobscot NationAroostook, ME,53 Penobscot, ME.
Poarch Band of CreeksBaldwin, AL,54 Elmore, AL, Escambia, AL, Mobile, AL, Monroe, AL, Escambia, FL.
Pokagon Band of Pottawatomi Indians, Michigan and IndianaAllegan, MI,55 Berrien, MI, Cass, MI, Elkhart, IN, Kosciusko, IN, La Porte, IN, Marshall, IN, St. Joseph, IN, Starke, IN, Van Buren, MI.
Ponca Tribe of NebraskaBoyd, NE,56 Burt, NE, Charles Mix, SD, Douglas, NE, Hall, NE, Holt, NE, Knox, NE, Lancaster, NE, Madison, NE, Platte, NE, Pottawatomie, IA, Sarpy, NE, Stanton, NE, Wayne, NE, Woodbury, IA.
Port Gamble S'Klallam TribeKitsap, WA.
Prairie Band of Pottawatomi NationJackson, KS.
Prairie Island Indian Community in the State of MinnesotaGoodhue, MN.
Pueblo of Acoma, New MexicoCibola, NM.
Pueblo of Cochiti, New MexicoSandoval, NM, Santa Fe, NM.
Pueblo of Isleta, New MexicoBernalillo, NM, Torrance, NM, Valencia, NM.
Pueblo of Jemez, New MexicoSandoval, NM.
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Pueblo of Laguna, New MexicoBernalillo, NM, Cibola, NM, Sandoval, NM, Valencia, NM.
Pueblo of Nambe, New MexicoSanta Fe, NM.
Pueblo of Picuris, New MexicoTaos, NM.
Pueblo of Pojoaque, New MexicoRio Arriba, NM, Santa Fe, NM.
Pueblo of San Felipe, New MexicoSandoval, NM.
Pueblo of San Ildefonso, New MexicoLos Alamos, NM, Rio Arriba, NM, Sandoval, NM, Santa Fe, NM.
Pueblo of Sandia, New MexicoBernalillo, NM, Sandoval, NM.
Pueblo of Santa Ana, New MexicoSandoval, NM.
Pueblo of Santa Clara, New MexicoLos Alamos, NM, Sandoval, NM, Santa Fe, NM.
Pueblo of Taos, New MexicoColfax, NM, Taos, NM.
Pueblo of Tesuque, MexicoSanta Fe, NM.
Pueblo of Zia, New MexicoSandoval, NM.
Puyallup Tribe of the Puyallup ReservationKing, WA, Pierce, WA, Thurston, WA.
Quechan Tribe of the Fort Yuma Indian Reservation, Arizona and CaliforniaYuma, AZ, Imperial, CA.
Quileute Tribe of the Quileute ReservationClallam, WA, Jefferson, WA.
Quinault Indian NationGrays Harbor, WA, Jefferson, WA.
Rapid City, South DakotaPennington, SD.57
Rappahannock Tribe, Inc.King and Queen County, VA, Caroline County, VA, Essex County, VA, King William County, VA.58
Red Cliff Band of Lake Superior Chippewa Indians of WisconsinBayfield, WI.
Red Lake Band of Chippewa Indians, MinnesotaBeltrami, MN, Clearwater, MN, Koochiching, MN, Lake of the Woods, MN, Marshall, MN, Pennington, MN, Polk, MN, Roseau, MN.
Rosebud Sioux Tribe of the Rosebud Indian Reservation, South DakotaBennett, SD, Cherry, NE, Gregory, SD, Lyman, SD, Mellette, SD, Todd, SD, Tripp, SD.
Sac & Fox Nation of Missouri in Kansas and NebraskaBrown, KS, Richardson, NE.
Sac & Fox Tribe of the Mississippi in IowaTama, IA.
Saginaw Chippewa Indian Tribe of MichiganArenac, MI,59 Clare, MI, Isabella, MI, Midland, MI, Missaukee, MI.
Saint Regis Mohawk TribeFranklin, NY, St. Lawrence, NY.
Salt River Pima-Maricopa Indian Community of the Salt River Reservation, ArizonaMaricopa, AZ.
Samish Indian NationClallam, WA,60 Island, WA, Jefferson, WA, King, WA, Kitsap, WA, Pierce, WA, San Juan, WA, Skagit, WA, Snohomish, WA, Whatcom, WA.
San Carlos Apache Tribe of the San Carlos Reservation, ArizonaApache, AZ, Cochise, AZ, Gila, AZ, Graham, AZ, Greenlee, AZ, Pinal, AZ.
San Juan Southern Paiute Tribe of ArizonaCoconino, AZ, San Juan, UT.
Santee Sioux Nation, NebraskaBon Homme, SD, Knox, NE.
Sauk-Suiattle Indian TribeSnohomish, WA, Skagit, WA.
Sault Ste. Marie Tribe of Chippewa Indians, MichiganAlger, MI,61 Chippewa, MI, Delta, MI, Luce, MI, Mackinac, MI, Marquette, MI, Schoolcraft, MI.
Seminole Tribe of FloridaBroward, FL, Collier, FL, Miami-Dade, FL, Glades, FL, Hendry, FL.
Seneca Nation of IndiansAlleghany, NY, Cattaraugus, NY, Chautauqua, NY, Erie, NY, Warren, PA.
Shakopee Mdewakanton Sioux Community of MinnesotaScott, MN.
Shinnecock Indian NationNassau, NY,62 Suffolk, NY.
Shoalwater Bay Tribe of the Shoalwater Bay Indian ReservationPacific, WA.
Shoshone-Bannock Tribes of the Fort Hall ReservationBannock, ID, Bingham, ID, Caribou, ID, Lemhi, ID,63 Power, ID.
Shoshone-Paiute Tribes of the Duck Valley Reservation, NevadaThe entire state of Nevada, Owyhee, ID.
Sisseton-Wahpeton Oyate of the Lake Traverse Reservation, South DakotaCodington, SD, Day, SD, Grant, SD, Marshall, SD, Richland, ND, Roberts, SD, Sargent, ND, Traverse, MN.
Skokomish Indian TribeMason, WA.
Skull Valley Band of Goshute Indians of UtahTooele, UT.
Snoqualmie Indian TribeKing, WA,64 Snohomish, WA, Pierce, WA, Island, WA, Mason, WA.
Sokaogon Chippewa Community, WisconsinForest, WI.
Southern Ute Indian Tribe of the Southern Ute Reservation, ColoradoArchuleta, CO, La Plata, CO, Montezuma, CO, Rio Arriba, NM, San Juan, NM.
Spirit Lake Tribe, North DakotaBenson, ND, Eddy, ND, Nelson, ND, Ramsey, ND.
Spokane Tribe of the Spokane ReservationFerry, WA, Lincoln, WA, Stevens, WA.
Squaxin Island Tribe of the Squaxin Island ReservationMason, WA.
St. Croix Chippewa Indians of WisconsinBarron, WI, Burnett, WI, Pine, MN, Polk, WI, Washburn, WI.
Standing Rock Sioux Tribe of North & South DakotaAdams, ND, Campbell, SD, Corson, SD, Dewey, SD, Emmons, ND, Grant, ND, Morton, ND, Perkins, SD, Sioux, ND, Walworth, SD, Ziebach, SD.
Stillaguamish Tribe of Indians of WashingtonSnohomish, WA.
Stockbridge Munsee Community, WisconsinMenominee, WI, Shawano, WI.
Suquamish Indian Tribe of the Port Madison ReservationKitsap, WA.
Swinomish Indian Tribal CommunitySkagit, WA.
Tejon Indian TribeThe State of California including Kern, CA.65
Three Affiliated Tribes of the Fort Berthold Reservation, North DakotaDunn, ND, Mercer, ND, McKenzie, ND, McLean, ND, Mountrail, ND, Ward, ND.
Tohono O'odham Nation of ArizonaMaricopa, AZ, Pima, AZ, Pinal, AZ.
Tolowa Dee-ni' Nation (formerly known as Smith River Rancheria of California)California, Curry, OR.66
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Tonawanda Band of SenecaGenesee, NY, Erie, NY, Niagara, NY.
Tonto Apache Tribe of ArizonaGila, AZ.
Trenton Service Unit, North Dakota and MontanaDivide, ND,67 McKenzie, ND, Williams, ND, Richland, MT, Roosevelt, MT, Sheridan, MT.
Tulalip Tribes of WashingtonSnohomish, WA.
Tunica-Biloxi Indian TribeAvoyelles, LA, Rapides, LA.68
Turtle Mountain Band of Chippewa Indians of North DakotaRolette, ND.
Tuscarora NationNiagara, NY.
Upper Mattaponi TribeCaroline, VA, Charles City, VA, Essex, VA, Hanover, VA, Henrico, VA, James City, VA, King and Queen, VA, King William, VA, Middlesex, VA, New Kent, VA, Richmond, VA and the independent city of Richmond, VA.69
Upper Sioux Community, MinnesotaChippewa, MN, Yellow Medicine, MN.
Upper Skagit Indian TribeSkagit, WA.
Ute Indian Tribe of the Uintah & Ouray Reservation, UtahCarbon, UT, Daggett, UT, Duchesne, UT, Emery, UT, Grand, UT, Rio Blanco, CO, Summit, UT, Uintah, UT, Utah, UT, Wasatch, UT.
Ute Mountain Ute TribeApache, AZ, La Plata, CO, Montezuma, CO, San Juan, NM, San Juan, UT.
Wampanoag Tribe of Gay Head (Aquinnah)Dukes, MA,70 Barnstable, MA, Bristol, MA, Norfolk, MA, Plymouth, MA, Suffolk, MA.71
Washoe Tribe of Nevada & CaliforniaThe State of Nevada, The State of California except for the counties listed in footnote.
White Mountain Apache Tribe of the Fort Apache Reservation, ArizonaApache, AZ, Coconino, AZ, Gila, AZ, Graham, AZ, Greenlee, AZ, Navajo, AZ.
Wilton Rancheria, CaliforniaThe State of California including Sacramento, CA.72
Winnebago Tribe of NebraskaDakota, NE, Dixon, NE, Monona, IA, Thurston, NE, Wayne, NE, Woodbury, IA.
Yankton Sioux Tribe of South DakotaBon Homme, SD, Boyd, NE, Charles Mix, SD, Douglas, SD, Gregory, SD, Hutchinson, SD, Knox, NE.
Yavapai-Apache Nation of the Camp Verde Indian Reservation, ArizonaYavapai, AZ.
Yavapai-Prescott Indian TribeYavapai, AZ.
Ysleta Del Sur Pueblo of TexasEl Paso, TX.73
Zuni Tribe of the Zuni Reservation, New MexicoApache, AZ, Cibola, NM, McKinley, NM, Valencia, NM.
1 Public Law 100-89, Restoration Act for Ysleta Del Sur and Alabama and Coushatta Tribes of Texas establishes service areas for “members of the Tribe” by sections 101(3) and 105(a) for the Pueblo and sections 201(3) and 206(a) respectively.
2 Entire State of Alaska is included as a CHSDA by regulation (42 CFR 136.22(a)(1)).
3 Aroostook Band of Micmacs was recognized by Congress on November 26, 1991, through the Aroostook Band of Micmac Settlement Act. Aroostook County, ME, was defined as the SDA.
4 Special programs have been established by Congress irrespective of the eligibility regulations. Eligibility for services at these facilities is based on the legislative history of the appropriation of funds for the particular facility rather than the eligibility regulations. Historically services have been provided at Brigham City Intermountain School Health Center, Utah (Pub. L. 88-358).
5 Entire State of California, excluding the counties of Alameda, Contra Costa, Los Angeles, Marin, Orange, Sacramento, San Francisco, San Mateo, Santa Clara, Kern, Merced, Monterey, Napa, San Benito, San Joaquin, San Luis Obispo, Santa Cruz, Solano, Stanislaus, and Ventura, is designated a CHSDA (25 U.S.C. 1680).
6 The counties were recognized after the January 1984 CHSDA FRN was published, in accordance with Public Law. 103-116, Catawba Indian Tribe of South Carolina Land Claims Settlement Act of 1993, dated October 27, 1993.
7 There is no reservation for the Cayuga Nation; the service delivery area consists of those counties identified by the Cayuga Nation.
8 The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115-121, officially recognized the Chickahominy Indian Tribe as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe's PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed in the Recognition Act.
9 The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115-121, officially recognized the Chickahominy Indian Tribe—Eastern Division as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe's PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed in the Recognition Act.
10 Skamania County, WA, has historically been a part of the Yakama Service Unit population since 1979.
11 In order to carry out the Congressional intent of the Siletz Restoration Act, Public Law 95-195, as expressed in H. Report No. 95-623, at page 4, members of the Confederated Tribes of Siletz Indians of Oregon residing in these counties are eligible for contract health services.
12 Chelan County, WA, has historically been a part of the Colville Service Unit population since 1970.
13 Pursuant to Public Law 98-481 (H. Rept. No. 98-904), Coos, Lower Umpqua and Siuslaw Restoration Act, members of the Tribe residing in these counties were specified as eligible for Federal services and benefits without regard to the existence of a Federal Indian reservation.
14 The Confederated Tribes of Grand Ronde Community of Oregon were recognized by Public Law 98-165 which was signed into law on November 22, 1983, and provides for eligibility in these six counties without regard to the existence of a reservation.
15 The CHSDA for the Coushatta Tribe of Louisiana was expanded administratively by the Director, IHS, through regulation (42 CFR 136.22(b)) to include city limits of Elton, LA.
16 Cow Creek Band of Umpqua Tribe of Indians recognized by Public Law 97-391, signed into law on December 29, 1983. House Rept. No. 97-862 designates Douglas, Jackson, and Josephine Counties as a service area without regard to the existence of a reservation. The IHS later administratively expanded the CHSDA to include the counties of Coos, OR, Deschutes, OR, Klamath, OR, and Lane, OR.
17 The Cowlitz Indian Tribe was recognized in July 2002 as documented at 67 FR 46329, July 12, 2002. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the ISDEAA, Public Law 93-638. The CHSDA was administratively expanded to included Columbia County, OR, Kittitas, WA, and Wahkiakum County, WA, as published at 74 FR 67884, December 21, 2009.
18 Treasure County, MT, has historically been a part of the Crow Service Unit population.
19 The counties listed have historically been a part of the Grand Traverse Service Unit population since 1980.
20 Haskell Indian Health Center has historically been a part of Kansas Service Unit since 1979. Special programs have been established by Congress irrespective of the eligibility regulations. Eligibility for services at these facilities is based on the legislative history of the appropriation of funds for the particular facility rather than the eligibility regulations. Historically services have been provided at Haskell Indian Health Center (H. Rept. No. 95-392).Start Printed Page 41603
21 The PRCDA for the Havasupai Tribe of Arizona was expanded administratively by the Director, IHS, through regulation (42 CFR 136.22(b)) to include Mohave County in the State of Arizona.
22 CHSDA counties for the Ho-Chunk Nation of Wisconsin were designated by regulation (42 CFR 136.22(a)(5)). Dane County, WI, was added to the reservation by the Bureau of Indian Affairs in 1986.
23 Public Law 97-428 provides that any member of the Houlton Band of Maliseet Indians in or around the Town of Houlton shall be eligible without regard to existence of a reservation.
24 The Jena Band of Choctaw Indian was Federally acknowledged as documented at 60 FR 28480, May 31, 1995. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
25 Kickapoo Traditional Tribe of Texas, formerly known as the Texas Band of Kickapoo, was recognized by Public Law 97-429, signed into law on January 8, 1983. The Act provides for eligibility for Kickapoo Tribal members residing in Maverick County without regard to the existence of a reservation.
26 The Klamath Indian Tribe Restoration Act (Pub. L. 99-398, Sec. 2(2)) states that for the purpose of Federal services and benefits “members of the tribe residing in Klamath County shall be deemed to be residing in or near a reservation”.
27 The Koi Nation of Northern California, formerly known as the Lower Lake Rancheria, was reaffirmed by the Secretary of the Bureau of Indian Affairs on December 29, 2000. The counties listed were designated administratively as the SDA, to function as a PRCDA, for the purposes of operating a PRC program pursuant to the ISDEAA, Public Law 93-638.
28 The Little Traverse Bay Bands of Odawa Indians and the Little River Band of Ottawa Indians Act recognized the Little River Band of Ottawa Indians and the Little Traverse Bay Bands of Odawa Indians. Pursuant to Public Law 103-324, Sec.4 (b) the counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
29 In Public Law 116-92, that became law on December 20, 2019, Congress federally recognized the Little Shell Tribe of Chippewa Indians of Montana. Consistent with Public Law 116-92, the IHS designated the counties as the PRCDA for the Little Shell Tribe of Chippewa Indians of Montana.
30 The Little Traverse Bay Bands of Odawa Indians and the Little River Band of Ottawa Indians Act recognized the Little River Band of Ottawa Indians and the Little Traverse Bay Bands of Odawa Indians. Pursuant to Public Law 103-324, Sec.4 (b) the counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
31 Mashantucket Pequot Indian Claims Settlement Act, Public Law 98-134, signed into law on October 18, 1983, provides a reservation for the Mashantucket Pequot Indian Tribe in New London County, CT.
32 The Mashpee Wampanoag Tribe was recognized in February 2007, as documented at 72 FR 8007, February 22, 2007. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
33 The Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan was recognized in October 1998, as documented at 63 FR 56936, October 23, 1998. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
34 Members of the Mississippi Band of Choctaw Indians residing in Jasper and Noxubee Counties, MS, are eligible for contract health services; these two counties were inadvertently omitted from 42 CFR 136.22.
35 Members of the Mississippi Band of Choctaw Indians residing in Jasper and Noxubee Counties, MS, are eligible for contract health services; these two counties were inadvertently omitted from 42 CFR 136.22.
36 Scott County, MS, has historically been a part of the Choctaw Service Unit population since 1970.
37 The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115-121, officially recognized the Monacan Indian Nation as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe's PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed in the Recognition Act.
38 The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115-121, officially recognized the Nansemond Indian Tribe as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe's PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed in the Recognition Act.
39 The Narragansett Indian Tribe was recognized by Public Law 95-395, signed into law September 30, 1978. Lands in Washington County, RI, are now Federally restricted and the Bureau of Indian Affairs considers them as the Narragansett Indian Reservation.
40 Entire State of Nevada is included as a CHSDA by regulation (42 CFR 136.22 (a)(2)).
41 Carter County, MT, has historically been a part of the Northern Cheyenne Service Unit population since 1979.
42 Land of Box Elder County, Utah, was taken into trust for the Northwestern Band of Shoshone Nation in 1986.
43 The PRCDA for the Northwest Band of Shoshone Nation was expanded administratively by the Principle Deputy Director, IHS, through regulation (42 CFR 136.22(b)) to include the counties of Davis, Salt Lake, and Weber, in the State of Utah.
44 The Nottawaseppi Huron Band of the Potawatomi, Michigan, formerly known as the Huron Band of Potawatomi, Inc., was recognized in December 1995, as documented at 60 FR 66315, December 21, 1995. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
45 Washabaugh County, SD, merged and became part of Jackson County, SD, in 1983; both were/are CHSDA counties for the Oglala Sioux Tribe.
46 Entire State of Oklahoma is included as a CHSDA by regulation (42 CFR 136.22 (a)(3)).
47 Paiute Indian Tribe of Utah Restoration Act, Public Law 96-227, provides for the extension of services for the Paiute Indian Tribe of Utah to these four counties without regard to the existence of a reservation.
48 In the Federal Register on July 8, 2015 (80 FR 39144), the Pamunkey Indian Tribe was officially recognized as an Indian Tribe within the meaning of Federal law. The counties listed were designated administratively as the PRCDA, for the purposes of operating a PRC program.
49 Legislative history (H.R. Report No. 95-1021) to Public Law 95-375, Extension of Federal Benefits to Pascua Yaqui Indians, Arizona, expresses congressional intent that lands conveyed to the Pascua Yaqui Tribe of Arizona pursuant to Act of October 8, 1964. (Pub. L. 88-350) shall be deemed a Federal Indian Reservation.
50 The Maine Indian Claims Settlement Act of 1980 (Pub. L. 96-420; H. Rept. 96-1353) includes the intent of Congress to fund and provide contract health services to the Passamaquoddy Tribe and the Penobscot Nation.
51 The Passamaquoddy Tribe has two reservations: Indian Township and Pleasant Point. The PRCDA for the Passamaquoddy Tribe at Indian Township, ME, is Aroostook County, ME, Washington County, ME, and Hancock County, ME. The PRCDA for the Passamaquoddy Tribe at Pleasant Point, ME, is Washington County, ME, south of State Route 9, and Aroostook County, ME.
52 The Passamaquoddy Tribe's counties listed are designated administratively as the SDA, to function as a PRCDA, for the purposes of operating a PRC program pursuant to the ISDEAA, Public Law 93-638.
53 The Maine Indian Claims Settlement Act of 1980 (Pub. L. 96-420; H. Rept. 96-1353) includes the intent of Congress to fund and provide PRC to the Passamaquoddy Tribe and the Penobscot Nation.
54 Counties in the Service Unit designated by Congress for the Poarch Band of Creek Indians (see H. Rept. 98-886, June 29, 1984; Cong. Record, October 10, 1984, Pg. H11929).
55 Public Law 103-323 restored Federal recognition to the Pokagon Band of Potawatomi Indians, Michigan and Indiana, in 1994 and identified counties to serve as the SDA.
56 The Ponca Restoration Act, Public Law 101-484, recognized members of the Ponca Tribe of Nebraska in Boyd, Douglas, Knox, Madison or Lancaster counties of Nebraska or Charles Mix county of South Dakota as residing on or near a reservation. Public Law 104-109 made technical corrections to laws relating to Native Americans and added Burt, Hall, Holt, Platte, Sarpy, Stanton, and Wayne counties of Nebraska and Pottawatomie and Woodbury counties of Iowa to the Ponca Tribe of Nebraska SDA.Start Printed Page 41604
57 Special programs have been established by Congress irrespective of the eligibility regulations. Eligibility for services at these facilities is based on the legislative history of the appropriation of funds for the particular facility, rather than the eligibility regulations. Historically services have been provided at Rapid City (S. Rept. No. 1154, FY 1967 Interior Approp. 89th Cong. 2d Sess.).
58 The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115-121, officially recognized the Rappahannock Tribe, Inc. as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe's PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed in the Recognition Act.
59 Historically part of Isabella Reservation Area for the Saginaw Chippewa Indian Tribe of Michigan and the Eastern Michigan Service Unit population since 1979.
60 The Samish Indian Tribe Nation was Federally acknowledged in April 1996 as documented at 61 FR 15825, April 9, 1996. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
61 CHSDA counties for the Sault Ste. Marie Tribe of Chippewa Indians, Michigan, were designated by regulation (42 CFR 136.22(a)(4)).
62 The Shinnecock Indian Nation was Federally acknowledged in June 2010 as documented at 75 FR 34760, June 18, 2010. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
63 Lemhi County, ID, has historically been a part of the Fort Hall Service Unit population since 1979.
64 The Snoqualmie Indian Tribe was Federally acknowledged in August 1997 as documented at 62 FR 45864, August 29, 1997. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
65 On December 30, 2011 the Office of Assistant Secretary-Indian Affairs reaffirmed the Federal recognition of the Tejon Indian Tribe. Kern County, CA, was designated administratively as part of the Tribe's CHSDA in addition to the CHSDA established by Congress for the State of California. Kern County was not covered when Congress originally established the State of California as a CHSDA excluding certain counties including Sacramento County (25 U.S.C. 1680).
66 The counties listed are designated administratively as the SDA, to function as a PRC SDA, for the purposes of operating a PRC program pursuant to the ISDEAA, Public Law 93-638.
67 The Secretary acting through the Service is directed to provide contract health services to Turtle Mountain Band of Chippewa Indians that reside in Trenton Service Unit, North Dakota and Montana, in Divide, Mackenzie, and Williams counties in the state of North Dakota and the adjoining counties of Richland, Roosevelt, and Sheridan in the state of Montana (Sec. 815, Pub. L. 94-437).
68 Rapides County, LA, has historically been a part of the Tunica Biloxi Service Unit population since 1982.
69 The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115-121, officially recognized the Upper Mattaponi Tribe as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe's PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed in the Recognition Act.
70 According to Public Law 100-95, Sec. 12, members of the Wampanoag Tribe of Gay Head (Aquinnah) residing on Martha's Vineyard are deemed to be living on or near an Indian reservation for the purposes of eligibility for Federal services.
71 The counties listed are designated administratively as the SDA, to function as a PRCDA, for the purposes of operating a PRC program pursuant to the ISDEAA, Public Law 93-638.
72 The Wilton Rancheria, California had Federal recognition restored in July 2009 as documented at 74 FR 33468, July 13, 2009. Sacramento County, CA, was designated administratively as part of the Rancheria's CHSDA in addition to the CHSDA established by Congress for the State of California. Sacramento County was not covered when Congress originally established the State of California as a CHSDA excluding certain counties including Sacramento County (25 U.S.C. 1680).
73 Public Law 100-89, Restoration Act for Ysleta Del Sur and Alabama and Coushatta Tribes of Texas establishes service areas for “members of the Tribe” by sections 101(3) and 105(a) for the Pueblo and sections 201(3) and 206(a) respectively.
Start Signature

Chris Buchanan,

RADM, Assistant Surgeon General, USPHS, Deputy Director, Indian Health Service.

End Signature End Supplemental Information

[FR Doc. 2020-14760 Filed 7-9-20; 8:45 a.m.]

BILLING CODE 4165-16-P