---
kind: "section"
citation: "25 U.S.C. § 1621b"
title: "25"
title_heading: "Indians"
number: "1621b"
heading: "Health promotion and disease prevention services"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/25/1621b"
units:
  - "Chapter 18 — Indian Health Care"
  - "Subchapter II — Health Services"
---

# §1621b. Health promotion and disease prevention services

- (a) **Authorization—** The [Secretary](/usc/25/1603.md?p=17), acting through the [Service](/usc/25/1603.md?p=18), shall provide [health promotion](/usc/25/1603.md?p=11) and [disease prevention](/usc/25/1603.md?p=7-A) [services](/usc/25/1603.md?p=18) to [Indians](/usc/25/1603.md?p=13) so as to achieve the health status objectives set forth in [section 1602(b)](/usc/25/1602.md)[^1] of this title.
- (b) **Evaluation statement for Presidential budget—** The [Secretary](/usc/25/1603.md?p=17) shall submit to the President for inclusion in each statement which is required to be submitted to the Congress under [section 1671 of this title](/usc/25/1671.md) an evaluation of—
  - (1) the [health promotion](/usc/25/1603.md?p=11) and [disease prevention](/usc/25/1603.md?p=7-A) needs of [Indians](/usc/25/1603.md?p=13),
  - (2) the [health promotion](/usc/25/1603.md?p=11) and [disease prevention](/usc/25/1603.md?p=7-A) activities which would best meet such needs,
  - (3) the internal capacity of the [Service](/usc/25/1603.md?p=18) to meet such needs, and
  - (4) the resources which would be required to enable the [Service](/usc/25/1603.md?p=18) to undertake the [health promotion](/usc/25/1603.md?p=11) and [disease prevention](/usc/25/1603.md?p=7-A) activities necessary to meet such needs.

## Footnotes

[^1]: See References in Text note below.

## Source credit

(Pub. L. 94–437, title II, § 203, as added Pub. L. 100–713, title II, § 203(c), Nov. 23, 1988, 102 Stat. 4805; amended Pub. L. 102–573, title II, § 203, Oct. 29, 1992, 106 Stat. 4546.)

## Notes

### Editorial Notes

### References in Text

Section 1602 of this title, referred to in subsec. (a), was amended generally by Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935, and, as so amended, no longer contains a subsec. (b).

### Amendments

1992—Subsec. (a). Pub. L. 102–573, § 203(1), inserted before period at end “so as to achieve the health status objectives set forth in section 1602(b) of this title”.

Subsec. (b). Pub. L. 102–573, § 203(2), in introductory provisions, substituted “section 1671” for “section 1621(f)”.

Subsec. (c). Pub. L. 102–573, § 203(3), struck out subsec. (c) which directed establishment of between 1 and 4 health-related demonstration projects to terminate 30 months after Nov. 23, 1988.

### Statutory Notes and Related Subsidiaries

### Congressional Findings on Health Promotion and Disease Prevention

Pub. L. 100–713, title II, § 203(a), Nov. 23, 1988, 102 Stat. 4804, provided that: “The Congress finds that health promotion and disease prevention activities will— improve the health and well being of Indians, and reduce the expenses for medical care of Indians.”