---
kind: "section"
citation: "25 U.S.C. § 1621y"
title: "25"
title_heading: "Indians"
number: "1621y"
heading: "Contract health service administration and disbursement formula"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/25/1621y"
units:
  - "Chapter 18 — Indian Health Care"
  - "Subchapter II — Health Services"
---

# §1621y. Contract health service administration and disbursement formula

- (a) **Submission of report—** As soon as practicable after March 23, 2010, the Comptroller General of the United States shall submit to the [Secretary](/usc/25/1603.md?p=17), the Committee on [Indian](/usc/25/1603.md?p=13) Affairs of the Senate, and the Committee on Natural Resources of the House of Representatives, and make available to each [Indian tribe](/usc/25/1603.md?p=14), a report describing the results of the study of the Comptroller General regarding the funding of the [contract health service](/usc/25/1603.md?p=5) program (including historic funding levels and a recommendation of the funding level needed for the program) and the [administration](/usc/25/1667a.md?p=1) of the [contract health service](/usc/25/1603.md?p=5) program (including the distribution of funds pursuant to the program), as requested by Congress in March 2009, or pursuant to [section 1680t of this title](/usc/25/1680t.md).
- (b) **Consultation with tribes—** On receipt of the report under [subsection (a)](#a), the [Secretary](/usc/25/1603.md?p=17) shall consult with [Indian tribes](/usc/25/1603.md?p=14) regarding the [contract health service](/usc/25/1603.md?p=5) program, including the distribution of funds pursuant to the program—
  - (1) to determine whether the current distribution formula would require modification if the [contract health service](/usc/25/1603.md?p=5) program were funded at the level recommended by the Comptroller General;
  - (2) to identify any inequities in the current distribution formula under the current funding level or inequitable results for any [Indian tribe](/usc/25/1603.md?p=14) under the funding level recommended by the Comptroller General;
  - (3) to identify any areas of program [administration](/usc/25/1667a.md?p=1) that may result in the inefficient or ineffective management of the program; and
  - (4) to identify any other issues and recommendations to improve the [administration](/usc/25/1667a.md?p=1) of the [contract health services](/usc/25/1603.md?p=5) program and correct any unfair results or funding disparities identified under [paragraph (2)](#b-2).
- (c) **Subsequent action by Secretary—** If, after consultation with [Indian tribes](/usc/25/1603.md?p=14) under [subsection (b)](#b), the [Secretary](/usc/25/1603.md?p=17) determines that any issue described in [subsection (b)(2)](#b-2) exists, the [Secretary](/usc/25/1603.md?p=17) may initiate procedures under subchapter III of [chapter 5](/usc/5/chptI/ch5.md) of title 5 to negotiate or promulgate regulations to establish a disbursement formula for the [contract health service](/usc/25/1603.md?p=5) program funding.

## Source credit

(Pub. L. 94–437, title II, § 226, as added Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935.)

## Notes

### Editorial Notes

### Codification

Section 226 of Pub. L. 94–437 is based on section 137 of title I of S. 1790, One Hundred Eleventh Congress, as reported by the Committee on Indian Affairs of the Senate in Dec. 2009, which was enacted into law by section 10221(a) of Pub. L. 111–148.