§1667a. Definitions — Inbound Citations
25 U.S.C. § 1667a
Cited by 82 provisions in release 119-102.
Citations to §1667a(1)
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(i) utilize collection agencies contracted with by the Administrator of the General Services Administration; or
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The Secretary shall, by contract or otherwise, provide training for individuals in the administration and planning of tribal health programs.
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(c) No part of CHEF or its administration shall be subject to contract or grant under any law, including the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.),1 nor shall CHEF funds be allocated, apportioned, or delegated on an Area Office, Service Unit, or other similar basis.
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(a) As soon as practicable after March 23, 2010, the Comptroller General of the United States shall submit to the Secretary, the Committee on Indian Affairs of the Senate, and the Committee on Natural Resources of the House of Representatives, and make available to each Indian tribe, a report describing the results of the study of the Comptroller General regarding the funding of the contract health service program (including historic funding levels and a recommendation of the funding level needed for the program) and the administration of the contract health service 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.
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(3) to identify any areas of program administration that may result in the inefficient or ineffective management of the program; and
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(4) to identify any other issues and recommendations to improve the administration of the contract health services program and correct any unfair results or funding disparities identified under paragraph (2).
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(c) In the case of a self-insured plan under subsection (a)(4), the amounts may be used for expenses of operating the plan, including administration and insurance to limit the financial risks to the entity offering the plan.
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(2) The purpose of this section is to reaffirm the goals stated in the document entitled “Memorandum of Understanding Between the VA/Veterans Health Administration And HHS/Indian Health Service” and dated February 25, 2003 (relating to cooperation and resource sharing between the Veterans Health Administration and Service).
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(2) The term “local memorandum of understanding” means a memorandum of understanding between the Secretary (or a designee, including the director of any area office of the Service) and the Secretary of Veterans Affairs (or a designee) to implement the document entitled “Memorandum of Understanding Between the VA/Veterans Health Administration And HHS/Indian Health Service” and dated February 25, 2003 (relating to cooperation and resource sharing between the Veterans Health Administration and Indian Health Service).
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(a) The Secretary shall conduct a study to determine the feasibility of treating the Navajo Nation as a State for the purposes of title XIX of the Social Security Act [42 U.S.C. 1396 et seq.], to provide services to Indians living within the boundaries of the Navajo Nation through an entity established having the same authority and performing the same functions as single-State medicaid agencies responsible for the administration of the State plan under title XIX of the Social Security Act.
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(1) assigning and paying all expenditures for the provision of services and related administration funds, under title XIX of the Social Security Act [42 U.S.C. 1396 et seq.], to Indians living within the boundaries of the Navajo Nation that are currently paid to or would otherwise be paid to the State of Arizona, New Mexico, or Utah;
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(2) providing assistance to the Navajo Nation in the development and implementation of such entity for the administration, eligibility, payment, and delivery of medical assistance under title XIX of the Social Security Act;
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(a) Pursuant to section 13 of this title, the Secretary, acting through the Service, shall enter into contracts with, or make grants to, urban Indian organizations to assist the urban Indian organizations in the establishment and administration, within urban centers, of programs that meet the requirements of this subchapter.
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(a) The Secretary shall, within the Branch of Urban Health Programs of the Service, make grants or enter into contracts for the administration of urban Indian alcohol programs that were originally established under the National Institute on Alcoholism and Alcohol Abuse (hereafter in this section referred to as “NIAAA”) and transferred to the Service.
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(b) Subject to subsection (d), the Secretary may donate to an urban Indian organization that has entered into a contract or received a grant pursuant to this subchapter any personal or real property determined to be excess to the needs of the Service or the General Services Administration for the purposes of carrying out the contract or grant.
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(A) the administration of services, including functional expenses such as overtime, personnel salaries, and associated benefits; or
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(c) The Secretary, acting through the Substance Abuse and Mental Health Services Administration, shall make grants to Indian Tribes, Tribal Organizations, and urban Indian Organizations for applied research projects which propose to elevate the understanding of methods to prevent, intervene, treat, or provide rehabilitation and behavioral health aftercare for Indians and urban Indians affected by fetal alcohol spectrum disorders.
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(9) the Substance Abuse and Mental Health Services Administration and the Service have established specific initiatives to combat youth suicide in Indian country and among Indians and Alaska Natives throughout the United States, including the National Suicide Prevention Initiative of the Service, which has worked with Service, tribal, and urban Indian health programs since 2003;
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(A) the Substance Abuse and Mental Health Services Administration;
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(E) the Health Resources and Services Administration; and
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(3) to enhance the provision of mental health care services to Indian youth through existing grant programs of the Substance Abuse and Mental Health Services Administration.
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(5) In developing and carrying out the demonstration project under this subsection, the Secretary shall consult with the Administration as the Federal agency focused on mental health issues, including suicide.
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(1) The Secretary, acting through the Administration, shall carry out such measures as the Secretary determines to be necessary to maximize the time and workload efficiency of the process by which Indian tribes and tribal organizations apply for grants under any program administered by the Administration, including by providing methods other than electronic methods of submitting applications for those grants, if necessary.
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(i) administered by the Administration to fund activities relating to mental health, suicide prevention, or suicide-related risk factors; and
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(3) Notwithstanding any other provision of law, in applying for a grant under any program administered by the Administration, no Indian tribe or tribal organization shall be required to apply through a State or State agency.
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(II) the application for a grant under any program administered by the Administration of which includes statewide data.
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(B) As a condition of receipt of a grant under any program administered by the Administration, each affected State shall—(i) describe in the grant application—(I) the Indian population of the affected State; and(II) the contribution of that Indian population to the statewide data used by the affected State in the application; and(ii) demonstrate to the satisfaction of the Secretary that—(I) of the total amount of the grant, the affected State will allocate for use for the Indian population of the affected State an amount equal to the proportion that—(aa) the Indian population of the affected State; bears to(bb) the total population of the affected State; and(II) the affected State will take reasonable efforts to collaborate with each Indian tribe located within the affected State to carry out youth suicide prevention and treatment measures for members of the Indian tribe.
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(b) Notwithstanding any other provision of law, no Indian tribe or tribal organization shall be required to provide a non-Federal share of the cost of any project or activity carried out using a grant provided under any program administered by the Administration.
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(1) The Secretary, acting through the Administration, shall carry out such measures (including monitoring and the provision of required assistance) as the Secretary determines to be necessary to ensure the provision of adequate suicide prevention and mental health services to Indian tribes described in paragraph (2), regardless of whether those Indian tribes possess adequate personnel or infrastructure—(A) to submit an application for a grant under any program administered by the Administration, including due to problems relating to access to the Internet or other electronic means that may have resulted in previous obstacles to submission of a grant application; or(B) to fulfill all applicable requirements of the relevant program.
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(A) to submit an application for a grant under any program administered by the Administration, including due to problems relating to access to the Internet or other electronic means that may have resulted in previous obstacles to submission of a grant application; or
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(A) that receives a grant for suicide intervention, prevention, or treatment under a program administered by the Administration; and
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(2) The Secretary, acting through the Administration, shall ensure that each affected entity carrying out a youth suicide early intervention and prevention strategy described in section 290bb–36(c)(1) of title 42, or any other youth suicide-related early intervention and assessment activity, provides training or education to individuals who interact frequently with the Indian youth to be served by the affected entity (including parents, teachers, coaches, and mentors) on identifying warning signs of Indian youth who are at risk of committing suicide.
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(a) The purpose of this section is to authorize the Secretary, acting through the Administration, to carry out a demonstration program to test the effectiveness of a culturally compatible, school-based, life skills curriculum for the prevention of Indian and Alaska Native adolescent suicide, including through—(1) the establishment of tribal partnerships to develop and implement such a curriculum, in cooperation with—(A) behavioral health professionals, with a priority for tribal partnerships cooperating with mental health professionals employed by the Service;(B) tribal or local school agencies; and(C) parent and community groups;(2) the provision by the Administration or the Service of—(A) technical expertise; and(B) clinicians, analysts, and educators, as appropriate;(3) training for teachers, school administrators, and community members to implement the curriculum;(4) the establishment of advisory councils composed of parents, educators, community members, trained peers, and others to provide advice regarding the curriculum and other components of the demonstration program;(5) the development of culturally appropriate support measures to supplement the effectiveness of the curriculum; and(6) projects modeled after evidence-based projects, such as programs evaluated and published in relevant literature.
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(2) the provision by the Administration or the Service of—(A) technical expertise; and(B) clinicians, analysts, and educators, as appropriate;
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(2) The Secretary, acting through the Administration, may establish and carry out a demonstration program under which the Secretary shall—(A) identify a culturally compatible, school-based, life skills curriculum for the prevention of Indian and Alaska Native adolescent suicide;(B) identify the Indian tribes that are at greatest risk for adolescent suicide;(C) invite those Indian tribes to participate in the demonstration program by—(i) responding to a comprehensive program requirement request of the Secretary; or(ii) submitting, through an eligible entity, an application in accordance with paragraph (4); and(D) provide grants to the Indian tribes identified under subparagraph (B) and eligible entities to implement the curriculum with respect to Indian and Alaska Native youths who—(i) are between the ages of 10 and 19; and(ii) attend school in a region that is at risk of high youth suicide rates, as determined by the Administration.
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(ii) attend school in a region that is at risk of high youth suicide rates, as determined by the Administration.
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(J) to obtain educational materials and other resources from the Administration or other appropriate entities to ensure the success of the demonstration program; and
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(iii) identifying and distributing the curriculum through the Suicide Prevention Resource Center of the Administration; and
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(b) The Secretary may enter into leases, contracts, and other legal agreements with Indian tribes or tribal organizations which hold—(1) title to;(2) a leasehold interest in; or(3) a beneficial interest in (where title is held by the United States in trust for the benefit of a tribe);facilities used for the administration and delivery of health services by the Service or by programs operated by Indian tribes or tribal organizations to compensate such Indian tribes or tribal organizations for costs associated with the use of such facilities for such purposes. Such costs include rent, depreciation based on the useful life of the building, principal and interest paid or accrued, operation and maintenance expenses, and other expenses determined by regulation to be allowable.
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(D) the administration of the contract health service program, including the distribution of funds to Indian health programs pursuant to the program; and
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$10,000,000 shall remain available until expended, for the establishment of an Indian Catastrophic Health Emergency Fund (hereinafter referred to as the “Fund”). On and after October 18, 1986, the Fund is to cover the Indian Health Service portion of the medical expenses of catastrophic illness falling within the responsibility of the Service and shall be administered by the Secretary of Health and Human Services, acting through the central office of the Indian Health Service. No part of the Fund or its administration shall be subject to contract or grant under the Indian Self-Determination and Education Assistance Act (Public Law 93–638) [25 U.S.C. 5301 et seq.]. There shall be deposited into the Fund all amounts recovered under the authority of the Federal Medical Care Recovery Act (42 U.S.C. 2651 et seq.), which shall become available for obligation upon receipt and which shall remain available for obligation until expended. The Fund shall not be used to pay for health services provided to eligible Indians to the extent that alternate Federal, State, local, or private insurance resources for payment: (1) are available and accessible to the beneficiary; or (2) would be available and accessible if the beneficiary were to apply for them; or (3) would be available and accessible to other citizens similarly situated under Federal, State, or local law or regulation or private insurance program notwithstanding Indian Health Service eligibility or residency on or off a Federal Indian reservation.
Citations to §1667a(2)
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(G) Injury prevention programs, including data collection and evaluation, demonstration projects, training, and capacity building.
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(4) Demonstration projects for the screening, treatment, and prevention of hepatitis C virus (HCV).
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(1) The purpose of this section is to encourage the establishment of demonstration projects that meet the applicable criteria of this section to be carried out by the Secretary, acting through the Service, or Indian tribes or tribal organizations acting pursuant to contracts or compacts under the Indian Self Determination1 and Education Assistance Act (25 U.S.C. 450 et seq.)—2(A) to test alternative means of delivering health care and services to Indians through facilities; or(B) to use alternative or innovative methods or models of delivering health care services to Indians (including primary care services, contract health services, or any other program or service authorized by this chapter) through convenient care services (as defined in subsection (c)), community health centers, or cooperative agreements or arrangements with other health care providers that share or coordinate the use of facilities, funding, or other resources, or otherwise coordinate or improve the coordination of activities of the Service, Indian tribes, or tribal organizations, with those of the other health care providers.
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(2) The Secretary, acting through the Service, is authorized to carry out, or to enter into contracts or compacts under the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.)2 with Indian tribes or tribal organizations to carry out, health care delivery demonstration projects that—(B) otherwise carry out the purposes of this section.
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(A) The Secretary may approve under this section demonstration projects that meet the following criteria:(i) There is a need for a new facility or program, such as a program for convenient care services, or an improvement in, increased efficiency at, or reorientation of an existing facility or program.(ii) A significant number of Indians, including Indians with low health status, will be served by the project.(iii) The project has the potential to deliver services in an efficient and effective manner.(iv) The project is economically viable.(v) For projects carried out by an Indian tribe or tribal organization, the Indian tribe or tribal organization has the administrative and financial capability to administer the project.
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(B) In approving demonstration projects under this paragraph, the Secretary shall give priority to demonstration projects, to the extent the projects meet the criteria described in subparagraph (A), located in any of the following Service units:(i) Cass Lake, Minnesota.(ii) Mescalero, New Mexico.(iii) Owyhee and Elko, Nevada.(iv) Schurz, Nevada.(v) Ft. Yuma, California.
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(B) In addition to projects described in paragraph (2), in any fiscal year, the Secretary is authorized under this paragraph to approve not more than 10 applications for health care delivery demonstration projects that meet the criteria described in subparagraph (C).
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(C) The Secretary shall approve under subparagraph (B) demonstration projects that meet all of the following criteria:(i) The criteria set forth in paragraph (2)(A).(ii) There is a lack of access to health care services at existing health care facilities, which may be due to limited hours of operation at those facilities or other factors.(iii) The project—(I) expands the availability of services; or(II) reduces—(aa) the burden on Contract Health Services; or(bb) the need for emergency room visits.
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(d) On receipt of an application or request from an Indian tribe, a consortium of Indian tribes, or a tribal organization, the Secretary shall provide such technical and other assistance as may be necessary to enable applicants to comply with this section, including information regarding the Service unit budget and available funding for carrying out the proposed demonstration project.
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(e) Subject to section 1680c of this title, the authority to provide services to persons otherwise ineligible for the health care benefits of the Service, and the authority to extend hospital privileges in Service facilities to non-Service health practitioners as provided in section 1680c of this title, may be included, subject to the terms of that section, in any demonstration project approved pursuant to this section.
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(g) The Secretary shall ensure that the planning, design, construction, renovation, and expansion needs of Service and non-Service facilities that are the subject of a contract or compact under the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.)2 for health services are fully and equitably integrated into the implementation of the health care delivery demonstration projects under this section.
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Notwithstanding any other provision of law, the Tulsa Clinic and Oklahoma City Clinic demonstration projects shall—
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(1) to authorize the Secretary to carry out a demonstration project to test the use of telemental health services in suicide prevention, intervention, and treatment of Indian youth, including through—(A) the use of psychotherapy, psychiatric assessments, diagnostic interviews, therapies for mental health conditions predisposing to suicide, and alcohol and substance abuse treatment;(B) the provision of clinical expertise to, consultation services with, and medical advice and training for frontline health care providers working with Indian youth;(C) training and related support for community leaders, family members, and health and education workers who work with Indian youth;(D) the development of culturally relevant educational materials on suicide; and(E) data collection and reporting;
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(1) The Secretary, acting through the Service, is authorized to carry out a demonstration project to award grants for the provision of telemental health services to Indian youth who—(A) have expressed suicidal ideas;(B) have attempted suicide; or(C) have behavioral health conditions that increase or could increase the risk of suicide.
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(B) enter into collaborative partnerships with Service or other tribal health programs or facilities to provide services under this demonstration project;
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(5) In developing and carrying out the demonstration project under this subsection, the Secretary shall consult with the Administration as the Federal agency focused on mental health issues, including suicide.
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(B) To provide clinician-interactive medical advice, guidance and training, assistance in diagnosis and interpretation, crisis counseling and intervention, and related assistance to Service or tribal clinicians and health services providers working with youth being served under the demonstration project.
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(C) To assist, educate, and train community leaders, health education professionals and paraprofessionals, tribal outreach workers, and family members who work with the youth receiving telemental health services under the demonstration project, including with identification of suicidal tendencies, crisis intervention and suicide prevention, emergency skill development, and building and expanding networks among those individuals and with State and local health services providers.
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(F) a plan for sustaining the project after Federal assistance for the demonstration project has terminated.
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(ii) evaluates whether the demonstration project should be continued during the period beginning on the date of termination of funding for the demonstration project under subsection (g) and ending on the date on which the final report is submitted under paragraph (2).
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(B) On a determination by the Secretary under clause (ii) of subparagraph (A) that the demonstration project should be continued, the Secretary may carry out the demonstration project during the period described in that clause using such sums otherwise made available to the Secretary as the Secretary determines to be appropriate.
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(2) Not later than 270 days after the date of termination of funding for the demonstration project under subsection (g), the Secretary shall submit to the Committee on Indian Affairs of the Senate and the Committee on Natural Resources and the Committee on Energy and Commerce of the House of Representatives a final report that—(A) describes the results of the projects funded by grants awarded under this section, including any data available that indicate the number of attempted suicides;(B) evaluates the impact of the telemental health services funded by the grants in reducing the number of completed suicides among Indian youth;(C) evaluates whether the demonstration project should be—(i) expanded to provide more than 5 grants; and(ii) designated as a permanent program; and(D) evaluates the benefits of expanding the demonstration project to include urban Indian organizations.
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(C) evaluates whether the demonstration project should be—(i) expanded to provide more than 5 grants; and(ii) designated as a permanent program; and
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(D) evaluates the benefits of expanding the demonstration project to include urban Indian organizations.
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(1) The Secretary, acting through the Service, shall make grants to Indian tribes to establish demonstration projects under which the Indian tribe will develop and test a phased approach to assumption by the Indian tribe of the health care delivery system of the Service for members of the Indian tribe living on or near the reservations of the Indian tribe through the use of Service, tribal, and private sector resources.
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(2) A grant may be awarded to an Indian tribe under paragraph (1) only if the Secretary determines that the Indian tribe has the administrative and financial capabilities necessary to conduct a demonstration project described in paragraph (1).
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(b) During the period in which a demonstration project established under subsection (a) is being conducted by an Indian tribe, the Secretary shall award all health care contracts, including community, behavioral, and preventive health care contracts, to the Indian tribe in the form of a single grant to which the regulations prescribed under part A of title XIX of the Public Health Service Act [42 U.S.C. 300w et seq.] (as modified as necessary by any agreement entered into between the Secretary and the Indian tribe to achieve the purposes of the demonstration project established under subsection (a)) shall apply.
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(c) The Secretary may waive such provisions of Federal procurement law as are necessary to enable any Indian tribe to develop and test administrative systems under the demonstration project established under subsection (a), but only if such waiver does not diminish or endanger the delivery of health care services to Indians.
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(1) The demonstration project established under subsection (a) shall terminate on September 30, 1993, or, in the case of a demonstration project for which a grant is made after September 30, 1990, three years after the date on which such grant is made.
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(2) By no later than September 30, 1996, the Secretary shall evaluate the performance of each Indian tribe that has participated in a demonstration project established under subsection (a) and shall submit to the Congress a report on such evaluations and demonstration projects.
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(1) The Secretary, acting through the Service, shall make arrangements with Indian tribes to establish joint venture demonstration projects under which an Indian tribe shall expend tribal, private, or other available nontribal funds, for the acquisition or construction of a health facility for a minimum of 20 years, under a no-cost lease, in exchange for agreement by the Service to provide the equipment, supplies, and staffing for the operation and maintenance of such a health facility. A tribe may utilize tribal funds, private sector, or other available resources, including loan guarantees, to fulfill its commitment under this subsection.
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The Secretary shall provide for the dissemination to Indian tribes of the findings and results of demonstration projects conducted under this chapter.
Citations to §1667a(3)
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(1) to authorize the Secretary to carry out a demonstration project to test the use of telemental health services in suicide prevention, intervention, and treatment of Indian youth, including through—(A) the use of psychotherapy, psychiatric assessments, diagnostic interviews, therapies for mental health conditions predisposing to suicide, and alcohol and substance abuse treatment;(B) the provision of clinical expertise to, consultation services with, and medical advice and training for frontline health care providers working with Indian youth;(C) training and related support for community leaders, family members, and health and education workers who work with Indian youth;(D) the development of culturally relevant educational materials on suicide; and(E) data collection and reporting;
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(1) The Secretary, acting through the Service, is authorized to carry out a demonstration project to award grants for the provision of telemental health services to Indian youth who—(A) have expressed suicidal ideas;(B) have attempted suicide; or(C) have behavioral health conditions that increase or could increase the risk of suicide.
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(C) offering school-based telemental health services to Indian youth.
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(A) To provide telemental health services to Indian youth, including the provision of—(i) psychotherapy;(ii) psychiatric assessments and diagnostic interviews, therapies for mental health conditions predisposing to suicide, and treatment; and(iii) alcohol and substance abuse treatment.
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(C) To assist, educate, and train community leaders, health education professionals and paraprofessionals, tribal outreach workers, and family members who work with the youth receiving telemental health services under the demonstration project, including with identification of suicidal tendencies, crisis intervention and suicide prevention, emergency skill development, and building and expanding networks among those individuals and with State and local health services providers.
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(i) meet the telemental health care needs of the Indian youth population to be served by the project; or
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(1) describes the number of telemental health services provided; and
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(B) evaluates the impact of the telemental health services funded by the grants in reducing the number of completed suicides among Indian youth;
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(c) Due to the rural, isolated nature of most Indian reservations and communities (especially those reservations and communities in the Great Plains region), the Secretary shall conduct outreach activities, with a particular emphasis on the provision of telemental health services, to achieve the purposes of this part with respect to Indian tribes located in rural, isolated areas.