---
kind: "section"
citation: "25 U.S.C. § 1678"
title: "25"
title_heading: "Indians"
number: "1678"
heading: "Arizona as contract health service delivery area"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/25/1678"
units:
  - "Chapter 18 — Indian Health Care"
  - "Subchapter VI — Miscellaneous"
---

# §1678. Arizona as contract health service delivery area

- (a) **In general—** The State of Arizona shall be designated as a [contract health service](/usc/25/1603.md?p=5) delivery area by the [Service](/usc/25/1603.md?p=18) for the purpose of providing contract health care [services](/usc/25/1603.md?p=18) to members of [Indian tribes](/usc/25/1603.md?p=14) in the State of Arizona.
- (b) **Maintenance of services—** The [Service](/usc/25/1603.md?p=18) shall not curtail any health care [services](/usc/25/1603.md?p=18) provided to [Indians](/usc/25/1603.md?p=13) residing on [reservations](/usc/25/1603.md?p=16-A) in the State of Arizona if the curtailment is due to the provision of contract [services](/usc/25/1603.md?p=18) in that State pursuant to the designation of the State as a [contract health service](/usc/25/1603.md?p=5) delivery area by [subsection (a)](#a).

## Source credit

(Pub. L. 94–437, title VIII, § 808, as added Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935.)

## Notes

### Editorial Notes

### Codification

Section 808 of Pub. L. 94–437 is based on section 192(1) 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.

### Prior Provisions

A prior section 1678, Pub. L. 94–437, title VIII, § 808, formerly title VII, § 708, as added Pub. L. 96–537, § 8(b), Dec. 17, 1980, 94 Stat. 3181; amended Pub. L. 100–713, title VII, § 702, Nov. 23, 1988, 102 Stat. 4827; renumbered title VIII, § 808, and amended Pub. L. 102–573, title VII, § 701(a), (b), title VIII, § 803, Oct. 29, 1992, 106 Stat. 4572, 4585, temporarily designated Arizona as a contract health service delivery area, prior to repeal by Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935. The repeal is based on section 192(1) 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.