---
kind: "section"
citation: "25 U.S.C. § 1680d"
title: "25"
title_heading: "Indians"
number: "1680d"
heading: "Infant and maternal mortality; fetal alcohol syndrome"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/25/1680d"
units:
  - "Chapter 18 — Indian Health Care"
  - "Subchapter VI — Miscellaneous"
---

# §1680d. Infant and maternal mortality; fetal alcohol syndrome


By no later than January 1, 1990, the [Secretary](/usc/25/1603.md?p=17) shall develop and begin implementation of a plan to achieve the following objectives by January 1, 1994:

- (1) reduction of the rate of [Indian](/usc/25/1603.md?p=13) infant mortality in each [area office](/usc/25/1603.md?p=1) of the [Service](/usc/25/1603.md?p=18) to the lower of—
  - (A) twelve deaths per one thousand live births, or
  - (B) the rate of infant mortality applicable to the United States population as a whole;
- (2) reduction of the rate of maternal mortality in each [area office](/usc/25/1603.md?p=1) of the [Service](/usc/25/1603.md?p=18) to the lower of—
  - (A) five deaths per one hundred thousand live births, or
  - (B) the rate of maternal mortality applicable to the United States population as a whole; and
- (3) reduction of the rate of [fetal alcohol syndrome](/usc/25/1603.md?p=9) among [Indians](/usc/25/1603.md?p=13) served by, or on behalf of, the [Service](/usc/25/1603.md?p=18) to one per one thousand live births.

## Source credit

(Pub. L. 94–437, title VIII, § 814, formerly title VII, § 714, as added Pub. L. 100–713, title VII, § 708, Nov. 23, 1988, 102 Stat. 4831; renumbered title VIII, § 814, and amended Pub. L. 102–573, title VII, § 701(a), (b), title VIII, § 804, Oct. 29, 1992, 106 Stat. 4572, 4585.)

## Notes

### Editorial Notes

### Amendments

1992—Pub. L. 102–573, § 804, struck out subsec. (a) designation before “By no later” and struck out subsec. (b) which read as follows: “The President shall include with the budget submitted under section 1105 of title 31 for each fiscal year a separate statement which specifies the total amount obligated or expended in the most recently completed fiscal year to achieve each of the objectives described in subsection (a) of this section.”