Redesignation of the Delivery Area for the Havasupai Tribe

Published date11 May 2020
Citation85 FR 27747
Record Number2020-09992
SectionNotices
CourtIndian Health Service
Federal Register, Volume 85 Issue 91 (Monday, May 11, 2020)
[Federal Register Volume 85, Number 91 (Monday, May 11, 2020)]
                [Notices]
                [Pages 27747-27754]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2020-09992]
                -----------------------------------------------------------------------
                DEPARTMENT OF HEALTH AND HUMAN SERVICES
                Indian Health Service
                Redesignation of the Delivery Area for the Havasupai Tribe
                AGENCY: Indian Health Service, HHS.
                ACTION: Notice.
                -----------------------------------------------------------------------
                SUMMARY: Notice is hereby given that the Indian Health Service has
                decided to expand the geographic boundaries of the Purchased/Referred
                Care (PRC) Delivery Area for the Havasupai Tribe in the State of
                Arizona to include Mohave County in the State of Arizona. The final PRC
                delivery area for the Havasupai Tribe is now the counties of Coconino
                and Mohave in the State of Arizona. The sole purpose of this expansion
                is to authorize Havasupai to cover additional Tribal members and
                beneficiaries under Havasupai's PRC.
                DATES: This expansion is effective as of the publication date of this
                notice.
                ADRESSES: This notice can be found at https://www.federalregister.gov.
                Written requests for information should be delivered to: CDR John Rael,
                Director, Office of Resource Access and Partnerships, Indian Health
                Service, 5600 Fishers Lane, Mail Stop 10E85C, Rockville, MD 20857,
                (301) 443-0609 (This is not a toll-free number).
                SUPPLEMENTARY INFORMATION:
                 Background: The IHS currently provides services under regulations
                in effect on September 15, 1987, and republished in the Code of Federal
                Regulations (CFR) at 42 CFR part 136, subparts A-C. Subpart C defines a
                Contract Health Service Delivery Area (CHSDA), now referred to as a
                Purchased/Referred Care delivery area (PRCDA), as the geographic area
                within which PRC will be made available by the IHS to members of an
                identified Indian community who reside in the area. Residence in a
                PRCDA by a person who is within the scope of the Indian health program,
                as set forth in 42 CFR
                [[Page 27748]]
                136.12, creates no legal entitlement to PRC but only potential
                eligibility for services. Services needed but not available at an IHS
                or Tribal facility are provided under the PRC program depending on the
                availability of funds, the relative medical priority of the services to
                be provided, and the actual availability and accessibility of alternate
                resources in accordance with the regulations.
                 As applicable to the Tribes, these regulations provide that, unless
                otherwise designated, a PRCDA shall consist of a county which includes
                all or part of a reservation and any county or counties which have a
                common boundary with the reservation (42 CFR 136.22(a)(6)). The
                regulations also provide that after consultation with the Tribal
                governing body or bodies on those reservations included within the
                PRCDA, the Secretary may from time to time, redesignate areas within
                the United States (U.S.) for inclusion in or exclusion from a PRCDA.
                The regulations require that certain criteria must be considered before
                any redesignation is made. The criteria are as follows:
                 (1) The number of Indians residing in the area proposed to be so
                included or excluded;
                 (2) Whether the Tribal governing body has determined that Indians
                residing in the area near the reservation are socially and economically
                affiliated with the Tribe;
                 (3) The geographic proximity to the reservation of the area whose
                inclusion or exclusion is being considered; and
                 (4) The level of funding which would be available for the provision
                of PRC, 42 CFR 136.22(b),
                 Additionally, the regulations require that any redesignation of a
                PRCDA must be made in accordance with the Administrative Procedures Act
                (5 U.S.C. 553). In compliance with this requirement, IHS published a
                proposed notice of redesignation and requested public comments on March
                5, 2019 (84 FR 7910). IHS did not receive any public comments in
                response to the proposed notice of redesignation.
                 In support of this expansion, IHS adopts the following findings of
                the Havasupai Tribe, which had requested that IHS expand the Havasupai
                PRCDA to include Coconino and Mohave Counties in the State of Arizona:
                 1. By expanding, the IHS estimates the current eligible population
                will be increased by 122.
                 2. The Havasupai Tribe has determined that these 122 individuals
                are members of the Havasupai Tribe and they are socially and
                economically affiliated with the Havasupai Tribe.
                 3. Mohave County in the State of Arizona maintains a common
                boundary with Coconino County.
                 4. The Havasupai Tribal members located in Mohave County in the
                State of Arizona currently do not use the Indian health system for
                their PRC health care needs.
                 The Havasupai Tribe will use its existing Federal allocation for
                PRC funds to provide health care services to the expanded population.
                No additional financial resources will be allocated by the IHS to the
                Havasupai Tribe to provide services to Tribal members residing in
                Mohave County in the State of Arizona.
                 Purchased/Referred Care Delivery Areas
                ------------------------------------------------------------------------
                 Tribe/reservation County/state
                ------------------------------------------------------------------------
                Ak Chin Indian Community............... Pinal, AZ.
                Alabama-Coushatta Tribes of Texas...... Polk, TX.\1\
                Alaska................................. Entire State.\2\
                Arapahoe Tribe of the Wind River Hot Springs, WY, Fremont, WY,
                 Reservation, Wyoming. Sublette, WY.
                Aroostook Band of Micmacs.............. Aroostook, ME.\3\
                Assiniboine and Sioux Tribes of the Daniels, MT, McCone, MT,
                 Fort Peck Indian Reservation, Montana. Richland, MT, Roosevelt, MT,
                 Sheridan, MT, Valley, MT.
                Bad River Band of the Lake Superior Ashland, WI, Iron, WI.
                 Tribe of Chippewa Indians of the Bad
                 River Reservation, Wisconsin.
                Bay Mills Indian Community, Michigan... Chippewa, MI.
                Blackfeet Tribe of the Blackfeet Indian Glacier, MT, Pondera, MT.
                 Reservation of Montana.
                Brigham City Intermountain School Permanently closed on May 17,
                 Health Center, Utah. 1984.\4\
                Burns Paiute Tribe..................... Harney, OR.
                California............................. Entire State, except for the
                 counties listed in the
                 footnote.\5\
                Catawba Indian Nation (AKA Catawba All Counties in SC,\6\
                 Tribe of South Carolina). Cabarrus, NC, Cleveland, NC,
                 Gaston, NC, Mecklenburg, NC,
                 Rutherford, NC, Union, NC.
                Cayuga Nation.......................... Alleghany, NY,\7\ Cattaraugus,
                 NY, Chautauqua, NY, Erie, NY,
                 Warren, PA.
                Chickahominy Indian Tribe.............. New Kent, VA, James City, VA,
                 Charles City, VA, Henrico,
                 VA.\8\
                Chickahominy Indian Tribe--Eastern New Kent, VA, James City, VA,
                 Division. Charles City, VA, Henrico,
                 VA.\9\
                Cheyenne River Sioux Tribe of the Corson, SD, Dewey, SD, Haakon,
                 Cheyenne River Reservation, South SD, Meade, SD, Perkins, SD,
                 Dakota. Potter, SD, Stanley, SD,
                 Sully, SD, Walworth, SD,
                 Ziebach, SD.
                Chippewa-Cree Indians of the Rocky Chouteau, MT, Hill, MT,
                 Boy's Reservation, Montana. Liberty, MT.
                Chitimacha Tribe of Louisiana.......... St. Mary Parish, LA.
                Cocopah Tribe of Arizona............... Yuma, AZ, Imperial, CA.
                Coeur D'Alene Tribe.................... Benewah, ID, Kootenai, ID,
                 Latah, ID, Spokane, WA,
                 Whitman, WA.
                Colorado River Indian Tribes of the La Paz, AZ, Riverside, CA, San
                 Colorado River Indian Reservation, Bernardino, CA, Yuma, AZ.
                 Arizona and California.
                Confederated Salish and Kootenai Tribes Flathead, MT, Lake, MT,
                 of the Flathead Reservation. Missoula, MT, Sanders, MT.
                Confederated Tribes and Bands of the Klickitat, WA, Lewis, WA,
                 Yakama Nation. Skamania, WA,\10\ Yakima, WA.
                Confederated Tribes of Siletz Indians Benton, OR,\11\ Clackamas, OR,
                 of Oregon. Lane, OR, Lincoln, OR, Linn,
                 OR, Marion, OR, Multnomah, OR,
                 Polk, OR, Tillamook, OR,
                 Washington, OR, Yamhill, OR.
                Confederated Tribes of the Chehalis Grays Harbor, WA, Lewis, WA,
                 Reservation. Thurston, WA.
                Confederated Tribes of the Colville Chelan, WA,\12\ Douglas, WA,
                 Reservation. Ferry, WA, Grant, WA, Lincoln,
                 WA, Okanogan, WA, Stevens, WA.
                Confederated Tribes of the Coos, Lower Coos, OR,\13\ Curry, OR,
                 Umpqua and Siuslaw Indians. Douglas, OR, Lane, OR,
                 Lincoln, OR.
                Confederated Tribes of the Goshute Nevada, Juab, UT, Toole, UT.
                 Reservation, Nevada and Utah.
                [[Page 27749]]
                
                Confederated Tribes of the Grand Ronde Marion, OR, Multnomah, OR,
                 Community of Oregon. Polk, OR,\14\ Tillamook, OR,
                 Washington, OR, Yamhill, OR.
                Confederated Tribes of the Umatilla Umatilla, OR, Union, OR.
                 Indian Reservation.
                Confederated Tribes of the Warm Springs Clackamas, OR, Jefferson, OR,
                 Reservation of Oregon. Linn, OR, Marion, OR, Wasco,
                 OR.
                Coquille Indian Tribe.................. Coos, OR, Curry, OR, Douglas,
                 OR, Jackson, OR, Lane, OR.
                Coushatta Tribe of Louisiana........... Allen Parish, LA, the city
                 limits of Elton, LA.\15\
                Cow Creek Band of Umpqua Tribe of Coos, OR,\16\ Deshutes, OR,
                 Indians. Douglas, OR, Jackson, OR,
                 Josephine, OR, Klamath, OR,
                 Lane, OR.
                Cowlitz Indian Tribe................... Clark, WA, Cowlitz, WA, King,
                 WA, Lewis, WA, Peirce, WA,
                 Skamania, WA, Thurston, WA,
                 Columbia, OR,\17\ Kittitas,
                 WA, Wahkiakum, WA.
                Crow Creek Sioux Tribe of the Crow Brule, SD, Buffalo, SD, Hand,
                 Creek Reservation, South Dakota. SD, Hughes, SD, Hyde, SD,
                 Lyman, SD, Stanley, SD.
                Crow Tribe of Montana.................. Big Horn, MT, Carbon, MT,
                 Treasure, MT,\18\ Yellowstone,
                 MT, Big Horn, WY, Sheridan,
                 WY.
                Eastern Band of Cherokee Indians....... Cherokee, NC, Graham, NC,
                 Haywood, NC, Jackson, NC,
                 Swain, NC.
                Eastern Shoshone Tribe of the Wind Hot Springs, WY, Fremont, WY,
                 River Reservation, Wyoming. Sublette, WY.
                Flandreau Santee Sioux Tribe of South Moody, SD.
                 Dakota.
                Forest County Potawatomi Community, Forest, WI, Marinette, WI,
                 Wisconsin. Oconto, WI.
                Fort Belknap Indian Community of the Blaine, MT, Phillips, MT.
                 Fort Belknap Reservation of Montana.
                Fort McDermitt Paiute and Shoshone The entire State of Nevada,
                 Tribes of the Fort McDermitt Indian Malheur, OR.
                 Reservation, Nevada and Oregon.
                Fort McDowell Yavapai Nation, Arizona.. Maricopa, AZ.
                Fort Mojave Indian Tribe of Arizona, The entire State of Nevada,
                 California and Nevada. Mohave, AZ, San Bernardino,
                 CA.
                Gila River Indian Community of the Gila Maricopa, AZ, Pinal, AZ.
                 River Indian Reservation, Arizona.
                Grand Traverse Band of Ottawa and Antrim, MI,\19\ Benzie, MI,
                 Chippewa Indians, Michigan. Charlevoix, MI, Grand
                 Traverse, MI, Leelanau, MI,
                 Manistee, MI.
                Hannahville Indian Community, Michigan. Delta, MI, Menominee, MI.
                Haskell Indian Health Center........... Douglas, KS.\20\
                Havasupai Tribe of the Havasupai Coconino, AZ, Mohave, AZ.\21\
                 Reservation, Arizona.
                Ho-Chunk Nation of Wisconsin........... Adams, WI,\22\ Clark, WI,
                 Columbia, WI, Crawford, WI,
                 Dane, WI, Eau Claire, WI,
                 Houston, MN, Jackson, WI,
                 Juneau, WI, La Crosse, WI,
                 Marathon, WI, Monroe, WI,
                 Sauk, WI, Shawano, WI, Vernon,
                 WI, Wood, WI.
                Hoh Indian Tribe....................... Jefferson, WA.
                Hopi Tribe of Arizona.................. Apache, AZ, Coconino, AZ,
                 Navajo, AZ.
                Houlton Band of Maliseet Indians....... Aroostook, ME.\23\
                Hualapai Indian Tribe of the Hualapai Coconino, AZ, Mohave, AZ,
                 Indian Reservation, Arizona. Yavapai, AZ.
                Iowa Tribe of Kansas and Nebraska...... Brown, KS, Doniphan, KS,
                 Richardson, NE.
                Jamestown S'Klallam Tribe.............. Clallam, WA, Jefferson, WA.
                Jena Band of Choctaw Indians........... Grand Parish, LA,\24\ LaSalle
                 Parish, LA, Rapides, LA.
                Jicarilla Apache Nation, New Mexico.... Archuleta, CO, Rio Arriba, NM,
                 Sandoval, NM.
                Kaibab Band of Paiute Indians of the Coconino, AZ, Mohave, AZ, Kane,
                 Kaibab Indian Reservation, Arizona. UT.
                Kalispel Indian Community of the Pend Oreille, WA, Spokane, WA.
                 Kalispel Reservation.
                Kewa Pueblo, New Mexico (previously Sandoval, NM, Santa Fe, NM.
                 listed as the Pueblo of Santo Domingo).
                Keweenaw Bay Indian Community, Michigan Baraga, MI, Houghton, MI,
                 Ontonagon, MI.
                Kickapoo Traditional Tribe of Texas.... Maverick, TX.\25\
                Kickapoo Tribe of Indians of the Brown, KS, Jackson, KS.
                 Kickapoo Reservation in Kansas.
                Klamath Tribes......................... Klamath, OR.\26\
                Koi Nation of Northern California Lake, CA, Sonoma, CA.\27\
                 (formerly known as Lower Lake
                 Rancheria, California).
                Kootenai Tribe of Idaho................ Boundary, ID.
                Lac Courte Oreilles Band of Superior Sawyer, WI.
                 Chippewa Indians of Wisconsin.
                Lac du Flambeau Band of Lake Superior Iron, WI, Oneida, WI, Vilas,
                 Chippewa Indians of the Lac du WI.
                 Flambeau Reservation of Wisconsin.
                Lac Vieux Desert Band of Lake Superior Gogebic, MI.
                 Chippewa Indians of Michigan.
                Little River Band of Ottawa Indians, Kent, MI,\28\ Muskegon, MI,
                 Michigan. Newaygo, MI, Oceana, MI,
                 Ottawa, MI, Manistee, MI,
                 Mason, MI, Wexford, MI, Lake,
                 MI.
                Little Traverse Bay Bands of Odawa Alcona, MI,\29\ Alger, MI,
                 Indians, Michigan. Alpena, MI, Antrim, MI,
                 Benzie, MI, Charlevoix, MI,
                 Cheboygan, MI, Chippewa, MI,
                 Crawford, MI, Delta, MI,
                 Emmet, MI, Grand Traverse, MI,
                 Iosco, MI, Kalkaska, MI,
                 Leelanau, MI, Luce, MI,
                 Mackinac, MI, Manistee, MI,
                 Missaukee, MI, Montmorency,
                 MI, Ogemaw, MI, Oscoda, MI,
                 Otsego, MI, Presque Isle, MI,
                 Schoolcraft, MI, Roscommon,
                 MI, Wexford, MI.
                Lower Brule Sioux Tribe of the Lower Brule, SD, Buffalo, SD, Hughes,
                 Brule Reservation, South Dakota. SD, Lyman, SD, Stanley, SD.
                Lower Elwha Tribal Community........... Clallam, WA.
                Lower Sioux Indian Community in the Redwood, MN, Renville, MN.
                 State of Minnesota.
                Lummi Tribe of the Lummi Reservation... Whatcom, WA.
                Makah Indian Tribe of the Makah Indian Clallam, WA.
                 Reservation.
                [[Page 27750]]
                
                Mashantucket Pequot Indian Tribe....... New London, CT.\30\
                Mashpee Wampanoag Tribe................ Barnstable, MA, Bristol, MA,
                 Norfolk, MA, Plymouth, MA,
                 Suffolk, MA.\31\
                Match-e-be-nash-she-wish Band of Allegan, MI,\32\ Barry, MI,
                 Pottawatomi Indians of Michigan. Kalamazoo, MI, Kent, MI,
                 Ottawa, MI.
                Menominee Indian Tribe of Wisconsin.... Langlade, WI, Menominee, WI,
                 Oconto, WI, Shawano, WI.
                Mescalero Apache Tribe of the Mescalero Chaves, NM, Lincoln, NM, Otero,
                 Reservation, New Mexico. NM.
                Miccosukee Tribe of Indians............ Broward, FL, Collier, FL, Miami-
                 Dade, FL, Hendry, FL.
                Minnesota Chippewa Tribe, Minnesota, Itasca, MN, Koochiching, MN,
                 Bois Forte Band (Nett Lake). St. Louis, MN.
                Minnesota Chippewa Tribe, Minnesota, Carlton, MN, St. Louis, MN.
                 Fond du Lac Band.
                Tribe/Reservation...................... County/State.
                Minnesota Chippewa Tribe, Minnesota, Cook, MN.
                 Grand Portage Band.
                Minnesota Chippewa Tribe, Minnesota, Beltrami, MN, Cass, MN,
                 Leech Lake Band. Hubbard, MN, Itasca, MN.
                Minnesota Chippewa Tribe, Minnesota, Aitkin, MN, Kanebec, MN, Mille
                 Mille Lacs Band. Lacs, MN, Pine, MN.
                Minnesota Chippewa Tribe, Minnesota, Becker, MN, Clearwater, MN,
                 White Earth Band. Mahnomen, MN, Norman, MN,
                 Polk, MN.
                Mississippi Band of Choctaw Indians.... Attala, MS, Jasper, MS,\33\
                 Jones, MS, Kemper, MS, Leake,
                 MS, Neshoba, MS, Newton, MS,
                 Noxubee, MS,\34\ Scott,
                 MS,\35\ Winston, MS.
                Mohegan Tribe of Indians of Connecticut Fairfield, CT, Hartford, CT,
                 Litchfield, CT, Middlesex, CT,
                 New Haven, CT, New London, CT,
                 Tolland, CT, Windham, CT.
                Monacan Indian Nation.................. Amherst, VA, Nelson, VA,
                 Albemarle, VA, Buckingham, VA,
                 Appomattox, VA, Campbell, VA,
                 Bedford, VA, Botetourt, VA,
                 Rockbridge, VA, Augusta, VA,
                 and the independent cities of
                 Lynchburg, VA, Lexington, VA,
                 Buena Vista, VA, Staunton, VA,
                 Waynesboro, VA, and
                 Charlottesville, VA.\36\
                Muckleshoot Indian Tribe............... King, WA, Pierce, WA.
                Nansemond Indian Tribe................. The independent cities of
                 Chesapeake, VA, Hampton, VA,
                 Newport News, VA, Norfolk, VA,
                 Portsmouth, VA, Suffolk, VA,
                 and Virginia Beach, VA.\37\
                Narragansett Indian Tribe.............. Washington, RI.\38\
                Navajo Nation, Arizona, New Mexico, & Apache, AZ, Bernalillo, NM,
                 Utah. Cibola, NM, Coconino, AZ,
                 Kane, UT, McKinley, NM,
                 Montezuma, CO, Navajo, AZ, Rio
                 Arriba, NM, Sandoval, NM, San
                 Juan, NM, San Juan, UT,
                 Socorro, NM, Valencia, NM.
                Nevada................................. Entire State.\39\
                Nez Perce Tribe........................ Clearwater, ID, Idaho, ID,
                 Latah, ID, Lewis, ID, Nez
                 Perce, ID.
                Nisqually Indian Tribe................. Pierce, WA, Thurston, WA.
                Nooksack Indian Tribe.................. Whatcom, WA.
                Northern Cheyenne Tribe of the Northern Big Horn, MT, Carter, MT,\40\
                 Cheyenne Indian Reservation, Montana. Rosebud, MT.
                Northwestern Band of Shoshone Nation... Box Elder, UT.\41\
                Nottawaseppi Huron Band of the Allegan, MI,\42\ Barry, MI,
                 Pottawatomi, Michigan. Branch, MI, Calhoun, MI,
                 Kalamazoo, MI, Kent, MI,
                 Ottawa, MI.
                Oglala Sioux Tribe..................... Bennett, SD, Cherry, NE,
                 Custer, SD, Dawes, NE, Fall
                 River, SD, Jackson, SD,\43\
                 Mellette, SD, Pennington, SD,
                 Shannon, SD, Sheridan, NE,
                 Todd, SD.
                Ohkay Owingeh, New Mexico.............. Rio Arriba, NM.
                Oklahoma............................... Entire State.\44\
                Omaha Tribe of Nebraska................ Burt, NE, Cuming, NE, Monona,
                 IA, Thurston, NE, Wayne, NE.
                Oneida Nation (previously listed as the Brown, WI, Outagamie, WI.
                 Oneida Tribe of Indians of Wisconsin).
                Oneida Indian Nation (previously listed Chenango, NY, Cortland, NY,
                 as the Oneida Nation of New York). Herkimer, NY, Madison, NY,
                 Oneida, NY, Onondaga, NY.
                Onondaga Nation........................ Onondaga, NY.
                Paiute Indian Tribe of Utah............ Iron, UT,\45\ Millard, UT,
                 Sevier, UT, Washington, UT.
                Pamunkey Indian Tribe.................. Caroline, VA, Hanover, VA,
                 Henrico, VA, King William, VA,
                 King and Queen, VA, New Kent,
                 VA, and the independent city
                 of Richmond, VA.\46\
                Pascua Yaqui Tribe of Arizona.......... Pima, AZ.\47\
                Passamaquoddy Tribe.................... Aroostook, ME,\48\ \49\
                 Hancock, ME,\50\ Washington,
                 ME.
                Penobscot Nation....................... Aroostook, ME,\51\ Penobscot,
                 ME.
                Poarch Band of Creeks.................. Baldwin, AL,\52\ Elmore, AL,
                 Escambia, AL, Mobile, AL,
                 Monroe, AL, Escambia, FL.
                Pokagon Band of Pottawatomi Indians, Allegan, MI,\53\ Berrien, MI,
                 Michigan and Indiana. Cass, MI, Elkhart, IN,
                 Kosciusko, IN, La Porte, IN,
                 Marshall, IN, St. Joseph, IN,
                 Starke, IN, Van Buren, MI.
                Ponca Tribe of Nebraska................ Boyd, NE,\54\ Burt, NE, Charles
                 Mix, SD, Douglas, NE, Hall,
                 NE, Holt, NE, Knox, NE,
                 Lancaster, NE, Madison, NE,
                 Platte, NE, Pottawatomie, IA,
                 Sarpy, NE, Stanton, NE, Wayne,
                 NE, Woodbury, IA.
                Port Gamble S'Klallam Tribe............ Kitsap, WA.
                Prairie Band of Pottawatomi Nation..... Jackson, KS.
                Prairie Island Indian Community in the Goodhue, MN.
                 State of Minnesota.
                Pueblo of Acoma, New Mexico............ Cibola, NM.
                [[Page 27751]]
                
                Pueblo of Cochiti, New Mexico.......... Sandoval, NM, Santa Fe, NM.
                Pueblo of Isleta, New Mexico........... Bernalillo, NM, Torrance, NM,
                 Valencia, NM.
                Pueblo of Jemez, New Mexico............ Sandoval, NM.
                Pueblo of Laguna, New Mexico........... Bernalillo, NM, Cibola, NM,
                 Sandoval, NM, Valencia, NM.
                Pueblo of Nambe, New Mexico............ Santa Fe, NM.
                Pueblo of Picuris, New Mexico.......... Taos, NM.
                Pueblo of Pojoaque, New Mexico......... Rio Arriba, NM, Santa Fe, NM.
                Pueblo of San Felipe, New Mexico....... Sandoval, NM.
                Pueblo of San Ildefonso, New Mexico.... Los Alamos, NM, Rio Arriba, NM,
                 Sandoval, NM, Santa Fe, NM.
                Pueblo of Sandia, New Mexico........... Bernalillo, NM, Sandoval, NM.
                Pueblo of Santa Ana, New Mexico........ Sandoval, NM.
                Pueblo of Santa Clara, New Mexico...... Los Alamos, NM, Sandoval, NM,
                 Santa Fe, NM.
                Pueblo of Taos, New Mexico............. Colfax, NM, Taos, NM.
                Pueblo of Tesuque, Mexico.............. Santa Fe, NM.
                Pueblo of Zia, New Mexico.............. Sandoval, NM.
                Puyallup Tribe of the Puyallup King, WA, Pierce, WA, Thurston,
                 Reservation. WA.
                Quechan Tribe of the Fort Yuma Indian Yuma, AZ, Imperial, CA.
                 Reservation, Arizona and California.
                Quileute Tribe of the Quileute Clallam, WA, Jefferson, WA.
                 Reservation.
                Quinault Indian Nation................. Grays Harbor, WA, Jefferson,
                 WA.
                Rapid City, South Dakota............... Pennington, SD.\55\
                Rappahannock Tribe, Inc................ King and Queen County, VA,
                 Caroline County, VA, Essex
                 County, VA, King William
                 County, VA.\56\
                Red Cliff Band of Lake Superior Bayfield, WI.
                 Chippewa Indians of Wisconsin.
                Red Lake Band of Chippewa Indians, Beltrami, MN, Clearwater, MN,
                 Minnesota. Koochiching, MN, Lake of the
                 Woods, MN, Marshall, MN,
                 Pennington, MN, Polk, MN,
                 Roseau, MN.
                Rosebud Sioux Tribe of the Rosebud Bennett, SD, Cherry, NE,
                 Indian Reservation, South Dakota. Gregory, SD, Lyman, SD,
                 Mellette, SD, Todd, SD, Tripp,
                 SD.
                Sac & Fox Nation of Missouri in Kansas Brown, KS, Richardson, NE.
                 and Nebraska.
                Sac & Fox Tribe of the Mississippi in Tama, IA.
                 Iowa.
                Saginaw Chippewa Indian Tribe of Arenac, MI,\57\ Clare, MI,
                 Michigan. Isabella, MI, Midland, MI,
                 Missaukee, MI.
                Saint Regis Mohawk Tribe............... Franklin, NY, St. Lawrence, NY.
                Salt River Pima-Maricopa Indian Maricopa, AZ.
                 Community of the Salt River
                 Reservation, Arizona.
                Samish Indian Nation................... Clallam, WA,\58\ Island, WA,
                 Jefferson, WA, King, WA,
                 Kitsap, WA, Pierce, WA, San
                 Juan, WA, Skagit, WA,
                 Snohomish, WA, Whatcom, WA.
                San Carlos Apache Tribe of the San Apache, AZ, Cochise, AZ, Gila,
                 Carlos Reservation, Arizona. AZ, Graham, AZ, Greenlee, AZ,
                 Pinal, AZ.
                San Juan Southern Paiute Tribe of Coconino, AZ, San Juan, UT.
                 Arizona.
                Santee Sioux Nation, Nebraska.......... Bon Homme, SD, Knox, NE.
                Sauk-Suiattle Indian Tribe............. Snohomish, WA, Skagit, WA.
                Sault Ste. Marie Tribe of Chippewa Alger, MI,\59\ Chippewa, MI,
                 Indians, Michigan. Delta, MI, Luce, MI, Mackinac,
                 MI, Marquette, MI,
                 Schoolcraft, MI.
                Seminole Tribe of Florida.............. Broward, FL, Collier, FL, Miami-
                 Dade, FL, Glades, FL, Hendry,
                 FL.
                Seneca Nation of Indians............... Alleghany, NY, Cattaraugus, NY,
                 Chautauqua, NY, Erie, NY,
                 Warren, PA.
                Shakopee Mdewakanton Sioux Community of Scott, MN.
                 Minnesota.
                Shinnecock Indian Nation............... Nassau, NY,\60\ Suffolk, NY.
                Shoalwater Bay Tribe of the Shoalwater Pacific, WA.
                 Bay Indian Reservation.
                Shoshone-Bannock Tribes of the Fort Bannock, ID, Bingham, ID,
                 Hall Reservation. Caribou, ID, Lemhi, ID,\61\
                 Power, ID.
                Shoshone-Paiute Tribes of the Duck The entire state of Nevada,
                 Valley Reservation, Nevada. Owyhee, ID.
                Sisseton-Wahpeton Oyate of the Lake Codington, SD, Day, SD, Grant,
                 Traverse Reservation, South Dakota. SD, Marshall, SD, Richland,
                 ND, Roberts, SD, Sargent, ND,
                 Traverse, MN.
                Skokomish Indian Tribe................. Mason, WA.
                Skull Valley Band of Goshute Indians of Tooele, UT.
                 Utah.
                Snoqualmie Indian Tribe................ King, WA,\62\ Snohomish, WA,
                 Pierce, WA, Island, WA, Mason,
                 WA.
                Sokaogon Chippewa Community, Wisconsin. Forest, WI.
                Southern Ute Indian Tribe of the Archuleta, CO, La Plata, CO,
                 Southern Ute Reservation, Colorado. Montezuma, CO, Rio Arriba, NM,
                 San Juan, NM.
                Spirit Lake Tribe, North Dakota........ Benson, ND, Eddy, ND, Nelson,
                 ND, Ramsey, ND.
                Spokane Tribe of the Spokane Ferry, WA, Lincoln, WA,
                 Reservation. Stevens, WA.
                Squaxin Island Tribe of the Squaxin Mason, WA.
                 Island Reservation.
                St. Croix Chippewa Indians of Wisconsin Barron, WI, Burnett, WI, Pine,
                 MN, Polk, WI, Washburn, WI.
                Standing Rock Sioux Tribe of North & Adams, ND, Campbell, SD,
                 South Dakota. Corson, SD, Dewey, SD, Emmons,
                 ND, Grant, ND, Morton, ND,
                 Perkins, SD, Sioux, ND,
                 Walworth, SD, Ziebach, SD.
                Stillaguamish Tribe of Indians of Snohomish, WA.
                 Washington.
                Stockbridge Munsee Community, Wisconsin Menominee, WI, Shawano, WI.
                Suquamish Indian Tribe of the Port Kitsap, WA.
                 Madison Reservation.
                Swinomish Indian Tribal Community...... Skagit, WA.
                Tejon Indian Tribe..................... Kern, CA.\63\
                [[Page 27752]]
                
                Three Affiliated Tribes of the Fort Dunn, ND, Mercer, ND, McKenzie,
                 Berthold Reservation, North Dakota. ND, McLean, ND, Mountrail, ND,
                 Ward, ND.
                Tohono O'odham Nation of Arizona....... Maricopa, AZ, Pima, AZ, Pinal,
                 AZ.
                Tolowa Dee-ni' Nation (formerly known California, Curry, OR.\64\
                 as Smith River Rancheria of
                 California).
                Tonawanda Band of Seneca............... Genesee, NY, Erie, NY, Niagara,
                 NY.
                Tonto Apache Tribe of Arizona.......... Gila, AZ.
                Trenton Service Unit, North Dakota and Divide, ND,\65\ McKenzie, ND,
                 Montana. Williams, ND, Richland, MT,
                 Roosevelt, MT, Sheridan, MT.
                Tulalip Tribes of Washington........... Snohomish, WA.
                Tunica-Biloxi Indian Tribe............. Avoyelles, LA, Rapides, LA.\66\
                Turtle Mountain Band of Chippewa Rolette, ND.
                 Indians of North Dakota.
                Tuscarora Nation....................... Niagara, NY.
                Upper Mattaponi Tribe.................. Caroline, VA, Charles City, VA,
                 Essex, VA, Hanover, VA,
                 Henrico, VA, James City, VA,
                 King and Queen, VA, King
                 William, VA, Middlesex, VA,
                 New Kent, VA, Richmond, VA and
                 the independent city of
                 Richmond, VA.\67\
                Upper Sioux Community, Minnesota....... Chippewa, MN, Yellow Medicine,
                 MN.
                Upper Skagit Indian Tribe.............. Skagit, WA.
                Ute Indian Tribe of the Uintah & Ouray Carbon, UT, Daggett, UT,
                 Reservation, Utah. Duchesne, UT, Emery, UT,
                 Grand, UT, Rio Blanco, CO,
                 Summit, UT, Uintah, UT, Utah,
                 UT, Wasatch, UT.
                Ute Mountain Ute Tribe................. Apache, AZ, La Plata, CO,
                 Montezuma, CO, San Juan, NM,
                 San Juan, UT.
                Wampanoag Tribe of Gay Head (Aquinnah). Dukes, MA,\68\ Barnstable, MA,
                 Bristol, MA, Norfolk, MA,
                 Plymouth, MA, Suffolk, MA.\69\
                Washoe Tribe of Nevada & California.... Nevada, California except for
                 the counties listed in
                 footnote.
                White Mountain Apache Tribe of the Fort Apache, AZ, Coconino, AZ, Gila,
                 Apache Reservation, Arizona. AZ, Graham, AZ, Greenlee, AZ,
                 Navajo, AZ.
                Wilton Rancheria, California........... Sacramento, CA.\70\
                Winnebago Tribe of Nebraska............ Dakota, NE, Dixon, NE, Monona,
                 IA, Thurston, NE, Wayne, NE,
                 Woodbury, IA.
                Yankton Sioux Tribe of South Dakota.... Bon Homme, SD, Boyd, NE,
                 Charles Mix, SD, Douglas, SD,
                 Gregory, SD, Hutchinson, SD,
                 Knox, NE.
                Yavapai-Apache Nation of the Camp Verde Yavapai, AZ.
                 Indian Reservation, Arizona.
                Yavapai-Prescott Indian Tribe.......... Yavapai, AZ.
                Ysleta Del Sur Pueblo of Texas......... El Paso, TX.\71\
                Zuni Tribe of the Zuni Reservation, New Apache, AZ, Cibola, NM,
                 Mexico. McKinley, NM, Valencia, NM.
                ------------------------------------------------------------------------
                \1\ Public Law 100-89, Restoration Act for Ysleta Del Sur and Alabama
                 and Coushatta Tribes of Texas establishes service areas for ``members
                 of the Tribe'' by sections 101(3) and 105(a) for the Pueblo and
                 sections 201(3) and 206(a) respectively.
                \2\ Entire State of Alaska is included as a CHSDA by regulation (42 CFR
                 136.22(a)(1)).
                \3\ Aroostook Band of Micmacs was recognized by Congress on November 26,
                 1991, through the Aroostook Band of Micmac Settlement Act. Aroostook
                 County, ME, was defined as the SDA.
                \4\ Special programs have been established by Congress irrespective of
                 the eligibility regulations. Eligibility for services at these
                 facilities is based on the legislative history of the appropriation of
                 funds for the particular facility rather than the eligibility
                 regulations. Historically services have been provided at Brigham City
                 Intermountain School Health Center, Utah (Pub. L. 88-358).
                \5\ Entire State of California, excluding the counties of Alameda,
                 Contra Costa, Los Angeles, Marin, Orange, Sacramento, San Francisco,
                 San Mateo, Santa Clara, Kern, Merced, Monterey, Napa, San Benito, San
                 Joaquin, San Luis Obispo, Santa Cruz, Solano, Stanislaus, and Ventura,
                 is designated a CHSDA (25 U.S.C. 1680).
                \6\ The counties were recognized after the January 1984 CHSDA FRN was
                 published, in accordance with Public Law 103-116, Catawba Indian Tribe
                 of South Carolina Land Claims Settlement Act of 1993, dated October
                 27, 1993.
                \7\ There is no reservation for the Cayuga Nation; the service delivery
                 area consists of those counties identified by the Cayuga Nation.
                \8\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
                 Recognition Act of 2017, Public Law 115-121, officially recognized the
                 Chickahominy Indian Tribe as an Indian Tribe within the meaning of
                 Federal law, and specified an area for the delivery of Federal
                 services. The IHS administratively designated the Tribe's PRCDA, for
                 the purposes of operating a PRC program, consistent with the
                 Congressional intent expressed in the Recognition Act.
                \9\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
                 Recognition Act of 2017, Public Law 115-121, officially recognized the
                 Chickahominy Indian Tribe--Eastern Division as an Indian Tribe within
                 the meaning of Federal law, and specified an area for the delivery of
                 Federal services. The IHS administratively designated the Tribe's
                 PRCDA, for the purposes of operating a PRC program, consistent with
                 the Congressional intent expressed in the Recognition Act.
                \10\ Skamania County, WA, has historically been a part of the Yakama
                 Service Unit population since 1979.
                \11\ In order to carry out the Congressional intent of the Siletz
                 Restoration Act, Public Law 95-195, as expressed in H. Report No. 95-
                 623, at page 4, members of the Confederated Tribes of Siletz Indians
                 of Oregon residing in these counties are eligible for contract health
                 services.
                \12\ Chelan County, WA, has historically been a part of the Colville
                 Service Unit population since 1970.
                \13\ Pursuant to Public Law 98-481 (H. Rept. No. 98-904), Coos, Lower
                 Umpqua and Siuslaw Restoration Act, members of the Tribe residing in
                 these counties were specified as eligible for Federal services and
                 benefits without regard to the existence of a Federal Indian
                 reservation.
                \14\ The Confederated Tribes of Grand Ronde Community of Oregon were
                 recognized by Public Law 98-165 which was signed into law on November
                 22, 1983, and provides for eligibility in these six counties without
                 regard to the existence of a reservation.
                \15\ The CHSDA for the Coushatta Tribe of Louisiana was expanded
                 administratively by the Director, IHS, through regulation (42 CFR
                 136.22(6)) to include city limits of Elton, LA.
                \16\ Cow Creek Band of Umpqua Tribe of Indians recognized by Public Law
                 97-391, signed into law on December 29, 1983. House Rept. No. 97-862
                 designates Douglas, Jackson, and Josephine Counties as a service area
                 without regard to the existence of a reservation. The IHS later
                 administratively expanded the CHSDA to include the counties of Coos,
                 OR, Deschutes, OR, Klamath, OR, and Lane, OR.
                [[Page 27753]]
                
                \17\ The Cowlitz Indian Tribe was recognized in July 2002 as documented
                 at 67 FR 46329, July 12, 2002. The counties listed were designated
                 administratively as the SDA, to function as a CHSDA, for the purposes
                 of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
                 The CHSDA was administratively expanded to included Columbia County,
                 OR, Kittitas, WA, and Wahkiakum County, WA, as published at 67884 FR
                 December 21, 2009.
                \18\ Treasure County, MT, has historically been a part of the Crow
                 Service Unit population.
                \19\ The counties listed have historically been a part of the Grand
                 Traverse Service Unit population since 1980.
                \20\ Haskell Indian Health Center has historically been a part of Kansas
                 Service Unit since 1979. Special programs have been established by
                 Congress irrespective of the eligibility regulations. Eligibility for
                 services at these facilities is based on the legislative history of
                 the appropriation of funds for the particular facility rather than the
                 eligibility regulations. Historically services have been provided at
                 Haskell Indian Health Center (H. Rept. No. 95-392).
                \21\ The PRCDA for the Havasupai Tribe of Arizona was expanded
                 administratively by the Director, IHS, through regulation (42 CFR
                 136.22(6)) to include Mohave County in the State of Arizona.
                \22\ CHSDA counties for the Ho-Chunk Nation of Wisconsin were designated
                 by regulation (42 CFR 136.22(a)(5)). Dane County, WI, was added to the
                 reservation by the Bureau of Indian Affairs in 1986.
                \23\ Public Law 97-428 provides that any member of the Houlton Band of
                 Maliseet Indians in or around the Town of Houlton shall be eligible
                 without regard to existence of a reservation.
                \24\ The Jena Band of Choctaw Indian was Federally acknowledged as
                 documented at 60 FR 28480, May 31, 1995. The counties listed were
                 designated administratively as the SDA, to function as a CHSDA, for
                 the purposes of operating a CHS program pursuant to the ISDEAA, Public
                 Law 93-638.
                \25\ Kickapoo Traditional Tribe of Texas, formerly known as the Texas
                 Band of Kickapoo, was recognized by Public Law 97-429, signed into law
                 on January 8, 1983. The Act provides for eligibility for Kickapoo
                 Tribal members residing in Maverick County without regard to the
                 existence of a reservation.
                \26\ The Klamath Indian Tribe Restoration Act (Pub. L. 99-398, Sec.
                 2(2)) states that for the purpose of Federal services and benefits
                 ``members of the tribe residing in Klamath County shall be deemed to
                 be residing in or near a reservation''.
                \27\ The Koi Nation of Northern California, formerly known as the Lower
                 Lake Rancheria, was reaffirmed by the Secretary of the Bureau of
                 Indian Affairs on December 29, 2000. The counties listed were
                 designated administratively as the SDA, to function as a PRCDA, for
                 the purposes of operating a PRC program pursuant to the ISDEAA, Public
                 Law 93-638.
                \28\ The Little Traverse Bay Bands of Odawa Indians and the Little River
                 Band of Ottawa Indians Act recognized the Little River Band of Ottawa
                 Indians and the Little Traverse Bay Bands of Odawa Indians. Pursuant
                 to Public Law 103-324, Sec.4(b) the counties listed were designated
                 administratively as the SDA, to function as a CHSDA, for the purposes
                 of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
                \29\ The Little Traverse Bay Bands of Odawa Indians and the Little River
                 Band of Ottawa Indians Act recognized the Little River Band of Ottawa
                 Indians and the Little Traverse Bay Bands of Odawa Indians. Pursuant
                 to Public Law 103-324, Sec.4(b) the counties listed were designated
                 administratively as the SDA, to function as a CHSDA, for the purposes
                 of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
                \30\ Mashantucket Pequot Indian Claims Settlement Act, Public Law 98-
                 134, signed into law on October 18, 1983, provides a reservation for
                 the Mashantucket Pequot Indian Tribe in New London County, CT.
                \31\ The Mashpee Wampanoag Tribe was recognized in February 2007, as
                 documented at 72 FR 8007, February 22, 2007. The counties listed were
                 designated administratively as the SDA, to function as a CHSDA, for
                 the purposes of operating a CHS program pursuant to the ISDEAA, Public
                 Law 93-638.
                \32\ The Match-e-be-nash-she-wish Band of Pottawatomi Indians of
                 Michigan was recognized in October 1998, as documented at 63 FR 56936,
                 October 23, 1998. The counties listed were designated administratively
                 as the SDA, to function as a CHSDA, for the purposes of operating a
                 CHS program pursuant to the ISDEAA, Public Law 93-638.
                \33\ Members of the Mississippi Band of Choctaw Indians residing in
                 Jasper and Noxubee Counties, MS, are eligible for contract health
                 services; these two counties were inadvertently omitted from 42 CFR
                 136.22.
                \34\Members of the Mississippi Band of Choctaw Indians residing in
                 Jasper and Noxubee Counties, MS, are eligible for contract health
                 services; these two counties were inadvertently omitted from 42 CFR
                 136.22.
                \35\ Scott County, MS, has historically been a part of the Choctaw
                 Service Unit population since 1970.
                \36\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
                 Recognition Act of 2017, Public Law 115-121, officially recognized the
                 Monacan Indian Nation as an Indian Tribe within the meaning of Federal
                 law, and specified an area for the delivery of Federal services. The
                 IHS administratively designated the Tribe's PRCDA, for the purposes of
                 operating a PRC program, consistent with the Congressional intent
                 expressed in the Recognition Act.
                \37\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
                 Recognition Act of 2017, Public Law 115-121, officially recognized the
                 Nansemond Indian Tribe as an Indian Tribe within the meaning of
                 Federal law, and specified an area for the delivery of Federal
                 services. The IHS administratively designated the Tribe's PRCDA, for
                 the purposes of operating a PRC program, consistent with the
                 Congressional intent expressed in the Recognition Act.
                \38\ The Narragansett Indian Tribe was recognized by Public Law 95-395,
                 signed into law September 30, 1978. Lands in Washington County, RI,
                 are now Federally restricted and the Bureau of Indian Affairs
                 considers them as the Narragansett Indian Reservation.
                \39\ Entire State of Nevada is included as a CHSDA by regulation (42 CFR
                 136.22 (a)(2)).
                \40\ Carter County, MT, has historically been a part of the Northern
                 Cheyenne Service Unit population since 1979.
                \41\ Land of Box Elder County, Utah, was taken into trust for the
                 Northwestern Band of Shoshoni Nation in 1986.
                \42\ The Nottawaseppi Huron Band of the Potawatomi, Michigan, formerly
                 known as the Huron Band of Potawatomi, Inc., was recognized in
                 December 1995, as documented at 60 FR 66315, December 21, 1995. The
                 counties listed were designated administratively as the SDA, to
                 function as a CHSDA, for the purposes of operating a CHS program
                 pursuant to the ISDEAA, Public Law 93-638.
                \43\ Washabaugh County, SD, merged and became part of Jackson County,
                 SD, in 1983; both were/are CHSDA counties for the Oglala Sioux Tribe.
                \44\ Entire State of Oklahoma is included as a CHSDA by regulation (42
                 CFR 136.22(a)(3)).
                \45\ Paiute Indian Tribe of Utah Restoration Act, Public Law 96-227,
                 provides for the extension of services for the Paiute Indian Tribe of
                 Utah to these four counties without regard to the existence of a
                 reservation.
                \46\ In the Federal Register on July 8, 2015 (80 FR 39144), the Pamunkey
                 Indian Tribe was officially recognized as an Indian Tribe within the
                 meaning of Federal law. The counties listed were designated
                 administratively as the PRCDA, for the purposes of operating a PRC
                 program.
                \47\ Legislative history (H.R. Report No. 95-1021) to Public Law 95-375,
                 Extension of Federal Benefits to Pascua Yaqui Indians, Arizona,
                 expresses congressional intent that lands conveyed to the Pascua Yaqui
                 Tribe of Arizona pursuant to Act of October 8, 1964. (Pub. L. 88-350)
                 shall be deemed a Federal Indian Reservation.
                \48\ The Maine Indian Claims Settlement Act of 1980 (Pub. L. 96-420; H.
                 Rept. 96-1353) includes the intent of Congress to fund and provide
                 contract health services to the Passamaquoddy Tribe and the Penobscot
                 Nation.
                \49\ The Passamaquoddy Tribe has two reservations: Indian Township and
                 Pleasant Point. The PRCDA for the Passamaquoddy Tribe at Indian
                 Township, ME, is Aroostook County, ME, Washington County, ME, and
                 Hancock County, ME. The PRCDA for the Passamaquoddy Tribe at Pleasant
                 Point, ME, is Washington County, ME, south of State Route 9, and
                 Aroostook County, ME.
                \50\ The Passamaquoddy Tribe's counties listed are designated
                 administratively as the SDA, to function as a PRCDA, for the purposes
                 of operating a PRC program pursuant to the ISDEAA, Public Law 93-638.
                \51\ The Maine Indian Claims Settlement Act of 1980 (Pub. L. 96-420; H.
                 Rept. 96-1353) includes the intent of Congress to fund and provide PRC
                 to the Passamaquoddy Tribe and the Penobscot Nation.
                \52\ Counties in the Service Unit designated by Congress for the Poarch
                 Band of Creek Indians (see H. Rept. 98-886, June 29, 1984; Cong.
                 Record, October 10, 1984, Pg. H11929).
                \53\ Public Law 103-323 restored Federal recognition to the Pokagon Band
                 of Potawatomi Indians, Michigan and Indiana, in 1994 and identified
                 counties to serve as the SDA.
                [[Page 27754]]
                
                \54\ The Ponca Restoration Act, Public Law 101-484, recognized members
                 of the Ponca Tribe of Nebraska in Boyd, Douglas, Knox, Madison or
                 Lancaster counties of Nebraska or Charles Mix county of South Dakota
                 as residing on or near a reservation. Public Law 104-109 made
                 technical corrections to laws relating to Native Americans and added
                 Burt, Hall, Holt, Platte, Sarpy, Stanton, and Wayne counties of
                 Nebraska and Pottawatomie and Woodbury counties of Iowa to the Ponca
                 Tribe of Nebraska SDA.
                \55\ Special programs have been established by Congress irrespective of
                 the eligibility regulations. Eligibility for services at these
                 facilities is based on the legislative history of the appropriation of
                 funds for the particular facility, rather than the eligibility
                 regulations. Historically services have been provided at Rapid City
                 (S. Rept. No. 1154, FY 1967 Interior Approp. 89th Cong. 2d Sess.).
                \56\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
                 Recognition Act of 2017, Public Law 115-121, officially recognized the
                 Rappahannock Tribe, Inc. as an Indian Tribe within the meaning of
                 Federal law, and specified an area for the delivery of Federal
                 services. The IHS administratively designated the Tribe's PRCDA, for
                 the purposes of operating a PRC program, consistent with the
                 Congressional intent expressed in the Recognition Act.
                \57\ Historically part of Isabella Reservation Area for the Saginaw
                 Chippewa Indian Tribe of Michigan and the Eastern Michigan Service
                 Unit population since 1979.
                \58\ The Samish Indian Tribe Nation was Federally acknowledged in April
                 1996 as documented at 61 FR 15825, April 9, 1996. The counties listed
                 were designated administratively as the SDA, to function as a CHSDA,
                 for the purposes of operating a CHS program pursuant to the ISDEAA,
                 Public Law 93-638.
                \59\ CHSDA counties for the Sault Ste. Marie Tribe of Chippewa Indians,
                 Michigan, were designated by regulation (42 CFR 136.22(a)(4)).
                \60\ The Shinnecock Indian Nation was Federally acknowledged in June
                 2010 as documented at 75 FR 34760, June 18, 2010. The counties listed
                 were designated administratively as the SDA, to function as a CHSDA,
                 for the purposes of operating a CHS program pursuant to the ISDEAA,
                 Public Law 93-638.
                \61\ Lemhi County, ID, has historically been a part of the Fort Hall
                 Service Unit population since 1979.
                \62\ The Snoqualmie Indian Tribe was Federally acknowledged in August
                 1997 as documented at 62 FR 45864, August 29, 1997. The counties
                 listed were designated administratively as the SDA, to function as a
                 CHSDA, for the purposes of operating a CHS program pursuant to the
                 ISDEAA, Public Law 93-638.
                \63\ On December 30, 2011 the Office of Assistant Secretary-Indian
                 Affairs reaffirmed the Federal recognition of the Tejon Indian Tribe.
                 The county listed was designated administratively as the SDA, to
                 function as a CHSDA, for the purposes of operating a CHS program
                 pursuant to the ISDEAA, Public Law 93-638.
                \64\ The counties listed are designated administratively as the SDA, to
                 function as a PRC SDA, for the purposes of operating a PRC program
                 pursuant to the ISDEAA, Public Law 93-638.
                \65\ The Secretary acting through the Service is directed to provide
                 contract health services to Turtle Mountain Band of Chippewa Indians
                 that reside in Trenton Service Unit, North Dakota and Montana, in
                 Divide, Mackenzie, and Williams counties in the state of North Dakota
                 and the adjoining counties of Richland, Roosevelt, and Sheridan in the
                 state of Montana (Sec. 815, Pub. L. 94-437).
                \66\ Rapides County, LA, has historically been a part of the Tunica
                 Biloxi Service Unit population since 1982.
                \67\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
                 Recognition Act of 2017, Public Law 115-121, officially recognized the
                 Upper Mattaponi Tribe as an Indian Tribe within the meaning of Federal
                 law, and specified an area for the delivery of Federal services. The
                 IHS administratively designated the Tribe's PRCDA, for the purposes of
                 operating a PRC program, consistent with the Congressional intent
                 expressed in the Recognition Act.
                \68\ According to Public Law 100-95, Sec. 12, members of the Wampanoag
                 Tribe of Gay Head (Aquinnah) residing on Martha's Vineyard are deemed
                 to be living on or near an Indian reservation for the purposes of
                 eligibility for Federal services.
                \69\ The counties listed are designated administratively as the SDA, to
                 function as a PRCDA, for the purposes of operating a PRC program
                 pursuant to the ISDEAA, Public Law 93-638.
                \70\ The Wilton Rancheria, California had Federal recognition restored
                 in July 2009 as documented at 74 FR 33468, July 13, 2009. Sacramento
                 County, CA, was designated administratively as the SDA, to function as
                 a CHSDA. Sacramento County was not covered when Congress originally
                 established the State of California as a CHSDA excluding certain
                 counties including Sacramento County (25 U.S.C. 1680).
                \71\ Public Law 100-89, Restoration Act for Ysleta Del Sur and Alabama
                 and Coushatta Tribes of Texas establishes service areas for ``members
                 of the Tribe'' by sections 101(3) and 105(a) for the Pueblo and
                 sections 201(3) and 206(a) respectively.
                 Public Comments: The Agency did not receive any public comments.
                Michael D. Weahkee,
                Assistant Surgeon General, RADM, U.S. Public Health Service Director,
                Indian Health Service.
                [FR Doc. 2020-09992 Filed 5-8-20; 8:45 a.m.]
                BILLING CODE 4160-16-P
                

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