[Federal Register Volume 74, Number 243 (Monday, December 21, 2009)]
[Notices]
[Pages 67884-67890]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-30213]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


 Notice of Re-Designation of the Service Delivery Area for the 
Cowlitz Indian Tribe

AGENCY: Indian Health Service.

ACTION: Notice.

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SUMMARY: This Notice advises the public that the Indian Health Service 
(IHS) proposes to expand the geographic boundaries of the Service 
Delivery Area (SDA) for the Cowlitz Indian Tribe. The Cowlitz SDA 
currently is comprised of Clark, Cowlitz, King, Lewis, Pierce, 
Skamania, and Thurston in the State of Washington. These counties were 
designated as the Tribe's SDA in 67 FR 46329. It is proposed that 
Columbia County, Oregon, and Wahkiakum and Kittitas Counties, 
Washington be added to the existing SDA.

DATES: This notice is effective 30 days after date of publication in 
the Federal Register.

ADDRESSES: Comments may be mailed to Betty Gould, Regulations Officer, 
Indian Health Service, Suite 450, 12300 Twinbrook Parkway, Rockville, 
Maryland 20852. Comments will be made available for public inspection 
at this address from 8:30 a.m. to 5:00 p.m. Monday-Friday beginning 
approximately 2 weeks after publication of this notice.

FOR FURTHER INFORMATION CONTACT: Carl Harper, Director, Office of 
Resource Access and Partnerships, Indian Health Service, Suite 360, 
12300 Twinbrook Parkway, Rockville, Maryland 20852. Telephone 301/443-
2694 (This is not a toll free number).

SUPPLEMENTARY INFORMATION: The IHS currently provides services under 
regulations in effect on September 15, 1987 and IHS republished at 42 
CFR part 136, subparts A-C. Subpart C defines a Contract Health Service 
Delivery Area (CHSDA) as the geographic area within which CHS will be 
made available by the IHS to members of an identified Indian community 
who reside in the area. Residence with a CHSDA or SDA by a person who 
is within the scope of the Indian health program, as set forth in 42 
CFR 136.12, creates no legal entitlement to contract health services 
but only potential eligibility for services. Services needed but not 
available at a IHS/Tribal facility are provided under the CHS program 
depending on the availability of funds, the person's relative medical 
priority, 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 CHSDA 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) (2007). The 
regulations also provide that after consultation with the Tribal 
governing body or bodies of those reservations included in the CHSDA, 
the Secretary may, from time to time, re-designate areas within the 
United States for inclusion in or exclusion from a CHDSA. The 
regulations require that certain criteria must be considered before any 
re-designation 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 Tribes;
    (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 contract health services.
    Additionally, the regulations require that any re-designation of a 
CHSDA must be made in accordance with the Administrative Procedures Act 
(5 U.S.C. 553). In compliance with this requirement, we are publishing 
this proposal and requesting public comment.
    The purpose of this FR notice is to notify the public of the 
request of the Cowlitz Indian Tribe to expand their SDA as presented in 
their 08-3 Tribal resolution dated January 5, 2008, and 08-56 Tribal 
resolution, dated December 06, 2008. The Tribe's request will expand 
their current SDA which incorporates Cowlitz, Clark, Skamania, King, 
Pierce, Thurston and Lewis Counties in the State of Washington, to 
include Columbia County in the State of Oregon, and Kittitas and 
Wahkiakum Counties in the State of Washington.
    Under 42 CFR 136.23 those otherwise eligible Indians who do not 
reside on a reservation but reside within a CHSDA must be either 
members of the Tribe or maintain close economic and social ties with 
the Tribe. In this case, the Tribe estimates the current eligible 
population will be increased by 35 individuals' enrolled Cowlitz 
members who are actively involved with the Tribe, but not eligible for 
health services.
    In applying the aforementioned CHSDA re-designation criteria 
required by operative regulations (43 FR 35654), the following findings 
are made:
    1. Columbia County, Oregon is contiguous with Clark County in the 
state of Washington. Kittitas County is contiguous to King County and 
Wahkiakum County is contiguous to Lewis in the State of Washington.
    2. These three counties are not part of any other Tribes CHSDA.
    3. It is important for the Cowlitz Indian Tribe to be able to 
deliver health care services to enrolled members residing in these 
three counties. The Tribe believes eligible Tribal members living in 
the counties proposed for expansion should also be eligible for CHS.
    4. Most of the 35 Tribal members use the Cowlitz Clinic in 
Longview, Washington for their health care needs. It is estimated that 
members have a 40 minute drive to receive their health care. These 
Tribal members do not currently receive care under the CHS program.
    5. The financial resources required to meet the immediate needs of 
the Tribal members residing in the three counties will not be 
substantial as the Tribe will use existing Federal allocations for 
contract health funds.
    Since CHS is a critical component of the Tribes' overall health 
care system for its members, the Tribe feels that the members residing 
in the three counties should be included within the SDA for the Tribe.
    Accordingly, after considering the Tribes' request in light of the 
criteria specified in the regulations, the IHS is proposing to re-
designate the SDA for the Tribe to consist of Columbia County in the 
State of Oregon and Kittitas and Wahkiakum Counties in the State of 
Washington.
    This notice does not contain reporting or recordkeeping 
requirements subject to prior approval by the Office of Management and 
Budget under the Paperwork Reduction Act of 1980.

[[Page 67885]]



    Contract Health Service Delivery Areas and Service Delivery Areas
------------------------------------------------------------------------
           Tribe/reservation                       County/State
------------------------------------------------------------------------
Ak Chin Indian Community of the          Pinal, AZ.
 Maricopa (Ak Chin) Indian Reservation,
 Arizona.
Alabama-Coushatta Tribes of Texas......  Polk, TX.\1\
Alaska.................................  Entire State.\2\
Arapaho Tribe of the Wind River          Hot Springs, WY, Fremont, WY,
 Reservation, Wyoming.                    Sublette, WY.
Aroostook Band of Micmac Indians of      Aroostook, ME.\3\
 Maine.
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.
Minnesota Chippewa Tribe, Minnesota      Itasca, MN, Koochiching, MN,
 Bois Forte Band (Nett Lake).             St. Louis, MN.
Brigham City Intermountain School        \4\
 Health Center, Utah.
Burns Paiute Tribe of the Burns Paiute   Harney, OR.
 Indian Colony of Oregon.
California.............................  Entire State, except for the
                                          counties listed in the
                                          footnote.\5\
Catawba Indian Nation of South Carolina  All Counties in SC,\6\
                                          Cabarrus, NC, Cleveland, NC,
                                          Gaston, NC, Mecklenburg, NC,
                                          Rutherford, NC, Union, NC.
Cayuga Nation of New York..............  Allegany, NY.\7\,Cattaraugus,
                                          NY, Chautaugua, NY, Erie, NY,
                                          Warren, PA.
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 of the Coeur         Benewah, ID, Kootenai, ID,
 D'Alene Reservation, Idaho.              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 & Kootenai Tribes    Flathead, MT, Lake, MT,
 of the Flathead Reservation, Montana.    Missoula, MT, Sanders, MT.
Confederated Tribes of the Chehalis      Grays Harbor, WA, Lewis, WA,
 Reservation, Washington.                 Thurston, WA.
Confederated Tribes of the Colville      Chelan, WA,\8\ Douglas, WA,
 Reservation, Washington.                 Ferry, WA, Grant, WA, Lincoln,
                                          WA, Okanogan, WA, Stevens, WA.
Confederated Tribes of Coos, Lower       Coos, OR,\9\ Curry, OR,
 Umpqua & Siuslaw Indians of Oregon.      Douglas, OR, Lane, OR,
                                          Lincoln, OR.
Confederated Tribes of the Goshute       Nevada, Juab, UT, Toole, UT.
 Reservation, Nevada and Utah.
Confederated Tribes of Grand Ronde       Polk, OR \10\, Washington, OR,
 Community of Oregon.                     Marion, OR, Yamhill, OR,
                                          Tillamook, OR, Multnomah, OR.
Confederated Tribes of the Siletz        Benton, OR,\11\ Clackamas, OR,
 Reservation, Oregon.                     Lane, OR, Lincoln, OR, Linn,
                                          OR, Marion, OR, Multnomah, OR,
                                          Polk, OR, Tillamook, OR,
                                          Washington, OR, Yam Hill, OR.
Confederated Tribes of the Umatilla      Umatilla, OR, Union, OR.
 Reservation, Oregon.
Confederated Tribes of the Warm Springs  Clackamas, OR, Jefferson, OR,
 Reservation of Oregon.                   Linn, OR, Marion, OR, Wasco,
                                          OR.
Confederated Tribes & Bands of the       Klickitat, WA, Lewis, WA,
 Yakama Nation, Washington.               Skamania, WA,\12\ Yakima, WA.
Coquille Tribe of Oregon...............  Coos, OR, Curry, OR, Douglas,
                                          OR, Jackson, OR, Lane, OR.
Coushatta Tribe of Louisiana...........  Allen Parish, LA, Elton,
                                          LA.\13\
Cow Creek Band of Umpqua Indians of      Coos, OR,\14\ Deshutes, OR,
 Oregon.                                  Douglas, OR, Jackson, OR,
                                          Josephine, OR, Klamath, OR,
                                          Lane, OR.
Cowlitz Indian Tribe, Washington.......  Clark, WA, Cowlitz, WA, King,
                                          WA, Lewis, WA, Pierce, WA,
                                          Skamania, WA, Thurston, WA,
                                          Columbia, OR, Kitititas, WA,
                                          Wahkiakum, WA.\15\
Crow Tribe of Montana..................  Big Horn, MT, Carbon, MT,
                                          Treasure, MT,\16\ Yellowstone,
                                          MT, Big Horn, WY, Sheridan,
                                          WY.
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.
Eastern Band of Cherokee Indians of      Cherokee, NC, Graham, NC,
 North Carolina.                          Haywood, NC,
                                         Jackson, NC, Swain, NC.
Flandreau Santee Sioux Tribe of South    Moody, SD.
 Dakota.
Fond du Lac Band of Chippewa Indians of  Carlton, MN, St. Louis, MN.
 Minnesota.
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       Nevada, Malheur, OR.
 Tribes of the Fort McDermitt Indian
 Reservation, Nevada and Oregon.
Fort McDowell Yavapai Nation, Arizona..  Maricopa, AZ.
Fort Mojave Indian Tribe of Arizona,     Nevada, Mohave, AZ, San
 California and Nevada.                   Bernardino, CA.
Gila River Indian Community of the Gila  Maricopa, AZ, Pinal, AZ.
 River Indian Reservation, Arizona.
Grand Portage Band of Chippewa Indians   Cook, MN.
 of Minnesota.
Grand Traverse Band of Ottawa &          Antrim, MI,\17\ Benzie, MI,
 Chippewa Indians of Michigan.            Charlevoix, MI,
                                         Grand Traverse, MI, Leelanau,
                                          MI, Manistee, MI.
Hannahville Indian Community, Michigan.  Delta, MI, Menominee, MI.
Haskell Indian Health Center...........  Douglas, KS.\18\

[[Page 67886]]

 
Havasupai Tribe of the Havasupai         Coconino, AZ.
 Reservation, Arizona.
Ho-Chunk Nation of Wisconsin...........  Adams, WI,\19\ 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 of the Hoh Indian       Jefferson, WA.
 Reservation, Washington.
Hopi Tribe of Arizona..................  Apache, AZ, Coconino, AZ,
                                          Navajo, AZ.
Houlton Band of Maliseet Indians of      Aroostook, ME.\20\
 Maine.
Hualapai Indian Tribe of the Hualapai    Coconino, AZ, Mohave, AZ,
 Indian Reservation, Arizona.             Yavapai, AZ.
Huron Potawatomi, Inc., Michigan.......  Allegan, MI,\21\ Barry, MI,
                                          Branch, MI, Calhoun, MI,
                                          Kalamazoo, MI, Kent, MI,
                                          Ottawa, MI.
Iowa Tribe of Kansas and Nebraska......  Brown, KS, Doniphan, KS,
                                          Richardson, NE.
Jamestown S'Klallam Tribe of Washington  Clallam, WA, Jefferson, WA.
Jena Band of Choctaw Indians, Louisiana  Grand Parish, LA,\22\ LaSalle
                                          Parish, LA,
                                         Rapides Parish, 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 Indian Reservation,
 Washington.
Keweenaw Bay Indian Community, Michigan  Baraga, MI, Houghton, MI,
                                          Ontonagon, MI.
Kickapoo Tribe of Indians of the         Brown, KS, Jackson, KS.
 Kickapoo Reservation of Kansas.
Kickapoo Traditional Tribe of Texas....  Maverick, TX.\23\
Klamath Tribes of Oregon...............  Klamath, OR.\24\
Kootenai Tribe of Idaho................  Boundary, ID.
Lac Courte Oreilles Band of Lake         Sawyer, WI.
 Superior 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, Michigan.
Leech Lake Band of Chippewa Indians of   Beltrami, MN, Cass, MN,
 Minnesota.                               Hubbard, MN, Itasca, MN.
Little River Band of Ottawa Indians,     Kent, MI,\25\ 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,\26\ 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 of the      Clallam, WA.
 Lower Elwha Reservation, Washington.
Lower Sioux Indian Community in the      Redwood, MN, Renville, MN.
 State of Minnesota.
Lummi Tribe of the Lummi Reservation,    Whatcom, WA.
 Washington.
Makah Indian Tribe of the Makah          Clallam, WA.
 Reservation, Washington.
Mashantucket Pequot Tribe of             New London, CT.\27\
 Connecticut.
Match-e-be-nash-she-wish Band of         Allegan, MI,\28\ 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 of Florida.  Broward, FL, Collier, FL, Miami-
                                          Dade, FL, Hendry, FL.
Mille Lacs Band of Chippewa Indians of   Aitkin, MN, Kanebec, MN, Mille
 Minnesota.                               Lacs, MN, Pine, MN.
Mississippi Band of Choctaw Indians,     Attala, MS, Jasper, MS,\29\
 Mississippi.                             Jones, MS,
                                         Kemper, MS, Leake, MS, Neshoba,
                                          MS, Newton, MS, Noxubee,
                                          MS,\30\ Scott, MS.\31\,
                                          Winston, MS.
Mohegan Indian Tribe of Connecticut....  Fairfield, CT, Hartford, CT,
                                          Litchfield, CT, Middlesex, CT,
                                          New Haven, CT, New London, CT,
                                          Tolland, CT, Windham, CT.
Muckleshoot Indian Tribe of the          King, WA, Pierce, WA.
 Muckleshoot Reservation, Washington.
Narragansett Indian Tribe of Rhode       Washington, RI.\32\
 Island.
Navajo Nation, Arizona, New Mexico and   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.\33\
Nez Perce Tribe of Idaho...............  Clearwater, ID, Idaho, ID,
                                          Latah, ID, Lewis, ID,
                                         Nez Perce, ID.
Nisqually Indian Tribe of the Nisqually  Pierce, WA, Thurston, WA.
 Reservation, Washington.
Nooksack Indian Tribe of Washington....  Whatcom, WA.
Northern Cheyenne Tribe Northern         Big Horn, MT, Carter, MT,\34\
 Cheyenne Indian Reservation, Montana.   Rosebud, MT.
Northwestern Band of Shoshoni Nation of  Box Elder, UT.\35\
 Utah (Washakie).

[[Page 67887]]

 
Oglala Sioux Tribe of the Pine Ridge     Bennett, SD, Cherry, NE,
 Reservation, South Dakota.               Custer, SD, Dawes, NE, Fall
                                          River, SD, Jackson, SD,\36\
                                          Mellete, SD, Pennington, SD,
                                          Shannon, SD, Sheridan, NE,
                                          Todd, SD.
Oklahoma...............................  Entire State.\37\
Omaha Tribe of Nebraska................  Burt, NE, Cuming, NE, Monona,
                                          IA, Thurston, NE, Wayne, NE.
Oneida Nation of New York..............  Chenango, NY, Cortland, NY,
                                          Herkimer, NY, Madison, NY,
                                          Oneida, NY, Onondaga, NY.
Oneida Tribe of Indians of Wisconsin...  Brown, WI, Outagamie, WI.
Onondaga Nation of New York............  Onondaga, NY.
Paiute Indian Tribe of Utah............  Iron, UT,\38\ Millard, UT,
                                          Sevier, UT,
                                         Washington, UT.
Pascua Yaqui Tribe of Arizona..........  Pima, AZ.\39\
Passamaquoddy Tribe of Maine...........  Aroostook, ME,\40\ Washington,
                                          ME.
Passamaquoddy Tribe of Pleasant Point,   Washington, ME, south of State
 Maine.                                   Route 9.\41\
Penobscot Tribe of Maine...............  Aroostook, ME,\42\ Penobscot,
                                          ME.
Poarch Band of Creek Indians of Alabama  Baldwin, AL,\43\ Escambia, AL,
                                          Mobile, AL, Monroe, AL,
                                          Escambia, FL.
Pokagon Band of Potawatomi Indians,      Allegan, MI, Berrien, MI, Cass,
 Michigan and Indiana.                    MI, Elkhart, IN,\44\
                                          Kosciusko, IN, La Porte, IN,
                                          Marshall, IN, St. Joseph, IN,
                                          Starke, IN, Van Buren, MI.
Ponca Tribe of Nebraska................  Boyd, NE.\45\, Burt, NE,
                                          Charles Mix, SD, Douglas, NE,
                                          Hall, NE, Holt, NE, Knox, NE,
                                          Lancaster, NE, Madison, NE,
                                          Platte, NE, Pottawattomie, IA,
                                          Sarpy, NE, Stanton, NE, Wayne,
                                          NE, Woodbury, IA.
Port Gamble Indian Community of the      Kitsap, WA.
 Port Gamble Reservation, Washington.
Prairie Band of Potawatomi Nation,       Jackson, KS.
 Kansas.
Prairie Island Indian Community in the   Goodhue, MN.
 State of Minnesota.
Pueblo of Acoma, New Mexico............  Cibola, NM.
Pueblo of Cochiti, New Mexico..........  Sandoval, NM, Sante Fe, NM.
Pueblo of Jemez, New Mexico............  Sandoval, NM.
Pueblo of Isleta, New Mexico...........  Bernalillo, NM, Torrance, NM,
                                          Valencia, 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 San Juan, New Mexico.........  Rio Arriba, 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 Santo Domingo, New Mexico....  Sandoval, NM, Santa Fe, NM.
Pueblo of Taos, New Mexico.............  Colfax, NM, Taos, NM.
Pueblo of Tesuque, New Mexico..........  Santa Fe, NM.
Pueblo of Zia, New Mexico..............  Sandoval, NM.
Puyallup Tribe of the Puyallup           King, WA, Pierce, WA, Thurston,
 Reservation, Washington.                 WA.
Quechan Tribe of the Fort Yuma Indian    Yuma, AZ, Imperial, CA.
 Reservation, California and Arizona.
Quileute Tribe of the Quileute           Clallam, WA, Jefferson, WA.
 Reservation, Washington.
Quinault Tribe of the Quinault           Grays Harbor, WA, Jefferson,
 Reservation, Washington.                 WA.
Rapid City, South Dakota...............  Pennington, SD.\46\
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 Tribe of the Mississippi in    Tama, IA.
 Iowa.
Sac & Fox Nation of Missouri in Kansas   Brown, KS, Richardson, NE.
 & Nebraska.
Saginaw Chippewa Indian Tribe of         Arenac, MI,\47\ Clare, MI,
 Michigan.                                Isabella, MI, Midland, MI,
                                          Missaukee, MI.
St. Croix Chippewa Indians of Wisconsin  Barron, WI, Burnett, WI, Pine,
                                          MN, Polk, WI,
                                         Washburn, WI.
Saint Regis Mohawk Tribe, New York.....  Franklin, NY, St. Lawrence, NY.
Salt River Pima-Maricopa Indian          Maricopa, AZ.
 Community of Salt River Reservation,
 Arizona.
Samish Indian Tribe, Washington........  Clallam, WA,\48\ 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 of            Snohomish, WA, Skagit, WA.
 Washington.

[[Page 67888]]

 
Sault Ste. Marie Tribe of Chippewa       Alger, MI,\49\ Chippewa, MI,
 Indians of 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 New York..............  Allegany, NY, Cattaraugus, NY,
                                          Chautaugua, NY, Erie, NY,
                                          Warren, PA.
Shakopee Mdewakanton Sioux Community of  Scott, MN.
 Minnesota.
Shoalwater Bay Tribe of the Shoalwater   Pacific, WA.
 Bay Indian Reservation, Washington.
Shoshone Tribe of the Wind River         Hot Springs, WY, Fremont, WY,
 Reservation, Wyoming.                    Sublette, WY.
Shoshone-Bannock Tribes of the Fort      Bannock, ID, Bingham, ID,
 Hall Reservation of Idaho.               Caribou, ID,
                                         Lemhi, ID,\50\ Power, ID.
Shoshone-Paiute Tribes of the Duck       Nevada, Owyhee, ID.
 Valley Reservation, Nevada.
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 of Skokomish      Mason, WA.
 Reservation, Washington.
Skull Valley Band of Goshute Indians of  Tooele, UT.
 Utah.
Snoqualmie Tribe, Washington...........  King, WA,\51\ 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, Washington.                 Stevens, WA.
Squaxin Island Tribe of the Squaxin      Mason, WA.
 Island Reservation, Washington.
Standing Rock Sioux Tribe of North and   Adams, ND, Campbell, SD,
 South Dakota.                            Corson, SD, Dewey, SD, Emmons,
                                          ND, Grant, ND, Morton, ND,
                                          Perkins, SD, Sioux, ND,
                                          Walworth, SD, Ziebach, SD.
Stockbridge Munsee Community, Wisconsin  Menominee, WI, Shawano, WI.
Stillaguamish Tribe of Washington......  Snohomish, WA.
Suquamish Indian Tribe of the Port       Kitsap, WA.
 Madison Reservation, Washington.
Swinomish Indians of the Swinomish       Skagit, WA.
 Reservation, Washington.
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.
Tonawanda Band of Seneca Indians of New  Genesee, NY, Erie, NY, Niagara,
 York.                                    NY.
Tonto Apache Tribe of Arizona..........  Gila, AZ.
Trenton Service Unit, North Dakota and   Divide, ND,\52\ McKenzie, ND,
 Montana.                                 Williams, ND, Richland, MT,
                                          Roosevelt, MT, Sheridan, MT.
Tulalip Tribes of the Tulalip            Snohomish, WA.
 Reservation, Washington.
Tunica-Biloxi Indian Tribe of Louisiana  Avoyelles, LA, Rapides, LA.\53\
Turtle Mountain Band of Chippewa         Rolette, ND.
 Indians of North Dakota.
Tuscarora Nation of New York...........  Niagara, NY.
Upper Sioux Community, Minnesota.......  Chippewa, MN, Yellow Medicine,
                                          MN.
Upper Skagit Indian Tribe of Washington  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 Tribe of the Ute Mountain   Apache, AZ, La Plata, CO,
 Reservation, Colorado, New Mexico and    Montezuma, CO,
 Utah.                                   San Juan, NM, San Juan, UT.
Wampangoag Tribe of Gay Head (Aquinnah)  Dukes, MA.\54\
 of Massachusetts.
Washoe Tribe of Nevada & California....  Entire State of NV, Entire
                                          State of CA, except for the
                                          counties listed in footnote.
White Earth Band of Chippewa Indians of  Becker, MN, Clearwater, MN,
 Minnesota.                               Mahnomen, MN,
                                         Norman, MN, Polk, MN.
White Mountain Apache Tribe of the Fort  Apache, AZ, Coconino, AZ, Gila,
 Apache Reservation, Arizona.             AZ, Graham, AZ, Greenlee, AZ,
                                          Navajo, AZ.
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, Boyde, 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 Tribe of the Yavapai    Yavapai, AZ.
 Reservation, Arizona.
Ysleta Del Sur Pueblo of Texas.........  El Paso, TX.\55\
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 Micmac was recognized by Congress on November 26,
  1991 through the Aroostook Band of Micmac Settlement Act. Aroostook
  County was defined as the SDA.
\4\ Special programs 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 and
  historically services have been provided at Brigham City (Pub. L. 88-
  358).

[[Page 67889]]

 
\5\ Entire State of California, excluding 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\ This is a newly recognized Tribe, 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.
\7\ This is a newly recognized Tribe, 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.
\8\ Historically part of the Coleville Service Unit population since
  1970.
\9\ 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 (Pub. L. 98-481, and H.
  Rept. No. 98-904).
\10\ Confederated Tribes of Grande Ronde Community of Oregon recognized
  by Public Law 98-165, signed into law on November 22, 1983, provides
  for eligibility in these six counties without regard to the existence
  of a reservation.
\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, Siletz Tribal members residing in these counties are
  eligible for contract health services.
\12\ Historically part of the Yakama Service Unit population since 1979.
\13\ Contract Health Service Delivery Area expanded administratively by
  the Director, IHS, through regulation (42 CFR 136.22(6)) to include
  city limits of Elton, LA.
\14\ Cow Creek Band of Umpqua Indians of Oregon 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
  exercised administrative discretion to add Coos, Deshutes, Klamath and
  Lane Counties to the service delivery area.
\15\ This is a newly recognized Tribe, 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. It is proposed that
  Columbia County, OR, Kittitas, WA and Wahkiakum County, WA be added to
  the existing SDA.
\16\ Historically part of Crow Service Unit population.
\17\ Historically part of the Grande Traverse Service Unit population
  since 1980.
\18\ Historically part of Kansas Service Unit since 1979. Special
  programs 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 and
  historically services have been provided at Haskell (H. Rept. No. 95-
  392).
\19\ The counties included in this CHSDA were designated by regulation
  (42 CFR 136.22(a)(5)).
\20\ Public Law 97-428 provides for eligibility in or around the Town of
  Houlton without regard to existence of a reservation.
\21\ This is a newly recognized Tribe, 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.
\22\ This is a newly recognized Tribe, 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.
\23\ 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.
\24\ Legislative history 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''. (Pub. L. 99-398,
  Sec. 2(2)).
\25\ The Little River Band of Ottawa Indians and the Little Traverse Bay
  Bands of Odawa Indians were recognized by Congress (Pub. L. 103-324,
  Sec. 4(b)(2)) and the listed counties were designated as the SDA, to
  function as a CHSDA, for the purposes of operating a CHS program
  pursuant to the ISDEAA, Public Law 93-638.
\26\ The Little River Band of Ottawa Indians and the Little Traverse Bay
  Bands of Odawa Indians were recognized by Congress (Pub. L. 103-324,
  Sec. 4(b)(2)) and the listed counties were designated as the SDA, to
  function as a CHSDA, for the purposes of operating a CHS program
  pursuant to the ISDEAA, Public Law 93-638.
\27\ Mashantucket Pequot Indian Claims Settlement Act, Public Law 98-
  134, signed into law on October 18, 1983, provides for a reservation
  in New London.
\28\ This is a newly recognized Tribe, 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.
\29\ Choctaw Indians residing in Jasper and Noxubee Counties, MS, will
  continue to be eligible for contract health services. These two
  counties were inadvertently omitted from 42 CFR 136.22.
\30\ Choctaw Indians residing in Jasper and Noxubee Counties, MS, will
  continue to be eligible for contract health services. These two
  counties were inadvertently omitted from 42 CFR 136.22.
\31\ Historically part of the Choctaw Service Unit population since
  1970.
\32\ Narragansett Indians recognized by Public Law 95-395, signed into
  law September 30, 1978. Lands in Washington County are now Federally
  restricted and the Bureau of Indian Affairs considers them as the
  Narragansett Indian Reservation.
\33\ Entire State of Nevada is included as a CHSDA by regulation (42 CFR
  136.22(a)(2)).
\34\ Historically part of the Northern Cheyenne Service Unit population
  since 1979.
\35\ Land of Box Elder County, Utah, taken into trust for the Tribe in
  1986.
\36\ Washabaugh County, SD is part of Jackson County, SD, on November 5,
  1968.
\37\ Entire State of Oklahoma is included as a CHSDA by regulation (42
  CFR 136.22(a)(3)).
\38\ Paiute Indian Tribe of Utah Reservation Act, Public Law 96-227,
  provides for the extension of services to these four counties without
  regard to the existence of a reservation.
\39\ Legislative history (H.R. Report No. 95-1021) to Pub. L. 95-375,
  Extension of Federal Benefits to Pascua Yaqui Indians, Arizona,
  expresses congressional intent that lands conveyed to the Tribes
  pursuant to Act of October 8, 1964 (Pub. L. 88-350) shall be deemed a
  Federal Indian Reservation.
\40\ Included to carry out the intention of Congress to fund and provide
  contract health services to Penobscot and Passamaquoddy Indians (Pub.
  L. 96-420; H. Rept. 96-1353).
\41\ Included to carry out the intention of Congress to fund and provide
  contract health services to Penobscot and Passamaquoddy Indians (Pub.
  L. 96-420; H. Rept. 96-1353).
\42\ Included to carry out the intention of Congress to fund and provide
  contract health services to Penobscot and Passamaquoddy Indians (Pub.
  L. 96-420; H. Rept. 96-1353).
\43\ 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).
\44\ This is a newly recognized Tribe, 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.
\45\ Ponca Restoration Act, Public Law 101-484, recognized members of
  the Tribe residing in Boyd, Douglas, Knox, Madison or Lancaster
  counties of Nebraska or Charles Mix County of South Dakota shall be
  deemed to be residing on or near a reservation. Public Law 104-109
  added Burt, Hall, Holt, Platte, Sarpy, Stanton, and Wayne Counties of
  Nebraska and Pottawattomie and Woodbury Counties of Iowa.
\46\ Special programs 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 and
  historically services have been provided at Rapid City.
\47\ Historically part of Isabella Reservation Area and Eastern Michigan
  Service Unit population since 1979.
\48\ This is a newly recognized Tribe, 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.
\49\ The counties included in this CHSDA were designated by regulation
  (42 CFR 136.22(a)(4)).
\50\ Historically part of the Fort Hall Service Unit population since
  1979.

[[Page 67890]]

 
\51\ This is a newly recognized Tribe, 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.
\52\ 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 Area of 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).
\53\ Historically part of the Tunica Biloxi Service Unit population
  since 1982.
\54\ Members of the Tribe residing in Martha's Vineyard [are] deemed to
  be living ``on or near an Indian reservation'' for the purposes of
  eligibility for Federal services (Sec. 12, Pub. L. 100-95).
\55\ 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.


    Dated: December 11, 2009.
Yvette Roubideaux,
Director, Indian Health Service.
[FR Doc. E9-30213 Filed 12-18-09; 8:45 am]
BILLING CODE 4165-16-P