[Federal Register Volume 77, Number 178 (Thursday, September 13, 2012)]
[Notices]
[Pages 56652-56658]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-22593]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Notice of Service Delivery Area Designation for the Mashpee 
Wampanoag Indian Tribe

AGENCY: Indian Health Service, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: This Notice advises the public that the Indian Health Service 
(IHS) established the geographic boundaries of the Service Delivery 
Area (SDA) for the newly recognized Mashpee Wampanoag Indian Tribe. The 
SDA was established on December 22, 2008 and services were provided to 
eligible beneficiaries beginning on January 19, 2009. The Mashpee SDA 
is comprised of Barnstable, Bristol, Norfolk, Plymouth and Suffolk 
counties in the State of Massachusetts. The counties listed are 
designated administratively as the SDA, to function as a Contract 
Health Service Delivery Area (CHSDA), for the purposes of operating a 
Contract Health Service (CHS) program pursuant to the Indian Self-
Determination and Education Assistant Act (ISDEAA), Public Law 93-638.

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

ADDRESSES: Comments may be mailed to Betty Gould, Regulations Officer, 
Indian Health Service, 801 Thompson Avenue, Suite 450, Rockville, 
Maryland 20852. Comments will be made available for public inspection 
at this address from 8:30 a.m. to 5 p.m. Monday-Friday beginning 
approximately two weeks after publication of this notice.

FOR FURTHER INFORMATION CONTACT: Carl Harper, Director, Office of 
Resource Access and Partnerships, Indian Health Service, 801 Thompson 
Avenue, Suite 360, 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. Many of the newly recognized Tribes do not 
have reservations and either Congress has legislatively designated 
counties to serve as SDAs or the Director, IHS, exercised reasonable 
administrative discretion to designate SDAs to effectuate the intent of 
Congress for these Tribes. The Director, IHS, published notice of the 
establishment of SDAs in the June 21, 2007 FR Notice (72 FR 34262-01). 
The SDAs function as CHSDAs for the purposes of operating a CHS program 
pursuant to the ISDEAA, Public Law 93-638. Thus, the CHSDA list 
incorporates the SDAs that operate as CHSDAs for newly recognized 
Tribes. At 42 CFR part 136 subpart C, a CHSDA is defined 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 within a CHSDA 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 an 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). In 
the Federal Register on February 22, 2007 (72 FR 8007), the Mashpee 
Wampanoag Indian Tribe was officially recognized as an Indian Tribe 
within the meaning of Federal law. After consultation with the Tribal 
governing body, the SDA for the Tribe was agreed upon. The purpose of 
this FR notice is to notify the public of the Mashpee Wampanoag Indian 
Tribe SDA to incorporate Barnstable, Bristol, Norfolk, Plymouth and 
Suffolk counties in the State of Massachusetts. The SDA was established 
on December 22, 2008 and services were provided to eligible 
beneficiaries beginning on January 19, 2009.
    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 estimated the eligible user 
population to be 1,422 enrolled Mashpee Wampanoag members who are 
actively involved with the Tribe.
    The Mashpee Wampanoag Indian Tribe is located in the town of 
Mashpee, Barnstable County, Massachusetts, on the southeastern portion 
of Cape Cod along Nantucket Sound. A significant number of the Mashpee 
Wampanoag SDA eligible user population also reside in the counties of 
Bristol, Norfolk, Plymouth and Suffolk counties in the state of 
Massachusetts. These five counties are adjacent to each other. 
Barnstable, Bristol, Norfolk, Plymouth and Suffolk counties are not 
part of any other Tribe's CHSDA or SDA. It is important for the Mashpee 
Wampanoag Indian Tribe to be able to deliver health care services to 
enrolled members residing in these five counties. The Tribe believes 
eligible Tribal members living in the counties of the proposed SDA 
should also be eligible for CHS. The financial resources required to 
meet the immediate needs of the Tribal members residing in the five 
counties were determined by the IHS and were placed in the Nashville 
Area CHS budget. Since
    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.

    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\
Arapahoe 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,          Richland, MT, Roosevelt, MT,
 Montana.                               Sheridan, MT, Valley, MT.

[[Page 56653]]

 
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       Glacier, MT, Pondera, MT.
 Indian Reservation of Montana.
Minnesota Chippewa Tribe, Minnesota    Itasca, MN, Koochiching, MN, St.
 Bois Forte Band (Nett Lake).           Louis, MN.
Brigham City Intermountain School      \4\
 Health Center, Utah.
Burns Paiute Tribe of the Burns        Harney, OR.
 Paiute Indian Colony of Oregon.
California...........................  Entire State, except for the
                                        counties listed in the
                                        footnote.\5\
Catawba Indian Nation of South         All Counties in SC \6\, Cabarrus,
 Carolina.                              NC, Cleveland, NC, Gaston, NC,
                                        Mecklenburg, NC, Rutherford, NC,
                                        Union, NC.
Cayuga Nation of New York............  Allegany, NY \7\,Cattaraugus, NY,
                                        Chautauqua, 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, Liberty,
 Boy's Reservation, Montana.            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, Latah,
 D'Alene Reservation, Idaho.            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, Missoula,
 of the Flathead Reservation, Montana.  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, Douglas,
 Umpqua & Siuslaw Indians of Oregon.    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        Clackamas, OR, Jefferson, OR,
 Springs 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,
                                        Kittitas, 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, SD,
 Creek Reservation, South Dakota.       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   Carlton, MN, St. Louis, MN.
 of 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     Maricopa, AZ, Pinal, AZ.
 Gila River Indian Reservation,
 Arizona.
Grand Portage Band of Chippewa         Cook, MN.
 Indians 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,          Delta, MI, Menominee, MI.
 Michigan.
Haskell Indian Health Center.........  Douglas, KS.\18\
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 Yavapai,
 Indian Reservation, Arizona.           AZ.

[[Page 56654]]

 
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           Clallam, WA, Jefferson, WA.
 Washington.
Jena Band of Choctaw Indians,          Grand Parish, LA \22\, LaSalle
 Louisiana.                             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,         Baraga, MI, Houghton, MI,
 Michigan.                              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, WI.
 Chippewa Indians of the Lac du
 Flambeau Reservation of Wisconsin..
Lac Vieux Desert Band of Lake          Gogebic, MI.
 Superior Chippewa Indians, Michigan.
Leech Lake Band of Chippewa Indians    Beltrami, MN, Cass, MN, Hubbard,
 of Minnesota.                          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.
Mashpee Wampanoag....................  Barnstable, MA, Bristol, MA,
                                        Norfolk, MA, Plymouth, MA and
                                        Suffolk, MA.\28\
Match-e-be-nash-she-wish Band of       Allegan, MI \29\, 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          Chaves, NM, Lincoln, NM, Otero,
 Mescalero Reservation, New Mexico.     NM.
Miccosukee Tribe of Indians of         Broward, FL, Collier, FL, Miami-
 Florida.                               Dade, FL, Hendry, FL.
Mille Lacs Band of Chippewa Indians    Aitkin, MN, Kanebec, MN, Mille
 of Minnesota.                          Lacs, MN, Pine, MN.
Mississippi Band of Choctaw Indians,   Attala, MS, Jasper, MS \30\,
 Mississippi.                           Jones, MS Kemper, MS, Leake, MS,
                                        Neshoba, MS, Newton, MS,
                                        Noxubee, MS \31\, Scott, MS
                                        \32\, 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.\33\
 Island.
Navajo Nation, Arizona, New Mexico     Apache, AZ, Bernalillo, NM,
 and 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.\34\
Nez Perce Tribe of Idaho.............  Clearwater, ID, Idaho, ID, Latah,
                                        ID, Lewis, ID, Nez Perce, ID.
Nisqually Indian Tribe of the          Pierce, WA, Thurston, WA.
 Nisqually Reservation, Washington.
Nooksack Indian Tribe of Washington..  Whatcom, WA.
Northern Cheyenne Tribe of the         Big Horn, MT, Carter, MT \35\
 Northern Cheyenne Indian               Rosebud, MT.
 Reservation, Montana.
Northwestern Band of Shoshoni Nation   Box Elder, UT.\36\
 of Utah (Washakie).
Oglala Sioux Tribe of the Pine Ridge   Bennett, SD, Cherry, NE, Custer,
 Reservation, South Dakota.             SD, Dawes, NE, Fall River, SD,
                                        Jackson, SD \37\ Mellete, SD,
                                        Pennington, SD, Shannon, SD,
                                        Sheridan, NE, Todd, SD.
Oklahoma.............................  Entire State.\38\
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,\39\ Millard, UT,
                                        Sevier, UT Washington, UT.
Pascua Yaqui Tribe of Arizona........  Pima, AZ.\40\

[[Page 56655]]

 
Passamaquoddy Tribe of Maine.........  Aroostook, ME,\41\ Washington,
                                        ME.
Passamaquoddy Tribe of Pleasant        Washington, ME, south of State
 Point, Maine.                          Route.\42\
Penobscot Tribe of Maine.............  Aroostook, ME \43\, Penobscot,
                                        ME.
Poarch Band of Creek Indians of        Baldwin, AL \44\, Escambia, AL,
 Alabama.                               Mobile, AL, Monroe, AL,
                                        Escambia, FL.
Pokagon Band of Potawatomi Indians,    Allegan, MI, Berrien, MI, Cass,
 Michigan and Indiana.                  MI, Elkhart, IN \45\, Kosciusko,
                                        IN, La Porte, IN, Marshall, IN,
                                        St. Joseph, IN, Starke, IN, Van
                                        Buren, MI.
Ponca Tribe of Nebraska..............  Boyd, NE \46\, 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     Goodhue, MN.
 the State of Minnesota.
Pueblo of Acoma, New Mexico..........  Cibola, NM.
Pueblo of Cochiti, New Mexico........  Sandoval, NM, Santa 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, WA.
 Reservation, Washington.
Rapid City, South Dakota.............  Pennington, SD.\47\
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, Gregory,
 Indian Reservation, South Dakota.      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        Brown, KS, Richardson, NE.
 Kansas & Nebraska.
Saginaw Chippewa Indian Tribe of       Arenac, MI,\48\ Clare, MI,
 Michigan.                              Isabella, MI, Midland, MI,
                                        Missaukee, MI.
St. Croix Chippewa Indians of          Barron, WI, Burnett, WI, Pine,
 Wisconsin.                             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,\49\ 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.
Sault Ste. Marie Tribe of Chippewa     Alger, MI,\50\ 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,
                                        Chautauqua, NY, Erie, NY,
                                        Warren, PA.
Shakopee Mdewakanton Sioux Community   Scott, MN.
 of Minnesota.
Shoalwater Bay Tribe of the            Pacific, WA.
 Shoalwater 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 \51\,
                                        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.

[[Page 56656]]

 
Skull Valley Band of Goshute Indians   Tooele, UT.
 of Utah.
Snoqualmie Tribe, Washington.........  King, WA,\52\ Snohomish, WA,
                                        Pierce, WA, Island, WA, Mason,
                                        WA.
Sokaogon Chippewa Community,           Forest, WI.
 Wisconsin.
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, Stevens,
 Reservation, Washington.               WA.
Squaxin Island Tribe of the Squaxin    Mason, WA.
 Island Reservation, Washington.
Standing Rock Sioux Tribe of North     Adams, ND, Campbell, SD, Corson,
 and South Dakota.                      SD, Dewey, SD, Emmons, ND,
                                        Grant, ND, Morton, ND, Perkins,
                                        SD, Sioux, ND, Walworth, SD,
                                        Ziebach, SD.
Stockbridge Munsee Community,          Menominee, WI, Shawano, WI.
 Wisconsin.
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    Genesee, NY, Erie, NY, Niagara,
 New York.                              NY.
Tonto Apache Tribe of Arizona........  Gila, AZ.
Trenton Service Unit, North Dakota     Divide, ND,\53\ McKenzie, ND,
 and Montana.                           Williams, ND, Richland, MT,
                                        Roosevelt, MT, Sheridan, MT.
Tulalip Tribes of the Tulalip          Snohomish, WA.
 Reservation, Washington.
Tunica-Biloxi Indian Tribe of          Avoyelles, LA, Rapides, LA.\54\
 Louisiana.
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           Skagit, WA.
 Washington.
Ute Indian Tribe of the Uintah &       Carbon, UT, Daggett, UT,
 Ouray 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          Apache, AZ, La Plata, CO,
 Mountain Reservation, Colorado, New    Montezuma, CO, San Juan, NM, San
 Mexico and Utah.                       Juan, UT.
Wampanoag Tribe of Gay Head            Dukes, MA.\55\
 (Aquinnah) 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   Becker, MN, Clearwater, MN,
 of Minnesota.                          Mahnomen, MN Norman, MN, Polk,
                                        MN.
White Mountain Apache Tribe of the     Apache, AZ, Coconino, AZ, Gila,
 Fort 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, Boyd, NE, Charles
                                        Mix, SD, Douglas, SD, Gregory,
                                        SD, Hutchinson, SD Knox, NE.
Yavapai-Apache Nation of the Camp      Yavapai, AZ.
 Verde Indian Reservation, Arizona.
Yavapai-Prescott Tribe of the Yavapai  Yavapai, AZ.
 Reservation, Arizona.
Ysleta Del Sur Pueblo of Texas.......  El Paso, TX.\56\
Zuni Tribe of the Zuni Reservation,    Apache, AZ, Cibola, NM, McKinley,
 New Mexico.                            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).
\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 the operating a CHS
  program pursuant to the ISDEAA, Pub. L. 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 the operating a CHS
  program pursuant to the ISDEAA, Pub. L. 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 Pub. L. 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, Pub. L. 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 Pub. L. 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.

[[Page 56657]]

 
\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 the operating a
  CHS program pursuant to the ISDEAA, Pub. L. 93-638. It is proposed
  that Columbia County, OR, Kittitas, WA and Wahkiakum County, WAS be
  added to the existing SDA.
\16\ Historically part of Crow Service Unit population.
\17\ Historically part of the Grand 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 the operating a
  CHS program pursuant to the ISDEAA, Pub. L. 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 the operating a
  CHS program pursuant to the ISDEAA, Pub. L. 93-638.
\23\ Texas Band of Kickapoo was recognized by Pub. L. 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 the operating a CHS program
  pursuant to the ISDEAA, Pub. L. 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 the operating a CHS program
  pursuant to the ISDEAA, Pub. L. 93-638.
\27\ Mashantucket Pequot Indian Claims Settlement Act, Pub. L. 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 72 FR 8007,
  February 22, 2007. The counties listed were designated
  administratively as the SDA, to function as a CHSDA, for the purposes
  of the operating a CHS program pursuant to the ISDEAA, Pub. L. 93-638.
\29\ 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 the operating a
  CHS program pursuant to the ISDEAA, Pub. L. 93-638.
\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\ 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.
\32\ Historically part of the Choctaw Service Unit population since
  1970.
\33\ Narragansett Indians recognized by Pub. L. 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.
\34\ Entire State of Nevada is included as a CHSDA by regulation (42 CFR
  136.22 (a)(2)).
\35\ Historically part of the Northern Cheyenne Service Unit population
  since 1979.
\36\ Land of Box Elder County, Utah, taken into trust for the Tribe in
  1986.
\37\ Washabaugh County, SD is part of Jackson County, SD, on November 5,
  1968.
\38\ Entire State of Oklahoma is included as a CHSDA by regulation (42
  CFR 136.22 (a)(3)).
\39\ Paiute Indian Tribe of Utah Reservation Act, Pub. L. 96-227,
  provides for the extension of services to these four counties without
  regard to the existence of a reservation.
\40\ 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.
\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\ 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)
\44\ 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).
\45\ 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 the operating a
  CHS program pursuant to the ISDEAA, Pub. L. 93-638.
\46\ Ponca Restoration Act, Pub. L. 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. Pub. L. 104-109 added Burt,
  Hall, Holt, Platte, Sarpy, Stanton, and Wayne counties of Nebraska and
  Pottawatomie and Woodbury counties of Iowa.
\47\ 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.
\48\ Historically part of Isabella Reservation Area and Eastern Michigan
  Service Unit population since 1979.
\49\ 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 the operating a
  CHS program pursuant to the ISDEAA, Pub. L. 93-638.
\50\ The counties included in this CHSDA were designated by regulation
  (42 CFR 136.22(a)(4)).
\51\ Historically part of the Fort Hall Service Unit population since
  1979.
\52\ 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 the operating a
  CHS program pursuant to the ISDEAA, Pub. L. 93-638.
\53\ 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).
\54\ Historically part of the Tunica Biloxi Service Unit population
  since 1982.
\55\ 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).
\56\ 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.



[[Page 56658]]

    Dated: August 29, 2012.
Yvette Roubideaux,
Director, Indian Health Service.
[FR Doc. 2012-22593 Filed 9-12-12; 8:45 am]
BILLING CODE 4165-16-P