[Federal Register Volume 80, Number 163 (Monday, August 24, 2015)]
[Notices]
[Pages 51281-51288]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-20781]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Notice To Propose the Redesignation of the Service Delivery Area 
for the Wampanoag Tribe of Gay Head (Aquinnah)

AGENCY: Indian Health Service, HHS.

ACTION: Notice.

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

SUMMARY: This notice advises the public that the Indian Health Service 
(IHS) proposes to expand the geographic boundaries of the Service 
Delivery Area for the Wampanoag Tribe of Gay Head (Aquinnah) of 
Massachusetts. The Aquinnah service delivery area is currently 
comprised of members of the Tribe residing in Martha's Vineyard, Dukes 
County in the State of Massachusetts.
    The Bureau of Indian Affairs (BIA) recognized the Wampanoag Tribe 
of Gay Head on February 10, 1987. Martha's Vineyard, Dukes County was 
designated as the Aquinnah service delivery area in the Wampanoag 
Tribal Council of Gay Head, Inc., Indian Claims Settlement Act of 1987, 
Public Law 100-95.

DATES: Comments must be submitted September 23, 2015.

ADDRESSES: Because of staff and resource limitations, we cannot accept 
comments by facsimile (FAX) transmission. You may submit comments in 
one of four ways (please choose only one of the ways listed):
    1. Electronically. You may submit electronic comments on this 
regulation to http://www.regulations.gov. Follow the ``Submit a 
Comment'' instructions.
    2. By regular mail. You may mail written comments to the following 
address ONLY: Betty Gould, Regulations Officer, Indian Health Service, 
801 Thompson Avenue, TMP STE 450, Rockville, Maryland 20852.
    Please allow sufficient time for mailed comments to be received 
before the close of the comment period.
    3. By express or overnight mail. You may send written comments to 
the above address.
    4. By hand or courier. If you prefer, you may deliver (by hand or 
courier) your written comments before the close of the comment period 
to the address above. If you intend to deliver your comments to the 
Rockville address, please call telephone number (301) 443-1116 in 
advance to schedule your arrival with a staff member.
    Comments will be made available for public inspection at the 
Rockville address from 8:30 a.m. to 5:00 p.m., Monday-Friday, 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: Inspection of Public Comments: All comments 
received before the close of the comment period are available for 
viewing by the public, including any personally identifiable or 
confidential business information that is included in a comment.
    Background: The IHS currently provides services under regulations 
codified at 42 CFR part 136, subparts A through C. Subpart C defines a 
Contract Health Service Delivery Area (CHSDA), now known as a 
Purchased/Referred Care (PRC) Service Delivery Area, 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 
PRC service delivery area 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 PRC but only potential eligibility for services. 
Services needed but not available at an IHS/Tribal facility are 
provided under the PRC 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 PRC service delivery area 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) (2014)). The regulations also provide that after 
consultation with the Tribal governing body or bodies on those 
reservations included within the PRC service delivery area, the 
Secretary may from time to time, redesignate areas within the United 
States for inclusion in or exclusion from a PRC service delivery area. 
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

[[Page 51282]]

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 PRC.
    Additionally, the regulations require that any redesignation of a 
PRC service delivery area 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 
comments.
    The Tribe's PRC Service Delivery Area is currently defined, both 
administratively and statutorily, as consisting only of Martha's 
Vineyard, Dukes County. The Wampanoag Tribal Council of Gay Head, Inc., 
Indian Claims Settlement Act of 1987 provides, among other items, that 
``[f]or the purpose of eligibility for Federal services made available 
to members of federally recognized Indian tribes, because of their 
status as Indians, members of this tribe residing on Martha's Vineyard, 
Massachusetts, shall be deemed to be living on or near an Indian 
reservation.'' 25 U.S.C. .l771i; see also 75 FR 20608 (Apr. 20, 2010). 
Because the statute defines which members of the Tribe live ``on or 
near [the] reservation'' for purposes of all Federal services for which 
that consideration is relevant, this eligibility definition applies to 
PRC. IHS adopted the Congressionally-defined service delivery area for 
the purposes of administering benefits under the IHS PRC program via an 
IHS Director Decision memo on October 14, 1987. Thus, members of the 
Tribe who reside outside of Martha's Vineyard, Dukes County do not 
reside within the Aquinnah's PRC service delivery area and are 
currently not eligible for PRC from the Aquinnah.
    Historically, IHS has established and maintained service delivery 
areas in accordance with Congressional intent, as evidenced by 
geographically designated areas identified in recognition or settlement 
acts, such as Public Law 100-95. Indeed, IHS has said that with respect 
to the Aquinnah Tribe, the Secretary's discretion to redesignate the 
Tribe's PRC service delivery area is superseded by the geographic 
limitation in the Tribe's Settlement Act of 1987, and accordingly, in a 
December 2, 2011 letter to the Tribe, IHS declined Aquinnah's proposal 
to serve non-resident members residing outside of Dukes County, 
Massachusetts, through its PRC program. At the insistence of the Tribe, 
IHS has reevaluated the Agency's position.
    While IHS does not intend to abandon its historic practice, IHS has 
reviewed the Aquinnah's request and believes that unique circumstances 
are present that warrant expanding the Aquinnah PRC service delivery 
area beyond the limits identified by Congress in Public Law 100-95. 
These unique circumstances include the factors identified by the BIA in 
recognizing the Aquinnah prior to the enactment of Public Law 100-95, 
IHS's prior decision to provide sanitation services to Aquinnah members 
residing on the mainland outside of the existing PRC service delivery 
area, Dukes County's status as an island and the significant number of 
Tribal members that reside permanently off of the island but continue 
to maintain close economic and social ties with the Aquinnah. The BIA 
recognized the Aquinnah Tribe as an Indian Tribe eligible for Federal 
benefits on February 10, 1987, pursuant to a notice published in the 
Federal Register. See 52 FR 4193. As part of its findings, BIA 
concluded ``that the [Aquinnah] have an extensive and interrelated 
communication network connecting those Wampanoag members in Gay Head 
and elsewhere on Martha's Vineyard with each other and with those 
members living off-island.'' The BIA further concluded that the Tribal 
government ``maintained political influence and/or authority over both 
its resident and non-resident members.''
    In 1997, IHS authorized sanitation services to non-resident members 
of the Aquinnah Tribe residing in the counties of Barnstable, Bristol, 
Norfolk, Plymouth and Dukes Counties in the State of Massachusetts, 
specifically finding that the service area for sanitation facilities 
construction was not limited to the Tribal health program service area 
(Dukes County).
    Finally, Aquinnah has a significant number of members who are not 
residents of Dukes County. According to Tribal estimates, 268 enrolled 
Aquinnah members are non-residents who remain actively involved with 
the Tribe, reside in Barnstable, Bristol, Norfolk, Plymouth and Suffolk 
Counties and are not currently eligible for PRC care. Aquinnah provides 
limited direct services to its Tribal members by operating a small 
clinic in Dukes County that is open once or twice a month. To access 
direct care services, non-residents must travel over one and a half 
hours via ferry and car to receive the health care offered at the 
clinic. As a consequence, most non-residents do not seek care on the 
island.
    Accordingly, the purpose of this Federal Register notice is to 
notify the public of the proposal to expand the Aquinnah service 
delivery area to include Barnstable, Bristol, Norfolk, Plymouth and 
Suffolk Counties in the State of Massachusetts. The proposed notice 
will expand their current service delivery area which incorporates 
Martha's Vineyard, Dukes County in the State of Massachusetts to 
include Barnstable, Bristol, Norfolk, Plymouth and Suffolk Counties in 
the State of Massachusetts.
    Under 42 CFR 136.23 those otherwise eligible Indians who do not 
reside on a reservation but reside within a PRC service delivery area 
must be either members of the Tribe or maintain close economic and 
social ties with the Tribe. In this case, in applying the 
aforementioned PRC service delivery area redesignation criteria 
required by operative regulations (43 FR 34654), the following findings 
are made:
    1. By expanding, the Tribe estimates the current eligible 
population will be increased by 268.
    2. The Tribe has determined that these 268 individuals are socially 
and economically affiliated with the Tribe.
    3. The expanded area including Barnstable, Bristol, Norfolk, 
Plymouth, and Suffolk Counties in the State of Massachusetts are across 
the Bay from Martha's Vineyard, Dukes County, Massachusetts.
    4. Generally, the Tribal members located in these counties 
currently do not use the Indian health system for their health care 
needs. The Tribe will use its existing Federal allocation for PRC funds 
to provide services to the expanded population. No additional financial 
resources will be allocated by IHS to the Tribe to provide services to 
Tribal members residing in these counties nor should this expansion be 
construed to have any present or future effect on the allocation of 
resources between Mashpee Wampanoag Tribe and Aquinnah.

[[Page 51283]]



   Purchased/Referred Care 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 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        \4\
 Health Center, Utah.
Burns Paiute Tribe.....................  Harney, OR.
California.............................  Entire State, except for the
                                          counties listed in the
                                          footnote.\5\
Catawba Indian Nation..................  All Counties in SC,\6\
                                          Cabarrus, NC, Cleveland, NC,
                                          Gaston, NC, Mecklenburg, NC,
                                          Rutherford, NC, Union, NC.
Cayuga Nation..........................  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,
 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,\8\ Yakima, WA.
Confederated Tribes of Siletz Indians    Benton, OR,\9\ Clackamas, OR,
 of Oregon.                               Lane, OR, Lincoln, OR, Linn,
                                          OR, Marion, OR, Multnomah, OR,
                                          Polk, OR, Tillamook, OR,
                                          Washington, OR, Yam Hill, OR.
Confederated Tribes of the Chehalis      Grays Harbor, WA, Lewis, WA,
 Reservation.                             Thurston, WA.
Confederated Tribes of the Colville      Chelan, WA,\10\ Douglas, WA,
 Reservation, Washington.                 Ferry, WA, Grant, WA, Lincoln,
                                          WA, Okanogan, WA, Stevens, WA.
Confederated Tribes of the Coos, Lower   Coos, OR,\11\ 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.
Confederated Tribes of the Grand Ronde   Polk, OR,\12\ Washington, OR,
 Community of Oregon.                     Marion, OR, Yamhill, OR,
                                          Tillamook, OR, Multnomah, 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, Elton,
                                          LA.\13\
Cow Creek Band of Umpqua Tribe of        Coos, OR,\14\ Deshutes, OR,
 Indians.                                 Douglas, OR, Jackson, OR,
                                          Josephine, OR, Klamath, OR,
                                          Lane, OR.
Cowlitz Indian Tribe...................  Clark, WA, Cowlitz, WA, King,
                                          WA, Lewis, WA, Pierce, WA,
                                          Skamania, WA, Thurston, WA,
                                          Columbia, OR,\15\ 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,\16\ Yellowstone,
                                          MT, Big Horn, WY, Sheridan,
                                          WY.
Eastern Band of Cherokee Indians.......  Cherokee, NC, Graham, NC,
                                          Haywood, NC, Jackson, NC,
                                          Swain, NC.
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       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 Traverse Band of Ottawa and        Antrim, MI,\17\ 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.\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.......................  Jefferson, WA.

[[Page 51284]]

 
Hopi Tribe of Arizona..................  Apache, AZ, Coconino, AZ,
                                          Navajo, AZ.
Houlton Band of Maliseet Indians.......  Aroostook, ME.\20\
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,\21\ 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 Reservation.
Kewa Pueblo, New Mexico................  Sandoval, NM, Santa Fe, NM.
Keweenaw Bay Indian Community, Michigan  Baraga, MI, Houghton, MI,
                                          Ontonagon, MI.
Kickapoo Traditional Tribe of Texas....  Maverick, TX.\22\
Kickapoo Tribe of Indians of the         Brown, KS, Jackson, KS.
 Kickapoo Reservation in Kansas.
Klamath Tribes.........................  Klamath, OR.\23\
Koi Nation of Northern California        Lake, CA, Sonoma, CA.\24\
 (formerly known as Lower Lake
 Rancheria, California).
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 of Michigan.
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,\25\ 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.
Mashantucket Pequot Tribe..............  New London, CT.\26\
Mashpee Wampanoag Tribe................  Barnstable, MA, Bristol, MA,
                                          Norfolk, MA, Plymouth, MA,
                                          Suffolk, MA.\27\
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............  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.
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,\29\
                                          Jones, MS, Kemper, MS, Leake,
                                          MS, Neshoba, MS, Newton, MS,
                                          Noxubee, MS,\29\ Scott,
                                          MS,\30\ 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.
Muckleshoot Indian Tribe...............  King, WA, Pierce, WA.
Narragansett Indian Tribe..............  Washington, RI.\31\
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.\32\
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,\33\
 Cheyenne Indian Reservation, Montana.    Rosebud, MT.
Northwestern Band of Shoshoni Nation...  Box Elder, UT.\34\
Nottawaseppi Huron Band of the           Allegan, MI,\35\ Barry, MI,
 Potawatomi, 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,\36\
                                          Mellete, SD, Pennington, SD,
                                          Shannon, SD, Sheridan, NE,
                                          Todd, SD.

[[Page 51285]]

 
Ohkay Owingeh, New Mexico..............  Rio Arriba, NM.
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........................  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....................  Aroostook, ME,40 41 Washington,
                                          ME.
Penobscot Nation.......................  Aroostook, ME,\40\ Penobscot,
                                          ME.
Poarch Band of Creeks..................  Baldwin, AL,\42\ Elmore, AL,
                                          Escambia, AL, Mobile, AL,
                                          Monroe, AL, Escambia, FL.
Pokagon Band of Potawatomi Indians,      Allegan, MI,\43\ 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,\44\ 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 S'Klallam Tribe............  Kitsap, WA.
Prairie Band of Potawatomi Nation......  Jackson, KS.
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, 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, New 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, California and Arizona.
Quileute Tribe of the Quileute           Clallam, WA, Jefferson, WA.
 Reservation.
Quinault Indian Nation.................  Grays Harbor, WA, Jefferson,
                                          WA.
Rapid City, South Dakota...............  Pennington, SD.\45\
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,\46\ 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,\47\ 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,\48\ 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...............  Allegany, NY, Cattaraugus, NY,
                                          Chautauqua, NY, Erie, NY,
                                          Warren, PA.
Shakopee Mdewakanton Sioux Community of  Scott, MN.
 Minnesota.
Shinnecock Indian Nation...............  Nassau, NY,\49\ Suffolk, NY.
Shoalwater Bay Tribe of the Shoalwater   Pacific, WA.
 Bay Indian Reservation.
Shoshone Tribe of the Wind River         Hot Springs, WY, Fremont, WY,
 Reservation, Wyoming.                    Sublette, WY.

[[Page 51286]]

 
Shoshone-Bannock Tribes of the Fort      Bannock, ID, Bingham, ID,
 Hall Reservation.                        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.................  Mason, WA.
Skull Valley Band of Goshute Indians of  Tooele, UT.
 Utah.
Snoqualmie Indian Tribe................  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.                             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.\52\
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...............  Genesee, NY, Erie, NY, Niagara,
                                          NY.
Tonto Apache Tribe of Arizona..........  Gila, AZ.
Trenton Service Unit, North Dakota and   Divide, ND,\53\ 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.\54\
Turtle Mountain Band of Chippewa         Rolette, ND.
 Indians of North Dakota.
Tuscarora Nation.......................  Niagara, NY.
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 Tribe of the Ute Mountain   Apache, AZ, La Plata, CO,
 Reservation, Colorado, New Mexico &      Montezuma, CO, San Juan, NM,
 Utah.                                    San Juan, UT.
Wampanoag Tribe of Gay Head (Aquinnah).  Dukes, MA,\55\ Barnstable, MA,
                                          Bristol, MA, Norfolk, MA,
                                          Plymouth, MA, Suffolk, MA.\56\
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.\57\
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.\1\
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 P.L. 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\ Skamania County, WA, has historically been a part of the Yakama
  Service Unit population since 1979.
\9\ 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, members of the Confederated Tribes of Siletz Indians of
  Oregon residing in these counties are eligible for contract health
  services.
\10\ Chelan County, WA, has historically been a part of the Colville
  Service Unit population since 1970.
\11\ Pursuant to Pub. L. 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.

[[Page 51287]]

 
\12\ The Confederated Tribes of Grand Ronde Community of Oregon were
  recognized by Pub. L. 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.
\13\ 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.
\14\ Cow Creek Band of Umpqua Tribe of Indians 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
  administratively expanded the CHSDA to include the counties of Coos,
  OR, Deshutes, OR, Klamath, OR, and Lane, OR.
\15\ 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, Pub. L. 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.
\16\ Treasure County, MT, has historically been a part of the Crow
  Service Unit population.
\17\ The counties listed have historically been a part of the Grand
  Traverse Service Unit population since 1980.
\18\ 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).
\19\ 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.
\20\ 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.
\21\ 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, Pub.
  L. 93-638.
\22\ Kickapoo Traditional Tribe of Texas, formerly known as the 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.
\23\ 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''.
\24\ 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 PRC SDA, for
  the purposes of operating a PRC program pursuant to the ISDEAA, Pub.
  L. 93-638.
\25\ 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 Pub. L. 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, Pub. L. 93-638.
\26\ Mashantucket Pequot Indian Claims Settlement Act, Pub. L. 98-134,
  signed into law on October 18, 1983, provides a reservation for the
  Mashantucket Pequot Indian Tribe in New London County, CT.
\27\ 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, Pub.
  L. 93-638.
\28\ 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, Pub. L. 93-638.
\29 \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.
\30 \Scott County, MS, has historically been a part of the Choctaw
  Service Unit population since 1970.
\31\ The Narragansett Indian Tribe was recognized by Pub. L. 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.
\32\ Entire State of Nevada is included as a CHSDA by regulation (42 CFR
  136.22 (a)(2)).
\33\ Carter County, MT, has historically been a part of the Northern
  Cheyenne Service Unit population since 1979.
\34\ Land of Box Elder County, Utah, was taken into trust for the
  Northwestern Band of Shoshoni Nation in 1986.
\35\ 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, Pub. L. 93-638.
\36\ Washabaugh County, SD, merged and became part of Jackson County,
  SD, in 1983; both were/are CHSDA counties for the Oglala Sioux Tribe.
\37\ Entire State of Oklahoma is included as a CHSDA by regulation (42
  CFR 136.22 (a)(3)).
\38 \Paiute Indian Tribe of Utah Restoration Act, Pub. L. 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.
\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 Pascua Yaqui
  Tribe of Arizona pursuant to Act of October 8, 1964. (Pub. L. 88-350)
  shall be deemed a Federal Indian Reservation.
\40\ 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.
\41\ The Passamaquoddy Tribe has two reservations. The PRC SDA for the
  Passamaquoddy Tribe of Indian Township, ME, is Aroostook County, ME,
  and Washington County, ME. The PRC SDA for the Passamaquoddy Tribe of
  Pleasant Point, ME, is Washington County, ME, south of State Route.
\42\ 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).
\43\ Pub. L. 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.
\44\ The Ponca Restoration Act, Pub. L. 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. Pub. L. 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.
\45\ 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.).
\46\ Historically part of Isabella Reservation Area for the Saginaw
  Chippewa Indian Tribe of Michigan and the Eastern Michigan Service
  Unit population since 1979.
\47\ 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,
  Pub. L. 93-638.
\48\ CHSDA counties for the Sault Ste. Marie Tribe of Chippewa Indians,
  Michigan, were designated by regulation (42 CFR 136.22(a)(4)).

[[Page 51288]]

 
\49\ 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,
  Pub. L. 93-638.
\50\ Lemhi County, ID, has historically been a part of the Fort Hall
  Service Unit population since 1979.
\51\ 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, Pub. L. 93-638.
\52\ 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, 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 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).
\54\ Rapides County, LA, has historically been a part of the Tunica
  Biloxi Service Unit population since 1982.
\55\ According to Pub. L. 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.
\56\ 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, Pub. L. 93-638.
\57\ 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).


    Dated: August 17, 2015.
Robert G. McSwain,
Deputy Director, Indian Health Service.
[FR Doc. 2015-20781 Filed 8-21-15; 8:45 am]
BILLING CODE P