[Federal Register Volume 84, Number 43 (Tuesday, March 5, 2019)]
[Notices]
[Pages 7910-7917]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-03884]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Notice To Propose the Re-Designation of the Delivery Area for the 
Havasupai Tribe

AGENCY: Indian Health Service.

ACTION: Notice.

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SUMMARY: This notice is to advise the public that the Indian Health 
Service (IHS) proposes to expand the geographic boundaries of the 
Purchased/Referred Care (PRC) Delivery Area (DA) for the Havasupai 
Tribe in Arizona. The Havasupai Tribe's PRCDA is currently Coconino 
County in the State of Arizona. The IHS proposes to expand the Tribe's 
PRCDA to include Mojave County, which is adjacent to the Tribe's 
existing PRCDA in the State of Arizona.

DATES: Comments due April 4, 2019.

ADDRESSES: In commenting, please refer to file code [Federal Register 
insert file code number]. 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 comments electronically to http://www.regulations.gov. Follow the ``Submit a Comment'' instructions.
    2. By postal mail. You may mail written comments to the following 
address ONLY: Ms. Emmalani Longenecker, Indian Health Service, 5600 
Fishers Lane, Mailstop: 09E70, Rockville, Maryland 20857. 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 following address. Ms. Emmalani Longenecker, Indian Health 
Service, 5600 Fishers Lane, Mailstop: 09E70, Rockville, Maryland 20857.
    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: CMDR John Rael, Director, Office of 
Resource Access and Partnerships, Indian Health Service, 5600 Fishers 
Lane, Mailstop: 10E85C, 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 
in effect on September 15, 1987 and IHS republished at 42 CFR part 136, 
subparts A-C. Subpart C defines a PRCDA as the geographic area within 
which PRC will be made available by the IHS to members of an identified 
Indian community who reside in the area. Residence in a PRCDA by a 
person who is within the scope of the Indian health program, as set 
forth in 42 CFR 136.12, creates no legal entitlement to PRC. 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 PRCDA shall consist of a county which includes 
all or part of a reservation and any county or counties that have a 
common boundary with the reservation [42 CFR 136.22(a)(6)]. The 
regulations also provide that after consultation with the tribal 
governing body or bodies on those reservations included within the 
PRCDA, the Secretary may periodically re-designate areas within the 
United States (U.S.) for inclusion in or exclusion from a PRCDA. The 
regulations require that certain criteria must be considered before any 
re-designation is made. The criteria are as follows:
    (1) The number of Indians residing in the area proposed to be so 
included or excluded;
    (2) Whether the tribal governing body has determined that Indians 
residing in the area near the reservation are socially and economically 
affiliated with the tribes;
    (3) The geographic proximity to the reservation of the area whose 
inclusion or exclusion is being considered; and
    (4) The level of funding which would be available for the provision 
of PRC.
    Additionally, the regulations require that any re-designation of a 
PRCDA 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 Havasupai Tribe's 
home is in Coconino County, Arizona, at the bottom of an extremely 
rugged section of the Grand Canyon. The reservation lies 3,000 feet 
below the canyon rim, surrounded by U.S. Forest Service and National 
Park Service lands. The reservation was initially established by an 
Executive Order on June 8, 1880. The Grand Canyon National Park 
Enlargement Act on March 4, 1944, set aside certain public domain lands 
and provided for an exchange of State-owned lands to be added to the 
reservation, bringing it to its present size.
    The IHS operates a health station in the Havasupai Tribe's Village 
of Supai, Arizona, within Coconino County. When the health care needs 
of Havasupai Tribal members' are greater than the available services at 
the IHS health station, tribal members often move from Supai, Arizona, 
to the City of Kingman, Arizona. The City of

[[Page 7911]]

Kingman is located in Mojave County, which is the nearest location that 
provides higher levels of health care services.
    The Havasupai Tribe's current PRCDA is Coconino County in the State 
of Arizona. The IHS administratively established this PRCDA, based upon 
the location of the tribe's reservation, for the purposes of 
administering PRC benefits to tribal members. Members of the tribe who 
reside outside of Coconino County do not reside within the tribe's 
PRCDA, meaning they are not currently eligible for PRC services.\42\
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    \42\ Members of the Tribe may be eligible for PRC in other 
counties based upon their residence on another Tribe's reservation, 
or their residence within another Tribe's PRCDA and close economic 
and social ties with that Tribe.
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    One of the criteria for re-designation is the geographic proximity 
of the expanded area to the existing reservation or delivery area. IHS 
proposes to expand the Havasupai Tribe's PRCDA to include Mojave 
County, which is adjacent to the existing PRCDA, in the State of 
Arizona. The Havasupai Tribe has a significant number of members who 
are residents of the shared county boundary with Mojave County. 
According to the most recent IHS Active User reports, there are 
approximately 122 enrolled Havasupai Tribal members who reside in 
Mojave County, Arizona, and remain actively involved with the tribe.
    Under 42 CFR 136.23, those otherwise eligible Indians who do not 
reside on a reservation, but reside within a PRCDA, must be either 
members of the tribe or other IHS beneficiaries who maintain close 
economic and social ties with the tribe. In this case, in applying the 
aforementioned PRC Delivery Area re-designation criteria required by 
operative regulations codified at 42 CFR part 136, subpart C, the 
following findings are made:
    1. By expanding, the IHS estimates the current eligible population 
will be increased by 122.
    2. The Havasupai Tribe has determined that these 122 individuals 
are members of the Havasupai Tribe and they are socially and 
economically affiliated with the Havasupai Tribe.
    3. The expanded area including Mojave County in the State of 
Arizona maintains a common boundary with the statutorily created 
Coconino County PRCDA.
    4. Generally, the Havasupai Tribal members located in Mojave County 
in the State of Arizona currently do not use the Indian health system 
for their PRC health care needs. The Havasupai Tribe will use its 
existing federal allocation for PRC funds to provide health care 
services to the expanded population. No additional financial resources 
will be allocated by the IHS to the Havasupai Tribe to provide services 
to tribal members residing in Mojave County in the State of Arizona.
    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.

                 Purchased/Referred Care Delivery Areas
------------------------------------------------------------------------
           Tribe/Reservation                       County/State
------------------------------------------------------------------------
Ak Chin Indian Community...............  Pinal, AZ.
Alabama-Coushatta Tribes of Texas......  Polk, TX.\1\
Alaska.................................  Entire State.\2\
Arapahoe Tribe of the Wind River         Hot Springs, WY, Fremont, WY,
 Reservation, Wyoming.                    Sublette, WY.
Aroostook Band of Micmacs..............  Aroostook, ME.\3\
Assiniboine and Sioux Tribes of the      Daniels, MT, McCone, MT,
 Fort Peck Indian Reservation, Montana.   Richland, MT, Roosevelt, MT,
                                          Sheridan, MT, Valley, MT.
Bad River Band of the Lake Superior      Ashland, WI, Iron, WI.
 Tribe of Chippewa Indians of the Bad
 River Reservation, Wisconsin.
Bay Mills Indian Community, Michigan...  Chippewa, MI.
Blackfeet Tribe of the Blackfeet Indian  Glacier, MT, Pondera, MT.
 Reservation of Montana.
Brigham City Intermountain School        \4\ Permanently closed on May
 Health Center, Utah.                     17, 1984.
Burns Paiute Tribe.....................  Harney, OR.
California.............................  Entire State, except for the
                                          counties listed in the
                                          footnote.\5\
Catawba Indian Nation (aka Catawba       All Counties in SC,\6\
 Tribe of South Carolina).                Cabarrus, NC, Cleveland, NC,
                                          Gaston, NC, Mecklenburg, NC,
                                          Rutherford, NC, Union, NC.
Cayuga Nation..........................  Alleghany, NY,\7\ Cattaraugus,
                                          NY, Chautauqua, NY, Erie, NY,
                                          Warren, PA.
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.
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, Yamhill, 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.                             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   Marion, OR, Multnomah, OR,
 Community of Oregon.                     Polk, OR,\12\ Tillamook, OR,
                                          Washington, OR, Yamhill, OR.
Confederated Tribes of the Umatilla      Umatilla, OR, Union, OR.
 Indian Reservation.
Confederated Tribes of the Warm Springs  Clackamas, OR, Jefferson, OR,
 Reservation of Oregon.                   Linn, OR, Marion, OR, Wasco,
                                          OR.

[[Page 7912]]

 
Coquille Indian Tribe..................  Coos, OR, Curry, OR, Douglas,
                                          OR, Jackson, OR, Lane, OR.
Coushatta Tribe of Louisiana...........  Allen Parish, LA, the city
                                          limits of Elton, LA.\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, Peirce, 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.
Eastern Shoshone Tribe of the Wind       Hot Springs, WY, Fremont, WY,
 River Reservation, Wyoming.              Sublette, WY.
Flandreau Santee Sioux Tribe of South    Moody, SD.
 Dakota.
Forest County Potawatomi Community,      Forest, WI, Marinette, WI,
 Wisconsin.                               Oconto, WI.
Fort Belknap Indian Community of the     Blaine, MT, Phillips, MT.
 Fort Belknap Reservation of Montana.
Fort McDermitt Paiute and Shoshone       The entire State of Nevada,
 Tribes of the Fort McDermitt Indian      Malheur, OR.
 Reservation, Nevada and Oregon.
Fort McDowell Yavapai Nation, Arizona..  Maricopa, AZ.
Fort Mojave Indian Tribe of Arizona,     The entire State of Nevada,
 California and Nevada.                   Mohave, AZ, San Bernardino,
                                          CA.
Gila River Indian Community of the Gila  Maricopa, AZ, Pinal, AZ.
 River Indian Reservation, Arizona.
Grand Traverse Band of Ottawa and        Antrim, MI,\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, Mojave, AZ.\19\
Reservation, Arizona...................
Ho-Chunk Nation of Wisconsin...........  Adams, WI,\20\ Clark, WI,
                                          Columbia, WI, Crawford, WI,
                                          Dane, WI, Eau Clarrie, WI,
                                          Houston, MN, Jackson, WI,
                                          Juneau, WI, La Crosse, WI,
                                          Marathon, WI, Monroe, WI,
                                          Sauk, WI, Shawano, WI, Vernon,
                                          WI, Wood, WI.
Hoh Indian Tribe.......................  Jefferson, WA.
Hopi Tribe of Arizona..................  Apache, AZ, Coconino, AZ,
                                          Navajo, AZ.
Houlton Band of Maliseet Indians.......  Aroostook, ME.\21\
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,\22\ LaSalle
                                          Parish, LA, Rapides, LA.
Jicarilla Apache Nation, New Mexico....  Archuleta, CO, Rio Arriba, NM,
                                          Sandoval, NM.
Kaibab Band of Paiute Indians of the     Coconino, AZ, Mohave, AZ, Kane,
 Kaibab Indian Reservation, Arizona.      UT.
Kalispel Indian Community of the         Pend Oreille, WA, Spokane, WA.
 Kalispel Reservation.
Kewa Pueblo, New Mexico (previously      Sandoval, NM, Santa Fe, NM.
 listed as the Pueblo of Santo Domingo).
Keweenaw Bay Indian Community, Michigan  Baraga, MI, Houghton, MI,
                                          Ontonagon, MI.
Kickapoo Traditional Tribe of Texas....  Maverick, TX.\23\
Kickapoo Tribe of Indians of the         Brown, KS, Jackson, KS.
 Kickapoo Reservation in Kansas.
Klamath Tribes.........................  Klamath, OR.\24\
Koi Nation of Northern California        Lake, CA, Sonoma, CA.\25\
 (formerly known as Lower Lake
 Rancheria, California).
Kootenai Tribe of Idaho................  Boundary, ID.
Lac Courte Oreilles Band of Superior     Sawyer, WI.
 Chippewa Indians of Wisconsin.
Lac du Flambeau Band of Lake Superior    Iron, WI, Oneida, WI, Vilas,
 Chippewa Indians of the Lac du           WI.
 Flambeau Reservation of Wisconsin.
Lac Vieux Desert Band of Lake Superior   Gogebic, MI.
 Chippewa Indians of Michigan.
Little River Band of Ottawa Indians,     Kent, MI,\26\ 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,\27\ 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 Indian Tribe.......  New London, CT.\28\
Mashpee Wampanoag Tribe................  Barnstable, MA, Bristol, MA,
                                          Norfolk, MA, Plymouth, MA,
                                          Suffolk, MA.\29\

[[Page 7913]]

 
Match-e-be-nash-she-wish Band of         Allegan, MI,\30\ 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,\31\
                                          Jones, MS, Kemper, MS, Leake,
                                          MS, Neshoba, MS, Newton, MS,
                                          Noxubee, MS,\32\ Scott,
                                          MS,\33\ 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.\34\
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.\35\
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,\36\
 Cheyenne Indian Reservation, Montana.    Rosebud, MT.
Northwestern Band of Shoshone Nation...  Box Elder, UT.\37\
Nottawaseppi Huron Band of the           Allegan, MI,\38\ Barry, MI,
 Pottawatomi, Michigan.                   Branch, MI, Calhoun, MI,
                                          Kalamazoo, MI, Kent, MI,
                                          Ottawa, MI.
Oglala Sioux Tribe.....................  Bennett, SD, Cherry, NE,
                                          Custer, SD, Dawes, NE, Fall
                                          River, SD, Jackson, SD,\39\
                                          Mellette, SD, Pennington, SD,
                                          Shannon, SD, Sheridan, NE,
                                          Todd, SD.
Ohkay Owingeh, New Mexico..............  Rio Arriba, NM.
Oklahoma...............................  Entire State.\40\
Omaha Tribe of Nebraska................  Burt, NE, Cuming, NE, Monona,
                                          IA, Thurston, NE, Wayne, NE.
Oneida Nation (previously listed as the  Brown, WI, Outagamie, WI.
 Oneida Tribe of Indians of Wisconsin).
Oneida Nation Indian Nation (previously  Chenango, NY, Cortland, NY,
 listed as the Oneida Nation of New       Herkimer, NY, Madison, NY,
 York).                                   Oneida, NY, Onondaga, NY.
Onondaga Nation........................  Onondaga, NY.
Paiute Indian Tribe of Utah............  Iron, UT,\41\ Millard, UT,
                                          Sevier, UT, Washington, UT.
Pamunkey Indian Tribe..................  Caroline, VA, Hanover, VA,
                                          Henrico, VA, King William, VA,
                                          King and Queen, VA, New Kent,
                                          VA, Richmond (Independent
                                          City).\42\
Pascua Yaqui Tribe of Arizona..........  Pima, AZ.\43\
Passamaquoddy Tribe....................  Aroostook, ME,\44\ \45\
                                          Hancock, ME,\46\ Washington,
                                          ME.
Penobscot Nation.......................  Aroostook, ME,\47\ Penobscot,
                                          ME.
Poarch Band of Creeks..................  Baldwin, AL,\48\ Elmore, AL,
                                          Escambia, AL, Mobile, AL,
                                          Monroe, AL, Escambia, FL.
Pokagon Band of Pottawatomi Indians,     Allegan, MI,\49\ 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,\50\ Burt, NE, Charles
                                          Mix, SD, Douglas, NE, Hall,
                                          NE, Holt, NE, Knox, NE,
                                          Lancaster, NE, Madison, NE,
                                          Platte, NE, Pottawatomie, IA,
                                          Sarpy, NE, Stanton, NE, Wayne,
                                          NE, Woodbury, IA.
Port Gamble S'Klallam Tribe............  Kitsap, WA.
Prairie Band of Pottawatomi Nation.....  Jackson, KS.
Prairie Island Indian Community in the   Goodhue, MN.
 State of Minnesota.
Pueblo of Acoma, New Mexico............  Cibola, NM.
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.

[[Page 7914]]

 
Pueblo of Tesuque, Mexico..............  Sana Fe, NM.
Pueblo of Zia, New Mexico..............  Sandoval, NM.
Puyallup Tribe of the Puyallup           King, WA, Pierce, WA, Thurston,
 Reservation.                             WA.
Quechan Tribe of the Fort Yuma Indian    Yuma, AZ, Imperial, CA.
 Reservation, Arizona and California.
Quileute Tribe of the Quileute           Clallam, WA, Jefferson, WA.
 Reservation.
Quinault Indian Nation.................  Grays Harbor, WA, Jefferson,
                                          WA.
Rapid City, South Dakota...............  Pennington, SD.\51\
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,\52\ 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,\53\ 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,\54\ Chippewa, MI,
 Indians, Michigan.                       Delta, MI, Luce, MI, Mackinac,
                                          MI, Marquette, MI,
                                          Schoolcraft, MI.
Seminole Tribe of Florida..............  Broward, FL, Collier, FL, Miami-
                                          Dade, FL, Glades, FL, Hendry,
                                          FL.
Seneca Nation of Indians...............  Alleghany, NY, Cattaraugus, NY,
                                          Chautauqua, NY, Erie, NY,
                                          Warren, PA.
Shakopee Mdewakanton Sioux Community of  Scott, MN.
 Minnesota.
Shinnecock Indian Nation...............  Nassau, NY,\55\ Suffolk, NY.
Shoalwater Bay Tribe of the Shoalwater   Pacific, WA.
 Bay Indian Reservation.
Shoshone-Bannock Tribes of the Fort      Bannock, ID, Bingham, ID,
 Hall Reservation.                        Caribou, ID, Lemhi, ID,\56\
                                          Power, ID.
Shoshone-Paiute Tribes of the Duck       The entire SNevada, 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,\57\ 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.\58\
Three Affiliated Tribes of the Fort      Dunn, ND, Mercer, ND, McKenzie,
 Berthold Reservation, North Dakota.      ND, McLean, ND, Mountrail, ND,
                                          Ward, ND.
Tohono O'odham Nation of Arizona.......  Maricopa, AZ, Pima, AZ, Pinal,
                                          AZ.
Tolowa Dee-ni' Nation (formerly known    California, Curry, OR.\59\
 as Smith River Rancheria of
 California).
Tonawanda Band of Seneca...............  Genesee, NY, Erie, NY, Niagara,
                                          NY.
Tonto Apache Tribe of Arizona..........  Gila, AZ.
Trenton Service Unit, North Dakota and   Divide, ND,\60\ 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.\61\
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.

[[Page 7915]]

 
Ute Indian Tribe of the Uintah & Ouray   Carbon, UT, Daggett, UT,
 Reservation, Utah.                       Duchesne, UT, Emery, UT,
                                          Grand, UT, Rio Blanco, CO,
                                          Summit, UT, Uintah, UT, Utah,
                                          UT, Wasatch, UT.
Ute Mountain Ute Tribe.................  Apache, AZ, La Plata, CO,
                                          Montezuma, CO, San Juan, NM,
                                          San Juan, UT.
Wampanoag Tribe of Gay Head (Aquinnah).  Dukes, MA,\62\ Barnstable, MA,
                                          Bristol, MA, Norfolk, MA,
                                          Plymouth, MA, Suffolk, MA.\63\
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.\64\
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.\65\
Zuni Tribe of the Zuni Reservation, New  Apache, AZ, Cibola, NM,
 Mexico.                                  McKinley, NM, Valencia, NM.
------------------------------------------------------------------------
\1\ Public Law 100-89, Restoration Act for Ysleta Del Sur and Alabama
  and Coushatta Tribes of Texas establishes service areas for ``members
  of the Tribe'' by sections 101(3) and 105(a) for the Pueblo and
  sections 201(3) and 206(a) respectively.
\2\ Entire State of Alaska is included as a CHSDA by regulation (42 CFR
  136.22(a)(1)).
\3\ Aroostook Band of Micmacs was recognized by Congress on November 26,
  1991, through the Aroostook Band of Micmac Settlement Act. Aroostook
  County, ME, was defined as the SDA.
\4\ Special programs have been established by Congress irrespective of
  the eligibility regulations. Eligibility for services at these
  facilities is based on the legislative history of the appropriation of
  funds for the particular facility rather than the eligibility
  regulations. Historically services have been provided at Brigham City
  Intermountain School Health Center, Utah (Pub. L. 88-358).
\5\ Entire State of California, excluding the counties of Alameda,
  Contra Costa, Los Angeles, Marin, Orange, Sacramento, San Francisco,
  San Mateo, Santa Clara, Kern, Merced, Monterey, Napa, San Benito, San
  Joaquin, San Luis Obispo, Santa Cruz, Solano, Stanislaus, and Ventura,
  is designated a CHSDA (25 U.S.C. 1680).
\6\ The counties were recognized after the January 1984 CHSDA FRN was
  published, in accordance with Public Law 103-116, Catawba Indian Tribe
  of South Carolina Land Claims Settlement Act of 1993, dated October
  27, 1993.
\7\ There is no reservation for the Cayuga Nation; the service delivery
  area consists of those counties identified by the Cayuga Nation.
\8\ 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, Public Law 95-195, as expressed in H. Report No. 95-
  623, at page 4, members of the Confederated Tribes of Siletz Indians
  of Oregon residing in these counties are eligible for contract health
  services.
\10\ Chelan County, WA, has historically been a part of the Colville
  Service Unit population since 1970.
\11\ Pursuant to Public Law 98-481 (H. Rept. No. 98-904), Coos, Lower
  Umpqua and Siuslaw Restoration Act, members of the Tribe residing in
  these counties were specified as eligible for Federal services and
  benefits without regard to the existence of a Federal Indian
  reservation.
\12\ The Confederated Tribes of Grand Ronde Community of Oregon were
  recognized by Public Law 98-165 which was signed into law on November
  22, 1983, and provides for eligibility in these six counties without
  regard to the existence of a reservation.
\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 Public Law
  97-391, signed into law on December 29, 1983. House Rept. No. 97-862
  designates Douglas, Jackson, and Josephine Counties as a service area
  without regard to the existence of a reservation. The IHS later
  administratively expanded the CHSDA to include the counties of Coos,
  OR, Deschutes, OR, Klamath, OR, and Lane, OR.
\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, Public Law 93-638.
  The CHSDA was administratively expanded to included Columbia County,
  OR, Kittitas, WA, and Wahkiakum County, WA, as published at 67884 FR
  December 21, 2009.
\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\ The PRCDA for the Havasupai Tribe of Arizona is being expanded
  administratively by the Director, IHS, through regulation (42 CFR
  136.22(6)) to include Mojave County in the State of Arizona.
\20\ 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.
\21\ 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.
\22\ The Jena Band of Choctaw Indian was Federally acknowledged as
  documented at 60 FR 28480, May 31, 1995. The counties listed were
  designated administratively as the SDA, to function as a CHSDA, for
  the purposes of operating a CHS program pursuant to the ISDEAA, Public
  Law 93-638.
\23\ Kickapoo Traditional Tribe of Texas, formerly known as the Texas
  Band of Kickapoo, was recognized by Public Law 97-429, signed into law
  on January 8, 1983. The Act provides for eligibility for Kickapoo
  Tribal members residing in Maverick County without regard to the
  existence of a reservation.
\24\ 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''.
\25\ The Koi Nation of Northern California, formerly known as the Lower
  Lake Rancheria, was reaffirmed by the Secretary of the Bureau of
  Indian Affairs on December 29, 2000. The counties listed were
  designated administratively as the SDA, to function as a PRCDA, for
  the purposes of operating a PRC program pursuant to the ISDEAA, Public
  Law 93-638.
\26\ The Little Traverse Bay Bands of Odawa Indians and the Little River
  Band of Ottawa Indians Act recognized the Little River Band of Ottawa
  Indians and the Little Traverse Bay Bands of Odawa Indians. Pursuant
  to Public Law 103-324, Sec.4 (b) the counties listed were designated
  administratively as the SDA, to function as a CHSDA, for the purposes
  of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.

[[Page 7916]]

 
\27\ The Little Traverse Bay Bands of Odawa Indians and the Little River
  Band of Ottawa Indians Act recognized the Little River Band of Ottawa
  Indians and the Little Traverse Bay Bands of Odawa Indians. Pursuant
  to Public Law 103-324, Sec.4 (b) the counties listed were designated
  administratively as the SDA, to function as a CHSDA, for the purposes
  of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
\28\ Mashantucket Pequot Indian Claims Settlement Act, Public Law 98-
  134, signed into law on October 18, 1983, provides a reservation for
  the Mashantucket Pequot Indian Tribe in New London County, CT.
\29\ The Mashpee Wampanoag Tribe was recognized in February 2007, as
  documented at 72 FR 8007, February 22, 2007. The counties listed were
  designated administratively as the SDA, to function as a CHSDA, for
  the purposes of operating a CHS program pursuant to the ISDEAA, Public
  Law 93-638.
\30\ The Match-e-be-nash-she-wish Band of Pottawatomi Indians of
  Michigan was recognized in October 1998, as documented at 63 FR 56936,
  October 23, 1998. The counties listed were designated administratively
  as the SDA, to function as a CHSDA, for the purposes of operating a
  CHS program pursuant to the ISDEAA, Public Law 93-638.
\31\ 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.
\32\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.
\33\ Scott County, MS, has historically been a part of the Choctaw
  Service Unit population since 1970.
\34\ The Narragansett Indian Tribe was recognized by Public Law 95-395,
  signed into law September 30, 1978. Lands in Washington County, RI,
  are now Federally restricted and the Bureau of Indian Affairs
  considers them as the Narragansett Indian Reservation.
\35\ Entire State of Nevada is included as a CHSDA by regulation (42 CFR
  136.22 (a)(2)).
\36\ Carter County, MT, has historically been a part of the Northern
  Cheyenne Service Unit population since 1979.
\37\ Land of Box Elder County, Utah, was taken into trust for the
  Northwestern Band of Shoshoni Nation in 1986.
\38\ The Nottawaseppi Huron Band of the Potawatomi, Michigan, formerly
  known as the Huron Band of Potawatomi, Inc., was recognized in
  December 1995, as documented at 60 FR 66315, December 21, 1995. The
  counties listed were designated administratively as the SDA, to
  function as a CHSDA, for the purposes of operating a CHS program
  pursuant to the ISDEAA, Public Law 93-638.
\39\ Washabaugh County, SD, merged and became part of Jackson County,
  SD, in 1983; both were/are CHSDA counties for the Oglala Sioux Tribe.
\40\ Entire State of Oklahoma is included as a CHSDA by regulation (42
  CFR 136.22 (a)(3)).
\41\ Paiute Indian Tribe of Utah Restoration Act, Public Law 96-227,
  provides for the extension of services for the Paiute Indian Tribe of
  Utah to these four counties without regard to the existence of a
  reservation.
\42\ In the Federal Register on July 08, 2015 (80 FR 39144), the
  Pamunkey Indian Tribe was officially recognized as an Indian Tribe
  within the meaning of Federal law. The counties listed were designated
  administratively as the SDA, to function as a CHSDA, for the purposes
  of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
\43\ Legislative history (H.R. Report No. 95-1021) to Public Law 95-375,
  Extension of Federal Benefits to Pascua Yaqui Indians, Arizona,
  expresses congressional intent that lands conveyed to the Pascua Yaqui
  Tribe of Arizona pursuant to Act of October 8, 1964. (Pub. L. 88-350)
  shall be deemed a Federal Indian Reservation.
\44\ 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.
\45\ The Passamaquoddy Tribe has two reservations: Indian Township and
  Pleasant Point. The PRCDA for the Passamaquoddy Tribe at Indian
  Township, ME, is Aroostook County, ME, Washington County, ME, and
  Hancock County, ME. The PRCDA for the Passamaquoddy Tribe at Pleasant
  Point, ME, is Washington County, ME, south of State Route 9, and
  Aroostook County, ME.
\46\ The Passamaquoddy Tribe's counties listed are designated
  administratively as the SDA, to function as a PRCDA, for the purposes
  of operating a PRC program pursuant to the ISDEAA, Public Law 93-638.
\47\ The Maine Indian Claims Settlement Act of 1980 (Pub. L. 96-420; H.
  Rept. 96-1353) includes the intent of Congress to fund and provide PRC
  to the Passamaquoddy Tribe and the Penobscot Nation.
\48\ 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).
\49\ Public Law 103-323 restored Federal recognition to the Pokagon Band
  of Potawatomi Indians, Michigan and Indiana, in 1994 and identified
  counties to serve as the SDA.
\50\ The Ponca Restoration Act, Public Law 101-484, recognized members
  of the Ponca Tribe of Nebraska in Boyd, Douglas, Knox, Madison or
  Lancaster counties of Nebraska or Charles Mix county of South Dakota
  as residing on or near a reservation. Public Law 104-109 made
  technical corrections to laws relating to Native Americans and added
  Burt, Hall, Holt, Platte, Sarpy, Stanton, and Wayne counties of
  Nebraska and Pottawatomie and Woodbury counties of Iowa to the Ponca
  Tribe of Nebraska SDA.
\51\ 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.).
\52\ Historically part of Isabella Reservation Area for the Saginaw
  Chippewa Indian Tribe of Michigan and the Eastern Michigan Service
  Unit population since 1979.
\53\The Samish Indian Tribe Nation was Federally acknowledged in April
  1996 as documented at 61 FR 15825, April 9, 1996. The counties listed
  were designated administratively as the SDA, to function as a CHSDA,
  for the purposes of operating a CHS program pursuant to the ISDEAA,
  Public Law 93-638.
\54\ CHSDA counties for the Sault Ste. Marie Tribe of Chippewa Indians,
  Michigan, were designated by regulation (42 CFR 136.22(a)(4)).
\55\ The Shinnecock Indian Nation was Federally acknowledged in June
  2010 as documented at 75 FR 34760, June 18, 2010. The counties listed
  were designated administratively as the SDA, to function as a CHSDA,
  for the purposes of operating a CHS program pursuant to the ISDEAA,
  Public Law 93-638.
\56\ Lemhi County, ID, has historically been a part of the Fort Hall
  Service Unit population since 1979.
\57\ The Snoqualmie Indian Tribe was Federally acknowledged in August
  1997 as documented at 62 FR 45864, August 29, 1997. The counties
  listed were designated administratively as the SDA, to function as a
  CHSDA, for the purposes of operating a CHS program pursuant to the
  ISDEAA, Public Law 93-638.
\58\ On December 30, 2011 the Office of Assistant Secretary-Indian
  Affairs reaffirmed the Federal recognition of the Tejon Indian Tribe.
  The county listed was designated administratively as the SDA, to
  function as a CHSDA, for the purposes of operating a CHS program
  pursuant to the ISDEAA, Public Law 93-638.
\59\ The counties listed are designated administratively as the SDA, to
  function as a PRC SDA, for the purposes of operating a PRC program
  pursuant to the ISDEAA, Public Law 93-638.
\60\ 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).
\61\ Rapides County, LA, has historically been a part of the Tunica
  Biloxi Service Unit population since 1982.
\62\ According to Public Law 100-95, Sec. 12, members of the Wampanoag
  Tribe of Gay Head (Aquinnah) residing on Martha's Vineyard are deemed
  to be living on or near an Indian reservation for the purposes of
  eligibility for Federal services.
\63\ The counties listed are designated administratively as the SDA, to
  function as a PRCDA, for the purposes of operating a PRC program
  pursuant to the ISDEAA, Public Law 93-638.
\64\ 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).
\65\ 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 7917]]

Michael D. Weahkee,
RADM, Assistant Surgeon General, U.S. Public Health Service, Principal 
Deputy Director, Indian Health Service.
[FR Doc. 2019-03884 Filed 3-4-19; 8:45 a.m.]
BILLING CODE 4165-16-P