[Federal Register Volume 85, Number 14 (Wednesday, January 22, 2020)]
[Notices]
[Pages 3698-3705]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-00905]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Notice of Purchased/Referred Care Delivery Area Designations for 
the Chickahominy Indian Tribe, the Chickahominy Indian Tribe--Eastern 
Division, the Upper Mattaponi Tribe, the Rappahannock Tribe, Inc., the 
Monacan Indian Nation, and the Nansemond Indian Tribe

AGENCY: Indian Health Service, HHS.

ACTION: Notice.

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SUMMARY: Notice is hereby given that the Indian Health Service (IHS) is 
establishing the geographic boundaries of the Purchased/Referred Care 
Delivery Area (PRCDA) (formerly Contract Health Service Delivery Area 
or CHSDA) for six newly recognized Tribes: The Chickahominy Indian 
Tribe, the Chickahominy Indian Tribe--Eastern Division, the Upper 
Mattaponi Tribe, the Rappahannock Tribe, Inc., the Monacan Indian 
Nation, and the Nansemond Indian Tribe.

DATES: This notice is effective as of February 21, 2020.

ADDRESSES: This notice can be found at https://www.federalregister.gov. 
Written requests for information or comments submitted by postal mail 
or delivery should be addressed to: CDR John Rael, Director, Office of 
Resource Access and Partnerships, Indian Health Service, 5600 Fishers 
Lane, Mail Stop: 10E85C, Rockville, MD 20857, (301) 443-0609 (This is 
not a toll-free number).

SUPPLEMENTARY INFORMATION: The IHS currently provides services under 
regulations in effect on September 15, 1987, and republished in the 
Code of Federal Regulations (CFR) at 42 CFR part 136, subparts A-C. 
When Tribes are recognized under Federal law, either Congress 
legislatively designates counties to serve as PRCDAs, or the Director, 
IHS, exercises reasonable administrative discretion to designate PRCDAs 
to effectuate the intent of Congress for these Tribes. The Director, 
IHS, publishes a notice in the Federal Register (FR) when there are 
revisions or updates to the list of PRCDAs, including the designation 
of PRCDAs for newly recognized Tribes.
    At 42 CFR part 136 subpart C, a PRCDA is defined as the geographic 
area within which Purchased/Referred Care (PRC) will be made available 
by the IHS to members of an identified Indian community who reside in 
the area. The regulations provide that, unless otherwise designated, a 
PRCDA shall consist of a county which includes all or part of a 
reservation and any county or counties which have a common boundary 
with the reservation (42 CFR 136.22(a)(6)). Residence within 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 but only 
potential eligibility for services. Services needed but not available 
at an IHS or Tribal facility are provided under the PRC program 
depending on the availability of funds, the relative medical priority 
of the services to be provided, and the actual availability and 
accessibility of alternate resources in accordance with the 
regulations.
    Under the Thomasina E. Jordan Indian Tribes of Virginia Federal 
Recognition Act of 2017 (Recognition Act), Public Law 115-121, the 
Chickahominy Indian Tribe, the Chickahominy Indian Tribe--Eastern 
Division, the Upper Mattaponi Tribe, the Rappahannock Tribe, Inc., the 
Monacan Indian Nation, and the Nansemond Indian Tribe were officially 
recognized as Indian Tribes within the meaning of Federal law. The 
Recognition Act sets forth service areas for each of the six newly 
recognized Tribes, for the purpose of the delivery of Federal services 
to Tribal members. Four of these six service areas include specific 
references to counties and independent cities in the state of Virginia. 
IHS is establishing four PRCDAs in this notice based upon those 
specific references. The remaining two service areas enumerated by 
Congress in the Recognition Act do not specify either counties or 
independent cities. Instead, Congress has indicated a mileage radius 
for those two service areas. Since IHS establishes PRCDAs for the 
administration of PRC by county, IHS has interpreted this language to 
mean all counties within or intersected by the radius specified by 
Congress in the Recognition Act, as well as the independent cities 
within the contiguous area formed by those counties.
    The purpose of this FR notice is to notify the public of the 
establishment of the six newly recognized Tribes' PRCDAs, consistent 
with the Congressional intent expressed in the Recognition Act. The 
Tribes' PRCDAs are designated as follows:
    Chickahominy Indian Tribe--New Kent County, James City County, 
Charles City County, and Henrico County, Virginia.
    Chickahominy Indian Tribe--Eastern Division--New Kent County, James 
City County, Charles City County, and Henrico County, Virginia.
    Upper Mattaponi Tribe--Richmond County, Middlesex County, Essex 
County, King and Queen County, King William County, New Kent County, 
Hanover County, Caroline County, Henrico County, Charles City County,

[[Page 3699]]

James City County, and the independent city of Richmond, Virginia.
    Rappahannock Tribe, Inc.--King and Queen County, Caroline County, 
Essex County, and King William County, Virginia.
    Monacan Indian Nation--Amherst County, Nelson County, Albemarle 
County, Buckingham County, Appomattox County, Campbell County, Bedford 
County, Botetourt County, Rockbridge County, Augusta County, and the 
independent cities of Lynchburg, Lexington, Buena Vista, Staunton, 
Waynesboro, and Charlottesville, Virginia.
    Nansemond Indian Tribe--The independent cities of Chesapeake, 
Hampton, Newport News, Norfolk, Portsmouth, Suffolk, and Virginia 
Beach, Virginia.
    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 maintain close economic and social ties with 
the Tribe. In this case, the Tribes estimated the eligible user 
populations to be as follows: 654 enrolled Chickahominy members; 59 
enrolled Chickahominy Eastern Division members; 202 enrolled Upper 
Mattaponi members; 202 enrolled Rappahannock members; 881 enrolled 
Monacan members; 95 enrolled Nansemond members. The financial resources 
required to meet the immediate needs of the Tribal members residing in 
the PRCDAs were determined by the IHS, through consultation with the 
individual Tribes, and will be placed in the Nashville Area PRC budget.
    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.

                 Purchased/Referred Care Delivery Areas
------------------------------------------------------------------------
           Tribe/reservation                       County/state
------------------------------------------------------------------------
AK Chin Indian Community...............  Pinal, AZ.
Alabama-Coushatta Tribes of Texas......  Polk, TX.\1\
Alaska.................................  Entire State.\2\
Arapahoe Tribe of the Wind River         Hot Springs, WY, Fremont, WY,
 Reservation, Wyoming.                    Sublette, WY.
Aroostook Band of Micmacs..............  Aroostook, ME.\3\
Assiniboine and Sioux Tribes of the      Daniels, MT, McCone, MT,
 Fort Peck Indian Reservation, Montana.   Richland, MT, Roosevelt, MT,
                                          Sheridan, MT, Valley, MT.
Bad River Band of the Lake Superior      Ashland, WI, Iron, WI.
 Tribe of Chippewa Indians of the Bad
 River Reservation, Wisconsin.
Bay Mills Indian Community, Michigan...  Chippewa, MI.
Blackfeet Tribe of the Blackfeet Indian  Glacier, MT, Pondera, MT.
 Reservation of Montana.
Brigham City Intermountain School        Permanently closed on May 17,
 Health Center, Utah.                     1984.\4\
Burns Paiute Tribe.....................  Harney, OR.
California.............................  Entire State, except for the
                                          counties listed in the
                                          footnote.\5\
Catawba Indian Nation (AKA Catawba       All Counties in SC,\6\
 Tribe of South Carolina).                Cabarrus, NC, Cleveland, NC,
                                          Gaston, NC, Mecklenburg, NC,
                                          Rutherford, NC, Union, NC.
Cayuga Nation..........................  Alleghany, NY,\7\ Cattaraugus,
                                          NY, Chautauqua, NY, Erie, NY,
                                          Warren, PA.
Chickahominy Indian Tribe..............  New Kent, VA, James City, VA,
                                          Charles City, VA, Henrico,
                                          VA.\8\
Chickahominy Indian Tribe--Eastern       New Kent, VA, James City, VA,
 Division.                                Charles City, VA, Henrico,
                                          VA.\9\
Cheyenne River Sioux Tribe of the        Corson, SD, Dewey, SD, Haakon,
 Cheyenne River Reservation, South        SD, Meade, SD, Perkins, SD,
 Dakota.                                  Potter, SD, Stanley, SD,
                                          Sully, SD, Walworth, SD,
                                          Ziebach, SD.
Chippewa-Cree Indians of the Rocky       Chouteau, MT, Hill, MT,
 Boy's Reservation, Montana.              Liberty, MT.
Chitimacha Tribe of Louisiana..........  St. Mary Parish, LA.
Cocopah Tribe of Arizona...............  Yuma, AZ, Imperial, CA.
Coeur D'Alene Tribe....................  Benewah, ID, Kootenai, ID,
                                          Latah, ID, Spokane, WA,
                                          Whitman, WA.
Colorado River Indian Tribes of the      La Paz, AZ, Riverside, CA, San
 Colorado River Indian Reservation,       Bernardino, CA, Yuma, AZ.
 Arizona and California.
Confederated Salish and Kootenai Tribes  Flathead, MT, Lake, MT,
 of the Flathead Reservation.             Missoula, MT, Sanders, MT.
Confederated Tribes and Bands of the     Klickitat, WA, Lewis, WA,
 Yakama Nation.                           Skamania, WA,\10\ Yakima, WA.
Confederated Tribes of Siletz Indians    Benton, OR,\11\ Clackamas, OR,
 of Oregon.                               Lane, OR, Lincoln, OR, Linn,
                                          OR, Marion, OR, Multnomah, OR,
                                          Polk, OR, Tillamook, OR,
                                          Washington, OR, Yamhill, OR.
Confederated Tribes of the Chehalis      Grays Harbor, WA, Lewis, WA,
 Reservation.                             Thurston, WA.
Confederated Tribes of the Colville      Chelan, WA,\12\ Douglas, WA,
 Reservation.                             Ferry, WA, Grant, WA, Lincoln,
                                          WA, Okanogan, WA, Stevens, WA.
Confederated Tribes of the Coos, Lower   Coos, OR,\13\ Curry, OR,
 Umpqua and Siuslaw Indians.              Douglas, OR, Lane, OR,
                                          Lincoln, OR.
Confederated Tribes of the Goshute       Nevada, Juab, UT, Toole, UT.
 Reservation, Nevada and Utah.
Confederated Tribes of the Grand Ronde   Marion, OR, Multnomah, OR,
 Community of Oregon.                     Polk, OR,\14\ Tillamook, OR,
                                          Washington, OR, Yamhill, OR.
Confederated Tribes of the Umatilla      Umatilla, OR, Union, OR.
 Indian Reservation.
Confederated Tribes of the Warm Springs  Clackamas, OR, Jefferson, OR,
 Reservation of Oregon.                   Linn, OR, Marion, OR, Wasco,
                                          OR.
Coquille Indian Tribe..................  Coos, OR, Curry, OR, Douglas,
                                          OR, Jackson, OR, Lane, OR.
Coushatta Tribe of Louisiana...........  Allen Parish, LA, the city
                                          limits of Elton, LA.\15\
Cow Creek Band of Umpqua Tribe of        Coos, OR,\16\ Deshutes, OR,
 Indians.                                 Douglas, OR, Jackson, OR,
                                          Josephine, OR, Klamath, OR,
                                          Lane, OR.
Cowlitz Indian Tribe...................  Clark, WA, Cowlitz, WA, King,
                                          WA, Lewis, WA, Peirce, WA,
                                          Skamania, WA, Thurston, WA,
                                          Columbia, OR,\17\ Kittitas,
                                          WA, Wahkiakum, WA.
Crow Creek Sioux Tribe of the Crow       Brule, SD, Buffalo, SD, Hand,
 Creek Reservation, South Dakota.         SD, Hughes, SD, Hyde, SD,
                                          Lyman, SD, Stanley, SD.
Crow Tribe of Montana..................  Big Horn, MT, Carbon, MT,
                                          Treasure, MT,\18\ Yellowstone,
                                          MT, Big Horn, WY, Sheridan,
                                          WY.
Eastern Band of Cherokee Indians.......  Cherokee, NC, Graham, NC,
                                          Haywood, NC, Jackson, NC,
                                          Swain, NC.
Eastern Shoshone Tribe of the Wind       Hot Springs, WY, Fremont, WY,
 River Reservation, Wyoming.              Sublette, WY.

[[Page 3700]]

 
Flandreau Santee Sioux Tribe of South    Moody, SD.
 Dakota.
Forest County Potawatomi Community,      Forest, WI, Marinette, WI,
 Wisconsin.                               Oconto, WI.
Fort Belknap Indian Community of the     Blaine, MT, Phillips, MT.
 Fort Belknap Reservation of Montana.
Fort McDermitt Paiute and Shoshone       The entire State of Nevada,
 Tribes of the Fort McDermitt Indian      Malheur, OR.
 Reservation, Nevada and Oregon.
Fort McDowell Yavapai Nation, Arizona..  Maricopa, AZ.
Fort Mojave Indian Tribe of Arizona,     The entire State of Nevada,
 California and Nevada.                   Mohave, AZ, San Bernardino,
                                          CA.
Gila River Indian Community of the Gila  Maricopa, AZ, Pinal, AZ.
 River Indian Reservation, Arizona.
Grand Traverse Band of Ottawa and        Antrim, MI,\19\ Benzie, MI,
 Chippewa Indians, Michigan.              Charlevoix, MI, Grand
                                          Traverse, MI, Leelanau, MI,
                                          Manistee, MI.
Hannahville Indian Community, Michigan.  Delta, MI, Menominee, MI.
Haskell Indian Health Center...........  Douglas, KS.\20\
Havasupai Tribe of the Havasupai         Coconino, AZ.
 Reservation, Arizona.
Ho-Chunk Nation of Wisconsin...........  Adams, WI,\21\ 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.\22\
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,\23\ 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.\24\
Kickapoo Tribe of Indians of the         Brown, KS, Jackson, KS.
 Kickapoo Reservation in Kansas.
Klamath Tribes.........................  Klamath, OR.\25\
Koi Nation of Northern California        Lake, CA, Sonoma, CA.\26\
 (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,\27\ 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,\28\ 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.\29\
Mashpee Wampanoag Tribe................  Barnstable, MA, Bristol, MA,
                                          Norfolk, MA, Plymouth, MA,
                                          Suffolk, MA.\30\
Match-e-be-nash-she-wish Band of         Allegan, MI,\31\ 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,\32\
                                          Jones, MS, Kemper, MS, Leake,
                                          MS, Neshoba, MS, Newton, MS,
                                          Noxubee, MS,\33\ Scott,
                                          MS,\34\ Winston, MS

[[Page 3701]]

 
Mohegan Tribe of Indians of              Fairfield, CT, Hartford, CT,
 Connecticut..                            Litchfield, CT, Middlesex, CT,
                                          New Haven, CT, New London, CT,
                                          Tolland, CT, Windham, CT.
Monacan Indian Nation..................  Amherst, VA, Nelson, VA,
                                          Albemarle, VA, Buckingham, VA,
                                          Appomattox, VA, Campbell, VA,
                                          Bedford, VA, Botetourt, VA,
                                          Rockbridge, VA, Augusta, VA,
                                          and the independent cities of
                                          Lynchburg, VA, Lexington, VA,
                                          Buena Vista, VA, Staunton, VA,
                                          Waynesboro, VA, and
                                          Charlottesville, VA.\35\
Muckleshoot Indian Tribe...............  King, WA, Pierce, WA.
Nansemond Indian Tribe.................  The independent cities of
                                          Chesapeake, VA, Hampton, VA,
                                          Newport News, VA, Norfolk, VA,
                                          Portsmouth, VA, Suffolk, VA,
                                          and Virginia Beach, VA.\36\
Narragansett Indian Tribe..............  Washington, RI.\37\
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.\38\
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,\39\
 Cheyenne Indian Reservation, Montana.    Rosebud, MT.
Northwestern Band of Shoshone Nation...  Box Elder, UT.\40\
Nottawaseppi Huron Band of the           Allegan, MI,\41\ 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,\42\
                                          Mellette, SD, Pennington, SD,
                                          Shannon, SD, Sheridan, NE,
                                          Todd, SD.
Ohkay Owingeh, New Mexico..............  Rio Arriba, NM.
Oklahoma...............................  Entire State.\43\
Omaha Tribe of Nebraska................  Burt, NE, Cuming, NE, Monona,
                                          IA, Thurston, NE, Wayne, NE.
Oneida Nation (previously listed as the  Brown, WI, Outagamie, WI.
 Oneida Tribe of Indians of Wisconsin).
Oneida Indian Nation (previously listed  Chenango, NY, Cortland, NY,
 as the Oneida Nation of New York).       Herkimer, NY, Madison, NY,
                                          Oneida, NY, Onondaga, NY.
Onondaga Nation........................  Onondaga, NY.
Paiute Indian Tribe of Utah............  Iron, UT,\44\ Millard, UT,
                                          Sevier, UT, Washington, UT.
Pamunkey Indian Tribe..................  Caroline, VA, Hanover, VA,
                                          Henrico, VA, King William, VA,
                                          King and Queen, VA, New Kent,
                                          VA, and the independent city
                                          of Richmond, VA.\45\
Pascua Yaqui Tribe of Arizona..........  Pima, AZ.\46\
Passamaquoddy Tribe....................  Aroostook, ME,\47\ \48\
                                          Hancock, ME,\49\ Washington,
                                          ME.
Penobscot Nation.......................  Aroostook, ME,\50\ Penobscot,
                                          ME.
Poarch Band of Creeks..................  Baldwin, AL,\51\ Elmore, AL,
                                          Escambia, AL, Mobile, AL,
                                          Monroe, AL, Escambia, FL.
Pokagon Band of Pottawatomi Indians,     Allegan, MI,\52\ 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,\53\ 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.
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.

[[Page 3702]]

 
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.\54\
Rappahannock Tribe, Inc................  King and Queen County, VA,
                                          Caroline County, VA, Essex
                                          County, VA, King William
                                          County, VA.\55\
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,\56\ 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,\57\ 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,\58\ 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,\59\ 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,\60\
                                          Power, ID.
Shoshone-Paiute Tribes of the Duck       The entire state of Nevada,
 Valley Reservation, Nevada.              Owyhee, ID.
Sisseton-Wahpeton Oyate of the Lake      Codington, SD, Day, SD, Grant,
 Traverse Reservation, South Dakota.      SD, Marshall, SD, Richland,
                                          ND, Roberts, SD, Sargent, ND,
                                          Traverse, MN.
Skokomish Indian Tribe.................  Mason, WA.
Skull Valley Band of Goshute Indians of  Tooele, UT.
 Utah.
Snoqualmie Indian Tribe................  King, WA,\61\ 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.\62\
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.\63\
 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,\64\ 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.\65\
Turtle Mountain Band of Chippewa         Rolette, ND.
 Indians of North Dakota.
Tuscarora Nation.......................  Niagara, NY.

[[Page 3703]]

 
Upper Mattaponi Tribe..................  Caroline, VA, Charles City, VA,
                                          Essex, VA, Hanover, VA,
                                          Henrico, VA, James City, VA,
                                          King and Queen, VA, King
                                          William, VA, Middlesex, VA,
                                          New Kent, VA, Richmond, VA and
                                          the independent city of
                                          Richmond, VA.\66\
Upper Sioux Community, Minnesota.......  Chippewa, MN, Yellow Medicine,
                                          MN.
Upper Skagit Indian Tribe..............  Skagit, WA.
Ute Indian Tribe of the Uintah & Ouray   Carbon, UT, Daggett, UT,
 Reservation, Utah.                       Duchesne, UT, Emery, UT,
                                          Grand, UT, Rio Blanco, CO,
                                          Summit, UT, Uintah, UT, Utah,
                                          UT, Wasatch, UT.
Ute Mountain Ute Tribe.................  Apache, AZ, La Plata, CO,
                                          Montezuma, CO, San Juan, NM,
                                          San Juan, UT.
Wampanoag Tribe of Gay Head (Aquinnah).  Dukes, MA,\67\ Barnstable, MA,
                                          Bristol, MA, Norfolk, MA,
                                          Plymouth, MA, Suffolk, MA.\68\
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.\69\
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.\70\
Zuni Tribe of the Zuni Reservation, New  Apache, AZ, Cibola, NM,
 Mexico.                                  McKinley, NM, Valencia, NM.
------------------------------------------------------------------------
\1\ Public Law 100-89, Restoration Act for Ysleta Del Sur and Alabama
  and Coushatta Tribes of Texas establishes service areas for ``members
  of the Tribe'' by sections 101(3) and 105(a) for the Pueblo and
  sections 201(3) and 206(a) respectively.
\2\ Entire State of Alaska is included as a CHSDA by regulation (42 CFR
  136.22(a)(1)).
\3\ Aroostook Band of Micmacs was recognized by Congress on November 26,
  1991, through the Aroostook Band of Micmac Settlement Act. Aroostook
  County, ME, was defined as the SDA.
\4\ Special programs have been established by Congress irrespective of
  the eligibility regulations. Eligibility for services at these
  facilities is based on the legislative history of the appropriation of
  funds for the particular facility rather than the eligibility
  regulations. Historically services have been provided at Brigham City
  Intermountain School Health Center, Utah (Pub. L. 88-358).
\5\ Entire State of California, excluding the counties of Alameda,
  Contra Costa, Los Angeles, Marin, Orange, Sacramento, San Francisco,
  San Mateo, Santa Clara, Kern, Merced, Monterey, Napa, San Benito, San
  Joaquin, San Luis Obispo, Santa Cruz, Solano, Stanislaus, and Ventura,
  is designated a CHSDA (25 U.S.C. 1680).
\6\ The counties were recognized after the January 1984 CHSDA FRN was
  published, in accordance with Public Law 103-116, Catawba Indian Tribe
  of South Carolina Land Claims Settlement Act of 1993, dated October
  27, 1993.
\7\ There is no reservation for the Cayuga Nation; the service delivery
  area consists of those counties identified by the Cayuga Nation.
\8\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
  Recognition Act of 2017, Public Law 115-121, officially recognized the
  Chickahominy Indian Tribe as an Indian Tribe within the meaning of
  Federal law, and specified an area for the delivery of Federal
  services. The IHS administratively designated the Tribe's PRCDA, for
  the purposes of operating a PRC program, consistent with the
  Congressional intent expressed in the Recognition Act.
\9\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
  Recognition Act of 2017, Public Law 115-121, officially recognized the
  Chickahominy Indian Tribe--Eastern Division as an Indian Tribe within
  the meaning of Federal law, and specified an area for the delivery of
  Federal services. The IHS administratively designated the Tribe's
  PRCDA, for the purposes of operating a PRC program, consistent with
  the Congressional intent expressed in the Recognition Act.
\10\ Skamania County, WA, has historically been a part of the Yakama
  Service Unit population since 1979.
\11\ In order to carry out the Congressional intent of the Siletz
  Restoration Act, Public Law 95-195, as expressed in H. Report No. 95-
  623, at page 4, members of the Confederated Tribes of Siletz Indians
  of Oregon residing in these counties are eligible for contract health
  services.
\12\ Chelan County, WA, has historically been a part of the Colville
  Service Unit population since 1970.
\13\ Pursuant to Public Law 98-481 (H. Rept. No. 98-904), Coos, Lower
  Umpqua and Siuslaw Restoration Act, members of the Tribe residing in
  these counties were specified as eligible for Federal services and
  benefits without regard to the existence of a Federal Indian
  reservation.
\14\ The Confederated Tribes of Grand Ronde Community of Oregon were
  recognized by Public Law 98-165 which was signed into law on November
  22, 1983, and provides for eligibility in these six counties without
  regard to the existence of a reservation.
\15\ The CHSDA for the Coushatta Tribe of Louisiana was expanded
  administratively by the Director, IHS, through regulation (42 CFR
  136.22(6)) to include city limits of Elton, LA.
\16\ Cow Creek Band of Umpqua Tribe of Indians recognized by Public Law
  97-391, signed into law on December 29, 1983. House Rept. No. 97-862
  designates Douglas, Jackson, and Josephine Counties as a service area
  without regard to the existence of a reservation. The IHS later
  administratively expanded the CHSDA to include the counties of Coos,
  OR, Deschutes, OR, Klamath, OR, and Lane, OR.
\17\ The Cowlitz Indian Tribe was recognized in July 2002 as documented
  at 67 FR 46329, July 12, 2002. The counties listed were designated
  administratively as the SDA, to function as a CHSDA, for the purposes
  of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
  The CHSDA was administratively expanded to included Columbia County,
  OR, Kittitas, WA, and Wahkiakum County, WA, as published at 67884 FR
  December 21, 2009.
\18\ Treasure County, MT, has historically been a part of the Crow
  Service Unit population.
\19\ The counties listed have historically been a part of the Grand
  Traverse Service Unit population since 1980.
\20\ Haskell Indian Health Center has historically been a part of Kansas
  Service Unit since 1979. Special programs have been established by
  Congress irrespective of the eligibility regulations. Eligibility for
  services at these facilities is based on the legislative history of
  the appropriation of funds for the particular facility rather than the
  eligibility regulations. Historically services have been provided at
  Haskell Indian Health Center (H. Rept. No. 95-392).
\21\ 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.
\22\ 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.
\23\ 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.

[[Page 3704]]

 
\24\ 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.
\25\ 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''.
\26\ 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.
\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\ The Little Traverse Bay Bands of Odawa Indians and the Little River
  Band of Ottawa Indians Act recognized the Little River Band of Ottawa
  Indians and the Little Traverse Bay Bands of Odawa Indians. Pursuant
  to Public Law 103-324, Sec. 4(b) the counties listed were designated
  administratively as the SDA, to function as a CHSDA, for the purposes
  of operating a CHS program pursuant to the ISDEAA, Public Law 93-638.
\29\ 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.
\30\ 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.
\31\ 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.
\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\ Members of the Mississippi Band of Choctaw Indians residing in
  Jasper and Noxubee Counties, MS, are eligible for contract health
  services; these two counties were inadvertently omitted from 42 CFR
  136.22.
\34\ Scott County, MS, has historically been a part of the Choctaw
  Service Unit population since 1970.
\35\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
  Recognition Act of 2017, Public Law 115-121, officially recognized the
  Monacan Indian Nation as an Indian Tribe within the meaning of Federal
  law, and specified an area for the delivery of Federal services. The
  IHS administratively designated the Tribe's PRCDA, for the purposes of
  operating a PRC program, consistent with the Congressional intent
  expressed in the Recognition Act.
\36\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
  Recognition Act of 2017, Public Law 115-121, officially recognized the
  Nansemond Indian Tribe as an Indian Tribe within the meaning of
  Federal law, and specified an area for the delivery of Federal
  services. The IHS administratively designated the Tribe's PRCDA, for
  the purposes of operating a PRC program, consistent with the
  Congressional intent expressed in the Recognition Act.
\37\ 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.
\38\ Entire State of Nevada is included as a CHSDA by regulation (42 CFR
  136.22 (a)(2)).
\39\ Carter County, MT, has historically been a part of the Northern
  Cheyenne Service Unit population since 1979.
\40\ Land of Box Elder County, Utah, was taken into trust for the
  Northwestern Band of Shoshoni Nation in 1986.
\41\ 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.
\42\ Washabaugh County, SD, merged and became part of Jackson County,
  SD, in 1983; both were/are CHSDA counties for the Oglala Sioux Tribe.
\43\ Entire State of Oklahoma is included as a CHSDA by regulation (42
  CFR 136.22 (a)(3)).
\44\ 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.
\45\ In the Federal Register on July 8, 2015 (80 FR 39144), the Pamunkey
  Indian Tribe was officially recognized as an Indian Tribe within the
  meaning of Federal law. The counties listed were designated
  administratively as the PRCDA, for the purposes of operating a PRC
  program.
\46\ 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.
\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
  contract health services to the Passamaquoddy Tribe and the Penobscot
  Nation.
\48\ 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.
\49\ 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.
\50\ 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.
\51\ 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).
\52\ 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.
\53\ 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.
\54\ 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.).
\55\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
  Recognition Act of 2017, Public Law 115-121, officially recognized the
  Rappahannock Tribe, Inc. as an Indian Tribe within the meaning of
  Federal law, and specified an area for the delivery of Federal
  services. The IHS administratively designated the Tribe's PRCDA, for
  the purposes of operating a PRC program, consistent with the
  Congressional intent expressed in the Recognition Act.
\56\ Historically part of Isabella Reservation Area for the Saginaw
  Chippewa Indian Tribe of Michigan and the Eastern Michigan Service
  Unit population since 1979.
\57\ 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.
\58\ CHSDA counties for the Sault Ste. Marie Tribe of Chippewa Indians,
  Michigan, were designated by regulation (42 CFR 136.22(a)(4)).
\59\ 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.

[[Page 3705]]

 
\60\ Lemhi County, ID, has historically been a part of the Fort Hall
  Service Unit population since 1979.
\61\ 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.
\62\ 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.
\63\ 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.
\64\ 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).
\65\ Rapides County, LA, has historically been a part of the Tunica
  Biloxi Service Unit population since 1982.
\66\ The Thomasina E. Jordan Indian Tribes of Virginia Federal
  Recognition Act of 2017, Public Law 115-121, officially recognized the
  Upper Mattaponi Tribe as an Indian Tribe within the meaning of Federal
  law, and specified an area for the delivery of Federal services. The
  IHS administratively designated the Tribe's PRCDA, for the purposes of
  operating a PRC program, consistent with the Congressional intent
  expressed in the Recognition Act.
\67\ 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.
\68\ 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.
\69\ 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).
\70\ 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.


Chris Buchanan,
RADM, Assistant Surgeon General, Deputy Director, Indian Health 
Service.
[FR Doc. 2020-00905 Filed 1-21-20; 8:45 a.m.]
BILLING CODE 4165-16-P