thefederalregister.com

Daily Rules, Proposed Rules, and Notices of the Federal Government

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

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

AGENCY: Indian Health Service, HHS.
ACTION: Notice.
SUMMARY: This Notice advises the public that the Indian Health Service (IHS) established the geographic boundaries of the Service Delivery Area (SDA) for the newly recognized Mashpee Wampanoag Indian Tribe. The SDA was established on December 22, 2008 and services were provided to eligible beneficiaries beginning on January 19, 2009. The Mashpee SDA is comprised of Barnstable, Bristol, Norfolk, Plymouth and Suffolk counties in the State of Massachusetts. The counties listed are designated administratively as the SDA, to function as a Contract Health Service Delivery Area (CHSDA), for the purposes of operating a Contract Health Service (CHS) program pursuant to the Indian Self-Determination and Education Assistant Act (ISDEAA), Public Law 93-638.
DATES: This notice is effective 30 days after date of publication in theFederal Register(FR).
ADDRESSES: Comments may be mailed to Betty Gould, Regulations Officer, Indian Health Service, 801 Thompson Avenue, Suite 450, Rockville, Maryland 20852. Comments will be made available for public inspection at this address from 8:30 a.m. to 5 p.m. Monday-Friday beginning approximately two weeks after publication of this notice.
FOR FURTHER INFORMATION CONTACT: Carl Harper, Director, Office of Resource Access and Partnerships, Indian Health Service, 801 Thompson Avenue, Suite 360, Rockville, Maryland 20852. Telephone 301/443-2694 (This is not a toll free number).
SUPPLEMENTARY INFORMATION:

The IHS currently provides services under regulations in effect on September 15, 1987 and IHS republished at 42 CFR part 136, Subparts A-C. Many of the newly recognized Tribes do not have reservations and either Congress has legislatively designated counties to serve as SDAs or the Director, IHS, exercised reasonable administrative discretion to designate SDAs to effectuate the intent of Congress for these Tribes. The Director, IHS, published notice of the establishment of SDAs in the June 21, 2007 FR Notice (72 FR 34262-01). The SDAs function as CHSDAs for the purposes of operating a CHS program pursuant to the ISDEAA, Public Law 93-638. Thus, the CHSDA list incorporates the SDAs that operate as CHSDAs for newly recognized Tribes. At 42 CFR part 136 subpart C, a CHSDA is defined as the geographic area within which CHS will be made available by the IHS to members of an identified Indian community who reside in the area. Residence within a CHSDA by a person who is within the scope of the Indian health program, as set forth in 42 CFR 136.12 creates no legal entitlement to contract health services but only potential eligibility for services. Services needed but not available at an IHS/Tribal facility are provided under the CHS program depending on the availability of funds, the person's relative medical priority, and the actual availability and accessibility of alternate resources in accordance with the regulations.

As applicable to the Tribes, these regulations provide that, unless otherwise designated, a CHSDA shall consist of a county which includes all or part of a reservation and any county or counties which have a common boundary with the reservation (42 CFR 136.22(a)(6) (2007). In theFederal Registeron February 22, 2007 (72 FR 8007), the Mashpee Wampanoag Indian Tribe was officially recognized as an Indian Tribe within the meaning of Federal law. After consultation with the Tribal governing body, the SDA for the Tribe was agreed upon. The purpose of this FR notice is to notify the public of the Mashpee Wampanoag Indian Tribe SDA to incorporate Barnstable, Bristol, Norfolk, Plymouth and Suffolk counties in the State of Massachusetts. The SDA was established on December 22, 2008 and services were provided to eligible beneficiaries beginning on January 19, 2009.

Under 42 CFR 136.23 those otherwise eligible Indians who do not reside on a reservation but reside within a CHSDA must be either members of the Tribe or maintain close economic and social ties with the Tribe. In this case, the Tribe estimated the eligible user population to be 1,422 enrolled Mashpee Wampanoag members who are actively involved with the Tribe.

The Mashpee Wampanoag Indian Tribe is located in the town of Mashpee, Barnstable County, Massachusetts, on the southeastern portion of Cape Cod along Nantucket Sound. A significant number of the Mashpee Wampanoag SDA eligible user population also reside in the counties of Bristol, Norfolk, Plymouth and Suffolk counties in the state of Massachusetts. These five counties are adjacent to each other. Barnstable, Bristol, Norfolk, Plymouth and Suffolk counties are not part of any other Tribe's CHSDA or SDA. It is important for the Mashpee Wampanoag Indian Tribe to be able to deliver health care services to enrolled members residing in these five counties. The Tribe believes eligible Tribal members living in the counties of the proposed SDA should also be eligible for CHS. The financial resources required to meet the immediate needs of the Tribal members residing in the five counties were determined by the IHS and were placed in the Nashville Area CHS budget. Since

This notice does not contain reporting or recordkeeping requirements subject to prior approval by the Office of Management and Budget under the Paperwork Reduction Act of 1980.

Contract Health Service Delivery Areas and Service Delivery Areas Tribe/reservation County/state Ak Chin Indian Community of the Maricopa (Ak Chin) Indian Reservation, Arizona Pinal, AZ. Alabama-Coushatta Tribes of Texas Polk, TX.1 Alaska Entire State.2 Arapahoe Tribe of the Wind River Reservation, Wyoming Hot Springs, WY, Fremont, WY, Sublette, WY. Aroostook Band of Micmac Indians of Maine Aroostook, ME.3 Assiniboine and Sioux Tribes of the Fort Peck Indian Reservation, Montana Daniels, MT, McCone, MT, Richland, MT, Roosevelt, MT, Sheridan, MT, Valley, MT. Bad River Band of the Lake Superior Tribe of Chippewa Indians of the Bad River Reservation, Wisconsin Ashland, WI, Iron, WI. Bay Mills Indian Community, Michigan Chippewa, MI. Blackfeet Tribe of the Blackfeet Indian Reservation of Montana Glacier, MT, Pondera, MT. Minnesota Chippewa Tribe, Minnesota Bois Forte Band (Nett Lake) Itasca, MN, Koochiching, MN, St. Louis, MN. Brigham City Intermountain School Health Center, Utah 4 Burns Paiute Tribe of the Burns Paiute Indian Colony of Oregon Harney, OR. California Entire State, except for the counties listed in the footnote.5 Catawba Indian Nation of South Carolina All Counties in SC6, Cabarrus, NC, Cleveland, NC, Gaston, NC, Mecklenburg, NC, Rutherford, NC, Union, NC. Cayuga Nation of New York Allegany, NY7,Cattaraugus, NY, Chautauqua, NY, Erie, NY, Warren, PA. Cheyenne River Sioux Tribe of the Cheyenne River Reservation, South Dakota Corson, SD, Dewey, SD, Haakon, SD, Meade, SD Perkins, SD, Potter, SD, Stanley, SD, Sully, SD Walworth, SD, Ziebach, SD. Chippewa-Cree Indians of the Rocky Boy's Reservation, Montana Chouteau, MT, Hill, MT, Liberty, MT. Chitimacha Tribe of Louisiana St. Mary Parish, LA. Cocopah Tribe of Arizona Yuma, AZ, Imperial, CA. Coeur D'Alene Tribe of the Coeur D'Alene Reservation, Idaho Benewah, ID, Kootenai, ID, Latah, ID, Spokane, WA, Whitman, WA. Colorado River Indian Tribes of the Colorado River Indian Reservation, Arizona and California La Paz, AZ, Riverside, CA, San Bernardino, CA Yuma, AZ. Confederated Salish & Kootenai Tribes of the Flathead Reservation, Montana Flathead, MT, Lake, MT, Missoula, MT, Sanders, MT. Confederated Tribes of the Chehalis Reservation, Washington Grays Harbor, WA, Lewis, WA, Thurston, WA. Confederated Tribes of the Colville Reservation, Washington Chelan, WA8, Douglas, WA, Ferry, WA, Grant, WA, Lincoln, WA, Okanogan, WA, Stevens, WA. Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians of Oregon Coos, OR9, Curry, OR, Douglas, OR Lane, OR, Lincoln, OR. Confederated Tribes of the Goshute Reservation, Nevada and Utah Nevada, Juab, UT, Toole, UT. Confederated Tribes of Grand Ronde Community of Oregon Polk, OR10, Washington, OR, Marion, OR, Yamhill, OR, Tillamook, OR, Multnomah, OR. Confederated Tribes of the Siletz Reservation, Oregon Benton, OR11, Clackamas, OR, Lane, OR, Lincoln, OR, Linn, OR, Marion, OR, Multnomah, OR, Polk, OR, Tillamook, OR, Washington, OR, Yam Hill, OR. Confederated Tribes of the Umatilla Reservation, Oregon Umatilla, OR, Union, OR. Confederated Tribes of the Warm Springs Reservation of Oregon Clackamas, OR, Jefferson, OR, Linn, OR, Marion, OR, Wasco, OR. Confederated Tribes & Bands of the Yakama Nation, Washington Klickitat, WA, Lewis, WA, Skamania, WA12, Yakima, WA. Coquille Tribe of Oregon Coos, OR, Curry, OR, Douglas, OR, Jackson, OR, Lane, OR. Coushatta Tribe of Louisiana Allen Parish, LA, Elton, LA.13 Cow Creek Band of Umpqua Indians of Oregon Coos, OR14, Deshutes, OR, Douglas, OR, Jackson, OR, Josephine, OR, Klamath, OR, Lane, OR. Cowlitz Indian Tribe, Washington Clark, WA, Cowlitz, WA, King, WA, Lewis, WA, Pierce, WA, Skamania, WA, Thurston, WA, Columbia, OR, Kittitas, WA, Wahkiakum, WA.15 Crow Tribe of Montana Big Horn, MT, Carbon, MT, Treasure, MT16, Yellowstone, MT, Big Horn, WY, Sheridan, WY. Crow Creek Sioux Tribe of the Crow Creek Reservation, South Dakota Brule, SD, Buffalo, SD, Hand, SD, Hughes, SD, Hyde, SD, Lyman, SD, Stanley, SD. Eastern Band of Cherokee Indians of North Carolina Cherokee, NC, Graham, NC, Haywood, NC, Jackson, NC, Swain, NC. Flandreau Santee Sioux Tribe of South Dakota Moody, SD. Fond du Lac Band of Chippewa Indians of Minnesota Carlton, MN, St. Louis, MN. Forest County Potawatomi Community, Wisconsin Forest, WI, Marinette, WI, Oconto, WI. Fort Belknap Indian Community of the Fort Belknap Reservation of Montana Blaine, MT, Phillips, MT. Fort McDermitt Paiute and Shoshone Tribes of the Fort McDermitt Indian Reservation, Nevada and Oregon Nevada, Malheur, OR. Fort McDowell Yavapai Nation, Arizona Maricopa, AZ. Fort Mojave Indian Tribe of Arizona, California and Nevada Nevada, Mohave, AZ, San Bernardino, CA. Gila River Indian Community of the Gila River Indian Reservation, Arizona Maricopa, AZ, Pinal, AZ. Grand Portage Band of Chippewa Indians of Minnesota Cook, MN. Grand Traverse Band of Ottawa & Chippewa Indians of Michigan Antrim, MI17, Benzie, MI, 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 Reservation, Arizona Coconino, AZ. Ho-Chunk Nation of Wisconsin Adams, WI19, Clark, WI, Columbia, WI, Crawford, WI, Dane, WI, Eau Claire, WI, Houston, MN, Jackson, WI, Juneau, WI, La Crosse, WI, Marathon, WI, Monroe, WI, Sauk, WI, Shawano, WI, Vernon, WI, Wood, WI. Hoh Indian Tribe of the Hoh Indian Reservation, Washington Jefferson, WA. Hopi Tribe of Arizona Apache, AZ, Coconino, AZ, Navajo, AZ. Houlton Band of Maliseet Indians of Maine Aroostook, ME.20 Hualapai Indian Tribe of the Hualapai Indian Reservation, Arizona Coconino, AZ, Mohave, AZ Yavapai, AZ. Huron Potawatomi, Inc., Michigan Allegan, MI21, Barry, MI, Branch, MI, Calhoun, MI, Kalamazoo, MI, Kent, MI, Ottawa, MI. Iowa Tribe of Kansas and Nebraska Brown, KS, Doniphan, KS, Richardson, NE. Jamestown S'Klallam Tribe of Washington Clallam, WA, Jefferson, WA. Jena Band of Choctaw Indians, Louisiana Grand Parish, LA22, LaSalle Parish, LA, Rapides Parish, LA. Jicarilla Apache Nation, New Mexico Archuleta, CO, Rio Arriba, NM, Sandoval, NM. Kaibab Band of Paiute Indians of the Kaibab Indian Reservation, Arizona Coconino, AZ, Mohave, AZ, Kane, UT. Kalispel Indian Community of the Kalispel Indian Reservation, Washington Pend Oreille, WA, Spokane, WA. Keweenaw Bay Indian Community, Michigan Baraga, MI, Houghton, MI, Ontonagon, MI. Kickapoo Tribe of Indians of the Kickapoo Reservation of Kansas Brown, KS, Jackson, KS. Kickapoo Traditional Tribe of Texas Maverick, TX.23 Klamath Tribes of Oregon Klamath, OR.24 Kootenai Tribe of Idaho Boundary, ID. Lac Courte Oreilles Band of Lake Superior Chippewa Indians of Wisconsin Sawyer, WI. Lac du Flambeau Band of Lake Superior Chippewa Indians of the Lac du Flambeau Reservation of Wisconsin. Iron, WI, Oneida, WI, Vilas, WI. Lac Vieux Desert Band of Lake Superior Chippewa Indians, Michigan Gogebic, MI. Leech Lake Band of Chippewa Indians of Minnesota Beltrami, MN, Cass, MN, Hubbard, MN, Itasca, MN. Little River Band of Ottawa Indians, Michigan Kent, MI25, Muskegon, MI, Newaygo, MI, Oceana, MI, Ottawa, MI, Manistee, MI, Mason, MI, Wexford, MI, Lake, MI. Little Traverse Bay Bands of Odawa Indians, Michigan Alcona, MI26, Alger, MI, 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 Reservation, South Dakota Brule, SD, Buffalo, SD, Hughes, SD, Lyman, SD, Stanley, SD. Lower Elwha Tribal Community of the Lower Elwha Reservation, Washington Clallam, WA. Lower Sioux Indian Community in the State of Minnesota Redwood, MN, Renville, MN. Lummi Tribe of the Lummi Reservation, Washington Whatcom, WA. Makah Indian Tribe of the Makah Reservation, Washington Clallam, WA Mashantucket Pequot Tribe of Connecticut New London, CT.27 Mashpee Wampanoag Barnstable, MA, Bristol, MA, Norfolk, MA, Plymouth, MA and Suffolk, MA.28 Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan Allegan, MI29, Barry, MI, 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 Reservation, New Mexico Chaves, NM, Lincoln, NM, Otero, NM. Miccosukee Tribe of Indians of Florida Broward, FL, Collier, FL, Miami-Dade, FL, Hendry, FL. Mille Lacs Band of Chippewa Indians of Minnesota Aitkin, MN, Kanebec, MN, Mille Lacs, MN, Pine, MN. Mississippi Band of Choctaw Indians, Mississippi Attala, MS, Jasper, MS30, Jones, MS Kemper, MS, Leake, MS, Neshoba, MS, Newton, MS, Noxubee, MS31, Scott, MS32, Winston, MS. Mohegan Indian Tribe of Connecticut Fairfield, CT, Hartford, CT, Litchfield, CT, Middlesex, CT, New Haven, CT, New London, CT, Tolland, CT, Windham, CT. Muckleshoot Indian Tribe of the Muckleshoot Reservation, Washington King, WA, Pierce, WA. Narragansett Indian Tribe of Rhode Island Washington, RI.33 Navajo Nation, Arizona, New Mexico and Utah Apache, AZ, Bernalillo, NM, Cibola, NM, Coconino, AZ, Kane, UT, McKinley, NM, Montezuma, CO, Navajo, AZ, Rio Arriba, NM, Sandoval, NM, San Juan, NM, San Juan, UT, Socorro, NM, Valencia, NM. Nevada Entire State.34 Nez Perce Tribe of Idaho Clearwater, ID, Idaho, ID, Latah, ID, Lewis, ID, Nez Perce, ID. Nisqually Indian Tribe of the Nisqually Reservation, Washington Pierce, WA, Thurston, WA. Nooksack Indian Tribe of Washington Whatcom, WA. Northern Cheyenne Tribe of the Northern Cheyenne Indian Reservation, Montana Big Horn, MT, Carter, MT35Rosebud, MT. Northwestern Band of Shoshoni Nation of Utah (Washakie) Box Elder, UT.36 Oglala Sioux Tribe of the Pine Ridge Reservation, South Dakota Bennett, SD, Cherry, NE, Custer, SD, Dawes, NE, Fall River, SD, Jackson, SD37Mellete, SD, Pennington, SD, Shannon, SD, Sheridan, NE, Todd, SD. Oklahoma Entire State.38 Omaha Tribe of Nebraska Burt, NE, Cuming, NE, Monona, IA, Thurston, NE, Wayne, NE. Oneida Nation of New York Chenango, NY, Cortland, NY, Herkimer, NY, Madison, NY, Oneida, NY, Onondaga, NY. Oneida Tribe of Indians of Wisconsin Brown, WI, Outagamie, WI. Onondaga Nation of New York Onondaga, NY. Paiute Indian Tribe of Utah Iron, UT,39Millard, UT, Sevier, UT Washington, UT. Pascua Yaqui Tribe of Arizona Pima, AZ.40 Passamaquoddy Tribe of Maine Aroostook, ME,41Washington, ME. Passamaquoddy Tribe of Pleasant Point, Maine Washington, ME, south of State Route.42 Penobscot Tribe of Maine Aroostook, ME43, Penobscot, ME. Poarch Band of Creek Indians of Alabama Baldwin, AL44, Escambia, AL, Mobile, AL, Monroe, AL, Escambia, FL. Pokagon Band of Potawatomi Indians, Michigan and Indiana Allegan, MI, Berrien, MI, Cass, MI, Elkhart, IN45, Kosciusko, IN, La Porte, IN, Marshall, IN, St. Joseph, IN, Starke, IN, Van Buren, MI. Ponca Tribe of Nebraska Boyd, NE46, Burt, NE, Charles Mix, SD, Douglas, NE, Hall, NE, Holt, NE, Knox, NE, Lancaster, NE, Madison, NE, Platte, NE, Pottawattomie, IA, Sarpy, NE, Stanton, NE, Wayne, NE, Woodbury, IA. Port Gamble Indian Community of the Port Gamble Reservation, Washington Kitsap, WA. Prairie Band of Potawatomi Nation, Kansas Jackson, KS. Prairie Island Indian Community in the State of Minnesota Goodhue, MN. Pueblo of Acoma, New Mexico Cibola, NM. Pueblo of Cochiti, New Mexico Sandoval, NM, Santa Fe, NM. Pueblo of Jemez, New Mexico Sandoval, NM. Pueblo of Isleta, New Mexico Bernalillo, NM, Torrance, NM, Valencia, NM. Pueblo of Laguna, New Mexico Bernalillo, NM, Cibola, NM, Sandoval, NM Valencia, NM. Pueblo of Nambe, New Mexico Santa Fe, NM. Pueblo of Picuris, New Mexico Taos, NM. Pueblo of Pojoaque, New Mexico Rio Arriba, NM, Santa Fe, NM. Pueblo of San Felipe, New Mexico Sandoval, NM. Pueblo of San Ildefonso, New Mexico Los Alamos, NM, Rio Arriba, NM, Sandoval, NM, Santa Fe, NM. Pueblo of San Juan, New Mexico Rio Arriba, NM. Pueblo of Sandia, New Mexico Bernalillo, NM, Sandoval, NM. Pueblo of Santa Ana, New Mexico Sandoval, NM. Pueblo of Santa Clara, New Mexico Los Alamos, NM, Sandoval, NM, Santa Fe, NM. Pueblo of Santo Domingo, New Mexico Sandoval, NM, Santa Fe, NM. Pueblo of Taos, New Mexico Colfax, NM, Taos, NM. Pueblo of Tesuque, New Mexico Santa Fe, NM. Pueblo of Zia, New Mexico Sandoval, NM. Puyallup Tribe of the Puyallup Reservation, Washington King, WA, Pierce, WA, Thurston, WA. Quechan Tribe of the Fort Yuma Indian Reservation, California and Arizona Yuma, AZ, Imperial, CA. Quileute Tribe of the Quileute Reservation, Washington Clallam, WA, Jefferson, WA. Quinault Tribe of the Quinault Reservation, Washington Grays Harbor, WA, Jefferson, WA. Rapid City, South Dakota Pennington, SD.47 Red Cliff Band of Lake Superior Chippewa Indians of Wisconsin Bayfield, WI. Red Lake Band of Chippewa Indians, Minnesota Beltrami, MN, Clearwater, MN, Koochiching, MN, Lake of the Woods, MN, Marshall, MN Pennington, MN, Polk, MN, Roseau, MN. Rosebud Sioux Tribe of the Rosebud Indian Reservation, South Dakota Bennett, SD, Cherry, NE, Gregory, SD, Lyman, SD, Mellette, SD, Todd, SD, Tripp, SD. Sac & Fox Tribe of the Mississippi in Iowa Tama, IA. Sac & Fox Nation of Missouri in Kansas & Nebraska Brown, KS, Richardson, NE. Saginaw Chippewa Indian Tribe of Michigan Arenac, MI,48Clare, MI, Isabella, MI, Midland, MI, Missaukee, MI. St. Croix Chippewa Indians of Wisconsin Barron, WI, Burnett, WI, Pine, MN, Polk, WI Washburn, WI. Saint Regis Mohawk Tribe, New York Franklin, NY, St. Lawrence, NY. Salt River Pima-Maricopa Indian Community of Salt River Reservation, Arizona Maricopa, AZ. Samish Indian Tribe, Washington Clallam, WA,49Island, 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 Carlos Reservation, Arizona Apache, AZ, Cochise, AZ, Gila, AZ, Graham, AZ, Greenlee, AZ, Pinal, AZ. San Juan Southern Paiute Tribe of Arizona Coconino, AZ, San Juan, UT. Santee Sioux Nation, Nebraska Bon Homme, SD, Knox, NE. Sauk-Suiattle Indian Tribe of Washington Snohomish, WA, Skagit, WA. Sault Ste. Marie Tribe of Chippewa Indians of Michigan Alger, MI,50Chippewa, MI, Delta, MI Luce, MI, Mackinac, MI, Marquette, MI Schoolcraft, MI. Seminole Tribe of Florida Broward, Fl, Collier, Fl, Miami-Dade, FL, Glades, FL, Hendry, FL. Seneca Nation of New York Allegany, NY, Cattaraugus, NY, Chautauqua, NY, Erie, NY, Warren, PA. Shakopee Mdewakanton Sioux Community of Minnesota Scott, MN. Shoalwater Bay Tribe of the Shoalwater Bay Indian Reservation, Washington Pacific, WA. Shoshone Tribe of the Wind River Reservation, Wyoming Hot Springs, WY, Fremont, WY, Sublette, WY. Shoshone-Bannock Tribes of the Fort Hall Reservation of Idaho Bannock, ID, Bingham, ID, Caribou, ID, Lemhi, ID51, Power, ID. Shoshone-Paiute Tribes of the Duck Valley Reservation, Nevada Nevada, Owyhee, ID. Sisseton-Wahpeton Oyate of the Lake Traverse Reservation, South Dakota Codington, SD, Day, SD, Grant, SD, Marshall, SD, Richland, ND, Roberts, SD, Sargent, ND, Traverse, MN. Skokomish Indian Tribe of Skokomish Reservation, Washington Mason, WA.
Skull Valley Band of Goshute Indians of Utah Tooele, UT. Snoqualmie Tribe, Washington King, WA,52Snohomish, WA, Pierce, WA, Island, WA, Mason, WA. Sokaogon Chippewa Community, Wisconsin Forest, WI. Southern Ute Indian Tribe of the Southern Ute Reservation, Colorado Archuleta, CO, La Plata, CO, 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 Reservation, Washington Ferry, WA, Lincoln, WA, Stevens, WA. Squaxin Island Tribe of the Squaxin Island Reservation, Washington Mason, WA. Standing Rock Sioux Tribe of North and South Dakota Adams, ND, Campbell, SD, Corson, SD, Dewey, SD, Emmons, ND, Grant, ND, Morton, ND, Perkins, SD, Sioux, ND, Walworth, SD, Ziebach, SD. Stockbridge Munsee Community, Wisconsin Menominee, WI, Shawano, WI. Stillaguamish Tribe of Washington Snohomish, WA. Suquamish Indian Tribe of the Port Madison Reservation, Washington Kitsap, WA. Swinomish Indians of the Swinomish Reservation, Washington Skagit, WA. Three Affiliated Tribes of the Fort Berthold Reservation, North Dakota Dunn, ND, Mercer, ND, McKenzie, ND, McLean, ND, Mountrail, ND, Ward, ND. Tohono O'odham Nation of Arizona Maricopa, AZ, Pima, AZ, Pinal, AZ. Tonawanda Band of Seneca Indians of New York Genesee, NY, Erie, NY, Niagara, NY. Tonto Apache Tribe of Arizona Gila, AZ. Trenton Service Unit, North Dakota and Montana Divide, ND,53McKenzie, ND, Williams, ND, Richland, MT, Roosevelt, MT, Sheridan, MT. Tulalip Tribes of the Tulalip Reservation, Washington Snohomish, WA. Tunica-Biloxi Indian Tribe of Louisiana Avoyelles, LA, Rapides, LA.54 Turtle Mountain Band of Chippewa Indians of North Dakota Rolette, ND. Tuscarora Nation of New York Niagara, NY. Upper Sioux Community, Minnesota Chippewa, MN, Yellow Medicine, MN. Upper Skagit Indian Tribe of Washington Skagit, WA. Ute Indian Tribe of the Uintah & Ouray Reservation, Utah Carbon, UT, Daggett, UT, Duchesne, UT, Emery, UT, Grand, UT, Rio Blanco, CO, Summit, UT, Uintah, UT, Utah, UT, Wasatch, UT. Ute Mountain Tribe of the Ute Mountain Reservation, Colorado, New Mexico and Utah Apache, AZ, La Plata, CO, Montezuma, CO, San Juan, NM, San Juan, UT. Wampanoag Tribe of Gay Head (Aquinnah) of Massachusetts Dukes, MA.55 Washoe Tribe of Nevada & California Entire State of NV Entire State of CA, except for the counties listed in footnote. White Earth Band of Chippewa Indians of Minnesota Becker, MN, Clearwater, MN, Mahnomen, MN Norman, MN, Polk, MN. White Mountain Apache Tribe of the Fort Apache Reservation, Arizona Apache, AZ, Coconino, AZ, Gila, AZ, Graham, AZ, Greenlee, AZ, Navajo, AZ. Winnebago Tribe of Nebraska Dakota, NE, Dixon, NE, Monona, IA, Thurston, NE, Wayne, NE, Woodbury, IA. Yankton Sioux Tribe of South Dakota Bon Homme, SD, Boyd, NE, Charles Mix, SD, Douglas, SD, Gregory, SD, Hutchinson, SD Knox, NE. Yavapai-Apache Nation of the Camp Verde Indian Reservation, Arizona Yavapai, AZ. Yavapai-Prescott Tribe of the Yavapai Reservation, Arizona Yavapai, AZ. Ysleta Del Sur Pueblo of Texas El Paso, TX.56 Zuni Tribe of the Zuni Reservation, New Mexico Apache, AZ, Cibola, NM, McKinley, NM, Valencia, NM. 1Public 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. 2Entire State of Alaska is included as a CHSDA by regulation (42 CFR 136.22(a)(1)). 3Aroostook Band of Micmac was recognized by Congress on November 26, 1991 through the Aroostook Band of Micmac Settlement Act. Aroostook County was defined as the SDA. 4Special programs established by Congress irrespective of the eligibility regulations. Eligibility for services at these facilities is based on the legislative history of the appropriation of funds for the particular facility, rather than the eligibility regulations and historically services have been provided at Brigham City (Pub. L. 88-358). 5Entire State of California, excluding counties of Alameda, Contra Costa, Los Angeles, Marin, Orange, Sacramento, San Francisco, San Mateo, Santa Clara, Kern, Merced, Monterey, Napa, San Benito, San Joaquin, San Luis Obispo, Santa Cruz, Solano, Stanislaus, and Ventura, is designated a CHSDA (25 U.S.C. 1680). 6This is a newly recognized Tribe, as documented at 67 FR 46329, July 12, 2002. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of the operating a CHS program pursuant to the ISDEAA, Pub. L. 93-638. 7This is a newly recognized Tribe, as documented at 67 FR 46329, July 12, 2002. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of the operating a CHS program pursuant to the ISDEAA, Pub. L. 93-638. 8Historically part of the Coleville Service Unit population since 1970. 9Members of the Tribe residing in these counties were specified as eligible for Federal services and benefits without regard to the existence of a Federal Indian reservation (Pub. L. 98-481, and H. Rept. No. 98-904). 10Confederated Tribes of Grande Ronde Community of Oregon recognized by Pub. L. 98-165, signed into law on November 22, 1983, provides for eligibility in these six counties without regard to the existence of a reservation. 11In order to carry out the Congressional intent of the Siletz Restoration Act, Pub. L. 95-195, as expressed in H. Report No. 95-623, at page 4, Siletz Tribal members residing in these counties are eligible for contract health services. 12Historically part of the Yakama Service Unit population since 1979. 13Contract Health Service Delivery Area expanded administratively by the Director, IHS, through regulation (42 CFR 136.22(6)) to include city limits of Elton, LA. 14Cow Creek Band of Umpqua Indians of Oregon recognized by Pub. L. 97-391, signed into law on December 29, 1983. House Rept. No. 97-862 designates Douglas, Jackson, and Josephine Counties as a service area without regard to the existence of a reservation. The IHS later exercised administrative discretion to add Coos, Deshutes, Klamath and Lane counties to the service delivery area. 15This is a newly recognized Tribe, as documented at 67 FR 46329, July 12, 2002. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of the operating a CHS program pursuant to the ISDEAA, Pub. L. 93-638. It is proposed that Columbia County, OR, Kittitas, WA and Wahkiakum County, WAS be added to the existing SDA. 16Historically part of Crow Service Unit population. 17Historically part of the Grand Traverse Service Unit population since 1980. 18Historically part of Kansas Service Unit since 1979. Special programs established by Congress irrespective of the eligibility regulations. Eligibility for services at these facilities is based on the legislative history of the appropriation of funds for the particular facility, rather than the eligibility regulations and historically services have been provided at Haskell (H. Rept. No. 95-392). 19The counties included in this CHSDA were designated by regulation (42 CFR 136.22(a)(5)). 20Public Law 97-428 provides for eligibility in or around the Town of Houlton without regard to existence of a reservation. 21This is a newly recognized Tribe, as documented at 67 FR 46329, July 12, 2002. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of the operating a CHS program pursuant to the ISDEAA, Pub. L. 93-638. 22This is a newly recognized Tribe, as documented at 67 FR 46329, July 12, 2002. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of the operating a CHS program pursuant to the ISDEAA, Pub. L. 93-638. 23Texas Band of Kickapoo was recognized by Pub. L. 97-429, signed into law on January 8, 1983.The Act provides for eligibility for Kickapoo Tribal members residing in Maverick County without regard to the existence of a reservation. 24Legislative history states that for the purpose of Federal services and benefits “members of the tribe residing in Klamath County shall be deemed to be residing in or near a reservation”. (Pub. L. 99-398, Sec. 2(2)). 25The Little River Band of Ottawa Indians and the Little Traverse Bay Bands of Odawa Indians were recognized by Congress (Pub. L. 103-324, Sec.4 (b)(2)) and the listed counties were designated as the SDA, to function as a CHSDA, for the purposes of the operating a CHS program pursuant to the ISDEAA, Pub. L. 93-638. 26The Little River Band of Ottawa Indians and the Little Traverse Bay Bands of Odawa Indians were recognized by Congress (Pub. L. 103-324, Sec.4 (b)(2)) and the listed counties were designated as the SDA, to function as a CHSDA, for the purposes of the operating a CHS program pursuant to the ISDEAA, Pub. L. 93-638. 27Mashantucket Pequot Indian Claims Settlement Act, Pub. L. 98-134, signed into law on October 18, 1983, provides for a reservation in New London. 28This is a newly recognized Tribe, as documented at 72 FR 8007, February 22, 2007. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of the operating a CHS program pursuant to the ISDEAA, Pub. L. 93-638. 29This is a newly recognized Tribe, as documented at 67 FR 46329, July 12, 2002. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of the operating a CHS program pursuant to the ISDEAA, Pub. L. 93-638. 30Choctaw Indians residing in Jasper and Noxubee Counties, MS, will continue to be eligible for contract health services. These two counties were inadvertently omitted from 42 CFR 136.22. 31Choctaw Indians residing in Jasper and Noxubee Counties, MS, will continue to be eligible for contract health services. These two counties were inadvertently omitted from 42 CFR 136.22. 32Historically part of the Choctaw Service Unit population since 1970. 33Narragansett Indians recognized by Pub. L. 95-395, signed into law September 30, 1978. Lands in Washington County are now Federally restricted and the Bureau of Indian Affairs considers them as the Narragansett Indian Reservation. 34Entire State of Nevada is included as a CHSDA by regulation (42 CFR 136.22 (a)(2)). 35Historically part of the Northern Cheyenne Service Unit population since 1979. 36Land of Box Elder County, Utah, taken into trust for the Tribe in 1986. 37Washabaugh County, SD is part of Jackson County, SD, on November 5, 1968. 38Entire State of Oklahoma is included as a CHSDA by regulation (42 CFR 136.22 (a)(3)). 39Paiute Indian Tribe of Utah Reservation Act, Pub. L. 96-227, provides for the extension of services to these four counties without regard to the existence of a reservation. 40Legislative history (H.R. Report No. 95-1021) to Pub. L.95-375, Extension of Federal Benefits to Pascua Yaqui Indians, Arizona, expresses congressional intent that lands conveyed to the Tribes pursuant to Act of October 8, 1964. (Pub. L. 88-350) shall be deemed a Federal Indian Reservation. 41Included to carry out the intention of Congress to fund and provide contract health services to Penobscot and Passamaquoddy Indians (Pub. L. 96-420; H. Rept. 96-1353). 42Included to carry out the intention of Congress to fund and provide contract health services to Penobscot and Passamaquoddy Indians (Pub. L. 96-420; H. Rept. 96-1353) 43Included to carry out the intention of Congress to fund and provide contract health services to Penobscot and Passamaquoddy Indians (Pub. L. 96-420; H. Rept. 96-1353) 44Counties 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). 45This is a newly recognized Tribe, as documented at 67 FR 46329, July 12, 2002. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of the operating a CHS program pursuant to the ISDEAA, Pub. L. 93-638. 46Ponca Restoration Act, Pub. L. 101-484, recognized members of the Tribe residing in Boyd, Douglas, Knox, Madison or Lancaster counties of Nebraska or Charles Mix county of South Dakota shall be deemed to be residing on or near a reservation. Pub. L. 104-109 added Burt, Hall, Holt, Platte, Sarpy, Stanton, and Wayne counties of Nebraska and Pottawatomie and Woodbury counties of Iowa. 47Special programs established by Congress irrespective of the eligibility regulations. Eligibility for services at these facilities is based on the legislative history of the appropriation of funds for the particular facility, rather than the eligibility regulations and historically services have been provided at Rapid City. 48Historically part of Isabella Reservation Area and Eastern Michigan Service Unit population since 1979. 49This is a newly recognized Tribe, as documented at 67 FR 46329, July 12, 2002. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of the operating a CHS program pursuant to the ISDEAA, Pub. L. 93-638. 50The counties included in this CHSDA were designated by regulation (42 CFR 136.22(a)(4)). 51Historically part of the Fort Hall Service Unit population since 1979. 52This is a newly recognized Tribe, as documented at 67 FR 46329, July 12, 2002. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of the operating a CHS program pursuant to the ISDEAA, Pub. L. 93-638. 53The Secretary acting through the Service is directed to provide contract health services to Turtle Mountain Band of Chippewa Indians that reside in Trenton Service Area of Divide, Mackenzie, and Williams counties in the state of North Dakota and the adjoining counties of Richland, Roosevelt, and Sheridan in the state of Montana (Sec. 815, Pub. L. 94-437). 54Historically part of the Tunica Biloxi Service Unit population since 1982. 55Members of the Tribe residing in Martha's Vineyard [are] deemed to be living “on or near an Indian reservation” for the purposes of eligibility for Federal services (Sec. 12, Pub. L.100-95). 56Public Law 100-89, Restoration Act for Ysleta Del Sur and Alabama and Coushatta Tribes of Texas establishes service areas for “members of the Tribe” by sections 101(3) and 105(a) for the Pueblo and sections 201(3) and 206(a) respectively. Dated: August 29, 2012. Yvette Roubideaux, Director, Indian Health Service.