Title 25IndiansRelease 119-73

§1601 Congressional findings

Title 25 › Chapter CHAPTER 18— - INDIAN HEALTH CARE › § 1601

Last updated Apr 6, 2026|Official source

Summary

Congress says the federal government must provide and support health care for American Indians because of the government's special legal relationship and responsibility to them. The nation’s goals are to give the resources, systems, and help so tribes and tribal members can get enough good health care to close the health gap with other Americans and to let Indians take part in planning and running those services. Federal health programs have cut some preventable illnesses and early deaths among American Indians, but many health needs remain severe and Indian health is still much worse than the general U.S. population.

Full Legal Text

Title 25, §1601

Indians — Source: USLM XML via OLRC

The Congress finds the following:
(1)Federal health services to maintain and improve the health of the Indians are consonant with and required by the Federal Government’s historical and unique legal relationship with, and resulting responsibility to, the American Indian people.
(2)A major national goal of the United States is to provide the resources, processes, and structure that will enable Indian tribes and tribal members to obtain the quantity and quality of health care services and opportunities that will eradicate the health disparities between Indians and the general population of the United States.
(3)A major national goal of the United States is to provide the quantity and quality of health services which will permit the health status of Indians to be raised to the highest possible level and to encourage the maximum participation of Indians in the planning and management of those services.
(4)Federal health services to Indians have resulted in a reduction in the prevalence and incidence of preventable illnesses among, and unnecessary and premature deaths of, Indians.
(5)Despite such services, the unmet health needs of the American Indian people are severe and the health status of the Indians is far below that of the general population of the United States.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Codification Amendment by Pub. L. 111–148 is based on section 102 of title I of S. 1790, One Hundred Eleventh Congress, as reported by the Committee on Indian Affairs of the Senate in Dec. 2009, which was enacted into law by section 10221(a) of Pub. L. 111–148.

Amendments

2010—Pub. L. 111–148 redesignated subsecs. (a), (b), (c), and (d) as pars. (1), (3), (4), and (5), respectively, realigned margins, and added par. (2). 1992—Pub. L. 102–573 substituted “finds the following:” for “finds that—” in introductory provisions and struck out last sentence of subsec. (d) which compared death rates of Indians to those of all Americans for tuberculosis, influenza and pneumonia, and compared death rates for infants, subsec. (e) which related to threat to fulfillment of Federal responsibility to Indians posed by low health status of American Indian people, subsec. (f) which enumerated causes imperiling improvements in Indian health, and subsec. (g) which related to confidence of Indian people in Federal Indian health services.

Statutory Notes and Related Subsidiaries

Short Title

of 2021 Amendment Pub. L. 116–311, § 1, Jan. 5, 2021, 134 Stat. 4927, provided that: “This Act [amending section 1645 of this title] may be cited as the ‘Proper and Reimbursed Care for Native Veterans Act’ or the ‘PRC for Native Veterans Act’.”

Short Title

of 2010 Amendment section 1(a) of S. 1790, One Hundred Eleventh Congress, as reported by the Committee on Indian Affairs of the Senate in Dec. 2009, which was enacted into law by Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935, provided that: “This Act [probably means S. 1790 as enacted into law by Pub. L. 111–148, enacting subchapter V–A of this chapter, sections 1616p to 1616r, 1621y, 1638a, 1638e to 1638g, 1647 to 1647d, 1660d to 1660h, 1663, 1663a, 1675, 1678, 1678a, 1679, and 1680p to 1680v of this title, amending sections 1601 to 1603, 1615, 1616l, 1621, 1621a, 1621c to 1621f, 1621h, 1621j to 1621m, 1621o to 1621q, 1621t to 1621v, 1631, 1637, 1638b, 1641, 1642, 1644, 1645, 1652, 1659, 1660b, 1661, 1680b, 1680c, 1680l, and 1680o of this title and section 1395l, 1395qq, 11705, 11706, 11709, and 11711 of Title 42, The Public Health and Welfare, repealing section 1616p, 1621w, 1638a, 1647, 1660d, 1663, 1675, 1678, 1679, and 1680k of this title, and enacting provisions set out as a note under section 11705 of Title 42] may be cited as the ‘Indian Health Care Improvement Reauthorization and Extension Act of 2009’.”

Short Title

of 2000 Amendment Pub. L. 106–417, § 1, Nov. 1, 2000, 114 Stat. 1812, provided that: “This Act [enacting and amending section 1645 of this title, amending section 1395qq and 1396j of Title 42, The Public Health and Welfare, and enacting provisions set out as notes under section 1645 of this title] may be cited as the ‘Alaska Native and American Indian Direct Reimbursement Act of 2000’.”

Short Title

of 1996 Amendment Pub. L. 104–313, § 1(a), Oct. 19, 1996, 110 Stat. 3820, provided that: “This Act [amending section 1603, 1613a, 1621j, 1645, 1665e, 1665j, and 1680k of this title] may be cited as the ‘Indian Health Care Improvement Technical Corrections Act of 1996’.”

Short Title

of 1992 Amendment Pub. L. 102–573, § 1, Oct. 29, 1992, 106 Stat. 4526, provided that: “This Act [see Tables for classification] may be cited as the ‘Indian Health

Amendments

of 1992’.”

Short Title

of 1990 Amendment Pub. L. 101–630, title V, § 501, Nov. 28, 1990, 104 Stat. 4556, provided that: “This title [enacting section 1621h, 1637, 1659, and 1660 of this title, amending section 1653, 1657, and 2474 of this title, and enacting provisions set out as notes under section 1621h, 1653, and 2415 of this title] may be cited as the ‘Indian Health Care

Amendments

of 1990’.”

Short Title

of 1988 Amendment Pub. L. 100–713, § 1, Nov. 23, 1988, 102 Stat. 4784, provided that: “This Act [enacting sections 1616 to 1616j, 1621a to 1621g, 1636, 1651 to 1658, 1661, 1662, and 1680a to 1680j of this title and section 254s and 295j of Title 42, The Public Health and Welfare, amending section 1603, 1612 to 1613a, 1614, 1615, 1621, 1631, 1632, 1634, 1674, 1676, and 1678 to 1680 of this title and section 5316 of Title 5, Government Organization and Employees, repealing section 1635 of this title and section 254r of Title 42, enacting provisions set out as notes under this section and section 1611, 1621b, 1661, and 1677 of this title and section 254r, 1395qq, and 1396j of Title 42, amending provisions set out as a note under section 1396j of Title 42, and repealing provisions set out as a note under section 1396j of Title 42] may be cited as the ‘Indian Health Care

Amendments

of 1988’.”

Short Title

of 1980 Amendment Pub. L. 96–537, § 1(a), Dec. 17, 1980, 94 Stat. 3173, provided that: “this Act [enacting section 1622, 1634, and 1676 to 1680 of this title, amending section 1603, 1612 to 1614, 1621, 1651 to 1657, and 1674 of this title and section 294y–1 of Title 42, The Public Health and Welfare, and repealing section 1658 of this title] may be cited as the ‘Indian Health Care

Amendments

of 1980’.”

Short Title

Pub. L. 94–437, § 1, Sept. 30, 1976, 90 Stat. 1400, provided: “That this Act [enacting this chapter and section 1395qq and 1396j of Title 42, The Public Health and Welfare, amending section 234, 1395f, 1395n, and 1396d of Title 42, and enacting provisions set out as notes under section 1671 of this title and section 1395qq and 1396j of Title 42] may be cited as the ‘Indian Health Care Improvement Act’.” Separability Pub. L. 100–713, title VIII, § 801, Nov. 23, 1988, 102 Stat. 4839, provided that: “If any provision of this Act, any amendment made by this Act [see

Short Title

of 1988 Amendment note above], or the application of such provision or amendment to any person or circumstances is held to be invalid, the remainder of this Act, the remaining

Amendments

made by this Act, and the application of such provision or amendment to persons or circumstances other than those to which it is held invalid, shall not be affected thereby.” Availability of Appropriations Pub. L. 100–713, § 4, Nov. 23, 1988, 102 Stat. 4785, provided that: “Any new spending authority (described in subsection (c)(2)(A) or (B) of section 401 of the Congressional Budget Act of 1974 [2 U.S.C. 651(c)(2)(A), (B)]) which is provided under this Act [see

Short Title

of 1988 Amendment note above] shall be effective for any fiscal year only to such extent or in such amounts as are provided in appropriation Acts.”

Reference

Citations & Metadata

Citation

25 U.S.C. § 1601

Title 25Indians

Last Updated

Apr 6, 2026

Release point: 119-73