§1621d Other authority for provision of services

Summary

Allows the Secretary, using the Indian Health Service and work done by tribes and tribal organizations, to pay for certain health programs to meet the goals in section 1602. Those programs can include hospice care, assisted living, long-term care, and home- and community-based services. Assisted living service means care given by an assisted living facility (see 12 U.S.C. 1715w(b)); the facility does not have to have a license but must meet licensure standards. Home- and community-based service means one or more services listed in 42 U.S.C. 1396t(a)(1)-(9), whether provided by the Service or by tribes under the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.), and provided under applicable standards. Hospice care means the items and services in 42 U.S.C. 1395x(dd)(1)(A)-(H) plus any other services a tribe decides are needed. Long-term care services has the same meaning as “qualified long-term care services” in 26 U.S.C. 7702B(c). People eligible for long-term care under this rule include those who cannot do a required number of daily living activities without help, people with mental impairments (like dementia or Alzheimer’s) who can do daily activities only with supervision, and any other people a tribal health program says are appropriate. The Secretary may also fund convenient care programs under 1637(c)(2)(A).