Title 25 › Chapter CHAPTER 18— - INDIAN HEALTH CARE › Subchapter SUBCHAPTER III— - HEALTH FACILITIES › § 1632
Requires the federal government to give Indian homes and communities safe water, sewage, and solid waste systems because this is a health priority. The Department of Health, using the Service, must help build, fix, and run these systems. It can give money and technical help to set up and train utility groups, offer ongoing training and help with running systems, and pay for operation, maintenance, or emergency repairs when needed. Housing and community development funds may be moved to Health and Human Services to pay for these services. Starting in fiscal year 1990, the Secretary must start a 10-year plan to provide safe water and sanitation to existing, new, and renovated Indian homes. A tribe’s ability to run a system does not have to be proven before the government builds one. The Secretary must pay 80 percent of the costs to operate and maintain facilities under the plan. Tribes with fewer than 1,000 enrolled members may cover part of their share with cash or fairly valued donations of property. Tribal programs under the Indian Self-Determination Act can get these funds. Each year the Secretary must report the sanitation priority system, how needs are measured, each project’s deficiency level, and how much money is needed to bring all tribes to Level I and to zero deficiency, after consulting tribes (except for the first report). Deficiency levels (one line each): Level I – meets laws, only routine fixes needed; Level II – meets laws, needs capital improvements; Level III – partial or noncompliant water/sewage or no solid waste facility; Level IV – missing either safe water or sewage system; Level V – missing both safe water and sewage. Tribes without operation and maintenance capability cannot be counted as Level I or II.
Full Legal Text
Indians — Source: USLM XML via OLRC
Legislative History
Reference
Citation
25 U.S.C. § 1632
Title 25 — Indians
Last Updated
Apr 6, 2026
Release point: 119-73