Title 25IndiansRelease 119-73

§1638g Mobile health stations demonstration program

Title 25 › Chapter CHAPTER 18— - INDIAN HEALTH CARE › Subchapter SUBCHAPTER III— - HEALTH FACILITIES › § 1638g

Last updated Apr 6, 2026|Official source

Summary

The Secretary, through the Service, must start a demonstration program that gives at least 3 mobile health station projects to help Indian communities. An eligible tribal consortium is a group of 2 or more Service units that a mobile health station can drive between in up to 8 hours; Service units run by the Service, an Indian tribe, or a tribal organization can all join. A mobile health station is a health unit that fits in a semi‑trailer or similar vehicle, can provide one or more specialty health services, and can be hooked up to a fixed clinic when needed. A specialty health care service is one that needs a health worker with special training and includes things like dialysis, surgery, mammography, dentistry, and other specialty care. To get a mobile health station, an eligible tribal consortium must send a petition to the Secretary with a description of the Indian population served, the specialty services wanted and how available those services are now, and any other information the Secretary asks for. Funds may be used to buy, lease, or keep mobile stations; run services chosen by the consortium; use existing mobile stations; and buy or keep docking equipment, including at modular facilities when needed. The Secretary must report to Congress no later than 1 year after the program starts and every year after, describing activities and evaluating success. Congress may appropriate $5,000,000 per year for the first 5 fiscal years and whatever money is needed in later years.

Full Legal Text

Title 25, §1638g

Indians — Source: USLM XML via OLRC

(a)In this section:
(1)The term “eligible tribal consortium” means a consortium composed of 2 or more Service units between which a mobile health station can be transported by road in up to 8 hours. A Service unit operated by the Service or by an Indian tribe or tribal organization shall be equally eligible for participation in such consortium.
(2)The term “mobile health station” means a health care unit that—
(A)is constructed, maintained, and capable of being transported within a semi-trailer truck or similar vehicle;
(B)is equipped for the provision of 1 or more specialty health care services; and
(C)can be equipped to be docked to a stationary health care facility when appropriate.
(3)(A)The term “specialty health care service” means a health care service which requires the services of a health care professional with specialized knowledge or experience.
(B)The term “specialty health care service” includes any service relating to—
(i)dialysis;
(ii)surgery;
(iii)mammography;
(iv)dentistry; or
(v)any other specialty health care service.
(b)The Secretary, acting through the Service, shall establish a demonstration program under which the Secretary shall provide at least 3 mobile health station projects.
(c)To be eligible to receive a mobile health station under the demonstration program, an eligible tribal consortium shall submit to the Secretary, 11 So in original. The comma probably should not appear. a petition at such time, in such manner, and containing—
(1)a description of the Indian population to be served;
(2)a description of the specialty service or services for which the mobile health station is requested and the extent to which such service or services are currently available to the Indian population to be served; and
(3)such other information as the Secretary may require.
(d)The Secretary shall use amounts made available to carry out the demonstration program under this section—
(1)(A)to establish, purchase, lease, or maintain mobile health stations for the eligible tribal consortia selected for projects; and
(B)to provide, through the mobile health station, such specialty health care services as the affected eligible tribal consortium determines to be necessary for the Indian population served;
(2)to employ an existing mobile health station (regardless of whether the mobile health station is owned or rented and operated by the Service) to provide specialty health care services to an eligible tribal consortium; and
(3)to establish, purchase, or maintain docking equipment for a mobile health station, including the establishment or maintenance of such equipment at a modular component health care facility (as defined in section 1638f(a) of this title), if applicable.
(e)Not later than 1 year after the date on which the demonstration program is established under subsection (b) and annually thereafter, the Secretary, acting through the Service, shall submit to Congress a report describing—
(1)each activity carried out under the demonstration program including an evaluation of the success of the activity; and
(2)the potential benefits of increased use of mobile health stations to provide specialty health care services for Indian communities.
(f)There are authorized to be appropriated $5,000,000 per year to carry out the demonstration program under this section for the first 5 fiscal years, and such sums as may be needed to carry out the program in subsequent fiscal years.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Codification section 313 of Pub. L. 94–437 is based on section 147 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.

Reference

Citations & Metadata

Citation

25 U.S.C. § 1638g

Title 25Indians

Last Updated

Apr 6, 2026

Release point: 119-73