Title 25 › Chapter CHAPTER 26— - INDIAN ALCOHOL AND SUBSTANCE ABUSE PREVENTION AND TREATMENT › Subchapter SUBCHAPTER I— - GENERAL PROVISIONS › § 2401
Says the federal government has a special legal and moral duty to help Indian tribes and their members with health and social needs, based on treaties, laws, and history. It identifies alcohol and drug abuse as the worst health and social problem for Indian people. Indians die from alcoholism at over 4 times the age-adjusted U.S. rate and lose nearly 5 times as many years of potential life. Four of the top 10 causes of death are alcohol- or drug-related (18%), chronic liver disease and cirrhosis (5%), suicide (3%), and homicide (3%). Young Indians suffer most. The death rate for ages 15 to 45 is about double the U.S. rate. Ages 15–24 are more than 2 times as likely to die by suicide, and about 80% of those suicides involve alcohol. They are twice as likely to die in car crashes, and 75% of those crashes are alcohol-related. The Indian Health Service spends only 1% of its budget on these problems, and the Bureau of Indian Affairs has not coordinated its efforts well. The tribes have the main responsibility to protect their members, and the funds under this chapter are meant to help them do that.
Full Legal Text
Indians — Source: USLM XML via OLRC
Legislative History
Reference
Citation
25 U.S.C. § 2401
Title 25 — Indians
Last Updated
Apr 6, 2026
Release point: 119-73