Title 25 › Chapter CHAPTER 46— - INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE › Subchapter SUBCHAPTER V— - TRIBAL SELF-GOVERNANCE—INDIAN HEALTH SERVICE › § 5397
Within 90 days after August 18, 2000, the Secretary must start negotiated rulemaking and must publish proposed rules in the Federal Register within 1 year. The power to make those rules ends 21 months after August 18, 2000. The rulemaking committee may only include federal and tribal government representatives, and most members must be nominated by tribes with funding agreements. The committee must consult and let tribes, consortia, tribal organizations, and tribal members take part. The Secretary must adapt the process to tribal self‑governance. Not having final rules does not stop this law from working. Unless a tribe agrees otherwise in its compact or funding agreement, the tribe is not bound by Indian Health Service circulars, policies, manuals, guidance, or rules, except the eligibility rules in section 5324(g) and any rules made under this process.
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Indians — Source: USLM XML via OLRC
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Reference
Citation
25 U.S.C. § 5397
Title 25 — Indians
Last Updated
Apr 6, 2026
Release point: 119-73