Title 42The Public Health and WelfareRelease 119-73

§2002 Transfer of hospitals and facilities to State or private institutions; conditions and restrictions; failure to meet requirements

Title 42 › Chapter CHAPTER 22— - INDIAN HOSPITALS AND HEALTH FACILITIES › Subchapter SUBCHAPTER I— - MAINTENANCE AND OPERATION › § 2002

Last updated Apr 6, 2026|Official source

Summary

The Secretary of Health and Human Services may make agreements with a State, Territory, local government, or a private nonprofit group to have the U.S. Public Health Service give an Indian hospital or health center to them, including the first equipment and supplies, when that will better meet Indian health needs. Any transferred facility must be used to serve Indians and put Indian needs before non‑Indian needs. A hospital built or kept for one tribe or a group of tribes cannot be given to a non‑Indian organization unless the tribe’s leaders, or leaders of a majority of the tribes, say yes. If after a transfer the Secretary finds the place is no longer serving Indians, the Secretary must tell the managers what must be fixed and, if it is not fixed in the time given, must take over running the facility right away.

Full Legal Text

Title 42, §2002

The Public Health and Welfare — Source: USLM XML via OLRC

Whenever the health needs of the Indians can be better met thereby, the Secretary of Health and Human Services is authorized in his discretion to enter into contracts with any State, Territory, or political subdivision thereof, or any private nonprofit corporation, agency or institution providing for the transfer by the United States Public Health Service of Indian hospitals or health facilities, including initial operating equipment and supplies. It shall be a condition of such transfer that all facilities transferred shall be available to meet the health needs of the Indians and that such health needs shall be given priority over those of the non-Indian population. No hospital or health facility that has been constructed or maintained for a specific tribe of Indians, or for a specific group of tribes, shall be transferred by the Secretary of Health and Human Services to a non-Indian entity or organization under this subchapter unless such action has been approved by the governing body of the tribe, or by the governing bodies of a majority of the tribes, for which such hospital or health facility has been constructed or maintained: Provided, That if, following such transfer by the United States Public Health Service, the Secretary of Health and Human Services finds the hospital or health facility transferred under this section is not thereafter serving the need of the Indians, the Secretary of Health and Human Services shall notify those charged with management thereof, setting forth needed improvements, and in the event such improvements are not made within a time to be specified, shall immediately assume management and operation of such hospital or health facility.

Legislative History

Notes & Related Subsidiaries

Statutory Notes and Related Subsidiaries

Change of Name

“Secretary of Health and Human Services” substituted in text for “Secretary of Health, Education, and Welfare” pursuant to section 509(b) of Pub. L. 96–88, which is classified to section 3508(b) of Title 20, Education.

Effective Date

Section effective July 1, 1959, see section 6 of act Aug. 5, 1954, set out as a note under section 2001 of this title.

Executive Documents

Transfer of Functions

Functions of Public Health Service, Surgeon General of Public Health Service, and all other officers and employees of Public Health Service, and functions of all agencies of or in Public Health Service transferred to Secretary of Health, Education and Welfare by Reorg. Plan No. 3 of 1966, eff. June 25, 1966, 31 F.R. 8855, 80 Stat. 1610, set out as a note under section 202 of this title.

Reference

Citations & Metadata

Citation

42 U.S.C. § 2002

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73