Title 42 › Chapter CHAPTER 22— - INDIAN HOSPITALS AND HEALTH FACILITIES › Subchapter SUBCHAPTER I— - MAINTENANCE AND OPERATION › § 2004a
The Surgeon General can build, improve, extend, and keep working sanitation systems for Indian homes, communities, and lands. This includes household and community water supplies, drainage, sewage and waste disposal, and the related fixtures. He can get land or water rights by buying, leasing, accepting gifts, or other ways when needed, but he cannot buy land or rights from an Indian tribe or person except as a gift or for a very small payment when the facility will only benefit that tribe or person. He can make fair agreements with states, local governments, nonprofits, and the Indians who will use the facilities about who helps pay and who will maintain them. He may also transfer facilities and land interests, with or without payment, to states, public bodies, tribes, communities, or to home occupants for domestic fixtures, under terms that reflect contributions and health needs. The Secretary of the Interior can give federal or trust lands to the Surgeon General when asked, but any Indian who has a beneficial interest must agree first. Land transfers may include a clause that the land returns to the Interior if it stops being used for the purpose. The Surgeon General must consult and encourage the participation of the Indians affected and of states and local governments.
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The Public Health and Welfare — Source: USLM XML via OLRC
Legislative History
Reference
Citation
42 U.S.C. § 2004a
Title 42 — The Public Health and Welfare
Last Updated
Apr 6, 2026
Release point: 119-73