Title 25 › Chapter 18— INDIAN HEALTH CARE › Subchapter III— HEALTH FACILITIES › § 1634
The Secretary can accept major renovations or updates that an Indian tribe makes to a Service facility or to an Indian health facility run under a Self-Determination Act contract. That includes approving plans and taking in work that used federal money. The Secretary must keep a separate priority list for those facilities’ needs for staff and equipment and must send that list to the President for each report sent to Congress under section 1671. A tribe meets the rules if it tells the Secretary it plans to renovate, asks to be put on the separate priority list, gets approval from the area director, and runs the work under the Secretary’s construction rules. If a renovated facility stops being used as a Service facility within 20 years after completion, the tribe can recover a share of the facility’s value. The recovery is proportional to the tribe’s renovation value (after subtracting any federal funds spent specifically on the renovation) compared to the facility’s value at completion.
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Indians — Source: USLM XML via OLRC
Legislative History
Reference
Citation
25 U.S.C. § 1634
Title 25 — Indians
Last Updated
Apr 5, 2026
Release point: 119-73not60