Title 25 › CHAPTER 18 — INDIAN HEALTH CARE › SUBCHAPTER III — HEALTH FACILITIES › § 1634
The Secretary can accept major renovations or plans from an Indian tribe for Service facilities or other Indian health facilities run under Indian Self‑Determination contracts. This can include plans or work that used federal money. The tribe must tell the Secretary it plans to renovate, ask to be put on a separate priority list for staffing or equipment, get approval from the area director, and carry out the work under the Secretary’s construction rules. The Secretary must keep that separate priority list for those facilities and include it in the report sent to the President for Congress under section 1671. If a renovated facility stops being used as a Service facility within 20 years after completion, the tribe can recover money from the United States. The repayment equals (value of the renovation minus any federal funds spent specifically on that renovation) divided by (facility value at completion), then multiplied by the facility’s value when use stopped.
Full Legal Text
Indians, Source: USLM XML via OLRC
Legislative History
Reference
Citation
25 U.S.C. § 1634
Title 25, Indians
Last Updated
Sep 22, 2026
Release point: 119-110