Title 25, IndiansRelease 119-110
§1678a North Dakota and South Dakota as Contract Health Service Delivery Area
Title 25 › CHAPTER 18 — INDIAN HEALTH CARE › SUBCHAPTER VI — MISCELLANEOUS › § 1678a
Summary
The Service must name North Dakota and South Dakota as places where it can use contracts to provide health care to members of Indian tribes who live in those states. The Service must not cut any health care already given to Indians living on reservations, or in counties that border reservations in those states, just because it is using those contract services.
Full Legal Text
Title 25, §1678a
Indians, Source: USLM XML via OLRC
(a)In general
The States of North Dakota and South Dakota shall be designated as a contract health service delivery area by the Service for the purpose of providing contract health care services to members of Indian tribes in the States of North Dakota and South Dakota.
(b)Maintenance of services
The Service shall not curtail any health care services provided to Indians residing on any reservation, or in any county that has a common boundary with any reservation, in the State of North Dakota or South Dakota if the curtailment is due to the provision of contract services in those States pursuant to the designation of the States as a contract health service delivery area by subsection (a).
Legislative History
Notes & Related Subsidiaries
Editorial Notes
Codification section 808A of Pub. L. 94–437 is based on section 192(2) of title I of S. 1790, One Hundred Eleventh Congress, as reported by the Committee on Indian Affairs of the Senate in Dec. 2009, which was enacted into law by section 10221(a) of Pub. L. 111–148.
Reference
Citations & Metadata
Citation
25 U.S.C. § 1678a
Title 25, Indians
Last Updated
Sep 22, 2026
Release point: 119-110