§1680l — Title 25 Indians | U.S. Code

Summary

Allows the Secretary, through the Service, to provide or arrange long-term care for Indians in facilities, either directly or by contracting or compacting with Indian tribes or tribal organizations under the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.). Agreements must let the Service or a tribal health program share staff and other services with tribal-owned long-term care facilities. At a tribe’s request, the agreement can give the tribe needed supervision over Service employees. Shared expenses, including salaries, must be split proportionally. Agreements may allow tribes to build, renovate, or expand facilities, including ones attached to a Service facility. Nursing facilities must meet the rules in 42 U.S.C. 1396r. The Secretary must provide technical help and should encourage use of underused facilities or swing beds for long-term care.

Title 25, §1680l

Indians — Source: USLM XML via OLRC

(a)(1)Notwithstanding any other provision of law, the Secretary, acting through the Service, is authorized to provide directly, or enter into contracts or compacts under the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.) 11 See References in Text note below. with Indian tribes or tribal organizations for, the delivery of long-term care (including health care services associated with long-term care) provided in a facility to Indians.

(2)Each agreement under paragraph (1) shall provide for the sharing of staff or other services between the Service or a tribal health program and a long-term care or related facility owned and operated (directly or through a contract or compact under the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.)) 1 by the Indian tribe or tribal organization.

(b)An agreement entered into pursuant to subsection (a)—

(1)may, at the request of the Indian tribe or tribal organization, delegate to the Indian tribe or tribal organization such powers of supervision and control over Service employees as the Secretary determines to be necessary to carry out the purposes of this section;

(2)shall provide that expenses (including salaries) relating to services that are shared between the Service and the tribal health program be allocated proportionately between the Service and the Indian tribe or tribal organization; and

(3)may authorize the Indian tribe or tribal organization to construct, renovate, or expand a long-term care or other similar facility (including the construction of a facility attached to a Service facility).

(c)Any nursing facility provided for under this section shall meet the requirements for nursing facilities under section 1396r of title 42.

(d)The Secretary shall provide such technical and other assistance as may be necessary to enable applicants to comply with this section.

(e)The Secretary shall encourage the use of existing facilities that are underused, or allow the use of swing beds, for long-term or similar care.

Notes & Related Subsidiaries

Editorial Notes

References in Text

The Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.), referred to in subsec. (a), is Pub. L. 93–638, Jan. 4, 1975, 88 Stat. 2203, which was classified principally to subchapter II (§ 450 et seq.) of chapter 14 of this title prior to editorial reclassification as chapter 46 (§ 5301 et seq.) of this title. For complete classification of this Act to the Code, see

Short Title

note set out under section 5301 of this title and Tables. Codification Amendment by Pub. L. 111–148 is based on section 124(b) 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.

Amendments

2010—Pub. L. 111–148 amended section generally. Prior to amendment, section related to shared services demonstration project.

§1680l Shared Services for Long-term Care