Title 25 › CHAPTER 46 — INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE › SUBCHAPTER V — TRIBAL SELF-GOVERNANCE—INDIAN HEALTH SERVICE › § 5385
The Secretary must make a written funding agreement with every Indian tribe that joins self‑governance. The talks and agreement must respect the Federal Government’s trust duty, treaty promises, and the government‑to‑government relationship with tribes. The tribe decides which programs it will run. The agreement can let the tribe plan, run, combine, manage, and get full tribal share funding for all programs, services, functions, and activities done for Indians because they are Indians. That can include tribal shares of IHS discretionary competitive grants, except for competitive grants that Congress has specifically earmarked. The agreement can cover programs run by the Indian Health Service at local through national offices under laws such as section 13 of this title, the Act of April 16, 1934 (25 U.S.C. 452 et seq.), the Act of August 5, 1954 (42 U.S.C. 2001 et seq.), the Indian Health Care Improvement Act (25 U.S.C. 1601 et seq.), the Indian Alcohol and Substance Abuse Prevention and Treatment Act of 1986 (25 U.S.C. 2401 et seq.), and other Acts that give HHS or the Secretary authority to run or fund programs for Indians. A tribe does not have to be named in the original law to include a program in the agreement. Each agreement must list the programs covered and show general budget categories, the funds (including recurring funds), when and how funds will move, the Secretary’s responsibilities, and any other agreed terms. Agreements stay in force until replaced, and new agreements apply back to the end of the previous term. Tribes in the Tribal Self‑Governance Demonstration Project as of August 18, 2000, may keep their old agreement (if it does not conflict) or negotiate a new one. A tribe may also choose a stable base budget that names recurring funds (including funds under section 5325(a)), with yearly adjustments only for changes in congressional appropriations at the sub‑sub activity level, excluding earmarks.
Full Legal Text
Indians, Source: USLM XML via OLRC
Legislative History
Reference
Citation
25 U.S.C. § 5385
Title 25, Indians
Last Updated
Sep 23, 2026
Release point: 119-110