Title 25 › CHAPTER 46 — INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE › SUBCHAPTER V — TRIBAL SELF-GOVERNANCE—INDIAN HEALTH SERVICE › § 5387
Requires compacts and funding agreements with tribes to include a health-reporting rule when the Secretary needs data, pays for the reports, and the reporting rules written under section 5397 are met and cause only small burdens. Allows the Secretary to take back (reassume) a program or funds if there is a specific finding of either an imminent public-health danger caused by the tribe’s failure to follow the agreement or gross mismanagement of the transferred funds (the Secretary will consult the Inspector General). Before taking back a program, the Secretary must give written notice and a hearing, and the tribe must fail to fix the problem. If there is an immediate and severe public-health emergency caused by the tribe’s failure, the Secretary may take back the program right away after giving written notice, but must hold a hearing within 10 days. In any hearing about reassumption, the Secretary must prove the grounds by clear and convincing evidence. If the tribe and Secretary cannot agree, the tribe may send a final offer and the Secretary has 45 days (or longer if the tribe agrees) to decide; silence counts as acceptance. If the Secretary rejects all or part of the offer, the Secretary must give a written finding showing one of the legal reasons for rejection, offer technical help, give the tribe a full hearing with discovery and appeal rights (or the tribe can sue in Federal district court under section 5331(a)), and let the tribe accept any parts the Secretary did not reject. The Secretary must prove rejections by clear and convincing evidence, must negotiate in good faith to promote tribal self-governance, must share any uncounted savings fairly, cannot reduce the United States’ trust responsibilities to tribes or Indians, and any final appeal decision must be made by a higher-level Department official or an administrative judge.
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Legislative History
Reference
Citation
25 U.S.C. § 5387
Title 25, Indians
Last Updated
Sep 22, 2026
Release point: 119-110