Title 42 › Chapter 22— INDIAN HOSPITALS AND HEALTH FACILITIES › Subchapter I— MAINTENANCE AND OPERATION › § 2004a
The Surgeon General can build, improve, and keep up basic sanitation systems for Indian homes, communities, and lands. That includes household and community water supplies, drainage, sewage, and waste-disposal systems and their fixtures. He can get land or rights (like sites, easements, rights-of-way, or water rights) by purchase, lease, gift, exchange, or other means when needed, but he may not take land from a tribe or Indian except by gift or for a very small payment when the facility only benefits that tribe or person. He can make fair agreements with governments, nonprofits, and the Indians about who pays and who maintains the systems. He can also transfer the facilities and related land, with or without payment, to states, tribes, public authorities, or to home occupants, under terms that reflect contributions and health needs. The Secretary of the Interior can give federally controlled or trust lands or interests to the Surgeon General for these projects, including improvements. Any transfer needs the consent of an Indian who has a beneficial interest, and title can be set to return to the government if the land stops being used for the project. The Surgeon General must consult and encourage the participation of the Indians affected and relevant state and local governments.
Full Legal Text
The Public Health and Welfare — Source: USLM XML via OLRC
Legislative History
Reference
Citation
42 U.S.C. § 2004a
Title 42 — The Public Health and Welfare
Last Updated
Apr 5, 2026
Release point: 119-73not60