Page 471 TITLE 25—INDIANS § 1655

Subsec. (f)(1). Pub. L. 102–573, §501(b)(1)(F), inserted

‘‘or receiving grants under subsection (a) of this section’’ after ‘‘pursuant to this section’’.

Subsec. (f)(5). Pub. L. 102–573, §505(b)(1)(D), struck out

par. (5) which authorized appropriations of $500,000 for

fiscal year 1991 and $2,000,000 for fiscal year 1992 to

carry out this subsec.

1990—Subsecs. (c) to (f). Pub. L. 101–630 added subsecs.

(c) to (f).

FACILITIES ASSESSMENT

Section 506(a), (b) of Pub. L. 101–630 provided that:

‘‘(a) SURVEY.—The Secretary shall conduct a survey

of all facilities used by contractors under title V of the

Indian Health Care Improvement Act [25 U.S.C. 1651 et

seq.] and shall submit a report to the Congress on such

survey not later than one year after the date of enactment of this Act [Nov. 28, 1990]. The report shall, at a

minimum, contain the following information for each

location:

‘‘(1) The extent to which the facility meets safety

and building codes and, if direct care is provided, the

extent of compliance with Joint Commission for Accreditation of Health Care Organizations (JCAHO)

standards.

‘‘(2) The extent to which improvements, expansion,

or relocation is necessary to meet program requirements, provide adequate services, or achieve building

code compliance.

‘‘(3) Any lease restriction that would hamper accomplishment of needed improvement, expansion, or

relocation.

‘‘(4) The term of the lease, if appropriate, the age of

the structure, and the structure’s life expectancy

with and without improvement.

‘‘(5) An assessment of the deficiencies of the facility.

‘‘(b) REPORT.—The report shall contain general recommendations for addressing the deficiencies of facilities in which programs funded under title V of the Indian Health Care Improvement Act [25 U.S.C. 1651 et

seq.] are located and shall propose specific policies for

accomplishing those recommendations.’’

SECTION REFERRED TO IN OTHER SECTIONS

This section is referred to in sections 1603, 1654, 1655,

1657 of this title.

§ 1654. Contracts and grants for determination of

unmet health care needs

(a) Authority

Under authority of section 13 of this title, the

Secretary, through the Service, may enter into

contracts with, or make grants to, urban Indian

organizations situated in urban centers for

which contracts have not been entered into, or

grants have not been made, under section 1653 of

this title. The purpose of a contract or grant

made under this section shall be the determination of the matters described in subsection (b)(1)

of this section in order to assist the Secretary in

assessing the health status and health care

needs of urban Indians in the urban center involved and determining whether the Secretary

should enter into a contract or make a grant

under section 1653 of this title with respect to

the urban Indian organization which the Secretary has entered into a contract with, or made

a grant to, under this section.

(b) Requirements

Any contract entered into, or grant made, by

the Secretary under this section shall include

requirements that—

(1) the urban Indian organization successfully undertake to—

(A) document the health care status and

unmet health care needs of urban Indians in

the urban center involved; and

(B) with respect to urban Indians in the

urban center involved, determine the matters described in clauses (2), (3), (4), and (8)

of section 1653(b) of this title; and

(2) the urban Indian organization complete

performance of the contract, or carry out the

requirements of the grant, within one year

after the date on which the Secretary and such

organization enter into such contract, or within one year after such organization receives

such grant, whichever is applicable.

(c) Renewal

The Secretary may not renew any contract entered into, or grant made, under this section.

(Pub. L. 94–437, title V, §504, as added Pub. L.

100–713, title V, §501, Nov. 23, 1988, 102 Stat. 4822;

amended Pub. L. 102–573, title V, §501(b)(2), Oct.

29, 1992, 106 Stat. 4567.)

PRIOR PROVISIONS

A prior section 1654, Pub. L. 94–437, title V, §504, Sept.

30, 1976, 90 Stat. 1411; Pub. L. 96–537, §7, Dec. 17, 1980, 94

Stat. 3178, related to other contract requirements, prior

to the general revision of this subchapter by Pub. L.

100–713.

AMENDMENTS

1992—Pub. L. 102–573, §501(b)(2)(D), inserted ‘‘and

grants’’ in section catchline.

Subsec. (a). Pub. L. 102–573, §501(b)(2)(A), added subsec. (a) and struck out former subsec. (a) which read as

follows: ‘‘Under authority of section 13 of this title, the

Secretary, through the Service, may enter into contracts with urban Indian organizations situated in

urban centers for which contracts have not been entered into under section 1653 of this title. The purpose

of a contract under this section shall be the determination of the matters described in subsection (b)(1) of this

section in order to assist the Secretary in assessing the

health status and health care needs of urban Indians in

the urban center involved and determining whether the

Secretary should enter into a contract under section

1653 of this title with the urban Indian organization

with which the Secretary has entered into a contract

under this section.’’

Subsec. (b). Pub. L. 102–573, §501(b)(2)(B), inserted

‘‘, or grant made,’’ after ‘‘contract entered into’’ in introductory provisions and substituted ‘‘, or carry out

the requirements of the grant, within one year after

the date on which the Secretary and such organization

enter into such contract, or within one year after such

organization receives such grant, whichever is applicable.’’ for ‘‘within one year after the date on which the

Secretary and such organization enter into such contract.’’ in par. (2).

Subsec. (c). Pub. L. 102–573, §501(b)(2)(C), inserted

‘‘, or grant made,’’ after ‘‘entered into’’.

SECTION REFERRED TO IN OTHER SECTIONS

This section is referred to in section 1655 of this title.

§ 1655. Evaluations; renewals

(a) Contract compliance and performance

The Secretary, through the Service, shall develop procedures to evaluate compliance with

grant requirements under this subchapter and

compliance with, and performance of contracts

entered into by urban Indian organizations

under this subchapter. Such procedures shall include provisions for carrying out the requirements of this section.