§ 1646 TITLE 25—INDIANS Page 468

participant in the demonstration program described in subsection (a) of this section would be

required to report.

(e) Report

The Secretary shall submit a final report at

the end of fiscal year 1996, on the activities carried out under the demonstration program described in subsection (a) of this section which

shall include an evaluation of whether such activities have fulfilled the objectives of such program. In such report the Secretary shall provide

a recommendation, based upon the results of

such demonstration program, as to whether direct billing of, and reimbursement by, the medicare and medicaid programs and other thirdparty payors should be authorized for all Indian

tribes and Alaska Native health organizations

which are contracting the entire operation of a

facility of the Service.

(f) Retrocession of contract

The Secretary shall provide for the retrocession of any contract entered into between a participant in the demonstration program described

in subsection (a) of this section and the Service

under the authority of the Indian Self-Determination Act [25 U.S.C. 450f et seq.]. All cost accounting and billing authority shall be

retroceded to the Secretary upon the Secretary’s acceptance of a retroceded contract.

(Pub. L. 94–437, title IV, §405, as added Pub. L.

100–713, title IV, §402, Nov. 23, 1988, 102 Stat. 4818;

amended Pub. L. 102–573, title IV, §404, title VII,

§701(c)(3), Oct. 29, 1992, 106 Stat. 4566, 4572; Pub.

L. 104–313, §2(d), Oct. 19, 1996, 110 Stat. 3822.)

REFERENCES IN TEXT

The Indian Self-Determination Act, referred to in

subsecs. (a), (b)(1)(B), and (f), is title I of Pub. L. 93–638,

Jan. 4, 1975, 88 Stat. 2206, as amended, which is classified principally to part A (§450f et seq.) of subchapter

II of chapter 14 of this title. For complete classification

of this Act to the Code, see Short Title note set out

under section 450 of this title and Tables.

The Social Security Act, referred to in subsec. (a), is

act Aug. 14, 1935, ch. 531, 49 Stat. 620, as amended. Titles

XVIII and XIX of the Act are classified generally to

subchapters XVIII (§1395 et seq.) and XIX (§1396 et seq.)

of chapter 7 of Title 42, The Public Health and Welfare.

For complete classification of this Act to the Code, see

section 1305 of Title 42 and Tables.

CODIFICATION

Section was formerly set out as a note under section

1395qq of Title 42, The Public Health and Welfare.

AMENDMENTS

1996—Subsec. (c)(2). Pub. L. 104–313 substituted ‘‘1998’’

for ‘‘1996’’.

1992—Subsec. (b)(1). Pub. L. 102–573, §701(c)(3)(A), substituted ‘‘sections 1642(a)’’ for ‘‘sections 402(c)’’ and

made technical amendment to reference to section

1680c(b)(2)(A) to reflect renumbering of corresponding

section of original act.

Subsec. (b)(4). Pub. L. 102–573, §701(c)(3)(B), substituted ‘‘section 1642(a)’’ for ‘‘section 402(c)’’ in two

places.

Subsec. (c)(2). Pub. L. 102–573, §404(1), substituted

‘‘1996’’ for ‘‘1995’’.

Subsec. (e). Pub. L. 102–573, §404(2), substituted ‘‘1996’’

for ‘‘1995’’.

§ 1646. Authorization for emergency contract

health services

With respect to an elderly or disabled Indian

receiving emergency medical care or services

from a non-Service provider or in a non-Service

facility under the authority of this chapter, the

time limitation (as a condition of payment) for

notifying the Service of such treatment or admission shall be 30 days.

(Pub. L. 94–437, title IV, §406, as added Pub. L.

102–573, title IV, §405, Oct. 29, 1992, 106 Stat.

4566.)

§ 1647. Authorization of appropriations

There are authorized to be appropriated such

sums as may be necessary for each fiscal year

through fiscal year 2000 to carry out this subchapter.

(Pub. L. 94–437, title IV, §407, as added Pub. L.

102–573, title IV, §406, Oct. 29, 1992, 106 Stat.

4566.)

SUBCHAPTER IV—HEALTH SERVICES FOR

URBAN INDIANS

CODIFICATION

This subchapter was in the original title V of Pub. L.

94–437. Title IV of Pub. L. 94–437 is classified to subchapter III–A of this chapter.

SUBCHAPTER REFERRED TO IN OTHER SECTIONS

This subchapter is referred to in sections 1603, 1613a,

1616a, 1616e, 1621p, 1665b, 1665g of this title; title 42 sections 256b, 1395x, 1396d, 1396r–1, 1396s.

§ 1651. Purpose

The purpose of this subchapter is to establish

programs in urban centers to make health services more accessible to urban Indians.

(Pub. L. 94–437, title V, §501, as added Pub. L.

100–713, title V, §501, Nov. 23, 1988, 102 Stat. 4820.)

PRIOR PROVISIONS

A prior section 1651, Pub. L. 94–437, title V, §501, Sept.

30, 1976, 90 Stat. 1410; Pub. L. 96–537, §7, Dec. 17, 1980, 94

Stat. 3176, related to Congressional statement of purpose, prior to the general revision of this subchapter by

Pub. L. 100–713.

§ 1652. Contracts with, and grants to, urban Indian organizations

Under authority of section 13 of this title, the

Secretary, through the Service, shall enter into

contracts with, or make grants to, urban Indian

organizations to assist such organizations in the

establishment and administration, within the

urban centers in which such organizations are

situated, of programs which meet the requirements set forth in this subchapter. The Secretary, through the Service, shall include such

conditions as the Secretary considers necessary

to effect the purpose of this subchapter in any

contract which the Secretary enters into with,

or in any grant the Secretary makes to, any

urban Indian organization pursuant to this subchapter.

(Pub. L. 94–437, title V, §502, as added Pub. L.

100–713, title V, §501, Nov. 23, 1988, 102 Stat. 4820;

amended Pub. L. 102–573, title V, §501(a), Oct. 29,

1992, 106 Stat. 4567.)

PRIOR PROVISIONS

A prior section 1652, Pub. L. 94–437, title V, §502, Sept.

30, 1976, 90 Stat. 1410; Pub. L. 96–537, §7, Dec. 17, 1980, 94