§ 1643 TITLE 25—INDIANS Page 466

payments from the fund to be made to each service unit

of the Service specified in the amendment made by

paragraph (1) [amending this section] shall take effect

beginning with payments made on January 1, 1993.’’

EFFECTIVE DATE OF 1988 AMENDMENT

Section 401(c) of Pub. L. 100–713 provided that: ‘‘The

amendments made by this section [amending this section] shall apply to services performed on or after the

date of the enactment of this Act [Nov. 23, 1988].’’

SECTION REFERRED TO IN OTHER SECTIONS

This section is referred to in sections 1645, 1680c of

this title.

§ 1643. Amount and use of funds reimbursed

through medicare and medicaid available to

Indian Health Service

The Secretary shall submit to the President,

for inclusion in the report required to be transmitted to the Congress under section 1671 of this

title, an accounting on the amount and use of

funds made available to the Service pursuant to

this subchapter as a result of reimbursements

through titles XVIII and XIX of the Social Security Act, as amended [42 U.S.C. 1395 et seq., 1396

et seq.].

(Pub. L. 94–437, title IV, §403, Sept. 30, 1976, 90

Stat. 1410; Pub. L. 102–573, title IV, §402, Oct. 29,

1992, 106 Stat. 4566.)

REFERENCES IN TEXT

The Social Security Act, referred to in text, 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

1671 of this title.

AMENDMENTS

1992—Pub. L. 102–573 substituted ‘‘The Secretary shall

submit to the President, for inclusion in the report required to be transmitted to the Congress under section

1671 of this title,’’ for ‘‘The Secretary shall include in

his annual report required by section 1671 of this title’’.

SECTION REFERRED TO IN OTHER SECTIONS

This section is referred to in section 1671 of this title;

title 42 section 1395qq.

§ 1644. Grants to and contracts with tribal organizations

(a) Access to health services

The Secretary, acting through the Service,

shall make grants to or enter into contracts

with tribal organizations to assist such organizations in establishing and administering programs on or near Federal Indian reservations

and trust areas and in or near Alaska Native villages to assist individual Indians to—

(1) enroll under section 1818 of part A and

sections 1836 and 1837 of part B of title XVIII

of the Social Security Act [42 U.S.C. 1395i–2,

1395o, 1395p];

(2) pay monthly premiums for coverage due

to financial need of such individual; and

(3) apply for medical assistance provided

pursuant to title XIX of the Social Security

Act [42 U.S.C. 1396 et seq.].

(b) Terms and conditions

The Secretary, acting through the Service,

shall place conditions as deemed necessary to effect the purpose of this section in any contract

or grant which the Secretary makes with any

tribal organization pursuant to this section.

Such conditions shall include, but are not limited to, requirements that the organization successfully undertake to—

(1) determine the population of Indians to be

served that are or could be recipients of benefits under titles XVIII and XIX of the Social

Security Act [42 U.S.C. 1395 et seq., 1396 et

seq.];

(2) assist individual Indians in becoming familiar with and utilizing such benefits;

(3) provide transportation to such individual

Indians to the appropriate offices for enrollment or application for medical assistance;

(4) develop and implement—

(A) a schedule of income levels to determine the extent of payments of premiums by

such organizations for coverage of needy individuals; and

(B) methods of improving the participation

of Indians in receiving the benefits provided

under titles XVIII and XIX of the Social Security Act [42 U.S.C. 1395 et seq., 1396 et

seq.].

(c) Application for medical assistance

The Secretary, acting through the Service,

may enter into an agreement with an Indian

tribe, tribal organization, or urban Indian organization which provides for the receipt and processing of applications for medical assistance

under title XIX of the Social Security Act [42

U.S.C. 1396 et seq.] and benefits under title XVIII

of the Social Security Act [42 U.S.C. 1395 et seq.]

at a Service facility or a health care facility administered by such tribe or organization pursuant to a contract under the Indian Self-Determination Act [25 U.S.C. 450f et seq.].

(Pub. L. 94–437, title IV, §404, as added Pub. L.

96–537, §6, Dec. 17, 1980, 94 Stat. 3176; amended

Pub. L. 102–573, title IV, §403, Oct. 29, 1992, 106

Stat. 4566.)

REFERENCES IN TEXT

The Social Security Act, referred to in subsecs. (a)(1),

(3), (b)(1), (4)(B), and (c), 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.

The Indian Self-Determination Act, referred to in

subsec. (c), 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.

CODIFICATION

Section was formerly classified to section 1622 of this

title.

AMENDMENTS

1992—Subsec. (b)(4). Pub. L. 102–573, §403(1), amended

par. (4) generally. Prior to amendment, par. (4) read as

follows: ‘‘develop and implement a schedule of income