§ 1680d TITLE 25—INDIANS Page 488

scribed in subsection (a) or (b) of this section.

Such non-Service health care practitioners may

be regarded as employees of the Federal Government for purposes of section 1346(b) and chapter

171 of title 28 (relating to Federal tort claims)

only with respect to acts or omissions which

occur in the course of providing services to eligible persons as a part of the conditions under

which such hospital privileges are extended.

(e) ‘‘Eligible Indian’’ defined

For purposes of this section, the term ‘‘eligible Indian’’ means any Indian who is eligible for

health services provided by the Service without

regard to the provisions of this section.

(Pub. L. 94–437, title VIII, §813, formerly title

VII, §713, as added Pub. L. 100–713, title VII,

§707(a), Nov. 23, 1988, 102 Stat. 4829; renumbered

title VIII, §813, and amended Pub. L. 102–573,

title VII, §701(a), (b), title IX, §902(8), Oct. 29,

1992, 106 Stat. 4572, 4592.)

REFERENCES IN TEXT

The Indian Self-Determination Act, referred to in

subsecs. (b)(1)(B) and (d), 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.

(b)(2)(A), is act Aug. 14, 1935, ch. 531, 49 Stat. 620, as

amended. Titles XIII and XIX of the Social Security

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.

AMENDMENTS

1992—Subsec. (b)(2)(A). Pub. L. 102–573, §902(8), substituted ‘‘section 1642(a) of this title’’ for ‘‘section

402(c) of this Act’’.

SECTION REFERRED TO IN OTHER SECTIONS

This section is referred to in sections 1621f, 1637, 1645

of this title.

§ 1680d. Infant and maternal mortality; fetal alcohol syndrome

By no later than January 1, 1990, the Secretary shall develop and begin implementation

of a plan to achieve the following objectives by

January 1, 1994:

(1) reduction of the rate of Indian infant

mortality in each area office of the Service to

the lower of—

(A) twelve deaths per one thousand live

births, or

(B) the rate of infant mortality applicable

to the United States population as a whole;

(2) reduction of the rate of maternal mortality in each area office of the Service to the

lower of—

(A) five deaths per one hundred thousand

live births, or

(B) the rate of maternal mortality applicable to the United States population as a

whole; and

(3) reduction of the rate of fetal alcohol syndrome among Indians served by, or on behalf

of, the Service to one per one thousand live

births.

(Pub. L. 94–437, title VIII, §814, formerly title

VII, §714, as added Pub. L. 100–713, title VII, §708,

Nov. 23, 1988, 102 Stat. 4831; renumbered title

VIII, §814, and amended Pub. L. 102–573, title

VII, §701(a), (b), title VIII, §804, Oct. 29, 1992, 106

Stat. 4572, 4585.)

AMENDMENTS

1992—Pub. L. 102–573, §804, struck out subsec. (a) designation before ‘‘By no later’’ and struck out subsec.

(b) which read as follows: ‘‘The President shall include

with the budget submitted under section 1105 of title 31

for each fiscal year a separate statement which specifies the total amount obligated or expended in the most

recently completed fiscal year to achieve each of the

objectives described in subsection (a) of this section.’’

SECTION REFERRED TO IN OTHER SECTIONS

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

§ 1680e. Contract health services for the Trenton

Service Area

(a) Service to Turtle Mountain Band

The Secretary, acting through the Service, is

directed to provide contract health services to

members of the Turtle Mountain Band of Chippewa Indians that reside in the Trenton Service

Area of Divide, McKenzie, and Williams counties

in the State of North Dakota and the adjoining

counties of Richland, Roosevelt, and Sheridan in

the State of Montana.

(b) Band member eligibility not expanded

Nothing in this section may be construed as

expanding the eligibility of members of the Turtle Mountain Band of Chippewa Indians for

health services provided by the Service beyond

the scope of eligibility for such health services

that applied on May 1, 1986.

(Pub. L. 94–437, title VIII, §815, formerly title

VII, §715, as added Pub. L. 100–713, title VII, §709,

Nov. 23, 1988, 102 Stat. 4831; renumbered title

VIII, §815, Pub. L. 102–573, title VII, §701(a), (b),

Oct. 29, 1992, 106 Stat. 4572.)

§ 1680f. Indian Health Service and Department of

Veterans Affairs health facilities and services

sharing

(a) Feasibility study and report

The Secretary shall examine the feasibility of

entering into an arrangement for the sharing of

medical facilities and services between the Indian Health Service and the Department of Veterans Affairs and shall, in accordance with subsection (b) of this section, prepare a report on

the feasibility of such an arrangement and submit such report to the Congress by no later than

September 30, 1990.

(b) Nonimpairment of service quality, eligibility,

or priority of access

The Secretary shall not take any action under

this section or under subchapter IV of chapter 81

of title 38 which would impair—

(1) the priority access of any Indian to

health care services provided through the Indian Health Service;

(2) the quality of health care services provided to any Indian through the Indian Health

Service;

(3) the priority access of any veteran to

health care services provided by the Department of Veterans Affairs;