Page 441 TITLE 25—INDIANS § 1621

(1) incorporate a program advisory board

composed of representatives from the tribes

and communities in the area which will be

served by the program; and

(2) shall be designated as an extension of the

USDSM campus and program participants

shall be under the direct supervision and instruction of qualified medical staff serving at

the service unit who shall be members of the

USDSM faculty.

(d) Coordination with other schools

The USDSM shall coordinate the program established pursuant to a grant provided under

subsection (a) of this section with other medical

schools in the region, nursing schools, tribal

community colleges, and other health professional schools.

(e) Development of additional professional opportunities

The USDSM, in cooperation with the Service,

shall develop additional professional opportunities for program participants on Indian reservations in order to improve the recruitment and

retention of qualified health professionals in the

Aberdeen Area of the Service.

(Pub. L. 94–437, title I, §122, as added Pub. L.

102–573, title I, §116, Oct. 29, 1992, 106 Stat. 4543.)

§ 1616p. 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 I, §123, as added Pub. L.

102–573, title I, §117(a), Oct. 29, 1992, 106 Stat.

4544.)

SUBCHAPTER II—HEALTH SERVICES

§ 1621. Indian Health Care Improvement Fund

(a) Approved expenditures

The Secretary is authorized to expend funds

which are appropriated under the authority of

this section, through the Service, for the purposes of—

(1) eliminating the deficiencies in health

status and resources of all Indian tribes,

(2) eliminating backlogs in the provision of

health care services to Indians,

(3) meeting the health needs of Indians in an

efficient and equitable manner, and

(4) augmenting the ability of the Service to

meet the following health service responsibilities, either through direct or contract care or

through contracts entered into pursuant to

the Indian Self-Determination Act [25 U.S.C.

450f et seq.], with respect to those Indian

tribes with the highest levels of health status

and resource deficiencies:

(A) clinical care (direct and indirect) including clinical eye and vision care;

(B) preventive health, including screening

mammography in accordance with section

1621k of this title;

(C) dental care (direct and indirect);

(D) mental health, including community

mental health services, inpatient mental

health services, dormitory mental health

services, therapeutic and residential treatment centers, and training of traditional Indian practitioners;

(E) emergency medical services;

(F) treatment and control of, and rehabilitative care related to, alcoholism and drug

abuse (including fetal alcohol syndrome)

among Indians;

(G) accident prevention programs;

(H) home health care;

(I) community health representatives; and

(J) maintenance and repair.

(b) Effect on other appropriations; allocation to

service units

(1) Any funds appropriated under the authority of this section shall not be used to offset or

limit any appropriations made to the Service

under section 13 of this title, or any other provision of law.

(2)(A) Funds appropriated under the authority

of this section may be allocated on a service

unit basis. The funds allocated to each service

unit under this subparagraph shall be used by

the service unit to reduce the health status and

resource deficiency of each tribe served by such

service unit.

(B) The apportionment of funds allocated to a

service unit under subparagraph (A) among the

health service responsibilities described in subsection (a)(4) of this section shall be determined

by the Service in consultation with, and with

the active participation of, the affected Indian

tribes.

(c) Health resources deficiency levels

For purposes of this section—

(1) The term ‘‘health status and resource deficiency’’ means the extent to which—

(A) the health status objectives set forth

in section 1602(b) of this title are not being

achieved; and

(B) the Indian tribe does not have available to it the health resources it needs, taking into account the actual cost of providing

health care services given local geographic,

climatic, rural, or other circumstances.

(2) The health resources available to an Indian tribe include health resources provided

by the Service as well as health resources used

by the Indian tribe, including services and financing systems provided by any Federal programs, private insurance, and programs of

State or local governments.

(3) The Secretary shall establish procedures

which allow any Indian tribe to petition the

Secretary for a review of any determination of

the extent of the health status and resource

deficiency of such tribe.

(d) Programs administered by Indian tribe

(1) Programs administered by any Indian tribe

or tribal organization under the authority of the

Indian Self-Determination Act [25 U.S.C. 450f et

seq.] shall be eligible for funds appropriated

under the authority of this section on an equal

basis with programs that are administered directly by the Service.

(2) If any funds allocated to a tribe or service

unit under the authority of this section are used

for a contract entered into under the Indian

Self-Determination Act, a reasonable portion of