§ 1621b TITLE 25—INDIANS Page 444

(B) for any subsequent year, not less than

the threshold cost of the previous year increased by the percentage increase in the

medical care expenditure category of the

consumer price index for all urban consumers (United States city average) for the 12-

month period ending with December of the

previous year;

(3) establish a procedure for the reimbursement of the portion of the costs incurred by—

(A) service units or facilities of the Service, or

(B) whenever otherwise authorized by the

Service, non-Service facilities or providers,

in rendering treatment that exceeds such

threshold cost;

(4) establish a procedure for payment from

the Fund in cases in which the exigencies of

the medical circumstances warrant treatment

prior to the authorization of such treatment

by the Service; and

(5) establish a procedure that will ensure

that no payment shall be made from the Fund

to any provider of treatment to the extent

that such provider is eligible to receive payment for the treatment from any other Federal, State, local, or private source of reimbursement for which the patient is eligible.

(c) Effect on other appropriations

Amounts appropriated to the Fund under this

section shall not be used to offset or limit appropriations made to the Service under authority of section 13 of this title or any other law.

(d) Reimbursements to Fund

There shall be deposited into the Fund all reimbursements to which the Service is entitled

from any Federal, State, local, or private source

(including third party insurance) by reason of

treatment rendered to any victim of a disaster

or catastrophic illness the cost of which was

paid from the Fund.

(Pub. L. 94–437, title II, §202, as added Pub. L.

100–713, title II, §202, Nov. 23, 1988, 102 Stat. 4803;

amended Pub. L. 102–573, title II, §§202(a),

217(b)(2), Oct. 29, 1992, 106 Stat. 4546, 4559.)

REFERENCES IN TEXT

The Indian Self-Determination Act, referred to in

subsec. (a)(4), 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.

AMENDMENTS

1992—Subsec. (a)(1)(B). Pub. L. 102–573, §202(a)(1), substituted ‘‘to the Fund under this section’’ for ‘‘under

subsection (e) of this section’’.

Subsec. (b)(2). Pub. L. 102–573, §202(a)(2), substituted

‘‘shall establish at—’’ and subpars. (A) and (B) for

‘‘shall establish at not less than $10,000 or not more

than $20,000;’’.

Subsec. (c). Pub. L. 102–573, §202(a)(3), substituted

‘‘Amounts appropriated to the Fund under this section’’ for ‘‘Funds appropriated under subsection (e) of

this section’’.

Subsec. (e). Pub. L. 102–573, §217(b)(2), struck out subsec. (e) which authorized appropriations for fiscal years

1989 to 1992.

EFFECTIVE DATE OF 1992 AMENDMENT

Section 202(b) of Pub. L. 102–573 provided that: ‘‘The

amendment made by subsection (a)(2) [amending this

section] shall take effect January 1, 1993.’’

SECTION REFERRED TO IN OTHER SECTIONS

This section is referred to in sections 1621f, 1621j of

this title.

§ 1621b. Health promotion and disease prevention services

(a) Authorization

The Secretary, acting through the Service,

shall provide health promotion and disease prevention services to Indians so as to achieve the

health status objectives set forth in section

1602(b) of this title.

(b) Evaluation statement for Presidential budget

The Secretary shall submit to the President

for inclusion in each statement which is required to be submitted to the Congress under

section 1671 of this title an evaluation of—

(1) the health promotion and disease prevention needs of Indians,

(2) the health promotion and disease prevention activities which would best meet such

needs,

(3) the internal capacity of the Service to

meet such needs, and

(4) the resources which would be required to

enable the Service to undertake the health

promotion and disease prevention activities

necessary to meet such needs.

(Pub. L. 94–437, title II, §203, as added Pub. L.

100–713, title II, §203(c), Nov. 23, 1988, 102 Stat.

4805; amended Pub. L. 102–573, title II, §203, Oct.

29, 1992, 106 Stat. 4546.)

AMENDMENTS

1992—Subsec. (a). Pub. L. 102–573, §203(1), inserted before period at end ‘‘so as to achieve the health status

objectives set forth in section 1602(b) of this title’’.

Subsec. (b). Pub. L. 102–573, §203(2), in introductory

provisions, substituted ‘‘section 1671’’ for ‘‘section

1621(f)’’.

Subsec. (c). Pub. L. 102–573, §203(3), struck out subsec.

(c) which directed establishment of between 1 and 4

health-related demonstration projects to terminate 30

months after Nov. 23, 1988.

CONGRESSIONAL FINDINGS ON HEALTH PROMOTION AND

DISEASE PREVENTION

Section 203(a) of Pub. L. 100–713 provided that: ‘‘The

Congress finds that health promotion and disease prevention activities will—

‘‘(1) improve the health and well being of Indians,

and

‘‘(2) reduce the expenses for medical care of Indians.’’

SECTION REFERRED TO IN OTHER SECTIONS

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

§ 1621c. Diabetes prevention, treatment, and control

(a) Incidence and complications

The Secretary, in consultation with the tribes,

shall determine—

(1) by tribe and by Service unit of the Service, the incidence of, and the types of complications resulting from, diabetes among Indians; and