Page 453 TITLE 25—INDIANS § 1621n

status for purposes of the objectives specified

in section 1602(b) of this title. Such sets shall

consist of one or more categories of information. The Secretary shall develop formats for

the uniform collecting and reporting of information on such categories.

(B) Establish and maintain a system for

monitoring the progress made toward meeting

each of the health status objectives described

in section 1602(b) of this title.

(3) In consultation with Indian tribes and

urban Indian communities, each area epidemiology center established under this subsection

shall, with respect to such area—

(A) collect data relating to, and monitor

progress made toward meeting, each of the

health status objectives described in section

1602(b) of this title using the data sets and

monitoring system developed by the Secretary

pursuant to paragraph (2);

(B) evaluate existing delivery systems, data

systems, and other systems that impact the

improvement of Indian health;

(C) assist tribes and urban Indian communities in identifying their highest priority

health status objectives and the services needed to achieve such objectives, based on epidemiological data;

(D) make recommendations for the targeting

of services needed by tribal, urban, and other

Indian communities;

(E) make recommendations to improve

health care delivery systems for Indians and

urban Indians;

(F) work cooperatively with tribal providers

of health and social services in order to avoid

duplication of existing services; and

(G) provide technical assistance to Indian

tribes and urban Indian organizations in the

development of local health service priorities

and incidence and prevalence rates of disease

and other illness in the community.

(4) Epidemiology centers established under

this subsection shall be subject to the provisions

of the Indian Self-Determination Act (25 U.S.C.

450f et seq.).

(5) The director of the Centers for Disease Control shall provide technical assistance to the

centers in carrying out the requirements of this

subsection.

(6) The Service shall assign one epidemiologist

from each of its area offices to each area epidemiology center to provide such center with technical assistance necessary to carry out this subsection.

(b)(1) The Secretary may make grants to Indian tribes, tribal organizations, and eligible

intertribal consortia or Indian organizations to

conduct epidemiological studies of Indian communities.

(2) An intertribal consortia or Indian organization is eligible to receive a grant under this subsection if—

(A) it is incorporated for the primary purpose of improving Indian health; and

(B) it is representative of the tribes or urban

Indian communities in which it is located.

(3) An application for a grant under this subsection shall be submitted in such manner and

at such time as the Secretary shall prescribe.

(4) Applicants for grants under this subsection

shall—

(A) demonstrate the technical, administrative, and financial expertise necessary to

carry out the functions described in paragraph

(5);

(B) consult and cooperate with providers of

related health and social services in order to

avoid duplication of existing services; and

(C) demonstrate cooperation from Indian

tribes or urban Indian organizations in the

area to be served.

(5) A grant awarded under paragraph (1) may

be used to—

(A) carry out the functions described in subsection (a)(3) of this section;

(B) provide information to and consult with

tribal leaders, urban Indian community leaders, and related health staff, on health care

and health services management issues; and

(C) provide, in collaboration with tribes and

urban Indian communities, the Service with

information regarding ways to improve the

health status of Indian people.

(6) There are authorized to be appropriated to

carry out the purposes of this subsection not

more than $12,000,000 for fiscal year 1993 and

such sums as may be necessary for each of the

fiscal years 1994, 1995, 1996, 1997, 1998, 1999, and

2000.

(Pub. L. 94–437, title II, §214, as added Pub. L.

102–573, title II, §210, Oct. 29, 1992, 106 Stat. 4551.)

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.

SECTION REFERRED TO IN OTHER SECTIONS

This section is referred to in section 1621w of this

title.

§ 1621n. Comprehensive school health education

programs

(a) Award of grants

The Secretary, acting through the Service and

in consultation with the Secretary of the Interior, may award grants to Indian tribes to develop comprehensive school health education

programs for children from preschool through

grade 12 in schools located on Indian reservations.

(b) Use of grants

Grants awarded under this section may be

used to—

(1) develop health education curricula;

(2) train teachers in comprehensive school

health education curricula;

(3) integrate school-based, communitybased, and other public and private health promotion efforts;

(4) encourage healthy, tobacco-free school

environments;

(5) coordinate school-based health programs

with existing services and programs available

in the community;
§ 1621o TITLE 25—INDIANS Page 454

(6) develop school programs on nutrition

education, personal health, and fitness;

(7) develop mental health wellness programs;

(8) develop chronic disease prevention programs;

(9) develop substance abuse prevention programs;

(10) develop accident prevention and safety

education programs;

(11) develop activities for the prevention and

control of communicable diseases; and

(12) develop community and environmental

health education programs.

(c) Assistance

The Secretary shall provide technical assistance to Indian tribes in the development of

health education plans, and the dissemination of

health education materials and information on

existing health programs and resources.

(d) Criteria for review and approval of applications

The Secretary shall establish criteria for the

review and approval of applications for grants

made pursuant to this section.

(e) Report of recipient

Recipients of grants under this section shall

submit to the Secretary an annual report on activities undertaken with funds provided under

this section. Such reports shall include a statement of—

(1) the number of preschools, elementary

schools, and secondary schools served;

(2) the number of students served;

(3) any new curricula established with funds

provided under this section;

(4) the number of teachers trained in the

health curricula; and

(5) the involvement of parents, members of

the community, and community health workers in programs established with funds provided under this section.

(f) Program development

(1) The Secretary of the Interior, acting

through the Bureau of Indian Affairs and in cooperation with the Secretary, shall develop a

comprehensive school health education program

for children from preschool through grade 12 in

schools operated by the Bureau of Indian Affairs.

(2) Such program shall include—

(A) school programs on nutrition education,

personal health, and fitness;

(B) mental health wellness programs;

(C) chronic disease prevention programs;

(D) substance abuse prevention programs;

(E) accident prevention and safety education

programs; and

(F) activities for the prevention and control

of communicable diseases.

(3) The Secretary of the Interior shall—

(A) provide training to teachers in comprehensive school health education curricula;

(B) ensure the integration and coordination

of school-based programs with existing services and health programs available in the community; and

(C) encourage healthy, tobacco-free school

environments.

(g) Authorization of appropriations

There are authorized to be appropriated to

carry out this section $15,000,000 for fiscal year

1993 and such sums as may be necessary for each

of the fiscal years 1994, 1995, 1996, 1997, 1998, 1999,

and 2000.

(Pub. L. 94–437, title II, §215, as added Pub. L.

102–573, title II, §211, Oct. 29, 1992, 106 Stat. 4553.)

SECTION REFERRED TO IN OTHER SECTIONS

This section is referred to in section 1621w of this

title.

§ 1621o. Indian youth grant program

(a) Grants

The Secretary, acting through the Service, is

authorized to make grants to Indian tribes, tribal organizations, and urban Indian organizations

for innovative mental and physical disease prevention and health promotion and treatment

programs for Indian preadolescent and adolescent youths.

(b) Use of funds

(1) Funds made available under this section

may be used to—

(A) develop prevention and treatment programs for Indian youth which promote mental

and physical health and incorporate cultural

values, community and family involvement,

and traditional healers; and

(B) develop and provide community training

and education.

(2) Funds made available under this section

may not be used to provide services described in

section 1621h(m) of this title.

(c) Models for delivery of comprehensive health

care services

The Secretary shall—

(1) disseminate to Indian tribes information

regarding models for the delivery of comprehensive health care services to Indian and

urban Indian adolescents;

(2) encourage the implementation of such

models; and

(3) at the request of an Indian tribe, provide

technical assistance in the implementation of

such models.

(d) Criteria for review and approval of applications

The Secretary shall establish criteria for the

review and approval of applications under this

section.

(e) Authorization of appropriations

There are authorized to be appropriated to

carry out this section $5,000,000 for fiscal year

1993 and such sums as may be necessary for each

of the fiscal years 1994, 1995, 1996, 1997, 1998, 1999,

and 2000.

(Pub. L. 94–437, title II, §216, as added Pub. L.

102–573, title II, §212, Oct. 29, 1992, 106 Stat. 4554.)

SECTION REFERRED TO IN OTHER SECTIONS

This section is referred to in sections 1621h, 1621w of

this title.