Page 451 TITLE 25—INDIANS § 1621j

Subsec. (d). Pub. L. 102–573, §§217(b)(4)(A), (D),

902(3)(B), redesignated subsec. (e) as (d), substituted

‘‘this section’’ for ‘‘this subsection’’ in par. (3)(B), and

struck out par. (6) which authorized appropriations of

$500,000 for fiscal year 1991 and $5,000,000 for fiscal year

1992 to carry out this subsec., with certain amounts to

be allocated for community education. Former subsec.

(d) redesignated (c).

Subsec. (e). Pub. L. 102–573, §902(3)(B), redesignated

subsec. (f) as (e). Former subsec. (e) redesignated (d).

Subsec. (f). Pub. L. 102–573, §§217(b)(4)(A), 902(3)(B), redesignated subsec. (g) as (f) and struck out par. (4)

which appropriated $1,200,000 for fiscal year 1992 to

carry out this subsec. Former subsec. (f) redesignated

(e).

Subsec. (g). Pub. L. 102–573, §§217(b)(4)(A), 902(3)(B),

redesignated subsec. (h) as (g) and struck out par. (5)

which authorized appropriation of $1,000,000 for fiscal

year 1992 for purposes of providing training required

under this subsec. Former subsec. (g) redesignated (f).

Subsec. (h). Pub. L. 102–573, §§217(b)(4)(B), 902(3)(B),

redesignated subsec. (i) as (h), struck out par. (1) designation before ‘‘The Secretary, acting’’, redesignated

subpars. (A) and (B) as pars. (1) and (2), respectively,

substituted ‘‘paragraph (1)’’ and ‘‘paragraph (2)’’ for

‘‘subparagraph (A)’’ and ‘‘subparagraph (B)’’, respectively, in closing provisions, and struck out former par.

(2) which authorized appropriation of $2,000,000 for fiscal year 1992 to carry out this subsec., to remain available until expended. Former subsec. (h) redesignated

(g).

Subsec. (i). Pub. L. 102–573, §§217(b)(4)(C), 902(3)(B), redesignated subsec. (j) as (i), struck out par. (1) designation before ‘‘Within one year’’, and struck out par. (2)

which authorized appropriation of $500,000 for fiscal

year 1992 to make the assessment required by this subsec. Former subsec. (i) redesignated (h).

Subsec. (j). Pub. L. 102–573, §§205(1), 902(3)(B), redesignated subsec. (k) as (j) and substituted ‘‘submit to the

President, for inclusion in each report required to be

transmitted to the Congress under section 1671 of this

title, a report’’ for ‘‘submit to the Congress an annual

report’’. Former subsec. (j) redesignated (i).

Subsec. (k). Pub. L. 102–573, §§217(b)(4)(E), 902(3)(B),

redesignated subsec. (l) as (k), and in par. (6) substituted ‘‘section’’ for ‘‘subsection’’ in second sentence

and struck out first sentence which authorized appropriations of $2,000,000 for fiscal year 1991 and $3,000,000

for fiscal year 1992 to carry out purposes of this subsec.

Former subsec. (k) redesignated (j).

Subsecs. (l), (m). Pub. L. 102–573, §205(2), added subsecs. (l) and (m). Former subsec. (l) redesignated (k).

STATEMENT OF PURPOSES

Section 503(a) of Pub. L. 101–630 provided that: ‘‘The

purposes of this section [enacting this section] are to—

‘‘(1) authorize and direct the Indian Health Service

to develop a comprehensive mental health prevention

and treatment program;

‘‘(2) provide direction and guidance relating to

mental illness and dysfunctional and self-destructive

behavior, including child abuse and family violence,

to those Federal, tribal, State, and local agencies responsible for programs in Indian communities in

areas of health care, education, social services, child

and family welfare, alcohol and substance abuse, law

enforcement, and judicial services;

‘‘(3) assist Indian tribes to identify services and resources available to address mental illness and dysfunctional and self-destructive behavior;

‘‘(4) provide authority and opportunities for Indian

tribes to develop and implement, and coordinate

with, community-based mental health programs

which include identification, prevention, education,

referral, and treatment services, including through

multidisciplinary resource teams;

‘‘(5) ensure that Indians, as citizens of the United

States and of the States in which they reside, have

the same access to mental health services to which

all such citizens have access; and

‘‘(6) modify or supplement existing programs and

authorities in the areas identified in paragraph (2).’’

SECTION REFERRED TO IN OTHER SECTIONS

This section is referred to in sections 1621o, 1621w,

1671 of this title.

§ 1621i. Managed care feasibility study

(a) The Secretary, acting through the Service,

shall conduct a study to assess the feasibility of

allowing an Indian tribe to purchase, directly or

through the Service, managed care coverage for

all members of the tribe from—

(1) a tribally owned and operated managed

care plan; or

(2) a State licensed managed care plan.

(b) Not later than the date which is 12 months

after October 29, 1992, the Secretary shall transmit to the Congress a report containing—

(1) a detailed description of the study conducted pursuant to this section; and

(2) a discussion of the findings and conclusions of such study.

(Pub. L. 94–437, title II, §210, as added Pub. L.

102–573, title II, §206(b), Oct. 29, 1992, 106 Stat.

4549.)

§ 1621j. California contract health services demonstration program

(a) Establishment

The Secretary shall establish a demonstration

program to evaluate the use of a contract care

intermediary to improve the accessibility of

health services to California Indians.

(b) Agreement with California Rural Indian

Health Board

(1) In establishing such program, the Secretary shall enter into an agreement with the

California Rural Indian Health Board to reimburse the Board for costs (including reasonable

administrative costs) incurred, during the period of the demonstration program, in providing

medical treatment under contract to California

Indians described in section 1679(b) of this title

throughout the California contract health services delivery area described in section 1680 of

this title with respect to high-cost contract care

cases.

(2) Not more than 5 percent of the amounts

provided to the Board under this section for any

fiscal year may be for reimbursement for administrative expenses incurred by the Board during

such fiscal year.

(3) No payment may be made for treatment

provided under the demonstration program to

the extent payment may be made for such treatment under the Catastrophic Health Emergency

Fund described in section 1621a of this title or

from amounts appropriated or otherwise made

available to the California contract health service delivery area for a fiscal year.

(c) Advisory board

There is hereby established an advisory board

which shall advise the California Rural Indian

Health Board in carrying out the demonstration

pursuant to this section. The advisory board

shall be composed of representatives, selected by

the California Rural Indian Health Board, from