[Federal Register Volume 72, Number 119 (Thursday, June 21, 2007)]
[Notices]
[Pages 34262-34267]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 07-3045]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Geographic Composition of the Contract Health Service Delivery 
Areas (CHSDA) and Service Delivery Areas (SDA) of the Indian Health 
Service

AGENCY: Indian Health Service (IHS), Department of Health and Human 
Services (HHS).

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The purpose of this notice is to revise and update the list of 
Contract Health Service Delivery Areas (CHSDA) as defined in 42 CFR 
part 136, Subparts A-C and Service Delivery Areas (SDA) as established 
by the Director, Indian Health Service (IHS) administratively to 
effectuate the intent of Congress. This list replaces and supplements 
the FR notice dated January 10, 1984 (49 FR 1291) establishing CHSDAs 
and FR notice dated August 25, 1988 (53 FR 32460) establishing Health 
Service Delivery Areas (HSDAs).

EFFECTIVE DATE: June 21, 2007.

FOR FURTHER INFORMATION CONTACT: Hankie Ortiz, Director, Division of 
Regulatory Affairs, 801 Thompson Avenue, Rockville, Maryland 20852, 
telephone: (301) 443-1116. (This is not a toll-free number.)

SUPPLEMENTARY INFORMATION: On September 16, 1987, the Department of 
Health and Human Services (HHS) published new final regulations 
governing eligibility for the Indian Health Service (IHS) services at 
52 FR 35044. In the Fiscal Year 1988 Appropriations Act, Section 315, 
Public Law 100-202, Congress delayed implementation of the new 
regulations for one year and imposed a moratorium on the use of 
appropriated funds for implementation of the new regulations in 
subsequent fiscal years. In Section 719(a) ofthe Indian Health Care 
Amendments of 1988, Public Law 100-713, Congress directed that during 
the moratorium that IHS should provide services pursuant to the 
criteria for eligibility for such services that were in effect on 
September 15, 1987. Because the moratorium continues in effect, for the 
convenience of the public, the HHS republished the eligibility 
regulations in effect on September 15, 1987. These regulations appear 
re-designated in the Code of Federal Regulations at Title 42, Part 136, 
Subparts A-C.
    The regulations of September 16, 1987, that are under moratorium, 
provided that the IHS would designate and publish as a notice in the 
Federal Register specific geographic areas within the United States 
including Indian reservations and areas surrounding those reservations 
as Health Service Delivery Areas (HSDAs). The HSDAs are the geographic 
areas within which direct and contract health services may be made 
available by the IHS to eligible individuals who reside within the 
areas. In anticipation of the Congressional moratorium being lifted, 
the IHS on August 25, 1988 published at 53 FR 32460 a list of HSDAs. If 
the Congressional moratorium were lifted, the list was to be effective 
September 16, 1988 or such later date as may be estblished by Congress. 
Because the Congressional moratorium continues in effect, the HSDA list 
never became effective.
    As noted above, the IHS currently provides services under 
regulations in effect on September 15, 1987 and republished at 42 CFR 
Part 136, Subparts A-C. Subpart C defines a Contract Health Service 
Delivery Area (CHSDA) as the geographic area within which contract 
health services will be made available by the IHS to members of an 
identified Indian community who reside in the area. It should be 
clearly understood that residence within a CHSDA or Service Delivery 
Area (SDA) by a person who is within the scope of the Indian health 
program, as set forth in 42 CFR 136.12, creates no legal entitlement to 
contract health services but only potential eligibility for services. 
Services needed but not available at an IHS/tribal facility are 
provided under the Contract Health Services (CHS) program depending on 
the availability of funds, the person's relative medical priority, and 
the actual availability and accessibility of alternate resources in 
accordance with the regulations.
    The purpose of this FR notice is to revise and update the list of 
CHSDAs and SDAs as last published in 1984. The current eligibility 
regulations at 42 CFR 136.22(a)(1)-(5) defines certain CHSDAs by 
designating some States as CHSDAs and certain counties within a state 
as a CHSDA. In addition, Section 136.22(a)(6) provides that:
    With respect to all other reservations (i.e., other than those not 
specifically listed in 42 CFR 136.22(a)(1)-(5)) within the scope of the 
Indian health program, the CHSDA shall consist of a county which 
includes all or part of a reservation, and any county or counties

[[Page 34263]]

which have a common boundary with the reservation.
    The counties included or excluded from the following list of CHSDAs 
were determined by applying the regulations at 42 CFR 136.22 except 
where otherwise provided for by regulations, public laws, or 
congressional action in the appropriations process.
    The list includes those CHSDAs as defined in the regulations at 42 
CFR 136.22, including those CHSDAs designated as exceptions within the 
funded scope and exceptions provided by legislation. In addition, many 
of the newly recognized tribes do not have reservations and either 
Congress has legislatively designated counties to serve as SDAs or the 
Director, IHS exercised reasonable administrative discretion to 
designate SDAs to effectuate the intent of Congress for these tribes. 
The SDAs function as CHSDAs for the purposes of operating a CHS program 
pursuant to the ISDEAA, Pub. L. 93-638. Thus, the CHSDA list 
incorporates the SDAs that operate as CHSDAs for newly recognized 
tribes recognized as of the date of publication of this Notice.
    The CHSDA and SDA list has been modified and updated to include the 
name of the tribe, with the respective reservation in parenthesis 
underneath the name of the tribe, and/or the counties comprising the 
CHSDA or SDA. Any mistakes in the list of CHSDAs and SDAs should be 
brought to the attention of Hankie Ortiz, Director, Division of 
Regulatory Affairs, 801 Thompson Avenue, Rockville, Maryland 20852, 
telephone: (301) 443-1116. Any corrections of mistaken inclusions or 
exclusions of a county or counties in a CHSDA or SDA may be made 
administratively and included in a later FR notice. Redesignation of 
areas included or excluded from a CHSDA for reasons other than a 
mistake is governed by 42 CFR 136.22(b) and may be made by the 
Director, IHS.
    The CHSDA and SDA counties for all tribes and reservations within 
the funded scope of the IHS program are as follows:

    Contract Health Service Delivery Areas and Service Delivery Areas
------------------------------------------------------------------------
           Tribe/Reservation                       County/State
------------------------------------------------------------------------
Ak Chin Indian Community (Ak Chin        Pinal, AZ.
 Indian Reservation).
Alabama-Coushatta Tribe................  Polk, TX.\1\
Alaska.................................  Entire State.\2\
Arapaho Tribe (Wind River Reservation).  Hot Springs, WY, Fremont, WY,
                                          Sublette, WY.
Aroostook Band of Micmac...............  Aroostook, ME.\3\
Assiniboine-Sioux Tribe (Fort Peck       Daniels, MT, McCone, MT,
 Reservation).                            Richland, MT, Roosevelt, MT,
                                          Sheridan, MT, Valley, MT.
Bad River Band of Lake Superior          Ashland, WI, Iron, WI.
 Chippewa (Bad River Reservation).
Bay Mills Indian Community (Bay Mills    Chippewa, MI.
 Reservation).
Blackfeet Tribe (Blackfeet Reservation)  Glacier, MT, Pondera, MT.
Bois Forte Band of Chippewa (Nett Lake   Itasca, MN, Koochiching, MN,
 Reservation).                            St. Louis, MN.
Brigham City Intermountain School        (\4\).
 Health Center.
Bums Paiute Tribe (Bums Paiute Indian    Harney, OR.
 Colony).
California.............................  Entire State, except for the
                                          counties listed in
                                          footnote.\5\
Catawba Indian Nation..................  All Counties in SC,\13\
                                          Cabarrus, NC, Cleveland, NC,
                                          Gaston, NC, Mecklenburg, NC,
                                          Rutherford, NC, Union, NC.
Cayuga Nation of New York..............  Allegany, NY,\13\ Cattaraugus,
                                          NY, Chautaugua, NY, Erie, NY,
                                          Warren, PA.
Cheyenne River Sioux (Cheyenne River     Corson, SD, Dewey, SD, Haakon,
 Reservation).                            SD, Meade, SD, Perkins, SD,
                                          Potter, SD, Stanley, SD,
                                          Sully, SD, Walworth, SD,
                                          Ziebach, SD.
Chippewa-Cree Indians (Rocky Boy         Chouteau, MT, Hill, MT,
 Reservation).                            Liberty, MT.
Chitimacha Tribe.......................  St. Mary Parish, LA.
Cocopah Tribe..........................  Yuma, AZ, Imperial, CA.
Coeur D'Alene Tribe (Coeur D'Alene       Benewah, ID, Kootenai, ID,
 Reservation).                            Latah, ID, Spokane, WA,
                                          Whitman, WA.
Colorado River Indian Tribes (Colorado   La Paz, AZ, Riverside, CA, San
 River Reservation).                      Bernardino, CA, Yuma, AZ.
Confederated Salish & Kootenai Tribes    Flathead, MT, Lake, MT,
 (Flathead Reservation).                  Missoula, MT, Sanders, MT.
Confederated Tribes of Chehalis          Grays Harbor, WA, Lewis, WA,
 (Chehalis Reservation).                  Thurston, WA.
Confederated Tribes of Colville          Chelan, WA,\6\ Douglas, WA,
 (Colville Reservation).                  Ferry, WA, Grant, WA, Lincoln,
                                          WA, Okanogan, WA, Stevens, WA.
Confederated Tribes of Coos, Lower       Coos, OR,\7\ Curry, OR,
 Umpqua & Siuslaw Indians.                Douglas, OR, Lane, OR,
                                          Lincoln, OR.
Confederated Tribes of Goshute (Goshute  Nevada, Juab, UT, Toole, UT.
 Reservation).
Confederated Tribes of Grand Ronde       Polk, OR,\8\ Washington, OR,
 (Grand Ronde Community).                 Marion, OR, Yamhill, OR,
                                          Tillamook, OR, Multnomah, OR.
Confederated Tribes of Siletz (Siletz    Benton, OR,\9\ Clackamas, OR,
 Reservation).                            Lane, OR, Lincoln, OR, Linn,
                                          OR, Marion, OR, Multnomah, OR,
                                          Polk, OR, Tillamook, OR,
                                          Washington, OR, Yam Hill, OR.
Confederated Tribes of Umatilla          Umatilla, OR, Union, OR.
 (Umatilla Reservation).
Confederated Tribes of Warm Springs      Clackamas, OR, Jefferson, OR,
 (Warm Springs Reservation).              Linn, OR, Marion, OR, Wasco,
                                          OR.
Confederated Tribes & Bands of Yakima    Klickitat, WA, Lewis, WA,
 Nation (Yakama Reservation).             Skamania, WA,\10\ Yakima, WA.
Coquille Tribe.........................  Coos, OR,\13\ Curry, OR,
                                          Douglas, OR, Jackson, OR,
                                          Lane, OR.
Coushatta Tribe........................  Allen Parish, LA, Jefferson
                                          Davis, LA.
Cow Creek Band of Umpqua...............  Coos, OR,\11\ Deshutes, OR,
                                          Douglas, OR, Jackson, OR,
                                          Josephine, OR, Klamath, OR,
                                          Lane, OR.
Cowlitz Indian Tribe...................  Clark, WA,\13\ Cowlitz, WA,
                                          King, WA, Lewis, WA, Pierce,
                                          WA, Skamania, WA, Thurston,
                                          WA.
Crow Tribe (Crow Reservation)..........  Big Horn, MT, Carbon, MT,
                                          Treasure, MT,\l4\ Yellowstone,
                                          MT, Big Horn, WY, Sheridan,
                                          WY.
Crow Creek Sioux Tribe (Crow Creek       Brule, SD, Buffalo, SD, Hand,
 Reservation).                            SD, Hughes, SD, Hyde, SD,
                                          Lyman, SD, Stanley, SD.
Eastern Band of Cherokee Indians         Cherokee, NC, Graham, NC,
 (Cherokee Reservation).                  Haywood, NC, Jackson, NC,
                                          Swain, NC.

[[Page 34264]]

 
Flandreau Santee Sioux Tribe...........  Moody, SD.
Fond du Lac Band of Chippewa (Fond du    Carlton, MN, St. Louis, MN.
 Lac Reservation).
Forest County Potawatomi Community.....  Forest, WI, Marinette, WI,
                                          Oconto, WI.
Fort Belknap Indian Community (Fort      Blaine, MT, Phillips, MT.
 Belknap Reservation).
Fort McDermitt Paiute and Shoshone       Nevada, Malheur, OR.
 (Fort McDermitt Reservation).
Fort McDowell Yavapai Nation (Fort       Maricopa, AZ.
 McDowell Reservation).
Fort Mojave Indian Tribe...............  Nevada, Mohave, AZ, San
                                          Bernardino, CA.
Gila River Indian Community (Gila River  Maricopa, AZ, Pinal, AZ.
 Reservation).
Grand Portage Band of Chippewa (Grand    Cook, MN.
 Portage Reservation).
Grand Traverse Band of Ottawa &          Antrim, MI,\15\ Benzie, MI,
 Chippewa.                                Charlevoix, MI, Grand
                                          Traverse, MI, Leelanau, MI,
                                          Manistee, MI.
Hannahville Indian Community...........  Delta, MI, Menominee, MI.
Haskell Indian Health Center...........  Douglas, KS.\l6\ \17\.
Havasupai Tribe (Havasupai Reservation)  Coconino, AZ.
Ho-Chunk Nation of Wisconsin (Winnebago  Adams, WI,\18\ Clark, WI,
 Tribe of Wisconsin).                     Columbia, WI, Crawford, WI,
                                          Dane, WI, Eau Claire, WI,
                                          Houston, MN, Jackson, WI,
                                          Juneau, WI, La Crosse, WI,
                                          Marathon, WI, Monroe, WI,
                                          Sauk, WI, Shawano, WI, Vernon,
                                          WI, Wood, WI.
Hoh Indian Tribe (Hoh Reservation).....  Jefferson, WA.
Hopi Tribe.............................  Apache, AZ, Coconino, AZ,
                                          Navajo, AZ.
Houlton Band of Maliseet Indians.......  Aroostook, ME.\19\
Hualapai Indian Tribe (Hualapai          Coconino, AZ, Mohave, AZ,
 Reservation).                            Yavapai, AZ.
Huron Potawatomi Inc...................  Allegan, MI,\13\ Barry, MI,
                                          Branch, MI, Calhoun, MI,
                                          Kalamazoo, MI, Kent, MI,
                                          Ottawa, MI.
Iowa Tribe.............................  Brown, KS, Doniphan, KS,
                                          Richardson, NE.
Jamestown S'Klallam Tribe..............  Clallam, WA, Jefferson, WA.
Jena Band of Choctaw Indians...........  Grand Parish, LA,\13\ LaSalle
                                          Parish, LA, Rapides Parish,
                                          LA.
Jicarilla Apache Nation (Jicarilla       Archuleta, CO, Rio Arriba, NM,
 Apache Reservation).                     Sandoval, NM.
Kaibab Band of Paiute (Kaibab            Coconino, AZ, Mohave, AZ, Kane,
 Reservation).                            UT.
Kalispel Indian Community (Kalispel      Pend Oreille, WA, Spokane, WA.
 Reservation).
Keweenaw Bay Indian Community (L'Anse    Baraga, MI, Houghton, MI,
 Reservation).                            Ontonagon, MI.
Kickapoo Tribe of Indians (Kickapoo      Brown, KS, Jackson, KS.
 Reservation).
Kickapoo Traditional Tribe of Texas....  Maverick, TX.\20\
Klamath Indian Tribe...................  Klamath, OR.\21\
Kootenai Tribe.........................  Boundary, ID.
Lac Courte Oreilles Band of Lake         Sawyer, WI.
 Superior Chippewa (Lac Courte Oreilles
 Reservation).
Lac du Flambeau Band of Lake Superior    Iron, WI, Oneida, WI, Vilas,
 Chippewa (Lac du Flambeau Reservation).  WI.
Lac Vieux Desert Band of Lake Superior   Gogebic, MI.
 Chippewa.
Leech Lake Band of Chippewa (Leech Lake  Beltrami, MN, Cass, MN,
 Reservation).                            Hubbard, MN, Itasca, MN.
Little River Band of Ottawa Indians....  Kent, MI,\22\ Muskegon, MI,
                                          Newaygo, MI, Oceana, MI,
                                          Ottawa, MI, Manistee, MI,
                                          Mason, MI, Wexford, MI, Lake,
                                          MI.
Little Traverse Bay Bands of Odawa.....  Alcona, MI,\22\ Alger, MI,
                                          Alpena, MI, Antrim, MI,
                                          Benzie, MI, Charlevoix, MI,
                                          Cheboygan, MI, Chippewa, MI,
                                          Crawford, MI, Delta, MI,
                                          Emmet, MI, Grand Traverse, MI,
                                          Iosco, MI, Kalkaska, MI,
                                          Leelanau, MI, Luce, MI,
                                          Mackinac, MI, Manistee, MI,
                                          Missaukee, MI, Montmorency,
                                          MI, Ogemaw, MI, Oscoda, MI,
                                          Otsego, MI, Presque Isle, MI,
                                          Schoolcraft, MI, Roscommon,
                                          MI, Wexford, MI.
Lower Brule Sioux Tribe (Lower Brule     Brule, SD, Buffalo, SD, Hughes,
 Reservation).                            SD, Lyman, SD, Stanley, SD.
Lower Elwha Tribal Community (Lower      Clallam, WA.
 Elwha Reservation).
Lower Sioux Indian Community (Lower      Redwood, MN, Renville, MN.
 Sioux Reservation).
Lummi Tribe (Lummi Reservation)........  Whatcom, WA.
Makah Indian Tribe (Makah Reservation).  Clallam, WA.
Mashantucket Pequot Tribe..............  New London, CT.\23\
Match-e-be-nash-she-wish Band of         Allegan, MI,\13\ Barry, MI,
 Pottawatomi.                             Kalamazoo, MI, Kent, MI,
                                          Ottawa, MI.
Menominee Indian Tribe.................  Langlade, WI, Menominee, WI,
                                          Oconto, WI, Shawano, WI.
Mescalero Apache Tribe (Mescalero        Chaves, NM, Lincoln, NM, Otero,
 Reservation).                            NM
Miccosukee Tribe.......................  Broward, FL, Collier, FL, Miami-
                                          Dade, FL.
Mille Lacs Band of Chippewa (Mille Lacs  Aitkin, MN, Kanebec, MN, Mille
 Reservation).                            Lacs, MN, Pine, MN.
Mississippi Band of Choctaw Indians....  Attala, MS, Jasper, MS,\24\
                                          Jones, MS, Kemper, MS, Leake,
                                          MS, Neshoba, MS, Newton, MS,
                                          Noxubee, MS, Scott, MS,\25\
                                          Winston, MS.
Mohegan Indian Tribe...................  Fairfield, CT, Hartford, CT,
                                          Litchfield, CT, Middlesex, CT,
                                          New Haven, CT, New London, CT,
                                          Tolland, CT, Windham, CT.
Muckleshoot Indian Tribe...............  King, WA, Pierce, WA.
Narragansett Indian Tribe..............  Washington, RI.\26\
Navajo Nation (Navajo Reservation).....  Apache, AZ, Bernalillo, NM,
                                          Cibola, NM, Coconino, AZ,
                                          Kane, UT, McKinley, NM,
                                          Montezuma, CO, Navajo, AZ, Rio
                                          Arriba, NM, Sandoval, NM, San
                                          Juan, NM, San Juan, UT,
                                          Socorro, NM, Valencia, NM.
Nevada.................................  Entire State.\27\

[[Page 34265]]

 
Nez Perce Tribe........................  Clearwater, ID Idaho, ID,
                                          Latah, ID, Lewis, ID, Nez
                                          Perce, ID.
Nisqually Indian Tribe (Nisqually        Pierce, WA, Thurston, WA.
 Reservation).
Nooksack Indian Tribe..................  Whatcom, WA.
Northern Cheyenne Tribe (Northern        Big Horn, MT, Carter, MT,\28\
 Cheyenne Reservation).                   Rosebud, MT.
Northwestern Band of Shoshone Nation     Box Elder, UT.\29\
 (Washakie).
Oglala Sioux Tribe (Pine Ridge           Bennett, SD, Cherry, NE,
 Reservation).                            Custer, SD, Dawes, NE, Fall
                                          River, SD, Jackson, SD,
                                          Mellete, SD, Pennington, SD,
                                          Shannon, SD, Sheridan, NE,
                                          Todd, SD, Washabaugh, SD.
Oklahoma...............................  Entire State.\30\
Omaha Tribe............................  Burt, NE, Cuming, NE, Monona,
                                          IA, Thurston, NE, Wayne, NE.
Oneida Nation..........................  Chenango, NY, Cortland, NY,
                                          Herkimer, NY, Madison, NY,
                                          Oneida, NY, Onondaga, NY.
Oneida Tribe of Indians................  Brown, WI, Outagamie, WI.
Onondaga Nation........................  Onondaga, NY.
Paiute Indian Tribe of Utah............  Iron, UT,\31\ Millard, UT,
                                          Sevier, UT, Washington, UT.
Pascua Yaqui Tribe.....................  Pima, AZ.\32\
Passamaquoddy Tribe....................  Aroostook, ME,\33\ Washington,
                                          ME.
Passamaquoddy Pleasant Point...........  South Washington, ME from
                                          Baring, ME North to Milbridge,
                                          ME, South and West to
                                          Alexander, ME.\34\
Penobscot Tribe........................  Aroostook, ME, Penobscot, ME.
Poarch Band of Creek Indians...........  Baldwin, AL,\35\ Escambia, AL,
                                          Escambia, FL, Elmore, AL,
                                          Mobile, AL, Monroe, AL.
Pokagon Band of Potawatomi Indians.....  Allegan, MI, Berrien, MI, Cass,
                                          MI, Elkhart, IN,\13\
                                          Kosciusko, IN, La Porte, IN,
                                          Marshall, IN, St. Joseph, IN,
                                          Starke, IN, Van Buren, MI.
Ponca Tribe (Northern).................  Boyd, NE,\36\ Charles Mix, SD,
                                          Douglas, NE, Knox, NE,
                                          Lancaster, NE, Madison, NE.
Port Gamble Indian Community...........  Kitsap, WA.
Prairie Band of Potawatomi Nation......  Jackson, KS.
Prairie Island Indian Community          Goodhue, MN.
 (Prairie Island Reservation).
Pueblo of Acoma........................  Cibola, NM.
Pueblo of Cochiti......................  Sandoval, NM, Sante Fe, NM.
Pueblo of Jemez........................  Sandoval, NM.
Pueblo of Isleta.......................  Bernalillo, NM, Cibola, NM,
                                          Socorro, NM, Torrance, NM,
                                          Valencia, NM.
Pueblo of Laguna.......................  Bemalillo, NM, Cibola, NM,
                                          Sandoval, NM, Valencia, NM.
Pueblo of Nambe........................  Santa Fe, NM.
Pueblo of Picuris......................  Taos, NM.
Pueblo of Pojoaque.....................  Rio Arriba, NM, Santa Fe, NM.
Pueblo of San Felipe...................  Sandoval, NM.
Pueblo of San Ildefonso................  Los Alamos, NM, Rio Arriba, NM,
                                          Sandoval, NM, Santa Fe, NM
Pueblo of San Juan.....................  Rio Arriba, NM.
Pueblo of Sandia.......................  Bernalillo, NM, Sandoval, NM.
Pueblo of Santa Ana....................  Sandoval, NM.
Pueblo of Santa Clara..................  Los Alamos, NM, Rio Arriba, NM,
                                          Sandoval, NM, Santa Fe, NM.
Pueblo of Santo Domingo................  Sandoval, NM, Santa Fe, NM.
Pueblo of Taos.........................  Colfax, NM, Taos, NM.
Pueblo of Tesuque......................  Santa Fe, NM.
Pueblo of Zia..........................  Sandoval, NM.
Puyallup Tribe.........................  King, WA, Pierce, WA, Thurston,
                                          WA.
Quechan Tribe (Fort Yuma Indian          Yuma, AZ, Imperial, CA.
 Reservation).
Quileute Tribe (Quileute Reservation)..  Clallam, WA, Jefferson, WA
Quinault Tribe (Ouinalt Reservation)...  Grays Harbor, WA, Jefferson,
                                          WA.
 Rapid City............................  Pennington, SD.\37\
Red Cliff Band of Lake Superior Band of  Bayfield, WI.
 Chippewa.
Red Lake Band of Chippewa Indians (Red   Beltrami, MN, Clearwater, MN,
 Lake Reservation).                       Koochiching, MN, Lake of the
                                          Woods, MN, Marshall, MN,
                                          Pennington, MN, Polk, MN,
                                          Roseau, MN.
Rosebud Sioux Tribe (Rosebud             Bennett, SD, Cherry, NE,
 Reservation).                            Gregory, SD, Lyman, SD,
                                          Mellette, SD, Todd, SD, Tripp,
                                          SD.
Sac & Fox Tribe of the Mississippi in    Tama, IA.
 Iowa.
Sac & Fox Nation of Missouri in Kansas   Brown, KS, Richardson, NE.
 & Nebraska.
Saginaw Chippewa Indian Tribe (Isabella  Arenac, MI,\38\ Clare, MI,
 Reservation).                            Isabella, MI, Midland, MI,
                                          Missaukee, MI.
St. Croix Chippewa Indians(St. Croix     Barron, WI, Burnett, WI, Pine,
 Reservation).                            MN, Polk, WI, Washburn, WI.
St. Regis Band of Mohawk Indians.......  Franklin, NY, St. Lawrence, NY.
Salt River Pima-Maricopa Indian          Maricopa, AZ.
 Community (Salt River Reservation).
Samish Indian Tribe....................  Clallam, WA,\13\ Island, WA,
                                          Jefferson, WA, King, WA,
                                          Kitsap, WA, Pierce, WA, San
                                          Juan, WA, Skagit, WA,
                                          Snohomish, WA, Whatcom, WA.
San Carlos Apache Tribe (San Carlos      Apache, AZ Cochise, AZ, Gila,
 Reservation).                            AZ, Graham, AZ, Greenlee, AZ,
                                          Pinal, AZ.
San Juan Southern Paiute Tribe (Navajo   Coconino, AZ San Juan, UT.
 Reservation).
Santee Sioux (Santee Reservation)......  Bon Homme, SD, Knox, NE.
Sauk-Suiattle Indian Tribe.............  Snohomish, WA, Skagit, WA.

[[Page 34266]]

 
Sault St. Marie Tribe of Chippewa......  Alger, MI,\39\ Chippewa, MI,
                                          Delta, MI, Luce, MI, Mackinac,
                                          MI, Marquette, MI,
                                          Schoolcraft, MI.
Seminole Tribe of Florida..............  Broward, FL, Collier, FL,
                                          Glades, FL, Hendrv, FL.
Seneca Nation..........................  Allegany, NY, Cattaraugus, NY,
                                          Chautaugua, NY, Erie, NY,
                                          Warren, PA.
Shakopee Mdewakanton Sioux Community     Scott, MN.
 (Prior Lake).
Shoal Water Bay Tribe (Shoalwater Bay    Pacific, WA.
 Reservation).
Shoshone Tribe (Wind River Reservation)  Hot Springs, WY, Fremont, WY,
                                          Sublette, WY.
Shoshone-Bannock Tribe (Fort Hall        Bannock,ID, Bingham, ID,
 Reservation).                            Caribou, ID, Lemhi, ID,\40\
                                          Power, ID.
Shoshone-Paiute Tribe (Duck Valley       Nevada, Owyhee, ID.
 Reservation).
Sisseton-Wahpeton Sioux Tribe (Lake      Codington, SD, Day, SD, Grant,
 Traverse Reservation).                   SD, Marshall, SD, Richland,
                                          ND, Roberts, SD, Sargent, ND,
                                          Traverse, MN.
Skokomish Indian Tribe (Skokomish        Mason, WA.
 Reservation).
Skull Valley Band of Goshute Indians...  Tooele, UT.
Snoqualmie Tribe.......................  King, WA,\13\ Snohomish, WA,
                                          Pierce, WA, Island, WA, Mason,
                                          WA.
Sokaogon Chippewa (Mole Lake)..........  Forest, WI.
Southern Ute Indian Tribe (Southern Ute  Archuleta, CO, La Plata, CO,
 Reservation).                            Montezuma, CO, Rio Arriba, NM,
                                          San Juan, NM.
Spirit Lake Tribe (Fort Totten)          Benson, ND, Eddy, ND, Nelson,
 (Devil's Lake Sioux Reservation).        ND, Ramsey, ND.
Spokane Tribe (Spokane Reservation)....  Ferry, WA, Lincoln, WA,
                                          Stevens, WA.
Squaxin Island Tribe (Squaxin Island     Mason, WA.
 Reservation).
Standing Rock Sioux Tribe..............  Adams, ND, Campbell, SD,
                                          Corson, SD, Dewey, SD, Emmons,
                                          ND, Grant, ND, Morton, ND,
                                          Perkins, SD, Sioux, ND,
                                          Walworth, SD, Ziebach, SD.
Stockbridge Munsee Community...........  Menominee, WI, Shawano, WI.
Stillaguamish Tribe....................  Snohomish, WA.
Suquamish Indian Tribe (Port Madison     Kitsap, WA.
 Reservation).
Swinomish Indians (Swinomish             Skagit, WA.
 Reservation).
Three Affiliated Tribes (Fort Berthold   Dunn, ND, Mercer, ND, McKenzie,
 Reservation).                            ND, McLean, ND, Mountrail, ND,
                                          Ward, ND.
Tohono O'odham Nation (Papago).........  Maricopa, AZ, Pima, AZ, Pinal,
                                          AZ.
Tonawanda Band of Seneca...............  Genesee, NY, Erie, NY, Niagara,
                                          NY.
Tonto Apache Tribe of Arizona..........  Gila, AZ.
Trenton Service Unit...................  Divide, ND,\41\ McKenzie, ND,
                                          Williams, ND, Richland, MT,
                                          Roosevelt, MT, Sheridan, MT.
Tulalip Tribes (Tulalip Reservation)...  Snohomish, WA.
Tunica-Biloxi Indian Tribe.............  Avoyelles, LA, Rapides, LA.\42\
Turtle Mountain Band of Chippewa (See    Rolette, ND.\43\
 also, Trenton Service Unit).
Tuscarora Nation.......................  Niagara, NY.
Upper Sioux Community (Upper Sioux       Chippewa, MN, Yellow Medicine,
 Reservation).                            MN.
Upper Skagit Indian Tribe..............  Skagit, WA.
Ute Indian Tribe (Uintah & Ouray         Carbon, UT, Daggett, UT,
 Reservation).                            Duchesne, UT, Emery, UT,
                                          Grand, UT, Rio Blanco, CO,
                                          Summit, UT, Uintah, UT, Utah,
                                          UT, Wasatch, UT.
Ute Mountain Tribe (Ute Mountain         Apache, AZ, La Plata, CO,
 Reservation).                            Montezuma, CO, San Juan, NM,
                                          San Juan, UT.
Wampangoag Tribe of Gay Head (Aquinnah)  Dukes, MA.\12\
Washoe Tribe of Nevada & California....  Entire State of NV, Entire
                                          State of CA, except for the
                                          counties listed in footnote.
White Earth Band of Chippewa (White      Becker, MN, Clearwater, MN,
 Earth Reservation).                      Mahnomen, MN, Norman, MN,
                                          Polk, MN.
White Mountain Apache (Fort Apache       Apache, AZ, Coconino, AZ, Gila,
 Reservation).                            AZ, Graham, AZ, Greenlee, AZ,
                                          Navajo, AZ.
Winnebago Tribe........................  Dakota, NE, Dixon, NE, Monona,
                                          IA, Thurston, NE, Wayne, NE,
                                          Woodbury, IA.
Yankton Sioux Tribe....................  Bon Homme, SD, Boyde, NE,
                                          Charles Mix, SD, Douglas, SD,
                                          Gregory, SD, Hutchinson, SD,
                                          Knox, NE.
Yavapai-Apache Nation (Camp Verde        Yavapai, AZ.
 Indian Reservation).
Yavapai-Prescott Tribe (Yavapai          Yavapai, AZ.
 Reservation).
Ysleta Del Sur Pueblo of Texas.........  El Paso, TX.\1\
Zuni Tribe (Zuni Reservation)..........  Apache, AZ, Cibola, NM,
                                          McKinley, NM, Valencia, NM.
------------------------------------------------------------------------
\1\ Public Law 100-89, Restoration Act for Ysleta Del Sur and Alabama
  and Coushatta Tribes of Texas establishes service areas for ``members
  of the tribe'' by sections 101(3) and 105(a) for the Pueblo and
  sections 201(3) and 206(a) respectively.
\2\ Entire State of Alaska is included as a CHSDA by regulation (42 CFR
  136.22(a)(1)).
\3\ Aroostook Band of Micmac was recognized by Congress on November 26,
  1991 through the Aroostook Band of Micmac Settlement Act. Aroostook
  County was defined as the SDA.
\4\ Special programs established by Congress irrespective of the
  eligibility regulations. Eligibility for services at these facilities
  is based on the legislative history of the appropriation of funds for
  the particular facility, rather than the eligibility regulations and
  historically services have been provided at Brigham City (Pub. L. 88-
  358).
\5\ Entire State of California, excluding counties of Alameda, Contra
  Costa, Los Angeles, Marin, Orange, Sacramento, San Francisco, San
  Mateo, Santa Clara, Kern, Merced, Monterey, Napa, San Benito, San
  Joaquin, San Luis Obispo, Santa Cruz, Solano, Stanislaus, and Ventura,
  is designated a CHSDA (25 U.S.C. 1680).
\6\ Historically part of the Coleville Service Unit population since
  1970.
\7\ Members of the tribe residing in these counties were specified as
  eligible for Federal services and benefits without regard to the
  existence of a Federal Indian reservation (Pub. L. 98-481, and H.
  Rept. No. 98-904).

[[Page 34267]]

 
\8\ Grande Ronde Tribe of Oregon recognized by Pub. L. 98-165, signed
  into law on November 22, 1983, provides for eligibility in these six
  counties without regard to the existence of a reservation.
\9\ In order to carry out the Congressional intent of the Siletz
  Restoration Act, Pub. L. 95-195, as expressed in H. Report No. 95-623,
  at page 4, Siletz tribal members residing in these counties are
  eligible for contract health services.
\10\ Historically part of the Yakirna Service Unit population since
  1979.
\11\ Cow Creek Band of Umpqua recognized by Pub. L. 97-391, signed into
  law on December 29, 1983. House Rept. No. 97-862 designates Douglas,
  Jackson, and Josephine Counties as a service area without regard to
  the existence of a reservation. The IRS later exercised administrative
  discretion to add Coos, Deshutes, Klamath and Lane counties to the
  service delivery area.
\12\ Members of the tribe residing in Martha's Vineyard [are] deemed to
  be living ``on or near an Indian reservation'' for the purposes of
  eligibility for Federal services (Sec. 12, Pub. L. 100-95).
\13\ This is a newly recognized tribe, as documented at 67 FR 46329,
  July 12, 2002. The counties listed were designated administratively as
  the SDA, to function as a CHSDA, for the purposes of the operating a
  CHS program pursuant to the ISDEAA, Pub. L. 93-638.
\14\ Historically part of Crow Service Unit population.
\15\ Historically part of the Grande Traverse Service Unit population
  since 1980.
\16\ Historically part of Kansas Service Unit since 1979.
\17\ Special programs established by Congress irrespective of the
  eligibility regulations. Eligibility for services at these facilities
  is based on the legislative history of the appropriation of funds for
  the particular facility, rather than the eligibility regulations and
  historically services have been provided at Haskell (H. Rept. No. 95-
  392).
\18\ The counties included in this CHSDA were designated by regulation
  (42 CFR 136.22(a)(5)).
\19\ Public Law 97-428 provides for eligibility in or around the Town of
  Houlton without regard to existence of a reservation.
\20\ Texas Band of Kickapoo was recognized by Pub. L. 97-429, signed
  into law on January 8, 1983.The Act provides for eligibility for
  Kickapoo tribal members residing in Maverick County without regard to
  the existence of a reservation.
\21\ Legislative history states that for the purpose of Federal services
  and benefits ``members of the tribe residing in Klamath County shall
  be deemed to be residing in or near a reservation''. (Pub. L. 99-398,
  Sec. 2(2)).
\22\ The Little River Band of Ottawa Indians and the Little Traverse Bay
  Bands of Odawa Indians were recognized by Congress (Pub. L. 103-324,
  Sec. 4(b)(2)) and the listed counties were designated as the SDA, to
  function as a CHSDA, for the purposes of the operating a CHS program
  pursuant to the ISDEAA, Pub. L. 93-638.
\23\ Mashantucket Pequot Indian Claims Settlement Act, Pub. L. 98-134,
  signed into law on October 18, 1983, provides for a reservation in New
  London.
\24\ Choctaw Indians residing in Jasper and Noxubee Counties, MS, will
  continue to be eligible for contract health services. These two
  counties were inadvertently omitted from 42 CFR 136.22.
\25\ Historically part of the Choctaw Service Unit population since
  1970.
\26\ Narragansett Indians recognized by Pub. L. 95-395, signed into law
  September 30, 1978. Lands in Washington County are now federally
  restricted and the Bureau of Indian Affairs considers them as the
  Narragansett Indian Reservation.
\27\ Entire State of Nevada is included as a CHSDA by regulation (42 CFR
  136.22(a)(2)).
\28\ Historically part of the Northern Cheyenne Service Unit population
  since 1979.
\29\ Land of Box Elder County, Utah, taken into trust for the tribe in
  1986.
\30\ Entire State of Oklahoma is included as a CHSDA by regulation (42
  CFR 136.22(a)(3)).
\31\ Paiute Indian Tribe of Utah Reservation Act, Pub. L. 96-227,
  provides for the extension of services to these four counties without
  regard to the existence of a reservation.
\32\ Legislative history (H.R. Report No. 95-1021) to Pub. L. 95-375,
  Extension of Federal Benefits to Pascua Yaqui Indians, Arizona,
  expresses congressional intent that lands conveyed to the tribes
  pursuant to Act of October 8, 1964. (Pub. L. 88-350) shall be deemed a
  Federal Indian Reservation.
\33\ Included to carry out the intention of Congress to fund and provide
  contract health services to Penobscot and Passamaquoddy Indians in
  Aroostook County (Pub. L. 96-420; H. Rept. 96-1353).
\34\ Included to carry out the intention of Congress to fund and provide
  contract health services to Penobscot and Passamaquoddy Indians in
  Aroostook County (Pub. L. 96-420; H. Rept. 96-1353).
\35\ Counties in the Service Unit designated by Congress for the Poarch
  Band of Creek Indians (see H. Rept. 98-886, June 29, 1984; Cong.
  Record, October 10, 1984, Pg. H11929).
\36\ Ponca Restoration Act, Pub. L. 101-484, recognized members of the
  tribe residing in Boyd, Douglas, Knox, Madison or Lancaster counties
  of Nebraska or Charles Mix county of South Dakota shall be deemed to
  be residing on or near a reservation.
\37\ Special programs established by Congress irrespective of the
  eligibility regulations. Eligibility for services at these facilities
  is based on the legislative history of the appropriation of funds for
  the particular facility, rather than the eligibility regulations and
  historically services have been provided at Rapid City South Dakota
  Hospital (S. Rept. No. 1154, FY 1967 Interior Approp. 89th Cong. 2d
  Sess.).
\38\ Historically part of Isabella Reservation Area and Eastern Michigan
  Service Unit population since 1979.
\39\ The counties included in this CHSDA were designated by regulation
  (42 CFR 136.22(a)(4)).
\40\ Historically part of the Fort Hall Service Unit population since
  1979.
\41\ The Secretary acting through the Service is directed to provide
  contract health services to Turtle Mountain Band of Chippewa Indians
  that reside in Trenton Service Area of Divide, Mackenzie, and Williams
  counties in the state of North Dakota and the adjoining counties of
  Riehl and, Roosevelt, and Sheridan in the state of Montana (Sec. 815,
  Pub. L. 94-437).
\42\ Historically part of the Tunica Biloxi Service Unit population
  since 1982.
\43\ The Secretary acting through the Service is directed to provide
  contract health services to Turtle Mountain Band of Chippewa Indians
  that reside in Trenton Service Area of Divide, Mackenzie, and Williams
  counties in the state of North Dakota and the adjoining counties of
  Richland, Roosevelt, and Sheridan in the state of Montana (Sec. 815,
  Pub. L. 94-437).


    Dated: May 11, 2007
Robert G. McSwaim,
Deputy Director, Indian Health Service.
[FR Doc. 07-3045 Filed 6-20-07; 8:45 am]
BILLING CODE 4165-16-M