Federal Register / Vol. 87, No. 74 / Monday, April 18, 2022 / Notices 22917 

proficiency individuals, see https://

www.hhs.gov/civil-rights/forindividuals/special-topics/limitedenglish-proficiency/fact-sheet-guidance/ 

index.html and https://www.lep.gov. 

• For information on your specific 

legal obligations for serving qualified 

individuals with disabilities, including 

reasonable modifications and making 

services accessible to them, see https:// 

www.hhs.gov/civil-rights/forindividuals/disability/index.html. 

• HHS funded health and education 

programs must be administered in an 

environment free of sexual harassment. 

See https://www.hhs.gov/civil-rights/forindividuals/sex-discrimination/ 

index.html. 

• For guidance on administering your 

program in compliance with applicable 

Federal religious nondiscrimination 

laws and applicable Federal conscience 

protection and associated antidiscrimination laws, see https://

www.hhs.gov/conscience/conscienceprotections/index.html and https://

www.hhs.gov/conscience/religiousfreedom/index.html. 

F. Federal Awardee Performance and 

Integrity Information System (FAPIIS) 

The IHS is required to review and 

consider any information about the 

applicant that is in the FAPIIS at 

https://www.fapiis.gov/fapiis/#/home 

before making any award in excess of 

the simplified acquisition threshold 

(currently $250,000) over the period of 

performance. An applicant may review 

and comment on any information about 

itself that a Federal awarding agency 

previously entered. The IHS will 

consider any comments by the 

applicant, in addition to other 

information in FAPIIS, in making a 

judgment about the applicant’s integrity, 

business ethics, and record of 

performance under Federal awards 

when completing the review of risk 

posed by applicants, as described in 45 

CFR 75.205. 

As required by 45 CFR part 75 

appendix XII of the Uniform Guidance, 

NFEs are required to disclose in FAPIIS 

any information about criminal, civil, 

and administrative proceedings, and/or 

affirm that there is no new information 

to provide. This applies to NFEs that 

receive Federal awards (currently active 

grants, cooperative agreements, and 

procurement contracts) greater than 

$10,000,000 for any period of time 

during the period of performance of an 

award/project. 

Mandatory Disclosure Requirements 

As required by 2 CFR part 200 of the 

Uniform Guidance, and the HHS 

implementing regulations at 45 CFR part 

75, the IHS must require an NFE or an 

applicant for a Federal award to 

disclose, in a timely manner, in writing 

to the IHS or pass-through entity all 

violations of Federal criminal law 

involving fraud, bribery, or gratuity 

violations potentially affecting the 

Federal award. 

All applicants and recipients must 

disclose in writing, in a timely manner, 

to the IHS and to the HHS Office of 

Inspector General of all information 

related to violations of Federal criminal 

law involving fraud, bribery, or gratuity 

violations potentially affecting the 

Federal award. 45 CFR 75.113. 

Disclosures must be sent in writing to: 

U.S. Department of Health and Human 

Services, Indian Health Service, 

Division of Grants Management, 

ATTN: Paul Gettys, Deputy Director, 

5600 Fishers Lane, Mail Stop: 09E70, 

Rockville, MD 20857, (Include 

‘‘Mandatory Grant Disclosures’’ in 

subject line), Office: (301) 443–5204, 

Fax: (301) 594–0899, Email: 

Paul.Gettys@ihs.gov. 

And 

U.S. Department of Health and Human 

Services, Office of Inspector General, 

ATTN: Mandatory Grant Disclosures, 

Intake Coordinator, 330 Independence 

Avenue SW, Cohen Building, Room 

5527, Washington, DC 20201, URL: 

https://oig.hhs.gov/fraud/reportfraud/, (Include ‘‘Mandatory Grant 

Disclosures’’ in subject line), Fax: 

(202) 205–0604 (Include ‘‘Mandatory 

Grant Disclosures’’ in subject line), or 

Email: 

MandatoryGranteeDisclosures@

oig.hhs.gov. 

Failure to make required disclosures 

can result in any of the remedies 

described in 45 CFR 75.371 Remedies 

for noncompliance, including 

suspension or debarment (see 2 CFR 

part 180 and 2 CFR part 376). 

VII. Agency Contacts 

1. Questions on the programmatic 

issues may be directed to: Mr. Rick 

Haverkate, Public Health Advisor, 

Office of Clinical and Preventive 

Services, Division of Clinical and 

Community Services, Indian Health 

Service, 5600 Fishers Lane, Mailstop: 

08N34A, Rockville, MD 20857, Phone: 

(954) 909–4834, Email: 

Richard.Haverkate@ihs.gov. 

2. Questions on grants management 

and fiscal matters may be directed to: 

Willis Grant, Grants Management 

Specialist, Indian Health Service, 

Division of Grants Management, 5600 

Fishers Lane, Mail Stop: 09E70, 

Rockville, MD 20857, Phone: (301) 443– 

2214, Email: Willis.Grant@ihs.gov. 

3. Questions on systems matters may 

be directed to: Paul Gettys, Deputy 

Director, Indian Health Service, 

Division of Grants Management, 5600 

Fishers Lane, Mail Stop: 09E70, 

Rockville, MD 20857, Phone: (301) 443– 

2114; or the DGM main line (301) 443– 

5204, Email: Paul.Gettys@ihs.gov. 

VIII. Other Information 

The Public Health Service strongly 

encourages all grant, cooperative 

agreement, and contract recipients to 

provide a smoke-free workplace and 

promote the non-use of all tobacco 

products. In addition, Public Law 103– 

227, the Pro-Children Act of 1994, 

prohibits smoking in certain facilities 

(or in some cases, any portion of the 

facility) in which regular or routine 

education, library, day care, health care, 

or early childhood development 

services are provided to children. This 

is consistent with the HHS mission to 

protect and advance the physical and 

mental health of the American people. 

Elizabeth A. Fowler, 

Acting Director, Indian Health Service. 

[FR Doc. 2022–08250 Filed 4–15–22; 8:45 am] 

BILLING CODE 4165–16–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Notice of Purchased/Referred Care 

Delivery Area Redesignation for the 

Minnesota Chippewa Tribe, Minnesota, 

Mille Lacs Band of Ojibwe 

AGENCY: Indian Health Service, Health 

and Human Services. 

ACTION: Final notice. 

SUMMARY: Notice is hereby given that 

the Indian Health Service (IHS) has 

decided to expand the geographic 

boundaries of the Purchased/Referred 

Care Delivery Area (PRCDA) for the 

Mille Lacs Band of Ojibwe in the State 

of Minnesota to include the Minnesota 

counties of Crow Wing and Morrison in 

the State of Minnesota. The final 

PRCDA for the Mille Lacs Band of 

Ojibwe is now the Minnesota counties 

of Aitkin, Crow Wing, Kanebec, Mille 

Lacs, Morrison, and Pine. Mille Lacs 

Band of Ojibwe members residing 

outside of the PRCDA are eligible for 

direct care services, however, they are 

not eligible for Purchased/Referred Care 

(PRC) services. The sole purpose of this 

expansion is to authorize additional 

Mille Lacs Band of Ojibwe members and 

beneficiaries to receive PRC services. 

DATES: This expansion is effective as of 

the publication date of this notice. 


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22918 Federal Register / Vol. 87, No. 74 / Monday, April 18, 2022 / Notices 

ADDRESSES: This notice can be found at 

https://www.federalregister.gov. Written 

requests for information should be 

delivered to: CAPT John Rael, Director, 

Office of Resource Access and 

Partnerships, Indian Health Service, 

5600 Fishers Lane, Mail Stop 10E85C, 

Rockville, MD 20857, (301) 443–0609 

(This is not a toll-free number). 

SUPPLEMENTARY INFORMATION: 

Inspection of Public Comments: All 

comments received before the close of 

the comment period are available for 

viewing by the public, including any 

personally identifiable or confidential 

business information that is included in 

a comment. 

Background: The IHS provides 

services under regulations in effect as of 

September 15, 1987, and republished at 

42 CFR part 136, subparts A–C. Subpart 

C defines a Contract Health Service 

Delivery Area (CHSDA), now referred to 

as a PRCDA, as the geographic area 

within which PRC will be made 

available by the IHS to members of an 

identified Indian community who reside 

in the PRCDA. Residence within a 

PRCDA 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 PRC but only 

potential eligibility for services. 

Services needed, but not available at an 

IHS/Tribal facility, are provided under 

the PRC program depending on the 

availability of funds, the relative 

medical priority of the services to be 

provided, and the actual availability and 

accessibility of alternate resources in 

accordance with the regulations. 

As applicable to the Tribes, these 

regulations provide that, unless 

otherwise designated, a PRCDA shall 

consist of a county which includes all 

or part of a reservation and any county 

or counties which have a common 

boundary with the reservation (42 CFR 

136.22(a)(6)). The regulations also 

provide that after consultation with the 

Tribal governing body or bodies on 

those reservations included within the 

PRCDA, the Secretary may, from time to 

time, redesignate areas within the 

United States for inclusion in or 

exclusion from a PRCDA. The 

regulations require that certain criteria 

must be considered before any 

redesignation is made. The criteria are 

as follows: 

The number of Indians residing in the 

area proposed to be so included or 

excluded; 

Whether the Tribal governing body 

has determined that Indians residing in 

the area near the reservation are socially 

and economically affiliated with the 

Tribe; 

The geographic proximity to the 

reservation of the area whose inclusion 

or exclusion is being considered; and 

The level of funding that would be 

available for the provision of PRC. 

Additionally, the regulations require 

that any redesignation of a PRCDA must 

be made in accordance with the 

Administrative Procedure Act (5 U.S.C. 

553). In compliance with this 

requirement, IHS published a proposed 

notice of redesignation of the Mille Lacs 

Band of Ojibwe PRCDA to include the 

Minnesota counties of Crow Wing and 

Morrison and requested public 

comments on October 14, 2020 (85 FR 

65055). IHS did not receive any public 

comments in response to the proposed 

notice of redesignation. 

In support of this expansion, IHS 

adopts the following findings of the 

Mille Lacs Band of Ojibwe, which had 

requested that IHS expand the Mille 

Lacs Band of Ojibwe PRCDA to include 

the Minnesota counties of Crow Wing 

and Morrison: 

By expanding, the Mille Lacs Band of 

Ojibwe estimates the current eligible 

population will be increased by 324. 

The Mille Lacs Band of Ojibwe has 

determined that these 324 individuals 

are members of the Mille Lacs Band of 

Ojibwe and they are socially and 

economically affiliated with the Mille 

Lacs Band of Ojibwe. 

The expanded area, including Crow 

Wing and Morrison counties in the State 

of Minnesota, maintains a common 

boundary with the current PRCDA 

consisting of Aitkin, Kanebec, Mille 

Lacs, and Pine counties in the State of 

Minnesota. 

The Mille Lacs Band of Ojibwe will 

use its existing Federal allocation for 

PRC funds to provide services to the 

expanded population. IHS will allocate 

no additional financial resources to the 

Mille Lacs Band of Ojibwe to provide 

services to Mille Lacs Band of Ojibwe 

members residing in Crow Wing and 

Morrison counties in the State of 

Minnesota. 

Public Comments: IHS did not receive 

any public comments in response to the 

proposed notice of redesignation. 

Tribe/reservation County/state 

Ak Chin Indian Community ....................................................................... Pinal, AZ. 

Alabama-Coushatta Tribes of Texas ........................................................ Polk, TX.1

Alaska ....................................................................................................... Entire State.2

Arapahoe Tribe of the Wind River Reservation, Wyoming ...................... Hot Springs, WY, Fremont, WY, Sublette, WY. 

Aroostook Band of Micmacs ..................................................................... Aroostook, ME.3

Assiniboine and Sioux Tribes of the Fort Peck Indian Reservation, Montana.Daniels, MT, McCone, MT, Richland, MT, Roosevelt, MT, Sheridan, 

MT, Valley, MT. 

Bad River Band of the Lake Superior Tribe of Chippewa Indians of the 

Bad River Reservation, Wisconsin.

Ashland, WI, Iron, WI. 

Bay Mills Indian Community, Michigan ..................................................... Chippewa, MI. 

Blackfeet Tribe of the Blackfeet Indian Reservation of Montana ............. Glacier, MT, Pondera, MT. 

Brigham City Intermountain School Health Center, Utah ......................... Permanently closed on May 17, 1984.4

Burns Paiute Tribe .................................................................................... Harney, OR. 

California ................................................................................................... Entire State, except for the counties listed in the footnote.5

Catawba Indian Nation (AKA Catawba Tribe of South Carolina) ............. All Counties in SC,6 Cabarrus, NC, Cleveland, NC, Gaston, NC, Mecklenburg, NC, Rutherford, NC, Union, NC. 

Cayuga Nation .......................................................................................... Alleghany, NY,7 Cattaraugus, NY, Chautauqua, NY, Erie, NY, Warren, 

PA. 

Chickahominy Indian Tribe ....................................................................... New Kent, VA, James City, VA, Charles City, VA, Henrico, VA.8

Chickahominy Indian Tribe—Eastern Division ......................................... New Kent, VA, James City, VA, Charles City, VA, Henrico, VA.9

Cheyenne River Sioux Tribe of the Cheyenne River Reservation, South 

Dakota.

Corson, SD, Dewey, SD, Haakon, SD, Meade, SD, Perkins, SD, Potter, SD, Stanley, SD, Sully, SD, Walworth, SD, Ziebach, SD. 

Chippewa-Cree Indians of the Rocky Boy’s Reservation, Montana ........ Chouteau, MT, Hill, MT, Liberty, MT. 

Chitimacha Tribe of Louisiana .................................................................. St. Mary Parish, LA. 

Cocopah Tribe of Arizona ......................................................................... Yuma, AZ, Imperial, CA. 

Coeur D’Alene Tribe ................................................................................. Benewah, ID, Kootenai, ID, Latah, ID, Spokane, WA, Whitman, WA. 


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Tribe/reservation County/state 

Colorado River Indian Tribes of the Colorado River Indian Reservation, 

Arizona and California.

La Paz, AZ, Riverside, CA, San Bernardino, CA, Yuma, AZ. 

Confederated Salish and Kootenai Tribes of the Flathead Reservation .. Flathead, MT, Lake, MT, Missoula, MT, Sanders, MT. 

Confederated Tribes and Bands of the Yakama Nation .......................... Klickitat, WA, Lewis, WA, Skamania, WA,10 Yakima, WA. 

Confederated Tribes of Siletz Indians of Oregon ..................................... Benton, OR,11 Clackamas, OR, Lane, OR, Lincoln, OR, Linn, OR, Marion, OR, Multnomah, OR, Polk, OR, Tillamook, OR, Washington, 

OR, Yamhill, OR. 

Confederated Tribes of the Chehalis Reservation ................................... Grays Harbor, WA, Lewis, WA, Thurston, WA. 

Confederated Tribes of the Colville Reservation ...................................... Chelan, WA,12 Douglas, WA, Ferry, WA, Grant, WA, Lincoln, WA, 

Okanogan, WA, Stevens, WA. 

Confederated Tribes of the Coos, Lower Umpqua and Siuslaw Indians Coos, OR,13 Curry, OR, Douglas, OR, Lane, OR, Lincoln, OR. 

Confederated Tribes of the Goshute Reservation, Nevada and Utah ..... The entire State of Nevada, Juab, UT, Toole, UT. 

Confederated Tribes of the Grand Ronde Community of Oregon ........... Marion, OR, Multnomah, OR, Polk, OR,14 Tillamook, OR, Washington, 

OR, Yamhill, OR. 

Confederated Tribes of the Umatilla Indian Reservation ......................... Umatilla, OR, Union, OR. 

Confederated Tribes of the Warm Springs Reservation of Oregon ......... Clackamas, OR, Jefferson, OR, Linn, OR, Marion, OR, Wasco, OR. 

Coquille Indian Tribe ................................................................................. Coos, OR, Curry, OR, Douglas, OR, Jackson, OR, Lane, OR. 

Coushatta Tribe of Louisiana .................................................................... Allen Parish, LA, the city limits of Elton, LA.15

Cow Creek Band of Umpqua Tribe of Indians ......................................... Coos, OR,16 Deshutes, OR, Douglas, OR, Jackson, OR, Josephine, 

OR, Klamath, OR, Lane, OR. 

Cowlitz Indian Tribe .................................................................................. Clark, WA, Cowlitz, WA, King, WA, Lewis, WA, Peirce, WA, Skamania, 

WA, Thurston, WA, Columbia, OR,17 Kittitas, WA, Wahkiakum, WA. 

Crow Creek Sioux Tribe of the Crow Creek Reservation, South Dakota Brule, SD, Buffalo, SD, Hand, SD, Hughes, SD, Hyde, SD, Lyman, SD, 

Stanley, SD. 

Crow Tribe of Montana ............................................................................. Big Horn, MT, Carbon, MT, Treasure, MT,18 Yellowstone, MT, Big 

Horn, WY, Sheridan, WY. 

Eastern Band of Cherokee Indians .......................................................... Cherokee, NC, Graham, NC, Haywood, NC, Jackson, NC, Swain, NC. 

Eastern Shoshone Tribe of the Wind River Reservation, Wyoming ........ Hot Springs, WY, Fremont, WY, Sublette, WY. 

Flandreau Santee Sioux Tribe of South Dakota ...................................... Moody, SD. 

Forest County Potawatomi Community, Wisconsin .................................. Forest, WI, Marinette, WI, Oconto, WI. 

Fort Belknap Indian Community of the Fort Belknap Reservation of 

Montana.

Blaine, MT, Phillips, MT. 

Fort McDermitt Paiute and Shoshone Tribes of the Fort McDermitt Indian Reservation, Nevada and Oregon.The entire State of Nevada, Malheur, OR. 

Fort McDowell Yavapai Nation, Arizona ................................................... Maricopa, AZ. 

Fort Mojave Indian Tribe of Arizona, California and Nevada ................... The entire State of Nevada, Mohave, AZ, San Bernardino, CA. 

Gila River Indian Community of the Gila River Indian Reservation, Arizona.Maricopa, AZ, Pinal, AZ. 

Grand Traverse Band of Ottawa and Chippewa Indians, Michigan ......... Antrim, MI,19 Benzie, MI, Charlevoix, MI, Grand Traverse, MI, 

Leelanau, MI, Manistee, MI. 

Hannahville Indian Community, Michigan ................................................ Delta, MI, Menominee, MI. 

Haskell Indian Health Center .................................................................... Douglas, KS.20

Havasupai Tribe of the Havasupai Reservation, Arizona ......................... Coconino, AZ, Mohave, AZ.21

Ho-Chunk Nation of Wisconsin ................................................................. Adams, WI,22 Clark, WI, 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 ....................................................................................... Jefferson, WA. 

Hopi Tribe of Arizona ................................................................................ Apache, AZ, Coconino, AZ, Navajo, AZ. 

Houlton Band of Maliseet Indians ............................................................. Aroostook, ME.23

Hualapai Indian Tribe of the Hualapai Indian Reservation, Arizona ........ Coconino, AZ, Mohave, AZ, Yavapai, AZ. 

Iowa Tribe of Kansas and Nebraska ........................................................ Brown, KS, Doniphan, KS, Richardson, NE. 

Jamestown S’Klallam Tribe ...................................................................... Clallam, WA, Jefferson, WA. 

Jena Band of Choctaw Indians ................................................................. Grand Parish, LA,24 LaSalle Parish, LA, Rapides, LA. 

Jicarilla Apache Nation, New Mexico ....................................................... Archuleta, CO, Rio Arriba, NM, Sandoval, NM. 

Kaibab Band of Paiute Indians of the Kaibab Indian Reservation, Arizona.Coconino, AZ, Mohave, AZ, Kane, UT. 

Kalispel Indian Community of the Kalispel Reservation ........................... Pend Oreille, WA, Spokane, WA. 

Kewa Pueblo, New Mexico (previously listed as the Pueblo of Santo 

Domingo).

Sandoval, NM, Santa Fe, NM. 

Keweenaw Bay Indian Community, Michigan .......................................... Baraga, MI, Houghton, MI, Ontonagon, MI. 

Kickapoo Traditional Tribe of Texas ......................................................... Maverick, TX.25

Kickapoo Tribe of Indians of the Kickapoo Reservation in Kansas ......... Brown, KS, Jackson, KS. 

Klamath Tribes .......................................................................................... Klamath, OR.26

Koi Nation of Northern California (formerly known as Lower Lake 

Rancheria, California).

Lake, CA, Sonoma, CA.27

Kootenai Tribe of Idaho ............................................................................ Boundary, ID. 

Lac Courte Oreilles Band of Superior Chippewa Indians of Wisconsin ... Sawyer, WI. 

Lac du Flambeau Band of Lake Superior Chippewa Indians of the Lac 

du Flambeau Reservation of Wisconsin.

Iron, WI, Oneida, WI, Vilas, WI. 

Lac Vieux Desert Band of Lake Superior Chippewa Indians of Michigan Gogebic, MI. 

Little River Band of Ottawa Indians, Michigan ......................................... Kent, MI,28 Muskegon, MI, Newaygo, MI, Oceana, MI, Ottawa, MI, 

Manistee, MI, Mason, MI, Wexford, MI, Lake, MI. 

Little Shell Tribe of Chippewa Indians of Montana .................................. Blaine, MT, Cascade, MT, Glacier, MT, Hill, MT.29


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Tribe/reservation County/state 

Little Traverse Bay Bands of Odawa Indians, Michigan .......................... Alcona, MI,30 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 of the Lower Brule Reservation, South Dakota Brule, SD, Buffalo, SD, Hughes, SD, Lyman, SD, Stanley, SD. 

Lower Elwha Tribal Community ................................................................ Clallam, WA. 

Lower Sioux Indian Community in the State of Minnesota ...................... Redwood, MN, Renville, MN. 

Lummi Tribe of the Lummi Reservation ................................................... Whatcom, WA. 

Makah Indian Tribe of the Makah Indian Reservation ............................. Clallam, WA. 

Mashantucket Pequot Indian Tribe ........................................................... New London, CT.31

Mashpee Wampanoag Tribe .................................................................... Barnstable, MA, Bristol, MA, Norfolk, MA, Plymouth, MA, Suffolk, 

MA.32

Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan .... Allegan, MI,33 Barry, MI, Kalamazoo, MI, Kent, MI, Ottawa, MI. 

Menominee Indian Tribe of Wisconsin ..................................................... Langlade, WI, Menominee, WI, Oconto, WI, Shawano, WI. 

Mescalero Apache Tribe of the Mescalero Reservation, New Mexico .... Chaves, NM, Lincoln, NM, Otero, NM. 

Miccosukee Tribe of Indians ..................................................................... Broward, FL, Collier, FL, Miami-Dade, FL, Hendry, FL. 

Minnesota Chippewa Tribe, Minnesota, Bois Forte Band (Nett Lake) ..... Itasca, MN, Koochiching, MN, St. Louis, MN. 

Minnesota Chippewa Tribe, Minnesota, Fond du Lac Band .................... Carlton, MN, St. Louis, MN. 

Minnesota Chippewa Tribe, Minnesota, Grand Portage Band ................. Cook, MN. 

Minnesota Chippewa Tribe, Minnesota, Leech Lake Band ...................... Beltrami, MN, Cass, MN, Hubbard, MN, Itasca, MN. 

Minnesota Chippewa Tribe, Minnesota, Mille Lacs Band ........................ Aitkin, MN, Crow Wing, MN,34 Kanebec, MN, Mille Lacs, MN, Morrison, MN,35 Pine, MN. 

Minnesota Chippewa Tribe, Minnesota, White Earth Band ..................... Becker, MN, Clearwater, MN, Mahnomen, MN, Norman, MN, Polk, 

MN. 

Mississippi Band of Choctaw Indians ....................................................... Attala, MS, Jasper, MS,36 Jones, MS, Kemper, MS, Leake, MS, 

Neshoba, MS, Newton, MS, Noxubee, MS,37 Scott, MS,38 Winston, 

MS. 

Mohegan Tribe of Indians of Connecticut ................................................ Fairfield, CT, Hartford, CT, Litchfield, CT, Middlesex, CT, New Haven, 

CT, New London, CT, Tolland, CT, Windham, CT. 

Monacan Indian Nation ............................................................................. Amherst, VA, Nelson, VA, Albemarle, VA, Buckingham, VA, Appomattox, VA, Campbell, VA, Bedford, VA, Botetourt, VA, Rockbridge, 

VA, Augusta, VA, and the independent cities of Lynchburg, VA, Lexington, VA, Buena Vista, VA, Staunton, VA, Waynesboro, VA, and 

Charlottesville, VA.39

Muckleshoot Indian Tribe .......................................................................... King, WA, Pierce, WA. 

Nansemond Indian Tribe .......................................................................... The independent cities of Chesapeake, VA, Hampton, VA, Newport 

News, VA, Norfolk, VA, Portsmouth, VA, Suffolk, VA, and Virginia 

Beach, VA.40

Narragansett Indian Tribe ......................................................................... Washington, RI.41

Navajo Nation, Arizona, New Mexico, & Utah .......................................... 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.42

Nez Perce Tribe ........................................................................................ Clearwater, ID, Idaho, ID, Latah, ID, Lewis, ID, Nez Perce, ID. 

Nisqually Indian Tribe ............................................................................... Pierce, WA, Thurston, WA. 

Nooksack Indian Tribe .............................................................................. Whatcom, WA. 

Northern Cheyenne Tribe of the Northern Cheyenne Indian Reservation, Montana.Big Horn, MT, Carter, MT,43 Rosebud, MT. 

Northwestern Band of Shoshone Nation .................................................. Box Elder, UT,44 Davis, UT, Salt Lake, UT, Weber, UT.45

Nottawaseppi Huron Band of the Pottawatomi, Michigan ........................ Allegan, MI,46 Barry, MI, Branch, MI, Calhoun, MI, Kalamazoo, MI, 

Kent, MI, Ottawa, MI. 

Oglala Sioux Tribe .................................................................................... Bennett, SD, Cherry, NE, Custer, SD, Dawes, NE, Fall River, SD, 

Jackson, SD,47 Mellette, SD, Pennington, SD, Shannon, SD, Sheridan, NE, Todd, SD. 

Ohkay Owingeh, New Mexico .................................................................. Rio Arriba, NM. 

Oklahoma .................................................................................................. Entire State.48

Omaha Tribe of Nebraska ........................................................................ Burt, NE, Cuming, NE, Monona, IA, Thurston, NE, Wayne, NE. 

Oneida Nation (previously listed as the Oneida Tribe of Indians of Wisconsin).Brown, WI, Outagamie, WI. 

Oneida Indian Nation (previously listed as the Oneida Nation of New 

York).

Chenango, NY, Cortland, NY, Herkimer, NY, Madison, NY, Oneida, 

NY, Onondaga, NY. 

Onondaga Nation ...................................................................................... Onondaga, NY. 

Paiute Indian Tribe of Utah ....................................................................... Iron, UT,49 Millard, UT, Sevier, UT, Washington, UT. 

Pamunkey Indian Tribe ............................................................................. Caroline, VA, Hanover, VA, Henrico, VA, King William, VA, King and 

Queen, VA, New Kent, VA, and the independent city of Richmond, 

VA.50

Pascua Yaqui Tribe of Arizona ................................................................. Pima, AZ.51

Passamaquoddy Tribe .............................................................................. Aroostook, ME,52 53 Hancock, ME,54 Washington, ME. 

Penobscot Nation ...................................................................................... Aroostook, ME,55 Penobscot, ME. 

Poarch Band of Creeks ............................................................................ Baldwin, AL,56 Elmore, AL, Escambia, AL, Mobile, AL, Monroe, AL, 

Escambia, FL. 


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Tribe/reservation County/state 

Pokagon Band of Pottawatomi Indians, Michigan and Indiana ................ Allegan, MI,57 Berrien, MI, Cass, MI, Elkhart, IN, Kosciusko, IN, La 

Porte, IN, Marshall, IN, St. Joseph, IN, Starke, IN, Van Buren, MI. 

Ponca Tribe of Nebraska .......................................................................... Boyd, NE,58 Burt, NE, Charles Mix, SD, Douglas, NE, Hall, NE, Holt, 

NE, Knox, NE, Lancaster, NE, Madison, NE, Platte, NE, 

Pottawatomie, IA, Sarpy, NE, Stanton, NE, Wayne, NE, Woodbury, 

IA. 

Port Gamble S’Klallam Tribe .................................................................... Kitsap, WA. 

Prairie Band of Pottawatomi Nation ......................................................... Jackson, KS. 

Prairie Island Indian Community in the State of Minnesota ..................... Goodhue, MN. 

Pueblo of Acoma, New Mexico ................................................................ Cibola, NM. 

Pueblo of Cochiti, New Mexico ................................................................. Sandoval, NM, Santa Fe, NM. 

Pueblo of Isleta, New Mexico ................................................................... Bernalillo, NM, Torrance, NM, Valencia, NM. 

Pueblo of Jemez, New Mexico ................................................................. Sandoval, NM. 

Pueblo of Laguna, New Mexico ................................................................ Bernalillo, NM, Cibola, NM, Sandoval, NM, Valencia, NM. 

Pueblo of Nambe, New Mexico ................................................................ Santa Fe, NM. 

Pueblo of Picuris, New Mexico ................................................................. Taos, NM. 

Pueblo of Pojoaque, New Mexico ............................................................ Rio Arriba, NM, Santa Fe, NM. 

Pueblo of San Felipe, New Mexico .......................................................... Sandoval, NM. 

Pueblo of San Ildefonso, New Mexico ..................................................... Los Alamos, NM, Rio Arriba, NM, Sandoval, NM, Santa Fe, NM. 

Pueblo of Sandia, New Mexico ................................................................ Bernalillo, NM, Sandoval, NM. 

Pueblo of Santa Ana, New Mexico ........................................................... Sandoval, NM. 

Pueblo of Santa Clara, New Mexico ........................................................ Los Alamos, NM, Sandoval, NM, Santa Fe, NM. 

Pueblo of Taos, New Mexico .................................................................... Colfax, NM, Taos, NM. 

Pueblo of Tesuque, Mexico ...................................................................... Santa Fe, NM. 

Pueblo of Zia, New Mexico ....................................................................... Sandoval, NM. 

Puyallup Tribe of the Puyallup Reservation ............................................. King, WA, Pierce, WA, Thurston, WA. 

Quechan Tribe of the Fort Yuma Indian Reservation, Arizona and California.Yuma, AZ, Imperial, CA. 

Quileute Tribe of the Quileute Reservation .............................................. Clallam, WA, Jefferson, WA. 

Quinault Indian Nation .............................................................................. Grays Harbor, WA, Jefferson, WA. 

Rapid City, South Dakota ......................................................................... Pennington, SD.59

Rappahannock Tribe, Inc. ......................................................................... King and Queen County, VA, Caroline County, VA, Essex County, VA, 

King William County, VA.60

Red Cliff Band of Lake Superior Chippewa Indians of Wisconsin ........... Bayfield, WI. 

Red Lake Band of Chippewa Indians, Minnesota .................................... Beltrami, MN, Clearwater, MN, Koochiching, MN, Lake of the Woods, 

MN, Marshall, MN, Pennington, MN, Polk, MN, Roseau, MN. 

Rosebud Sioux Tribe of the Rosebud Indian Reservation, South Dakota Bennett, SD, Cherry, NE, Gregory, SD, Lyman, SD, Mellette, SD, 

Todd, SD, Tripp, SD. 

Sac & Fox Nation of Missouri in Kansas and Nebraska .......................... Brown, KS, Richardson, NE. 

Sac & Fox Tribe of the Mississippi in Iowa .............................................. Tama, IA. 

Saginaw Chippewa Indian Tribe of Michigan ........................................... Arenac, MI,61 Clare, MI, Isabella, MI, Midland, MI, Missaukee, MI. 

Saint Regis Mohawk Tribe ........................................................................ Franklin, NY, St. Lawrence, NY.

Salt River Pima-Maricopa Indian Community of the Salt River Reservation, Arizona.Maricopa, AZ. 

Samish Indian Nation ................................................................................ Clallam, WA,62 Island, WA, Jefferson, WA, King, WA, Kitsap, WA, 

Pierce, WA, San Juan, WA, Skagit, WA, Snohomish, WA, Whatcom, 

WA. 

San Carlos Apache Tribe of the San Carlos Reservation, Arizona ......... Apache, AZ, Cochise, AZ, Gila, AZ, Graham, AZ, Greenlee, AZ, Pinal, 

AZ. 

San Juan Southern Paiute Tribe of Arizona ............................................. Coconino, AZ, San Juan, UT. 

Santee Sioux Nation, Nebraska ............................................................... Bon Homme, SD, Knox, NE. 

Sauk-Suiattle Indian Tribe ........................................................................ Snohomish, WA, Skagit, WA. 

Sault Ste. Marie Tribe of Chippewa Indians, Michigan ............................ Alger, MI,63 Chippewa, MI, Delta, MI, Luce, MI, Mackinac, MI, Marquette, MI, Schoolcraft, MI. 

Seminole Tribe of Florida ......................................................................... Broward, FL, Collier, FL, Miami-Dade, FL, Glades, FL, Hendry, FL. 

Seneca Nation of Indians ......................................................................... Alleghany, NY, Cattaraugus, NY, Chautauqua, NY, Erie, NY, Warren, 

PA. 

Shakopee Mdewakanton Sioux Community of Minnesota ....................... Scott, MN. 

Shinnecock Indian Nation ......................................................................... Nassau, NY,64 Suffolk, NY. 

Shoalwater Bay Tribe of the Shoalwater Bay Indian Reservation ........... Pacific, WA. 

Shoshone-Bannock Tribes of the Fort Hall Reservation .......................... Bannock, ID, Bingham, ID, Caribou, ID, Lemhi, ID,65 Power, ID. 

Shoshone-Paiute Tribes of the Duck Valley Reservation, Nevada .......... The entire state of Nevada, Owyhee, ID. 

Sisseton-Wahpeton Oyate of the Lake Traverse Reservation, South Dakota.Codington, SD, Day, SD, Grant, SD, Marshall, SD, Richland, ND, Roberts, SD, Sargent, ND, Traverse, MN. 

Skokomish Indian Tribe ............................................................................ Mason, WA. 

Skull Valley Band of Goshute Indians of Utah ......................................... Tooele, UT. 

Snoqualmie Indian Tribe ........................................................................... King, WA,66 Snohomish, WA, Pierce, WA, Island, WA, Mason, WA. 

Sokaogon Chippewa Community, Wisconsin ........................................... Forest, WI. 

Southern Ute Indian Tribe of the Southern Ute Reservation, Colorado .. Archuleta, CO, La Plata, CO, Montezuma, CO, Rio Arriba, NM, San 

Juan, NM. 

Spirit Lake Tribe, North Dakota ................................................................ Benson, ND, Eddy, ND, Nelson, ND, Ramsey, ND. 

Spokane Tribe of the Spokane Reservation ............................................ Ferry, WA, Lincoln, WA, Stevens, WA. 

Squaxin Island Tribe of the Squaxin Island Reservation ......................... Mason, WA. 

St. Croix Chippewa Indians of Wisconsin ................................................ Barron, WI, Burnett, WI, Pine, MN, Polk, WI, Washburn, WI. 


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Tribe/reservation County/state 

Standing Rock Sioux Tribe of North & South Dakota .............................. Adams, ND, Campbell, SD, Corson, SD, Dewey, SD, Emmons, ND, 

Grant, ND, Morton, ND, Perkins, SD, Sioux, ND, Walworth, SD, 

Ziebach, SD. 

Stillaguamish Tribe of Indians of Washington .......................................... Snohomish, WA. 

Stockbridge Munsee Community, Wisconsin ........................................... Menominee, WI, Shawano, WI. 

Suquamish Indian Tribe of the Port Madison Reservation ....................... Kitsap, WA. 

Swinomish Indian Tribal Community ........................................................ Skagit, WA. 

Tejon Indian Tribe ..................................................................................... The State of California including Kern, CA.67

Three Affiliated Tribes of the Fort Berthold Reservation, North Dakota .. Dunn, ND, Mercer, ND, McKenzie, ND, McLean, ND, Mountrail, ND, 

Ward, ND. 

Tohono O’odham Nation of Arizona ......................................................... Maricopa, AZ, Pima, AZ, Pinal, AZ. 

Tolowa Dee-ni’ Nation (formerly known as Smith River Rancheria of 

California).

California, Curry, OR.68

Tonawanda Band of Seneca .................................................................... Genesee, NY, Erie, NY, Niagara, NY.

Tonto Apache Tribe of Arizona ................................................................. Gila, AZ. 

Trenton Service Unit, North Dakota and Montana ................................... Divide, ND,69 McKenzie, ND, Williams, ND, Richland, MT, Roosevelt, 

MT, Sheridan, MT. 

Tulalip Tribes of Washington .................................................................... Snohomish, WA. 

Tunica-Biloxi Indian Tribe ......................................................................... Avoyelles, LA, Rapides, LA.70

Turtle Mountain Band of Chippewa Indians of North Dakota ................... Rolette, ND. 

Tuscarora Nation ...................................................................................... Niagara, NY. 

Upper Mattaponi Tribe .............................................................................. Caroline, VA, Charles City, VA, Essex, VA, Hanover, VA, Henrico, VA, 

James City, VA, King and Queen, VA, King William, VA, Middlesex, 

VA, New Kent, VA, Richmond, VA and the independent city of Richmond, VA.71

Upper Sioux Community, Minnesota ........................................................ Chippewa, MN, Yellow Medicine, MN. 

Upper Skagit Indian Tribe ......................................................................... Skagit, WA. 

Ute Indian Tribe of the Uintah & Ouray Reservation, Utah ...................... Carbon, UT, Daggett, UT, Duchesne, UT, Emery, UT, Grand, UT, Rio 

Blanco, CO, Summit, UT, Uintah, UT, Utah, UT, Wasatch, UT. 

Ute Mountain Ute Tribe ............................................................................ Apache, AZ, La Plata, CO, Montezuma, CO, San Juan, NM, San Juan, 

UT. 

Wampanoag Tribe of Gay Head (Aquinnah) ............................................ Dukes, MA,72 Barnstable, MA, Bristol, MA, Norfolk, MA, Plymouth, MA, 

Suffolk, MA.73

Washoe Tribe of Nevada & California ...................................................... The State of Nevada, The State of California except for the counties 

listed in footnote. 

White Mountain Apache Tribe of the Fort Apache Reservation, Arizona Apache, AZ, Coconino, AZ, Gila, AZ, Graham, AZ, Greenlee, AZ, Navajo, AZ. 

Wilton Rancheria, California ..................................................................... The State of California including Sacramento, CA.74

Winnebago Tribe of Nebraska .................................................................. Dakota, NE, Dixon, NE, Monona, IA, Thurston, NE, Wayne, NE, 

Woodbury, IA. 

Yankton Sioux Tribe of South Dakota ...................................................... Bon Homme, SD, Boyd, NE, Charles Mix, SD, Douglas, SD, Gregory, 

SD, Hutchinson, SD, Knox, NE. 

Yavapai-Apache Nation of the Camp Verde Indian Reservation, Arizona Yavapai, AZ. 

Yavapai-Prescott Indian Tribe .................................................................. Yavapai, AZ. 

Ysleta Del Sur Pueblo of Texas ............................................................... El Paso, TX.75

Zuni Tribe of the Zuni Reservation, New Mexico ..................................... Apache, AZ, Cibola, NM, McKinley, NM, Valencia, NM. 

1Public 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. 2The Entire State of Alaska is included as a CHSDA by regulation (42 CFR 136.22(a)(1)). 

3Aroostook Band of Micmacs was recognized by Congress on November 26, 1991, through the Aroostook Band of Micmac Settlement Act.

Aroostook County, ME, was defined as the SDA. 4Special programs have been 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. Historically services 

have been provided at Brigham City Intermountain School Health Center, Utah (Pub. L. 88–358). 5Entire State of California, excluding the 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). 6The counties were recognized after the January 1984 CHSDA FRN was published, in accordance with Public Law 103–116, Catawba Indian 

Tribe of South Carolina Land Claims Settlement Act of 1993, dated October 27, 1993. 7There is no reservation for the Cayuga Nation; the service delivery area consists of those counties identified by the Cayuga Nation. 8The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115–121, officially recognized the Chickahominy Indian Tribe as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe’s PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed 

in the Recognition Act. 9The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115–121, officially recognized the Chickahominy Indian Tribe—Eastern Division as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal 

services. The IHS administratively designated the Tribe’s PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed in the Recognition Act. 10Skamania County, WA, has historically been a part of the Yakama Service Unit population since 1979. 11 In order to carry out the Congressional intent of the Siletz Restoration Act, Public Law 95–195, as expressed in H. Report No. 95–623, at 

page 4, members of the Confederated Tribes of Siletz Indians of Oregon residing in these counties are eligible for contract health services. 12 Chelan County, WA, has historically been a part of the Colville Service Unit population since 1970. 13Pursuant to Public Law 98–481 (H. Rept. No. 98–904), Coos, Lower Umpqua and Siuslaw Restoration Act, 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. 14The Confederated Tribes of Grand Ronde Community of Oregon were recognized by Public Law 98–165 which was signed into law on November 22, 1983, and provides for eligibility in these six counties without regard to the existence of a reservation. 


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15The CHSDA for the Coushatta Tribe of Louisiana was expanded administratively by the Director, IHS, through regulation (42 CFR 136.22(b)) 

to include city limits of Elton, LA. 16 Cow Creek Band of Umpqua Tribe of Indians recognized by Public Law 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 IHS later 

administratively expanded the CHSDA to include the counties of Coos, OR, Deschutes, OR, Klamath, OR, and Lane, OR. 17The Cowlitz Indian Tribe was recognized in July 2002 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 operating a CHS program pursuant to the ISDEAA, Public Law 93– 

638. The CHSDA was administratively expanded to included Columbia County, OR, Kittitas, WA, and Wahkiakum County, WA, as published at 

67884 FR December 21, 2009. 18Treasure County, MT, has historically been a part of the Crow Service Unit population. 19The counties listed have historically been a part of the Grand Traverse Service Unit population since 1980. 20 Haskell Indian Health Center has historically been a part of Kansas Service Unit since 1979. Special programs have been 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. Historically services have been provided at Haskell Indian Health Center 

(H. Rept. No. 95–392). 21The PRCDA for the Havasupai Tribe of Arizona was expanded administratively by the Director, IHS, through regulation (42 CFR 136.22(b)) 

to include Mohave County in the State of Arizona. 22 CHSDA counties for the Ho-Chunk Nation of Wisconsin were designated by regulation (42 CFR 136.22(a)(5)). Dane County, WI, was added 

to the reservation by the Bureau of Indian Affairs in 1986. 23Public Law 97–428 provides that any member of the Houlton Band of Maliseet Indians in or around the Town of Houlton shall be eligible 

without regard to existence of a reservation. 24The Jena Band of Choctaw Indian was Federally acknowledged as documented at 60 FR 28480, May 31, 1995. The counties listed were

designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the ISDEAA, Public 

Law 93–638. 25Kickapoo Traditional Tribe of Texas, formerly known as the Texas Band of Kickapoo, was recognized by Public Law 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. 26The Klamath Indian Tribe Restoration Act (Pub. L. 99–398, Sec. 2(2)) 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’’. 27The Koi Nation of Northern California, formerly known as the Lower Lake Rancheria, was reaffirmed by the Secretary of the Bureau of Indian Affairs on December 29, 2000. The counties listed were designated administratively as the SDA, to function as a PRCDA, for the purposes 

of operating a PRC program pursuant to the ISDEAA, Public Law 93–638. 28The Little Traverse Bay Bands of Odawa Indians and the Little River Band of Ottawa Indians Act recognized the Little River Band of Ottawa 

Indians and the Little Traverse Bay Bands of Odawa Indians. Pursuant to Public Law 103–324, Sec.4 (b) the counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the ISDEAA, Public Law 93–638. 29 In Public Law 116–92, that became law on December 20, 2019, Congress federally recognized the Little Shell Tribe of Chippewa Indians of 

Montana. Consistent with Public Law 116–92, the IHS designated the counties as the PRCDA for the Little Shell Tribe of Chippewa Indians of 

Montana. 30The Little Traverse Bay Bands of Odawa Indians and the Little River Band of Ottawa Indians Act recognized the Little River Band of Ottawa 

Indians and the Little Traverse Bay Bands of Odawa Indians. Pursuant to Public Law 103–324, Sec.4 (b) the counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the ISDEAA, Public Law 93–638. 31 Mashantucket Pequot Indian Claims Settlement Act, Public Law 98–134, signed into law on October 18, 1983, provides a reservation for the 

Mashantucket Pequot Indian Tribe in New London County, CT. 32The Mashpee Wampanoag Tribe was recognized in February 2007, as documented at 72 FR 8007, February 22, 2007. The counties listed 

were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the ISDEAA, 

Public Law 93–638. 33The Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan was recognized in October 1998, as documented at 63 FR 56936, 

October 23, 1998. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a 

CHS program pursuant to the ISDEAA, Public Law 93–638. 34The PRCDA for the Mille Lacs Band of Ojibwe was expanded administratively by the Director, IHS, through regulation (42 CFR 136.22(b)) to 

include the counties of Crow Wing and Morrison in the State of Minnesota. 35The PRCDA for the Mille Lacs Band of Ojibwe was expanded administratively by the Director, IHS, through regulation (42 CFR 136.22(b)) to 

include the counties of Crow Wing and Morrison in the State of Minnesota. 36 Members of the Mississippi Band of Choctaw Indians residing in Jasper and Noxubee Counties, MS, are eligible for contract health services; 

these two counties were inadvertently omitted from 42 CFR 136.22. 37 Members of the Mississippi Band of Choctaw Indians residing in Jasper and Noxubee Counties, MS, are eligible for contract health services; 

these two counties were inadvertently omitted from 42 CFR 136.22. 38Scott County, MS, has historically been a part of the Choctaw Service Unit population since 1970. 39The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115–121, officially recognized the Monacan 

Indian Nation as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe’s PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed in the 

Recognition Act. 40The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115–121, officially recognized the 

Nansemond Indian Tribe as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The 

IHS administratively designated the Tribe’s PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed in the Recognition Act. 41The Narragansett Indian Tribe was recognized by Public Law 95–395, signed into law September 30, 1978. Lands in Washington County, 

RI, are now Federally restricted and the Bureau of Indian Affairs considers them as the Narragansett Indian Reservation. 42Entire State of Nevada is included as a CHSDA by regulation (42 CFR 136.22 (a)(2)). 43 Carter County, MT, has historically been a part of the Northern Cheyenne Service Unit population since 1979. 44 Land of Box Elder County, Utah, was taken into trust for the Northwestern Band of Shoshone Nation in 1986. 45The PRCDA for the Northwestern Band of Shoshone Nation was expanded administratively by the Director, IHS, through regulation (42 CFR 

136.22(b)) to include the counties of Davis, Salt Lake, and Weber, in the State of Utah. 46The Nottawaseppi Huron Band of the Potawatomi, Michigan, formerly known as the Huron Band of Potawatomi, Inc., was recognized in December 1995, as documented at 60 FR 66315, December 21, 1995. The counties listed were designated administratively as the SDA, to function 

as a CHSDA, for the purposes of operating a CHS program pursuant to the ISDEAA, Public Law 93–638. 47Washabaugh County, SD, merged and became part of Jackson County, SD, in 1983; both were/are CHSDA counties for the Oglala Sioux

Tribe. 48Entire State of Oklahoma is included as a CHSDA by regulation (42 CFR 136.22 (a)(3)). 49Paiute Indian Tribe of Utah Restoration Act, Public Law 96–227, provides for the extension of services for the Paiute Indian Tribe of Utah to 

these four counties without regard to the existence of a reservation. 50 In the FEDERAL REGISTER on July 8, 2015 (80 FR 39144), the Pamunkey Indian Tribe was officially recognized as an Indian Tribe within the 

meaning of Federal law. The counties listed were designated administratively as the PRCDA, for the purposes of operating a PRC program. 51 Legislative history (H.R. Report No. 95–1021) to Public Law 95–375, Extension of Federal Benefits to Pascua Yaqui Indians, Arizona, expresses congressional intent that lands conveyed to the Pascua Yaqui Tribe of Arizona pursuant to Act of October 8, 1964. (Pub. L. 88–350) 

shall be deemed a Federal Indian Reservation. 


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52The Maine Indian Claims Settlement Act of 1980 (Pub. L. 96–420; H. Rept. 96–1353) includes the intent of Congress to fund and provide 

contract health services to the Passamaquoddy Tribe and the Penobscot Nation. 53The Passamaquoddy Tribe has two reservations: Indian Township and Pleasant Point. The PRCDA for the Passamaquoddy Tribe at Indian 

Township, ME, is Aroostook County, ME, Washington County, ME, and Hancock County, ME. The PRCDA for the Passamaquoddy Tribe at 

Pleasant Point, ME, is Washington County, ME, south of State Route 9, and Aroostook County, ME. 54The Passamaquoddy Tribe’s counties listed are designated administratively as the SDA, to function as a PRCDA, for the purposes of operating a PRC program pursuant to the ISDEAA, Public Law 93–638. 55The Maine Indian Claims Settlement Act of 1980 (Pub. L. 96–420; H. Rept. 96–1353) includes the intent of Congress to fund and provide 

PRC to the Passamaquoddy Tribe and the Penobscot Nation. 56 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). 57Public Law 103–323 restored Federal recognition to the Pokagon Band of Potawatomi Indians, Michigan and Indiana, in 1994 and identified 

counties to serve as the SDA. 58The Ponca Restoration Act, Public Law 101–484, recognized members of the Ponca Tribe of Nebraska in Boyd, Douglas, Knox, Madison or 

Lancaster counties of Nebraska or Charles Mix county of South Dakota as residing on or near a reservation. Public Law 104–109 made technical 

corrections to laws relating to Native Americans and added Burt, Hall, Holt, Platte, Sarpy, Stanton, and Wayne counties of Nebraska and 

Pottawatomie and Woodbury counties of Iowa to the Ponca Tribe of Nebraska SDA. 59Special programs have been 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. Historically services 

have been provided at Rapid City (S. Rept. No. 1154, FY 1967 Interior Approp. 89th Cong. 2d Sess.). 60The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115–121, officially recognized the Rappahannock Tribe, Inc. as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe’s PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed 

in the Recognition Act. 61 Historically part of Isabella Reservation Area for the Saginaw Chippewa Indian Tribe of Michigan and the Eastern Michigan Service Unit population since 1979. 62The Samish Indian Tribe Nation was Federally acknowledged in April 1996 as documented at 61 FR 15825, April 9, 1996. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the 

ISDEAA, Public Law 93–638. 63 CHSDA counties for the Sault Ste. Marie Tribe of Chippewa Indians, Michigan, were designated by regulation (42 CFR 136.22(a)(4)). 64The Shinnecock Indian Nation was Federally acknowledged in June 2010 as documented at 75 FR 34760, June 18, 2010. The counties listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the 

ISDEAA, Public Law 93–638. 65 Lemhi County, ID, has historically been a part of the Fort Hall Service Unit population since 1979. 66The Snoqualmie Indian Tribe was Federally acknowledged in August 1997 as documented at 62 FR 45864, August 29, 1997. The counties 

listed were designated administratively as the SDA, to function as a CHSDA, for the purposes of operating a CHS program pursuant to the 

ISDEAA, Public Law 93–638. 67On December 30, 2011 the Office of Assistant Secretary-Indian Affairs reaffirmed the Federal recognition of the Tejon Indian Tribe. Kern 

County, CA, was designated administratively as part of the Tribe’s CHSDA in addition to the CHSDA established by Congress for the State of 

California. Kern County was not covered when Congress originally established the State of California as a CHSDA excluding certain counties including Sacramento County (25 U.S.C. 1680). 68The counties listed are designated administratively as the SDA, to function as a PRC SDA, for the purposes of operating a PRC program 

pursuant to the ISDEAA, Public Law 93–638. 69The Secretary acting through the Service is directed to provide contract health services to Turtle Mountain Band of Chippewa Indians that 

reside in Trenton Service Unit, North Dakota and Montana, in 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). 70 Rapides County, LA, has historically been a part of the Tunica Biloxi Service Unit population since 1982. 71The Thomasina E. Jordan Indian Tribes of Virginia Federal Recognition Act of 2017, Public Law 115–121, officially recognized the Upper 

Mattaponi Tribe as an Indian Tribe within the meaning of Federal law, and specified an area for the delivery of Federal services. The IHS administratively designated the Tribe’s PRCDA, for the purposes of operating a PRC program, consistent with the Congressional intent expressed in 

the Recognition Act. 72 according to Public Law 100–95, Sec. 12, members of the Wampanoag Tribe of Gay Head (Aquinnah) residing on Martha’s Vineyard are 

deemed to be living on or near an Indian reservation for the purposes of eligibility for Federal services. 73The counties listed are designated administratively as the SDA, to function as a PRCDA, for the purposes of operating a PRC program pursuant to the ISDEAA, Public Law 93–638. 74The Wilton Rancheria, California had Federal recognition restored in July 2009 as documented at 74 FR 33468, July 13, 2009. Sacramento 

County, CA, was designated administratively as part of the Rancheria’s CHSDA in addition to the CHSDA established by Congress for the State 

of California. Sacramento County was not covered when Congress originally established the State of California as a CHSDA excluding certain 

counties including Sacramento County (25 U.S.C. 1680). 75Public 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. 

Elizabeth A. Fowler, 

Acting Director, Indian Health Service. 

[FR Doc. 2022–08152 Filed 4–15–22; 8:45 am] 

BILLING CODE 4165–16–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Addressing Dementia in Indian 

Country: Models of Care 

Announcement Type: New. 

Funding Announcement Number: 

HHS–2022–IHS–ALZ–0001. 

Assistance Listing (Catalog of Federal 

Domestic Assistance or CFDA) Number: 

93.933. 

Key Dates 

Application Deadline Date: July 18, 

2022. 

Earliest Anticipated Start Date: 

August 31, 2022. 

I. Funding Opportunity Description 

Statutory Authority 

The Indian Health Service (IHS) is 

accepting applications for cooperative 

agreements for Addressing Dementia in 

Indian Country. This program is 

authorized under the Snyder Act, 25 

U.S.C. 13; the Transfer Act, 42 U.S.C. 

2001(a); and the Indian Health Care 

Improvement Act, 25 U.S.C. 

1665a(c)(5)(F) and 1660e. This program 

is described in the Assistance Listings 

located at https://sam.gov/content/home 

(formerly known as the CFDA) under 

93.933. 

Background 

Alzheimer’s disease and Alzheimer’s 

disease-related dementias affect lives in 

every Tribal and Urban Indian 

community. Alzheimer’s disease is the 

most common cause of dementia—a 

progressive cognitive impairment that 

adversely affects function. Other forms 


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