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 Department of Health and Human Services Indian Health Service
 AGENCY: Indian Health Service.
 ACTION: Notice.
 SUMMARY: This Notice advises the public that the Indian Health Service (IHS) has decided to expand the geographic boundaries of the Service Delivery Area (SDA) for the Cowlitz Indian Tribe. The Cowlitz SDA currently is comprised of Clark, Cowlitz, King, Lewis, Pierce, Skamania, and Thurston in the State of Washington. These counties were designated as the Tribe's SDA in 67 FR 46329. Under this final decision, Columbia County, Oregon, and Kittitas and Wahkiakum Counties, Washington will be added to the existing Cowlitz SDA.
 DATES: This notice is effective upon publication in the 
                        **Federal Register**
                        .
 FOR FURTHER INFORMATION CONTACT: Carl Harper, Director, Office of Resource Access and Partnerships, Indian Health Service, Suite 360, 12300 Twinbrook Parkway, Rockville, Maryland 20852. Telephone 301/443-2694 (This is not a toll free number).


SUPPLEMENTARY INFORMATION:  A previous notice was published in the 
                    **Federal Register**
                     Vol. 74, No. 243 on Monday, December 21, 2009 notifying the public of the Indian Health Services' (IHS) intention to expand the Cowlitz Tribe's Service Delivery Area to include Columbia County in the State of Oregon, and Kittitas and Wahkiakum Counties in the State of Washington and invited the public to submit comments. No comments were received. Therefore, the purpose of this FR is to notify the public of the IHS Director's decision to grant the request of the Cowlitz Indian Tribe to expand their SDA as present in their 08-3 Tribal resolution dated January 5, 2008, and 08-56 Tribal resolution, dated December 06, 2008. The Tribe's request will expand their current SDA which incorporates Cowlitz, Clark, Skamania, King, Pierce, Thurston and Lewis Counties in the State of Washington, to include Columbia County in the State of Oregon, and Kittitas and Wahkiakum Counties in the State of Washington. Accordingly, after considering the Tribes' request in light of the criteria specified in the regulations, the IHS has decided to re-designate the SDA for the Tribe to consist of Columbia County in the State of Oregon and Kittitas and Wahkiakum Counties in the State of Washington. This notice does not contain reporting or recordkeeping requirements subject to prior approval by the Office of Management and Budget under the Paperwork Reduction Act of 1980. The following is a complete list of current CHSDA and SDA by Tribe/Reservation and County/State.
                    ( print page 26775) Contract Health Service Delivery Areas and Service Delivery Areas
Tribe/reservation
County/stateAk Chin Indian Community of the Maricopa (Ak Chin) Indian Reservation, Arizona
Pinal, AZ.Alabama-Coushatta Tribes of Texas
Polk, TX.1Alaska
Entire State.2Arapaho Tribe of the Wind River Reservation, Wyoming
Hot Springs, WY, Fremont, WY, Sublette, WY.Aroostook Band of Micmac Indians of Maine
Aroostook, ME.3Assiniboine 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.Minnesota Chippewa Tribe, Minnesota Bois Forte Band (Nett Lake)
Itasca, MN, Koochiching, MN, St. Louis, MN.Brigham City Intermountain School Health Center, Utah
(4
                            ).Burns Paiute Tribe of the Burns Paiute Indian Colony of Oregon
Harney, OR.California
Entire State, except for the counties listed in the footnote.5Catawba Indian Nation of South Carolina
All Counties in SC,6
                             Cabarrus, NC, Cleveland, NC, Gaston, NC, Mecklenburg, NC, Rutherford, NC, Union, NC.Cayuga Nation of New York
Allegany, NY,7
                             Cattaraugus, NY, Chautaugua, NY, Erie, NY, Warren, PA.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 of the Coeur D'Alene Reservation, Idaho
Benewah, ID, Kootenai, ID, Latah, ID, Spokane, WA, Whitman, WA.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 & Kootenai Tribes of the Flathead Reservation, Montana
Flathead, MT, Lake, MT, Missoula, MT, Sanders, MT.Confederated Tribes of the Chehalis Reservation, Washington
Grays Harbor, WA, Lewis, WA, Thurston, WA.Confederated Tribes of the Colville Reservation, Washington
Chelan, WA,8
                             Douglas, WA, Ferry, WA, Grant, WA, Lincoln, WA, Okanogan, WA, Stevens, WA.Confederated Tribes of Coos, Lower Umpqua & Siuslaw Indians of Oregon
Coos, OR,9
                             Curry, OR, Douglas, OR, Lane, OR, Lincoln, OR.Confederated Tribes of the Goshute Reservation, Nevada and Utah
Nevada, Juab, UT, Toole, UT.Confederated Tribes of Grand Ronde Community of Oregon
Polk, OR,10
                             Washington, OR, Marion, OR, Yamhill, OR, Tillamook, OR, Multnomah, OR.Confederated Tribes of the Siletz Reservation, Oregon
Benton, OR,11
                             Clackamas, OR, Lane, OR, Lincoln, OR, Linn, OR, Marion, OR, Multnomah, OR, Polk, OR, Tillamook, OR, Washington, OR, Yam Hill, OR.Confederated Tribes of the Umatilla Reservation, Oregon
Umatilla, OR, Union, OR.Confederated Tribes of the Warm Springs Reservation of Oregon
Clackamas, OR, Jefferson, OR, Linn, OR, Marion, OR, Wasco, OR.Confederated Tribes & Bands of the Yakama Nation, Washington
Klickitat, WA, Lewis, WA, Skamania, WA,12
                             Yakima, WA.Coquille Tribe of Oregon
Coos, OR, Curry, OR, Douglas, OR, Jackson, OR, Lane, OR.Coushatta Tribe of Louisiana
Allen Parish, LA, Elton, LA.13Cow Creek Band of Umpqua Indians of Oregon
Coos, OR,14
                             Deshutes, OR, Douglas, OR, Jackson, OR, Josephine, OR, Klamath, OR, Lane, OR.Cowlitz Indian Tribe, Washington
Clark, WA, Cowlitz, WA, King, WA, Lewis, WA, Pierce, WA, Skamania, WA, Thurston, WA, Columbia, OR, Kitititas, WA, Wahkiakum, WA.15Crow Tribe of Montana
Big Horn, MT, Carbon, MT, Treasure, MT,16
                             Yellowstone, MT, Big Horn, WY, Sheridan, WY.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.Eastern Band of Cherokee Indians of North Carolina
Cherokee, NC, Graham, NC, Haywood, NC, Jackson, NC, Swain, NC.Flandreau Santee Sioux Tribe of South Dakota
Moody, SD.Fond du Lac Band of Chippewa Indians of Minnesota
Carlton, MN, St. Louis, MN.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
Nevada, Malheur, OR.Fort McDowell Yavapai Nation, Arizona
Maricopa, AZ.Fort Mojave Indian Tribe of Arizona, California and Nevada
Nevada, Mohave, AZ, San Bernardino, CA.Gila River Indian Community of the Gila River Indian Reservation, Arizona
Maricopa, AZ, Pinal, AZ.Grand Portage Band of Chippewa Indians of Minnesota
Cook, MN.Grand Traverse Band of Ottawa & Chippewa Indians of Michigan
Antrim, MI,17
                             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.18Havasupai Tribe of the Havasupai Reservation, Arizona
Coconino, AZ.( print page 26776)Ho-Chunk Nation of Wisconsin
Adams, WI,19
                             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 of the Hoh Indian Reservation, Washington
Jefferson, WA.Hopi Tribe of Arizona
Apache, AZ, Coconino, AZ, Navajo, AZ.Houlton Band of Maliseet Indians of Maine
Aroostook, ME.20Hualapai Indian Tribe of the Hualapai Indian Reservation, Arizona
Coconino, AZ, Mohave, AZ, Yavapai, AZ.Huron Potawatomi, Inc., Michigan
Allegan, MI,21
                             Barry, MI, Branch, MI, Calhoun, MI, Kalamazoo, MI, Kent, MI, Ottawa, MI.Iowa Tribe of Kansas and Nebraska
Brown, KS, Doniphan, KS, Richardson, NE.Jamestown S'Klallam Tribe of Washington
Clallam, WA, Jefferson, WA.Jena Band of Choctaw Indians, Louisiana
Grand Parish, LA,22
                             LaSalle Parish, LA, Rapides Parish, 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 Indian Reservation, Washington
Pend Oreille, WA, Spokane, WA.Keweenaw Bay Indian Community, Michigan
Baraga, MI, Houghton, MI, Ontonagon, MI.Kickapoo Tribe of Indians of the Kickapoo Reservation of Kansas
Brown, KS, Jackson, KS.Kickapoo Traditional Tribe of Texas
Maverick, TX.23Klamath Tribes of Oregon
Klamath, OR.24Kootenai Tribe of Idaho
Boundary, ID.Lac Courte Oreilles Band of Lake 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, Michigan
Gogebic, MI.Leech Lake Band of Chippewa Indians of Minnesota
Beltrami, MN, Cass, MN, Hubbard, MN, Itasca, MN.Little River Band of Ottawa Indians, Michigan
Kent, MI,25
                             Muskegon, MI, Newaygo, MI, Oceana, MI, Ottawa, MI, Manistee, MI, Mason, MI, Wexford, MI, Lake, MI.Little Traverse Bay Bands of Odawa Indians, Michigan
Alcona, MI,26
                             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 of the Lower Elwha Reservation, Washington
Clallam, WA.Lower Sioux Indian Community in the State of Minnesota
Redwood, MN, Renville, MN.Lummi Tribe of the Lummi Reservation, Washington
Whatcom, WA.Makah Indian Tribe of the Makah Reservation, Washington
Clallam, WA.Mashantucket Pequot Tribe of Connecticut
New London, CT.27Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan
Allegan, MI,28
                             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 of Florida
Broward, FL, Collier, FL, Miami-Dade, FL, Hendry, FL.Mille Lacs Band of Chippewa Indians of Minnesota
Aitkin, MN, Kanebec, MN, Mille Lacs, MN, Pine, MN.Mississippi Band of Choctaw Indians, Mississippi
Attala, MS, Jasper, MS,29
                             Jones, MS Kemper, MS, Leake, MS, Neshoba, MS, Newton, MS, Noxubee, MS,30
                             Scott, MS,31
                             Winston, MS.Mohegan Indian Tribe of Connecticut
Fairfield, CT, Hartford, CT, Litchfield, CT, Middlesex, CT, New Haven, CT, New London, CT, Tolland, CT, Windham, CT.Muckleshoot Indian Tribe of the Muckleshoot Reservation, Washington
King, WA, Pierce, WA.Narragansett Indian Tribe of Rhode Island
Washington, RI.32Navajo Nation, Arizona, New Mexico and 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.33Nez Perce Tribe of Idaho
Clearwater, ID, Idaho, ID, Latah, ID, Lewis, ID, Nez Perce, ID.Nisqually Indian Tribe of the Nisqually Reservation, Washington
Pierce, WA, Thurston, WA.Nooksack Indian Tribe of Washington
Whatcom, WA.Northern Cheyenne Tribe Northern Cheyenne Indian Reservation, Montana
Big Horn, MT, Carter, MT,34
                             Rosebud, MT.Northwestern Band of Shoshoni Nation of Utah (Washakie)
Box Elder, UT.35Oglala Sioux Tribe of the Pine Ridge Reservation, South Dakota
Bennett, SD, Cherry, NE, Custer, SD, Dawes, NE, Fall River, SD, Jackson, SD,36
                             Mellete, SD, Pennington, SD, Shannon, SD, Sheridan, NE, Todd, SD.Oklahoma
Entire State.37Omaha Tribe of Nebraska
Burt, NE, Cuming, NE, Monona, IA, Thurston, NE, Wayne, NE.( print page 26777)Oneida Nation of New York
Chenango, NY, Cortland, NY, Herkimer, NY, Madison, NY, Oneida, NY, Onondaga, NY.Oneida Tribe of Indians of Wisconsin
Brown, WI, Outagamie, WI.Onondaga Nation of New York
Onondaga, NY.Paiute Indian Tribe of Utah
Iron, UT,38
                             Millard, UT, Sevier, UT, Washington, UT.Pascua Yaqui Tribe of Arizona
Pima, AZ.39Passamaquoddy Tribe of Maine
Aroostook, ME,40
                             Washington, ME.Passamaquoddy Tribe of Pleasant Point, Maine
Washington, ME, south of State Route 9.41Penobscot Tribe of Maine
Aroostook, ME,42
                             Penobscot, ME.Poarch Band of Creek Indians of Alabama
Baldwin, AL,43
                             Escambia, AL, Mobile, AL, Monroe, AL, Escambia, FL.Pokagon Band of Potawatomi Indians, Michigan and Indiana
Allegan, MI, Berrien, MI, Cass, MI, Elkhart, IN,44
                             Kosciusko, IN, La Porte, IN, Marshall, IN, St. Joseph, IN, Starke, IN, Van Buren, MI.Ponca Tribe of Nebraska
Boyd, NE,45
                             Burt, NE, Charles Mix, SD, Douglas, NE, Hall, NE, Holt, NE, Knox, NE, Lancaster, NE, Madison, NE, Platte, NE, Pottawattomie, IA, Sarpy, NE, Stanton, NE, Wayne, NE, Woodbury, IA.Port Gamble Indian Community of the Port Gamble Reservation, Washington
Kitsap, WA.Prairie Band of Potawatomi Nation, Kansas
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, Sante Fe, NM.Pueblo of Jemez, New Mexico
Sandoval, NM.Pueblo of Isleta, New Mexico
Bernalillo, NM, Torrance, NM, Valencia, NM.Pueblo of Laguna, New Mexico
Bemalillo, 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 San Juan, New Mexico
Rio Arriba, 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 Santo Domingo, New Mexico
Sandoval, NM, Santa Fe, NM.Pueblo of Taos, New Mexico
Colfax, NM, Taos, NM.Pueblo of Tesuque, New Mexico
Santa Fe, NM.Pueblo of Zia, New Mexico
Sandoval, NM.Puyallup Tribe of the Puyallup Reservation, Washington
King, WA, Pierce, WA, Thurston, WA.Quechan Tribe of the Fort Yuma Indian Reservation, California and Arizona
Yuma, AZ, Imperial, CA.Quileute Tribe of the Quileute Reservation, Washington
Clallam, WA, Jefferson, WA.Quinault Tribe of the Quinault Reservation, Washington
Grays Harbor, WA, Jefferson, WA.Rapid City, South Dakota
Pennington, SD.46Red 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 Tribe of the Mississippi in Iowa
Tama, IA.Sac & Fox Nation of Missouri in Kansas & Nebraska
Brown, KS, Richardson, NE.Saginaw Chippewa Indian Tribe of Michigan
Arenac, MI,47
                             Clare, MI, Isabella, MI, Midland, MI, Missaukee, MI.St. Croix Chippewa Indians of Wisconsin
Barron, WI, Burnett, WI, Pine, MN, Polk, WI, Washburn, WI.Saint Regis Mohawk Tribe, New York
Franklin, NY, St. Lawrence, NY.Salt River Pima-Maricopa Indian Community of Salt River Reservation, Arizona
Maricopa, AZ.Samish Indian Tribe, Washington
Clallam, WA,48
                             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 of Washington
Snohomish, WA, Skagit, WA.Sault Ste. Marie Tribe of Chippewa Indians of Michigan
Alger, MI,49
                             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 New York
Allegany, NY, Cattaraugus, NY, Chautaugua, NY, Erie, NY, Warren, PA.Shakopee Mdewakanton Sioux Community of Minnesota
Scott, MN.Shoalwater Bay Tribe of the Shoalwater Bay Indian Reservation, Washington
Pacific, WA.( print page 26778)Shoshone Tribe of the Wind River Reservation, Wyoming
Hot Springs, WY, Fremont, WY, Sublette, WY.Shoshone-Bannock Tribes of the Fort Hall Reservation of Idaho
Bannock, ID, Bingham, ID, Caribou, ID, Lemhi, ID,50
                             Power, ID.Shoshone-Paiute Tribes of the Duck Valley Reservation, Nevada
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 of Skokomish Reservation, Washington
Mason, WA.Skull Valley Band of Goshute Indians of Utah
Tooele, UT.Snoqualmie Tribe, Washington
King, WA,51
                             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, Washington
Ferry, WA, Lincoln, WA, Stevens, WA.Squaxin Island Tribe of the Squaxin Island Reservation, Washington
Mason, WA.Standing Rock Sioux Tribe of North and South Dakota
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, Wisconsin
Menominee, WI, Shawano, WI.Stillaguamish Tribe of Washington
Snohomish, WA.Suquamish Indian Tribe of the Port Madison Reservation, Washington
Kitsap, WA.Swinomish Indians of the Swinomish Reservation, Washington
Skagit, WA.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.Tonawanda Band of Seneca Indians of New York
Genesee, NY, Erie, NY, Niagara, NY.Tonto Apache Tribe of Arizona
Gila, AZ.Trenton Service Unit, North Dakota and Montana
Divide, ND,52
                             McKenzie, ND, Williams, ND, Richland, MT, Roosevelt, MT, Sheridan, MT.Tulalip Tribes of the Tulalip Reservation, Washington
Snohomish, WA.Tunica-Biloxi Indian Tribe of Louisiana
Avoyelles, LA, Rapides, LA.53Turtle Mountain Band of Chippewa Indians of North Dakota
Rolette, ND.Tuscarora Nation of New York
Niagara, NY.Upper Sioux Community, Minnesota
Chippewa, MN, Yellow Medicine, MN.Upper Skagit Indian Tribe of Washington
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 Tribe of the Ute Mountain Reservation, Colorado, New Mexico and Utah
Apache, AZ, La Plata, CO, Montezuma, CO, San Juan, NM, San Juan, UT.Wampangoag Tribe of Gay Head (Aquinnah) of Massachusetts
Dukes, MA.54Washoe Tribe of Nevada & California
Entire State of NV, Entire State of CA, except for the counties listed in footnote.White Earth Band of Chippewa Indians of Minnesota
Becker, MN, Clearwater, MN, Mahnomen, MN, Norman, MN, Polk, MN.White Mountain Apache Tribe of the Fort Apache Reservation, Arizona
Apache, AZ, Coconino, AZ, Gila, AZ, Graham, AZ, Greenlee, AZ, Navajo, AZ.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, Boyde, 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 Tribe of the Yavapai Reservation, Arizona
Yavapai, AZ.Ysleta Del Sur Pueblo of Texas
El Paso, TX.55Zuni Tribe of the Zuni Reservation, New Mexico
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
                         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, Public Law 93-638.7
                         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. 93-638.8
                         Historically part of the Coleville Service Unit population since 1970.9
                         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).10
                         Confederated Tribes of Grande Ronde Community of Oregon recognized by Public Law 98-165, signed into law on November 22, 1983, provides for eligibility in these six counties without regard to the existence of a reservation.
                        ( print page 26779)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, Siletz Tribal members residing in these counties are eligible for contract health services.12
                         Historically part of the Yakama Service Unit population since 1979.13
                         Contract Health Service Delivery Area expanded administratively by the Director, IHS, through regulation (42 CFR 136.22(6)) to include city limits of Elton, LA.14
                         Cow Creek Band of Umpqua Indians of Oregon 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 exercised administrative discretion to add Coos, Deshutes, Klamath and Lane counties to the service delivery area.15
                         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, Public Law 93-638. It is proposed that Columbia County, OR, Kittitas, WA and Wahkiakum County, WAS be added to the existing SDA.16
                         Historically part of Crow Service Unit population.17
                         Historically part of the Grande Traverse Service Unit population since 1980.18
                         Historically part of Kansas Service Unit since 1979. 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).19
                         The counties included in this CHSDA were designated by regulation (42 CFR 136.22(a)(5)).20
                         Public Law 97-428 provides for eligibility in or around the Town of Houlton without regard to existence of a reservation.21
                         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, Public Law 93-638.22
                         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, Public Law 93-638.23
                         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.24
                         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)).25
                         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. 93-638.26
                         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. 93-638.27
                         Mashantucket Pequot Indian Claims Settlement Act, Public Law 98-134, signed into law on October 18, 1983, provides for a reservation in New London.28
                         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, Public Law 93-638.29
                         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 136.22.30
                         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 136.22.31
                         Historically part of the Choctaw Service Unit population since 1970.32
                         Narragansett Indians recognized by Public Law 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.33
                         Entire State of Nevada is included as a CHSDA by regulation (42 CFR 136.22(a)(2)).34
                         Historically part of the Northern Cheyenne Service Unit population since 1979.35
                         Land of Box Elder County, Utah, taken into trust for the Tribe in 1986.36
                         Washabaugh County, SD is part of Jackson County, SD, on November 5, 1968.37
                         Entire State of Oklahoma is included as a CHSDA by regulation (42 CFR 136.22(a)(3)).38
                         Paiute Indian Tribe of Utah Reservation Act, Public Law 96-227, provides for the extension of services to these four counties without regard to the existence of a reservation.39
                         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 Tribes pursuant to Act of October 8, 1964. (Pub. L. 88-350) shall be deemed a Federal Indian Reservation.40
                         Included to carry out the intention of Congress to fund and provide contract health services to Penobscot and Passamaquoddy Indians (Pub. L. 96-420; H. Rept. 96-1353).41
                         Included to carry out the intention of Congress to fund and provide contract health services to Penobscot and Passamaquoddy Indians (Pub. L. 96-420; H. Rept. 96-1353).42
                         Included to carry out the intention of Congress to fund and provide contract health services to Penobscot and Passamaquoddy Indians (Pub. L. 96-420; H. Rept. 96-1353).43
                         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).44
                         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, Public Law 93-638.45
                         Ponca Restoration Act, Public Law 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. Public Law 104-109 added Burt, Hall, Holt, Platte, Sarpy, Stanton, and Wayne counties of Nebraska and Pottawattomie and Woodbury counties of Iowa.46
                         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.47
                         Historically part of Isabella Reservation Area and Eastern Michigan Service Unit population since 1979.48
                         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, Public Law 93-638.49
                         The counties included in this CHSDA were designated by regulation (42 CFR 136.22(a)(4)).50
                         Historically part of the Fort Hall Service Unit population since 1979.51
                         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, Public Law 93-638.52
                         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).53
                         Historically part of the Tunica Biloxi Service Unit population since 1982.54
                         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, Public Law 100-95).55
                         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.
 Dated: May 5, 2010. Yvette Roubideaux, Director,  Indian Health Service.


[FR Doc. 2010-11337 Filed 5-11-10; 8:45 am] BILLING CODE 4165-16-P