Federal Register / Vol. 82, No. 194 / Tuesday, October 10, 2017 / Notices 46997 

This study will provide insight on 

individual and community level PrEPrelated decision-making, and identify 

barriers and facilitators to successful 

PrEP initiation and PrEP acceptability. 

Findings will improve programming, in 

line with the CDC Division of HIV/AIDS 

Prevention goal of high-impact 

prevention to reduce HIV infections in 

the Unite States. Findings will also 

assist the CDC and frontline public 

health programs in identifying and 

designing programs and intervention 

approaches that encourage, support, and 

maintain appropriate PrEP uptake 

among eligible MSM and anticipate 

future HIV prevention needs, including 

anticipated changes in PrEP delivery. 

The total annual burden hours are 

335. There are no costs to the 

respondents other than their time, travel 

costs, and the total estimated annual 

burden hours. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total 

burden 

hours 

General Public—Adults ..................... Screener #1 ...................................... 600 1 5/60 50 

General Public—Adults ..................... Consent Forms ................................. 300 1 1/60 5 

General Public—Adults ..................... In-depth Interview Guide .................. 60 1 45/60 45 

General Public—Adults ..................... Focus Group Moderator Guide ........ 60 1 1 60 

General Public—Adults ..................... Eligibility verification (verification of 

continuing eligibility).

300 1 5/60 25 

General Public—Adults ..................... Behavioral Assessment .................... 300 1 30/60 150 

Total ........................................... ........................................................... ........................ ........................ ........................ 335 

Leroy A. Richardson, 

Chief, Information Collection Review Office, 

Office of Scientific Integrity, Office of the 

Associate Director for Science, Office of the 

Director, Centers for Disease Control and 

Prevention. 

[FR Doc. 2017–21750 Filed 10–6–17; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Re-designation of the Delivery Area for 

the Passamaquoddy Tribe at Indian 

Township 

AGENCY: Indian Health Service, 

Department of Health and Human 

Services. 

ACTION: Final Notice. 

SUMMARY: This final notice advises the 

public that the Indian Health Service 

(IHS) has decided to expand the 

geographic boundaries of the 

Purchased/Referred Care Delivery Area 

(PRCDA) for the Passamaquoddy Tribe’s 

reservation at Indian Township 

(Passamaquoddy at Indian Township or 

Tribe) in the State of Maine. 

DATES: October 10, 2017. 

Inspection of Public Comments: The 

IHS published a Federal Register Notice 

entitled, ‘‘Notice To Propose the ReDesignation of the Service Delivery Area 

for the Passamaquoddy Tribe at Indian 

Township,’’ on March 8, 2017 (82 FR 

12968), and did not receive any 

comments regarding the notice. 

FOR FURTHER INFORMATION CONTACT: 

Terri Schmidt, Acting Director, Office of 

Resource Access and Partnerships, 

Indian Health Service, 5600 Fishers 

Lane, Mailstop: 10E85C, Rockville, 

Maryland 20857. Telephone (301) 443– 

2694 (This is not a toll free number). 

SUPPLEMENTARY INFORMATION: The 

Passamaquoddy PRCDA previously 

covered Aroostook and Washington 

Counties in the State of Maine. The 

expanded PRCDA for the Tribe’s 

reservation at Indian Township includes 

Hancock County in the State of Maine. 

This notice only relates to the expansion 

of the Tribe’s PRCDA for the Indian 

Township reservation. 

The Maine Indian Claims Settlement 

Act of 1980 (Pub. L. 96–420; H. Rept. 

96–1353) includes the intent of 

Congress to fund and provide 

Purchased/Referred Care (PRC) to the 

Passamaquoddy Tribe. The 

Passamaquoddy Tribe has two 

reservations: Indian Township and 

Pleasant Point. The PRCDA for the 

Indian Township reservation is 

Aroostook County, Maine, and 

Washington County, Maine. The PRCDA 

for the Pleasant Point reservation is 

Washington County, Maine, south of 

State Route 9, and Aroostook County, 

Maine. 

Background: The IHS currently 

provides services under regulations 

codified at 42 CFR part 136, subparts A 

through C. Subpart C defines a PRCDA, 

formerly referred to as a Contract Health 

Service Delivery Area or Purchased/ 

Referred Care Service Delivery Area, 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 area. 

Residence in 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, only 

potential eligibility for services. 

Services needed but not available at an 

IHS or Tribal facility are provided under 

the PRC program depending on the 

availability of funds, the person’s 

relative medical priority, and the actual 

availability and accessibility of alternate 

resources in accordance with the 

regulations. 

As applicable to the Tribes, these 

regulations provide that, unless 

otherwise designated, a PRCDA shall 

consist of a county that includes all or 

part of a reservation and any county or 

counties that 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, re-designate 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: 

(1) The number of Indians residing in 

the area proposed to be so included or 

excluded; 

(2) Whether the Tribal governing body 

has determined that Indians residing in 

the area near the reservation are socially 

and economically affiliated with the 

Tribe; 

(3) The geographic proximity to the 

reservation of the area whose inclusion 

or exclusion is being considered; and 


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(4) The level of funding which would 

be available for the provision of PRC, 42 

CFR 136.22(b). 

Additionally, the regulations require 

that any re-designation of a PRCDA 

must be made in accordance with the 

Administrative Procedures Act (5 U.S.C. 

553). See 42 CFR 136.22(c). In 

compliance with this requirement, we 

are publishing this final notice. 

The Passamaquoddy Tribe is a 

federally recognized Tribe with two 

separate reservations, Indian Township 

and Pleasant Point, located 

approximately 50 miles apart. Each 

respective reservation elects its own 

governing body and each reservation 

has a separate PRCDA. The Indian 

Township reservation of the 

Passamaquoddy Tribe has a PRCDA 

consisting of Aroostook and Washington 

Counties in the State of Maine. The 

PRCDA for the Passamaquoddy Tribe’s 

reservation at Pleasant Point is 

Washington County, Maine, south of 

State Route 9, and Aroostook County, 

Maine. The IHS adopted a PRCDA for 

each of the Passamaquoddy Tribe’s 

reservations for the purposes of 

administering benefits under the IHS 

PRC program. Thus, members of the 

Tribe who reside outside of Aroostook 

and Washington Counties do not reside 

within the PRCDA of the 

Passamaquoddy Tribe and they are 

currently not eligible for PRC services 

from the Tribe. 

The Passamaquoddy Tribe has a 

significant number of members who are 

not residents of Aroostook and 

Washington Counties. According to 

Tribal estimates, 257 enrolled 

Passamaquoddy members reside in 

Hancock County in the State of Maine 

and remain actively involved with the 

Tribe, but they are not currently eligible 

for PRC services. The Tribe provides 

direct services to its members by 

operating a clinic in Washington 

County. 

Under 42 CFR 136.23, those otherwise 

eligible Indians who do not reside on a 

reservation but reside within a PRCDA 

must be either members of the Tribe or 

maintain close economic and social ties 

with the Tribe. In this case, in applying 

the aforementioned PRCDA redesignation criteria required by 

operative regulations, the following 

findings are made: 

1. By expanding, the Tribe estimates 

the current eligible population will be 

increased by 257. 

2. The Tribe has determined that 

these 257 individuals are socially and 

economically affiliated with the Tribe. 

3. The expanded area, Hancock 

County, Maine, maintains a common 

boundary with Washington County, 

Maine, the county in which the Tribe’s 

Indian Township reservation is located. 

4. The Tribe will use its existing 

Federal allocation for PRC funds to 

provide services to the expanded 

population. No additional financial 

resources will be allocated by the IHS to 

the Tribe to provide services to Tribal 

members residing in Hancock County. 

The IHS did not receive comments in 

response to the notice proposing to 

expand the Tribe’s PRCDA. 

Accordingly, the purpose of this Federal 

Register notice is to notify the public 

that the IHS has decided to expand the 

PRCDA of the Passamaquoddy Tribe’s 

Indian Township reservation to include 

Hancock County in the State of Maine. 

This final notice will expand the current 

PRCDA for the Tribe’s reservation at 

Indian Township to include Hancock 

County in the State of Maine. This final 

notice does not change or expand the 

PRCDA for the Tribe’s Pleasant Point 

reservation. No additional financial 

resources will be allocated by the IHS to 

the Tribe to provide services to Tribal 

members residing in Hancock County in 

the State of Maine. 

PURCHASED/REFERRED CARE DELIVERY AREAS

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 ............................................................................. 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. 

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. 

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, W,8 Yakima, WA. 

Confederated Tribes of Siletz Indians of Oregon .................................... Benton, OR,9 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. 


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PURCHASED/REFERRED CARE DELIVERY AREAS—Continued 

Tribe/reservation County/state 

Confederated Tribes of the Colville Reservation ..................................... Chelan, WA,10 Douglas, WA, Ferry, WA, Grant, WA, Lincoln, WA, 

Okanogan, WA, Stevens, WA. 

Confederated Tribes of the Coos, Lower Umpqua and Siuslaw Indians Coos, OR,11 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 the Grand Ronde Community of Oregon ........... Marion, OR, Multnomah, OR, Polk, OR,12 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, Elton, LA.13

Cow Creek Band of Umpqua Tribe of Indians ......................................... Coos, OR,14 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,15 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,16 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.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 Traverse Band of Ottawa and Chippewa Indians, 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.18

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

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 ....................................................................................... Jefferson, WA. 

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

Houlton Band of Maliseet Indians ............................................................ Aroostook, ME.20

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,21 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 ...................................................................... Sandoval, NM, Santa Fe, NM. 

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

Kickapoo Traditional Tribe of Texas ........................................................ Maverick, TX.22

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

Klamath Tribes ......................................................................................... Klamath, OR.23

Koi Nation of Northern California (formerly known as Lower Lake 

Rancheria, California).

Lake, CA, Sonoma, CA.24

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,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 ............................................................... Clallam, WA. 


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PURCHASED/REFERRED CARE DELIVERY AREAS—Continued 

Tribe/reservation County/state 

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.27

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

MA.28

Match-e-be-nash-she-wish Band of Pottawatomi Indians of Michigan .... Allegan, MI,29 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, Kanebec, MN, Mille Lacs, MN, 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,30 Jones, MS, Kemper, MS, Leake, MS, 

Neshoba, MS, Newton, MS, Noxubee, MS Scott, MS,31 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. 

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

Narragansett Indian Tribe ......................................................................... Washington, RI.32

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.33

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,34 Rosebud, MT. 

Northwestern Band of Shoshone Nation .................................................. Box Elder, UT.35

Nottawaseppi Huron Band of the Pottawatomi, Michigan ....................... Allegan, MI,36 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,37 Mellette, SD, Pennington, SD, Shannon, SD, Sheridan, NE, Todd, SD. 

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

Oklahoma ................................................................................................. Entire State.38

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

Oneida Nation ........................................................................................... Brown, WI, Outagamie, WI. 

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,39 Millard, UT, Sevier, UT, Washington, UT. 

Pamunkey Indian Tribe ............................................................................ Caroline, Hanover, Henrico, King William, King and Queen, New Kent, 

Richmond (Independent City).40

Pascua Yaqui Tribe of Arizona ................................................................ Pima, AZ.41

Passamaquoddy Tribe .............................................................................. Aroostook, ME,42 43 Hancock, ME,44 Washington, ME. 

Penobscot Nation ..................................................................................... Aroostook, ME,45 Penobscot, ME. 

Poarch Band of Creeks ............................................................................ Baldwin, AL,46 Elmore, AL, Escambia, AL, Mobile, AL, Monroe, AL, 

Escambia, FL. 

Pokagon Band of Pottawatomi Indians, Michigan and Indiana ............... Allegan, MI,47 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,48 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. 


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Tribe/reservation County/state 

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, New 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.49

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,50 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,51 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,52 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,53 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,54 Power, 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,55 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. 

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 .................................................................................... Kern, CA.56

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 .................................................................... Genesee, NY, Erie, NY, Niagara, NY.

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

Trenton Service Unit, North Dakota and Montana ................................... Divide, ND,57 McKenzie, ND, Williams, ND, Richland, MT, Roosevelt, 

MT, Sheridan, MT. 

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

Tunica-Biloxi Indian Tribe ......................................................................... Avoyelles, LA, Rapides, LA.58

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

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


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47002 Federal Register / Vol. 82, No. 194 / Tuesday, October 10, 2017 / Notices 

PURCHASED/REFERRED CARE DELIVERY AREAS—Continued 

Tribe/reservation County/state 

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,59 Barnstable, MA, Bristol, MA, Norfolk, MA, Plymouth, MA, 

Suffolk, MA.60

Washoe Tribe of Nevada & California ..................................................... Nevada, 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 ..................................................................... Sacramento, CA.61

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.62

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. 2Entire 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). The Brigham Intermountain School Health Center was renamed to Intermountain Inter-Tribal School in 1974 and was permanently closed on May 17, 1984. 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. 8Skamania County, WA, has historically been a part of the Yakama Service Unit population since 1979. 

9 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. 10 Chelan County, WA, has historically been a part of the Colville Service Unit population since 1970. 11Pursuant 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. 12The 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. 13The CHSDA for the Coushatta Tribe of Louisiana was 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 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. 15The 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. 16Treasure County, MT, has historically been a part of the Crow Service Unit population. 17The counties listed have historically been a part of the Grand Traverse Service Unit population since 1980. 18 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). 19 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. 20Public 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. 21The 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. 22Kickapoo 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. 23The 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’’. 24The 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. 25The 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. 26The 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. 


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Federal Register / Vol. 82, No. 194 / Tuesday, October 10, 2017 / Notices 47003 

27 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. 28The 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. 29The 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. 30 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. 31Scott County, MS, has historically been a part of the Choctaw Service Unit population since 1970. 32The 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. 33Entire State of Nevada is included as a CHSDA by regulation (42 CFR 136.22(a)(2)) 34 Carter County, MT, has historically been a part of the Northern Cheyenne Service Unit population since 1979. 35 Land of Box Elder County, Utah, was taken into trust for the Northwestern Band of Shoshoni Nation in 1986. 36The 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. 37Washabaugh County, SD, merged and became part of Jackson County, SD, in 1983; both were/are CHSDA counties for the Oglala Sioux

Tribe. 38Entire State of Oklahoma is included as a CHSDA by regulation (42 CFR 136.22(a)(3)). 39Paiute 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. 40 In the Federal Register on July 08, 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 Tribe’s PRCDA, as announced in the Federal Register on 

July 28, 2017 (82 FR 35227). 41 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. 42The 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. 43The 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. 44The 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. 45The 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. 46 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). 47Public 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. 48The 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. 49Special 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.). 50 Historically part of Isabella Reservation Area for the Saginaw Chippewa Indian Tribe of Michigan and the Eastern Michigan Service Unit population since 1979. 51The 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. 52 CHSDA counties for the Sault Ste. Marie Tribe of Chippewa Indians, Michigan, were designated by regulation (42 CFR 136.22(a)(4)). 53The 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. 54 Lemhi County, ID, has historically been a part of the Fort Hall Service Unit population since 1979. 55The 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. 56On December 30, 2011 the Office of Assistant Secretary—Indian Affairs reaffirmed the Federal recognition of the Tejon Indian Tribe. The 

county listed was 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. Kern County was not covered when Congress originally established the State of California as a CHSDA excluding 

certain counties including Kern County (25 U.S.C. 1680). 57The 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). 58 Rapides County, LA, has historically been a part of the Tunica Biloxi Service Unit population since 1982. 59According 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. 60The 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. 61The 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 the SDA, to function as a CHSDA. 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). 62Public 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. 


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47004 Federal Register / Vol. 82, No. 194 / Tuesday, October 10, 2017 / Notices 

Dated: October 2, 2017. 

Michael D. Weahkee, 

Assistant Surgeon General, U.S. Public Health 

Service, Acting Director, Indian Health 

Service. 

[FR Doc. 2017–21759 Filed 10–6–17; 8:45 a.m.] 

BILLING CODE 4165–16–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Re-Designation of the Delivery Area for 

the Tolowa Dee-ni’ Nation, Formerly 

Known as Smith River Rancheria 

AGENCY: Indian Health Service, HHS. 

ACTION: Final notice. 

SUMMARY: The Secretary of the 

Department of Health and Human 

Services hereby issues this final notice 

to re-designate the Purchased/Referred 

Care Delivery Area (PRCDA) for the 

Tolowa Dee-ni’ Nation (Tribe) 

(previously known as the Smith River 

Rancheria of Smith River, California), to 

provide Purchased/Referred Care (PRC) 

services to their Tribal members 

residing in Curry County, Oregon, 

which is in the Portland Area Indian 

Health Service (IHS). The Tolowa Deeni’s Tribal Headquarters is located 3 

miles south of the California-Oregon 

border in Northern California. 

The entire 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, was 

designated by the IHS as a PRCDA, 

formerly known as a Contract Health 

Service Delivery Area, in accordance 

with statute. The current PRCDA for 

Tolowa Dee-ni’ Tribal members is the 

statutorily specified California PRCDA. 

The expanded PRCDA for the Tolowa 

Dee-ni’ Tribe includes the statutorily 

specified California PRCDA and Curry 

County in the State of Oregon. 

DATES: This notice shall take effect on 

October 10, 2017. 

FOR FURTHER INFORMATION CONTACT: 

Terri Schmidt, Acting Director, Office of 

Resource Access and Partnerships, 

Indian Health Service, 5600 Fishers 

Lane, Mail stop: 10E85C, Rockville, 

Maryland 20857. Telephone 301/443– 

2694 (This is not a toll free number). 

SUPPLEMENTARY INFORMATION: 

Background: The IHS currently 

provides services under regulations 

codified at 42 CFR part 136, subparts A 

through C. Subpart C defines a 

Purchased/Referred Care Delivery Area 

(PRCDA) as the geographic area within 

which Purchased/Referred Care will be 

made available by the Indian Health 

Service (IHS) to members of an 

identified Indian community who reside 

in the Area. PRCDAs were previously 

known as Contract Health Service 

Delivery Areas (CHSDAs) and more 

recently, the IHS referred to them as 

Purchased/Referred Care Service 

Delivery Areas (PRCSDAs) or PRCDAs, 

but the IHS intends to consistently refer 

to them as PRCDAs going forward. 

Residence in 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, 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 person’s 

relative medical priority, 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 that includes all or 

part of a reservation and any county or 

counties that 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, re-designate 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: 

(1) The number of Indians residing in 

the area proposed to be so included or 

excluded; 

(2) Whether the Tribal governing body 

has determined that Indians residing in 

the area near the reservation are socially 

and economically affiliated with the 

Tribe; 

(3) The geographic proximity to the 

reservation of the area whose inclusion 

or exclusion is being considered; and 

(4) The level of funding which would 

be available for the provision of PRC, 42 

CFR 136.22(b). 

Additionally, the regulations require 

that any re-designation of a PRCDA 

must be made in accordance with the 

Administrative Procedures Act (5 U.S.C. 

553). See 42 CFR 136.22(c). In 

compliance with this requirement, we 

are publishing this final notice. 

Congress directed the IHS to designate 

the entire State of California as a 

PRCDA, excluding certain counties, 

under section 810 of the Indian 

Healthcare Improvement Act, Public 

Law 94–437, as amended (25 U.S.C. 

1680). The IHS has utilized the 

congressionally specified PRCDA for the 

purposes of administering PRC benefits 

to members of the Tribe. Thus, members 

of the Tribe who reside outside of the 

statutorily established California 

PRCDA do not reside within the Tolowa 

Dee-ni’s current PRCDA and are 

currently not eligible for PRC services. 

The IHS has historically established 

PRCDAs in accordance with 

Congressional intent but has preserved 

regulatory flexibility to re-designate 

areas as appropriate for inclusion in or 

exclusion from PRCDA under PRC 

regulations. One of the criteria for such 

re-designations is the geographic 

proximity of the expanded area to the 

existing reservation or PRCDA. Here, the 

IHS is expanding the Tribe’s PRCDA 

beyond the geographic description in 25 

U.S.C. 1680 to include a county adjacent 

to the Tribe’s existing PRCDA, in a 

neighboring state. There are already 

PRCDAs that include part of the State of 

California and part of another state, for 

example, Cocopah Tribe of Arizona, 

(Yuma, Arizona, and Imperial, 

California); Colorado River Indian 

Tribes of the Colorado River Indian 

Reservation, Arizona and California, (La 

Paz, Arizona; Riverside, California; San 

Bernardino, California; and Yuma, 

Arizona); Fort Mojave Indian Tribe of 

Arizona, California and Nevada, 

(Nevada; Mohave, Arizona; San 

Bernardino, California); and the 

Quechan Tribe of Fort Yuma Indian 

Reservation, California and Arizona, 

(Yuma, Arizona; and Imperial, 

California). 

The Tolowa Dee-ni’ Tribe has a 

significant number of Tribal members 

who are not residents of California. The 

Tribe asserts that 177 Tribal members 

reside outside of its PRCDA, in Curry 

County, in the State of Oregon, and are 

not able to access PRC funds from either 

the California Area facility (Smith River 

Howonquet Indian Health Center) or 

from the closest Portland Area facility. 

Under 42 CFR 136.23, those otherwise 

eligible Indians who do not reside on a 

reservation, but reside within a PRCDA 

must be either members of the Tribe or 

maintain close economic and social ties 

with the Tribe. In this case, in applying 

the aforementioned PRCDA redesignation criteria required by 

operative regulations codified at 42 CFR 

part 136, subpart C, the following 

findings are made: 

1. By expanding, the Tribe estimates 

the current eligible population will be 

increased by 177. 


sradovich on DSK3GMQ082PROD with NOTICES