102 
trol the complications resulting from, diabetes 
among Indian Tribes within that Service Unit. 
‘‘(b) DIABETES SCREENING.—To the extent medi-
cally indicated and with informed consent, the Secretary 
shall screen each Indian who receives services from the 
Service for diabetes and for conditions which indicate a 
high risk that the individual will become diabetic and es-
tablish a cost-effective approach to ensure ongoing moni-
toring of disease indicators. Such screening and moni-
toring may be conducted by a Tribal Health Program and 
may be conducted through appropriate Internet-based 
health care management programs. 
‘‘(c) DIABETES PROJECTS.—The Secretary shall con-
tinue to maintain each model diabetes project in existence 
on the date of enactment of the Indian Health Care Im-
provement Act Amendments of 2007, any such other dia-
betes programs operated by the Service or Tribal Health 
Programs, and any additional diabetes projects, such as 
the Medical Vanguard program provided for in title IV 
of Public Law 108–87, as implemented to serve Indian 
Tribes. Tribal Health Programs shall receive recurring 
funding for the diabetes projects that they operate pursu-
ant to this section, both at the date of enactment of the 
Indian Health Care Improvement Act Amendments of 
VerDate Aug 31 2005 
22:10 Mar 11, 2007
Jkt 059200
PO 00000
Frm 00102
Fmt 6652
Sfmt 6201
E:\BILLS\H1328.IH
H1328
ycherry on PROD1PC64 with BILLS
103 
2007 and for projects which are added and funded there-
after. 
‘‘(d) DIALYSIS PROGRAMS.—The Secretary is author-
ized to provide, through the Service, Indian Tribes, and 
Tribal Organizations, dialysis programs, including the 
purchase of dialysis equipment and the provision of nec-
essary staffing. 
‘‘(e) OTHER DUTIES OF THE SECRETARY.— 
‘‘(1) IN GENERAL.—The Secretary shall, to the 
extent funding is available— 
‘‘(A) in each Area Office, consult with In-
dian Tribes and Tribal Organizations regarding 
programs for the prevention, treatment, and 
control of diabetes; 
‘‘(B) establish in each Area Office a reg-
istry of patients with diabetes to track the inci-
dence of diabetes and the complications from 
diabetes in that area; and 
‘‘(C) ensure that data collected in each 
Area Office regarding diabetes and related com-
plications among Indians are disseminated to 
all other Area Offices, subject to applicable pa-
tient privacy laws. 
‘‘(2) DIABETES CONTROL OFFICERS.— 
VerDate Aug 31 2005 
22:10 Mar 11, 2007
Jkt 059200
PO 00000
Frm 00103
Fmt 6652
Sfmt 6201
E:\BILLS\H1328.IH
H1328
ycherry on PROD1PC64 with BILLS
104 
‘‘(A) IN GENERAL.—The Secretary may es-
tablish and maintain in each Area Office a posi-
tion of diabetes control officer to coordinate and 
manage any activity of that Area Office relating 
to the prevention, treatment, or control of dia-
betes to assist the Secretary in carrying out a 
program under this section or section 330C of 
the Public Health Service Act (42 U.S.C. 254c– 
3). 
‘‘(B) CERTAIN
ACTIVITIES.—Any activity 
carried out by a diabetes control officer under 
subparagraph (A) that is the subject of a con-
tract or compact under the Indian Self-Deter-
mination and Education Assistance Act (25 
U.S.C. 450 et seq.), and any funds made avail-
able to carry out such an activity, shall not be 
divisible for purposes of that Act. 
‘‘SEC. 205. SHARED SERVICES FOR LONG-TERM CARE. 
‘‘(a) LONG-TERM CARE.—Notwithstanding any other 
provision of law, the Secretary, acting through the Service, 
is authorized to provide directly, or enter into contracts 
or compacts under the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 450 et seq.) with 
Indian Tribes or Tribal Organizations for, the delivery of 
long-term care (including health care services associated 
VerDate Aug 31 2005 
22:10 Mar 11, 2007
Jkt 059200
PO 00000
Frm 00104
Fmt 6652
Sfmt 6201
E:\BILLS\H1328.IH
H1328
ycherry on PROD1PC64 with BILLS