Indian Health Care Amendments of 1980
PL 96-537 (S.2728), enacted 12/17/1980

PUBLIC LAW 96-537—DEC. 17, 1980 
94 STAT. 3173 
Public Law 96-537 
96th Congress 
An Act 
To amend the Indian Health Care Improvement Act and the Public Health Service 
Dec. 17, IOTU 
Act with respect to Indian health care, and for other purposes. 
[S. 2728] 
Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled, That (a) this Act Indian Health 
may be cited as the "Indian Health Care Amendments of 1980". ^^^® , 
(b) Except as otherwise specifically provided, whenever in this Act on980.™^" 
an amendment or repeal is expressed in terms of an amendment to, 25 USC 1601 
or repeal of, a section or other provision, the reference shall be note. 
considered to be made to a section or other provision of the Indian 25 USC 1601 
Health Care Improvement Act (90 Stat. 1400). 
note. 
DEFINITIONS 
SEC. 2. (a) Section 4(a) is amended by striking out "Secretary of 25 use 1603, 
Health, Education, and Welfare" and inserting in lieu thereof "Secre-
tary of Health and Human Services". 
(b) Section 4(h) is amended by striking out "composed of urban 
Indians" and inserting in lieu thereof "governed by an Indian 
controlled board of directors". 
(c) Section 4 is amended by adding the following new subsections at 
the end thereof: 
"(i) 'Rural Indian' means any individual who resides in a rural 
community as defined in subsection (j), who is an Indian within the 
meaning of subsection (c), and who is not otherwise eligible to receive 
health services from the Service. 
"(j) 'Rural community' means any community that— 
"(1) is not located on a Federal Indian reservation or trust area; 
"(2) is not an Alaskan Native village; 
"(3) is not an urban center; and 
"(4) has a sufficient rural Indian population with unmet health 
needs, as determined by the Secretary, to warrant assistance 
under title V of this Act. 
Post, p. 3176. 
"(k) 'Rural Indian organization' means a nonprofit corporate body 
governed by a board of directors controlled by rural Indians and 
providing for the maximum participation of all interested Indian 
groups and individuals, which body is capable of legally cooperating 
with other public and private entities for the purpose of performing 
the activities described in section 503(a).". 
Post, p. 3177. 
INDIAN HEALTH MANPOWER 
SEC. 3. (a) Section 102(c) is amended by striking out the last 25 USC 1612. 
sentence and inserting in lieu thereof the following: "There are 
authorized to be appropriated to carry out this section $2,300,000 for 
the fiscal year ending September 30, 1981, $2,600,000 for the fiscal 
year ending September 30,1982, $3,000,000 for the fiscal year ending 
September 30,1983, and $3,500,()00 for the fiscal year ending Septem-
ber 30,1984.". 
79-194 O—81—pt. 3 
34 : QLS 
94 STAT. 3174 
PUBLIC LAW 96-537—DEC. 17, 1980 
25 use 1613. 
(b)(1) Section 103(b) is amended to read as follows: 
"(b) Scholarship grants made pursuant to this section shall be for 
the following purposes: 
"(1) Compensatory preprofessional education of any grantee, 
such scholarship not to exceed two years. 
"(2) Pregraduate education of any grantee leading to a bac-
calaureate degree in an approved premedicine, predentistry, 
preosteopathy, preveterinary medicine, preoptometry, or 
prepodiatry curriculum, such scholarship not to exceed four 
years.". 
(2) Section 103(d) is amended by striking out the last sentence and 
inserting in lieu thereof the following: "There are authorized to be 
appropriated to carry out this section $3,510,000 for the fiscal year 
ending September 30, 1981, $4,000,000 for the fiscal year ending 
September 30,1982, $4,620,000 for the fiscal year ending September 
30, 1983, and $5,300,000 for the fiscal year ending September 30, 
1984.". 
25 use 1614. 
(c) Section 105(d) is amended by striking out the last sentence 
thereof and inserting in lieu thereof the following: "There are 
authorized to be appropriated to carry out this section $990,000 for 
the fiscal year ending September 30, 1981, $1,140,000 for the fiscal 
year ending September 30,1982, $1,310,000 for the fiscal year ending 
September 30,1983, and $1,510,()00 for the fiscal year ending Septem-
ber 30,1984.". 
42 use 294y-i. 
(d)(1) The first sentence of section 757(a) of the Public Health 
Service Act is amended by striking out "and for each of the succeed-
ing four fiscal years such sums as may be specifically authorized by 
an Act enacted after the date of enactment of this section" and 
inserting in lieu thereof "$9,000,000 for the fiscal year ending 
September 30,1981, $10,300,000 for the fiscal year ending September 
30, 1982, $11,800,000 for the fiscal year ending September 30, 1983, 
and $13,600,000 for the fiscal year ending September 30, 1984". 
(2) Section 757(b)(2) is amended— 
(A) by striking out "his" and inserting in lieu thereof "the 
applicable"; and 
(B) by striking out "him" and inserting in lieu thereof "the 
Secretary". 
INDIAN HEALTH SERVICES 
Appropriation 
SEC. 4. (a)(1) Section 201(c)(1) is amended by adding the following 
9
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Q
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^
R
9
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sentence at the end thereof: "There are authorized to be appropriated 
Z
5 ubu ib^i. 
$20,250,000 for the fiscal year ending September 30,1981, $23,000,000 
for the fiscal year ending September 30, 1982, $26,500,000 for the 
fiscal year ending September 30, 1983, and $30,500,000 for the fiscal 
year ending September 30, 1984, and such further additional posi-
tions are authorized as may be necessary for each such fiscal year.". 
(2) Section 201(cX2) is amended by adding the following sentence at 
the end thereof: "There are authorized to be appropriated $6,400,000 
for the fiscal year ending September 30,1981, $7,350,000 for the fiscal 
year ending September 30,1982, $8,450,000 for the fiscal year ending 
September 30,1983, and $9,700,000 for the fiscal year ending Septem-
ber 30,1984, and such further additional positions are authorized as 
may be necessary for each such fiscal year.'. 
(3) Section 201(cK3) is amended by adding the following sentence at 
the end thereof: "There are authorized to be appropriated $1,875,000, 
for the fiscal year ending September 30,1981, $2,150,000 for the fiscal 
year ending September 30,1982, $2,500,000 for the fiscal year ending 
September 30,1983, and $2,875,000 for the fiscal year ending Septem-
PUBLIC LAW 96-537—DEC. 17, 1980 
94 STAT. 3175 
ber 30,1984, and such further additional positions are authorized as 
may be necessary for each such 
fiscal 
year.". 
(bXD Section 201(cX4XA) is amended by adding the following 25 use 1621. 
sentence at the end thereof: "There are authorized to be appropriated 
$2,500,000 for the fiscal year ending September 30, 1981, $2,875,000 
for the 
fiscal 
year ending September 30,1982, $3,300,000 for the fiscal 
year ending September 30, 1983, and $3,800,000 for the fiscal year 
ending September 30,1984, and such further additional positions are 
authorized as may be necessary for each such 
fiscal 
year.". 
(2) Section 201(cX4XB) is amended by adding the following sentence 
at the end thereof: "There are authorized to be appropriated $750,000 
for the fiscal year ending September 30,1981, $870,000 for the fiscal 
year ending September 30,1982, $1,000,000 for the 
fiscal 
year ending 
September 30,1983, and $1,150,000 for the 
fiscal 
year ending Septem-
ber 30,1984, and such further additional positions £
u
*
e authorized as 
may be necessary for each such 
fiscal 
year.". 
(3) Section 201(cX4XC) is amended by adding the following sentence 
at the end thereof: "There are authorized to be appropriated 
$2,350,000 for the fiscal year ending September 30, 1981, $2,700,000 
for the 
fiscal 
year ending September 30,1982, $3,100,000 for the fiscal 
year ending September 30, 1983, and $3,600,000 for the fiscal year 
ending September 30,1984, and such 
fiirther 
positions £
u
*
e authorized 
as may be necessary for each such 
fiscal 
year.". 
(4) Section 201(cX4XD) is amended by adding the following sentence 
at the end thereof: "Tliere are author^ed to be appropriated $460,000 
for the fiscal year ending September 30,1981, $525,000 for the fiscal 
year ending September 30,1982, $600,000 for the fiscal year ending 
September 30,1983, and $690,000 for the fiscal year ending Septem-
ber 30,1984, and such further additional positions are authorized as 
may be necessary for each such 
fiscal 
year.". 
(5) Section 201(cX4XE) is amended by adding the following sentence 
at the end thereof: "There are authorized to be appropriated $250,000 
for the fiscal year ending September 30,1981, $285,000 for the fiscal 
year ending September 30,1982, $325,000 for the fiscal year ending 
September 30,1983, and $375,000 for the fiscal year ending Septem-
ber 30,1984.". 
(cXD Section 201(cX5) is amended by adding the following sentence 
at the end thereof: "There are authorized to be appropriated 
$16,500,000 for the 
fiscal 
year ending September 30,1981, $19,000,000 
for the fiscal year ending September 30, 1982, $22,000,000 for the 
fiscal year ending September 30,1983, and $25,100,000 for the fiscal 
year ending September 30,1984.". 
(2) Section 201(cX6) is amended by adding the following sentence at 
the end thereof: "Tliere are authorized to be appropriated $5,000,000 
for the 
fiscal 
year ending September 30,1981, $5,750,000 for the fiscal 
year ending September 30,1982, $6,600,000 for the 
fiscal 
year ending 
September 30,1983, and $7,600,000 for the 
fiscal 
year ending Septem-
ber 30,1984, and such further additional positions are authori^ as 
may be necessary for each such 
fiscal 
year.". 
(3) Section 201(c) is amended by striking out paragraph (7). 
INDIAN HEALTH FACILITIES 
SEC. 5. Title m is amended by adding the following new section at 
the end thereof: 
94 STAT. 3176 
PUBLIC LAW 96-537—DEC. 17, 1980 
AUTHORIZATIONS 
25 use 1634. 
"SEC. 305. There are authorized to be appropriated to carry out 
sections 301 and 302 for the fiscal year ending September 30,1981, for 
the fiscal year ending September 30, 1982, for the fiscal year ending 
September 30, 1983, and for the fiscal year ending September 30, 
1984, such sums as may be necessary.". 
ACCESS TO HEALTH SERVICES 
SEC. 6. Title IV is amended by adding the following new section at 
the end thereof: 
25 u s e 1622. 
42 u s e 1395i-2, 
13950,1395p. 
42 u s e 1396. 
42 u s e 1395, 
1396. 
Appropriation 
authorization. 
GRANTS TO AND CONTRACTS WITH TRIBAL ORGANIZATIONS 
"SEC. 404. (a) The Secretary, acting through the Service, shall make 
grants to or enter into contracts with tribal organizations to assist 
such organizations in establishing and administering programs on or 
near Federal Indian reservations and trust areas and in or near 
Alaska Native villages to assist individual Indians to— 
"(1) enroll under section 1818 of part A and sections 1836 and 
1837 of part B of title XVIII of the Social Security Act; 
"(2) pay monthly premiums for coverage due to financial need 
of such individual; and 
"(3) apply for medical assistance provided pursuant to title 
XIX of the Social Security Act. 
"(b) The Secretary, acting through the Service, shall place condi-
tions as deemed necessary to effect the purpose of this section in any 
contract or grant which the Secretary makes with any tribal organi-
zation pursuant to this section. Such conditions shall include, but are 
not limited to, requirements that the organization successfully under-
take to— 
"(1) determine the population of Indians to be served that are 
or could be recipients of benefits under titles XVIII and XIX of 
the Social Security Act; 
"(2) assist individual Indians in becoming familiar with and 
utilizing such benefits; 
"(3) provide transportation to such individual Indians to the 
appropriate offices for enrollment or application for medical 
assistance; 
"(4) develop and implement a schedule of income levels to 
determine the extent of payment of premiums by such organiza-
tion for coverage of needy individuals; and methods of improving 
the participation of Indians in receiving the benefits provided 
pursuant to titles XVIII and XIX of the Social Security Act. 
"(c) There are authorized to be appropriated $5,000,000 for the 
fiscal year ending September 30, 1981, $5,750,000 for the fiscal year 
ending September 30, 1982, $6,615,000 for the fiscal year ending 
September 30,1983, and $7,610,000 for the fiscal year ending Septem-
ber 30,1984.". 
HEALTH SERVICES FOR URBAN AND RURAL INDIANS 
SEC. 7. Title V is amended to read as follows: 
PUBLIC LAW 96-537—DEC. 17, 1980 
94 STAT. 3177 
"TITLE V—HEALTH SERVICES FOR URBAN AND RURAL 
INDIANS 
"PURPOSE 
"SEC. 501. The purpose of this title is to encourage the establish- 25 use 1651. 
ment of programs in urban areas and rural communities to make 
health services more accessible to the urban and rural Indian 
populations, respectively. 
"CONTRACTS WTTH URBAN AND RURAL INDIAN ORGANIZATIONS 
"SEC. 502. The Secretary, acting through the Service, shall enter 25 use 1652. 
into contracts with urban Indian organizations and with rural Indian 
organizations to assist such organizations to establish and adminis-
ter, in the urban centers or rural communities in which such 
organizations are situated, programs which meet the requirements 
set forth in sections 503 and 504. 
"CONTRACT EUGIBIUTY 
"SEC. 503. (a) The Secretary, acting through the Service, shall place 25 use 1653. 
such conditions as deemed necessary to effect the purpose of this title 
in any contract which the Secretary makes with any urban or rural 
Indian organization pursuant to this title. Such conditions shsdl 
include, but are not limited to, requirements that the organization 
successfully undertake t o ^ 
"(1) determine the population of urban or rural Indians which 
are or could be recipients of health referral or care services; 
"(2) identify all public and private health service resources 
within the urban center or rural community in which the 
organization is situated which are or may be available to urban 
Indians or rural Indians, respectively; 
"(3) assist such health services resources in providing service to 
such urban or rural Indians; 
"(4) assist such urban or rural Indians in becoming familiar 
with and utilizing such resources; 
"(5) provide basic health education to such urban or rural 
Indians; 
"(6) establish and implement manpower training programs to 
accomplish the referral and education tasks set forth in clauses 
(3) through (5) of this subsection; 
"(7) identify gaps between unmet health needs of urban Indi-
ans or rural Indians and the resources available to meet such 
needs; 
"(8) make recommendations to the Secretary and Federal, 
State, local, and other resource agencies on methods of improv-
ing health service programs to meet the needs of urban or rural 
Indians; and 
"(9) where necessary, provide or contract for health care 
services to urban or rural Indians. 
"(b) The Secretary, acting through the Service, shall by regulation 
prescribe the criteria for selecting urban Indian organizations and 
rural Indian organizations to enter into contracts pursuant to this 
title. Such criteria shall, among other factors, take into 
consideration— 
94 STAT. 3178 
PUBLIC LAW 96-537—DEC. 17, 1980 
"(1) the extent of 
the unmet health care needs of urban Indians 
in the urban center or of rural Indians in the rural community 
involved; 
"(2) the size of the urban Indian population or the rural Indian 
community to receive assistance; 
"(3) the relative accessibility of health care services to such 
population in such urban center or rural community; 
"(4) the extent, if any, to which the activities set forth in 
subsection (a) would duplicate any previous or current public or 
private health services project in such urban center or rural 
community that was or is funded in a manner other than 
pursuant to this title; 
"(5) the appropriateness and likely effectiveness of the activi-
ties set forth in subsection (a) in such urban center or rural 
community; 
"(6) the existence of an urban Indiem organization or a rural 
Indian organization capable of performing the activities set forth 
in subsection (a) and entering into a contract with the Secretary 
pursuant to this title; and 
"(7) the extent of existing or likely future participation in the 
activities set forth in subsection (a) by appropriate health and 
health-related Federal, State, local, and other agencies. 
Federal laws and 
regulations, 
exceptions. 
25 u s e 1654. 
Payments. 
Amendments 
and revisions. 
Federal facility 
utilization. 
OTHER 
CONTRACT 
REQUIREMENTS 
"SEC. 504. (a) Contracts with urban Indian organizations or rural 
Indian organizations pursuant to this title shall be in accordance 
with all Federal contracting laws and regulations except that, in the 
discretion of the Secretary, such contracts may be negotiated without 
advertising and need not conform to the provisions of the Act of 
August 24,1935 (49 Stat. .793), as amended. 
"ft)) Payments under any contracts pursuant to this title may be 
made in advance or by way of reimbursement and in such 
installments and on such conditions as the Secretary deems neces-
sary to carry out the purposes of 
this title. 
"(c) Notwithstanding any provision of law to the contrary, the 
Secretary may, at the request or consent of 
an urban Indian organiza-
tion or a rural Indian organization, revise or amend any contract 
made by the Secretary with such organization under this title as 
necessary to carry out the purposes of this title: Provided, however. 
That whenever an urban Indian organization or a rural Indian 
organization requests retrocession of the Secretary for any contract 
entered into pursuant to this title, such retrocession shall become 
effective upon a date specified by the Secretary not more than one 
hundred and twenty days from the date of the request by the 
organization or at such later date as may be mutually agreed to by 
the Secretary and the organization. 
"(d) In connection with any contract made pursuant to this title, 
the Secretary may permit an urban Indian organization or a rural 
Indian organization to utilize, in carrying out such contract, existing 
facilities owned by the Federal Government within the Secretary's 
jurisdiction under such terms and conditions as may be agreed upon 
for the use and maintenance of 
such facilities. 
"(e) Contracts with urban or rural Indian organizations and regula-
tions adopted pursuant to this title shall include provisions to assure 
the fair and uniform provision to urban or rural Indians of services 
and assistance under such contracts by such organizations. 
PUBLIC LAW 96-537—DEC. 17, 1980 
94 STAT. 3179 
REPORTS AND RECORDS 
"SEC. 505. For each fiscal year during which an urban Indian 25 use 1655. 
organization or a rural Indian organization receives or expends funds 
pursuant to a contract under this title, such organization shall 
submit to the Secretary a report including information gathered 
pursuant to section 503(a) (7) and (8), information on activities 
conducted by the organization pursuant to the contract, an account-
ing of the amounts and purposes for which Federal funds were 
expended, and such other information as the Secretary may request. 
The reports and records of the urban Indian organization or the rural 
Indian organization with respect to such contract shall be subject to 
audit by the Secretary and the Comptroller General of the United 
States. 
"AUTHORIZATIONS 
"SEC. 506. (a) There are authorized to be appropriated for contracts 25 use 1656. 
with urban Indian organizations under this title $18,750,000 for the 
fiscal year ending September 30,1981, $21,500,000 for the fiscal year 
ending September 30, 1982, $24,725,000 for the fiscal year ending 
September 30, 1983, and $28,500,000 for the fiscal year ending 
September 30,1984. 
(b) There are authorized to be appropriated for contracts with 
rural Indian organizations under this title $3,000,000 for the fiscal 
year ending September 30,1981, $3,000,000 for the fiscal year ending 
September 30,1982, $3,000,000 for the fiscal year ending September 
30,1983, and $3,000,000 for the fiscal year ending September 30,1984. 
REVIEW OP PROGRAM 
"SEC. 507. Not later than the date six months after September 30, 
1983, the Secretary, acting through the Service and with the assist-
ance of the urban and rural Indian organizations that have entered 
into contracts under this title, shall review the program established 
under this title and submit to the Congress an assessment thereof and 
recommendations for any further legislative efforts the Secretary 
deems necessary to meet the purpose of this title.". 
Submittal to 
Congress. 
25 u s e 1657. 
MISCELLANEOUS 
SEC. 8. (a) Section 704 is amended by adding the following new 25 use 1674. 
sentence at the end thereof: "Property leased by the Secretary from 
an Indian tribe may be reconstructed or renovated by the Secretary 
pursuant to an agreement with such Indian tribe.". 
(b) Title VII is amended by adding the following new sections at the 
end thereof: 
"RESOURCE ALLOCATION PLAN 
"SEC. 706. Within one year from the date of the enactment of this 
section, the Secretary shall submit to the Congress a resource 
allocation plan. Such plan shall explain the future allocation of 
services and funds among the service population of the Service and 
shall provide a schedule for reducing deficiencies in resources of 
tribes and nontribal specific entities. 
Submittal to 
eongress. 
25 u s e 1676. 
NUCLEAR RESOURCE DEVELOPMENT HEALTH HAZARDS 
"SEC. 707. (a) The Secretary and the Service shall conduct, in 
conjunction with other appropriate Federal agencies and in consulta-
tion with concerned Indian tribes and organizations, a study of the 
Study. 
25 u s e 1677. 
94 STAT. 3180 
PUBLIC LAW 96-537—DEC. 17, 1980 
Health care 
plan, 
development. 
Report to 
Congress. 
Inter-
governmental 
Task Force, 
establishment. 
health hazards to Indian miners and Indians on or near Indian 
reservations and in Indian communities as a result of nuclear 
resource development. Such study shall include— 
"(1) an evaluation of the nature and extent of nuclear resource 
development related health problems currently exhibited among 
Indians and the causes of such health problems; 
"(2) an analysis of the potential effect of ongoing and future 
nuclear resource development on or near Indian reservations 
and communities; 
"(3) an evaluation of the t3T)es and nature of activities, prac-
tices, and conditions causing or affecting such health problems, 
including uranium mining and milling, uranium mine tailing 
deposits, nuclear powerplant operation and construction, and 
nuclear waste disposal; 
"(4) a summanr of any findings and recommendations provided 
in Federal and State studies, reports, investigations, and inspec-
tions during the five years prior to the date of the enactment of 
this section that directly or indirectly relate to the activities, 
practices, and conditions affecting the health or safety of such 
Indians; and 
"(5) the efforts that have been made by Federal and State 
agencies and mining and milling companies to effectively cany 
out an education program for such Indians regarding the health 
and safety hazards of such nuclear resource development. 
"(b) Upon completion of such study the Secretary and the Service 
shall take into account the results of such study and develop a health 
care plan to address the health problems studied under subsection (a). 
The plan shall include— 
"(1) methods for diagnosing and treating Indians currently 
exhibiting such health problems; 
"(2) preventive care for Indians who may be exposed to such 
hesdth hazards, including the monitoring of the hesdth of individ-
uals who have or may have been exposed to excessive amounts of 
radiation, or affected by other nuclear development activities 
that have had or could nave a serious impact upon the health of 
such individuals; and 
"(3) a program of education for Indians who, by reason of their 
work or geographic proximity to such nuclear development 
activities, may experience health problems. 
"(c) The Secretai^ and the Service shall submit to Congress the 
study prepared under subsection (a) no later than the date eighteen 
months after the date of enactment of this section. The health care 
i
)lan prepared under subsection (b) shall be submitted in a report no 
ater th£ui the date one year after the date that the study prepared 
under subsection (a) is submitted to Congress. Such report shall 
include recommended activities for the implementation of the plan, 
as well as an evaluation of anv activities previously undertaken by 
the Service to address such health problems. 
"(dXD There is established an Intergovernmental Task Force to be 
composed of the following individuals (or their designees): the Secre-
tary of Energy, the Administrator of the Environmental Protection 
Agency, the Itirector of the Bureau of Mines, the Assistant Secretary 
for Occupational Safety and Health, and the Secretary of the 
Interior. 
"(2) The Task Force shall identify existing £md potential operations 
related to nuclear resource development that affect or may affect the 
health of Indians on or near an Indian reservation or in an Indian 
community and enter into activities to correct existing health haz-
PUBLIC LAW 96-537—DEC. 17, 1980 
94 STAT. 3181 
ards and insure that current and future health problems resulting 
from nuclear resource development activities are minimized or 
reduced. 
"(3) The Secretary shall be Chairman of the Task Force. The Task 
Force shall meet at least twice each year. Each member of the Task 
Force shall furnish necessary assistance to the Task Force. 
"(e) In the case of any Indian who— 
"(1) as a result of employment in or near a uranium mine or 
mill, suffers from a work related illness or condition; 
"(2) is. eligible to receive diagnosis and treatment services from 
a Service facility; and 
"(3) by reason of such Indian's employment, is entitled to 
medical care at the expense of such mine or mill operator; 
the Service shall, at the request of such Indian, render appropriate 
medical care to such Indian for such illness or condition and may 
recover the costs of any medical care so rendered to which such 
Indian is entitled at the expense of such operator from such operator. 
Nothing in this subsection shall affect the rights of such Indian to 
recover damages other than such costs paid to the Service from the 
employer for such illness or condition. 
"(f) There is authorized to be appropriated $300,000 to carry out the 
study as provided in subsection (a), such amount to be expended by 
the date eighteen months after the date of the enactment of this 
section. 
Medical care. 
Appropriation 
authorization. 
ARIZONA AS A CONTRACT HEALTH SERVICE DELIVERY AREA 
"SEC. 708. (a) For the fiscal years beginning with the fiscal year 
ending September 30, 1982, and ending with the fiscal year ending 
September 30, 1984, the State of Arizona shall be designated as a 
contract health service delivery area by the Service for the purpose of 
providing contract health care services to Indians in such State. 
"(b) The Service shall not curtail any health care services provided 
to Indians residing on Federal reservations in the State of Arizona if 
such curtailment is due to the provision of contract services in such 
State pursuant to the designation of such State as a contract health 
service delivery area pursuant to subsection (a). 
"(c) There are authorized to be appropriated to carry out this 
section $2,000,000 for the fiscal year ending September 30, 1982, 
$2,000,000 for the fiscal year ending September 30, 1983, and 
$2,000,000 for the fiscal year ending September 30,1984. 
Designation. 
25 use 1678. 
Appropriation 
authorization. 
CAUFORNIA FORMER FEDERALLY RECOGNIZED TRIBES 
"SEC. 709. Indians in the State of California who are members or 
descendants of members of former federally recognized tribes of the 
State of California shall be eligible for services from the Service in 
the fiscal years beginning with the fiscal year ending September 30, 
1982, and ending with the fiscal year ending September 30, 1984. 
Health services, 
eligibility. 
25 use 1679. 
PERSONNEL CEILINGS DEMONSTRATION PROJECT 
"SEC. 710. (a) In order to determine whether the Service can be 25 use 1680. 
better managed through fiscal controls without personnel ceilings, 
the Service shall, in conjunction with the Office of Personnel Man-
agement and the Secretary, conduct a demonstration project in which 
certain personnel ceilings in the Service are lifted. Such demonstra-
94 STAT. 3182 
PUBLIC LAW 96-537—DEC. 17,1980 
tion project shall be conducted in two of the Indian Health Service 
areas and shall be closely monitored by the Service. 
Report to 
"(b) Not later than the date 2 years after the date of the enactment 
Congress. 
Q£ ^j^jg gection, the Service shall submit a report to Congress regard-
ing the demonstration project carried out under subsection (a). Such 
report shall include a discussion of whether the lifting of personnel 
ceilings would improve the Service's ability to deliver services, what 
potential negative impact the lifting of personnel ceilings might have 
on the control of 
.Federal employment, and a determination as to 
whether the lifting of personnel ceilings should be expanded to the 
entire Service.". 
Approved December 17,1980. 
LEGISLATIVE HISTORY: 
HOUSE REPORTS: No. 96-975, Pt. 1 accompanying H.R. 6629 (Comm. on Interior and 
Insular Affairs) and No. 96-1483 (Comm. of Conference). 
SENATE REPORT No. 96-758 (Select Comm. on Indian Affairs). 
CONGRESSIONAL RECORD, Vol. 126 (1980): 
June 2, considered and peissed Senate. 
Sept. 8, 9, H.R. 6629 considered and passed House; pass£ige vacated and S.2728, 
amended, passed in lieu. 
Dec. 2, House agreed to conference report. 
Dec. 3, Senate ftgreed to conference report.