{"identifier":"/us/usc/t25/s1603","title":25,"num":"\u00a7\u202f1603.","heading":"Definitions","text":"\u00a7\u202f1603.\nDefinitions\nIn this chapter:\n(1)\nArea office\nThe term \u201cArea office\u201d means an administrative entity including a program office, within the Indian Health Service through which services and funds are provided to the service units within a defined geographic area.\n(2)\nBehavioral health\n(A)\nIn general\nThe term \u201cbehavioral health\u201d means the blending of substance (alcohol, drugs, inhalants, and tobacco) abuse and mental health disorders prevention and treatment for the purpose of providing comprehensive services.\n(B)\nInclusions\nThe term \u201cbehavioral health\u201d includes the joint development of substance abuse and mental health treatment planning and coordinated case management using a multidisciplinary approach.\n(3)\nCalifornia Indian\nThe term \u201cCalifornia Indian\u201d means any Indian who is eligible for health services provided by the Service pursuant to\nsection 1679 of this title\n(4)\nCommunity college\nThe term \u201ccommunity college\u201d means\u2014\n(A) a tribal college or university; or\n(B) a junior or community college.\n(5)\nContract health service\nThe term \u201ccontract health service\u201d means any health service that is\u2014\n(A) delivered based on a referral by, or at the expense of, an Indian health program; and\n(B) provided by a public or private medical provider or hospital that is not a provider or hospital of the Indian health program.\n(6)\nDepartment\nThe term \u201cDepartment\u201d, unless otherwise designated, means the Department of Health and Human Services.\n(7)\nDisease prevention\n(A)\nIn general\nThe term \u201cdisease prevention\u201d means any activity for\u2014\n(i) the reduction, limitation, and prevention of\u2014\n(I) disease; and\n(II) complications of disease; and\n(ii) the reduction of consequences of disease.\n(B)\nInclusions\nThe term \u201cdisease prevention\u201d includes an activity for\u2014\n(i) controlling\u2014\n(I) the development of diabetes;\n(II) high blood pressure;\n(III) infectious agents;\n(IV) injuries;\n(V) occupational hazards and disabilities;\n(VI) sexually transmittable diseases; or\n(VII) toxic agents; or\n(ii) providing\u2014\n(I) fluoridation of water; or\n(II) immunizations.\n(8)\nFAE\nThe term \u201cFAE\u201d means fetal alcohol effect.\n(9)\nFAS\nThe term \u201cfetal alcohol syndrome\u201d or \u201cFAS\u201d means a syndrome in which, with a history of maternal alcohol consumption during pregnancy, the following criteria are met:\n(A) Central nervous system involvement such as mental retardation, developmental delay, intellectual deficit, microencephaly, or neurologic abnormalities.\n(B) Craniofacial abnormalities with at least 2 of the following: microophthalmia, short palpebral fissures, poorly developed philtrum, thin upper lip, flat nasal bridge, and short upturned nose.\n(C) Prenatal or postnatal growth delay.\n(10)\nHealth profession\nThe term \u201cHealth profession\u201d means allopathic medicine, family medicine, internal medicine, pediatrics, geriatric medicine, obstetrics and gynecology, podiatric medicine, nursing, public health nursing, dentistry, psychiatry, osteopathy, optometry, pharmacy, psychology, public health, social work, marriage and family therapy, chiropractic medicine, environmental health and engineering, an allied health profession, or any other health profession.\n(11)\nHealth promotion\nThe term \u201chealth promotion\u201d means any activity for\u2014\n(A) fostering social, economic, environmental, and personal factors conducive to health, including raising public awareness regarding health matters and enabling individuals to cope with health problems by increasing knowledge and providing valid information;\n(B) encouraging adequate and appropriate diet, exercise, and sleep;\n(C) promoting education and work in accordance with physical and mental capacity;\n(D) making available safe water and sanitary facilities;\n(E) improving the physical, economic, cultural, psychological, and social environment;\n(F) promoting culturally competent care; and\n(G) providing adequate and appropriate programs, including programs for\u2014\n(i) abuse prevention (mental and physical);\n(ii) community health;\n(iii) community safety;\n(iv) consumer health education;\n(v) diet and nutrition;\n(vi) immunization and other methods of prevention of communicable diseases, including HIV/AIDS;\n(vii) environmental health;\n(viii) exercise and physical fitness;\n(ix) avoidance of fetal alcohol spectrum disorders;\n(x) first aid and CPR education;\n(xi) human growth and development;\n(xii) injury prevention and personal safety;\n(xiii) behavioral health;\n(xiv) monitoring of disease indicators between health care provider visits through appropriate means, including Internet-based health care management systems;\n(xv) personal health and wellness practices;\n(xvi) personal capacity building;\n(xvii) prenatal, pregnancy, and infant care;\n(xviii) psychological well-being;\n(xix) reproductive health and family planning;\n(xx) safe and adequate water;\n(xxi) healthy work environments;\n(xxii) elimination, reduction, and prevention of contaminants that create unhealthy household conditions (including mold and other allergens);\n(xxiii) stress control;\n(xxiv) substance abuse;\n(xxv) sanitary facilities;\n(xxvi) sudden infant death syndrome prevention;\n(xxvii) tobacco use cessation and reduction;\n(xxviii) violence prevention; and\n(xxix) such other activities identified by the Service, a tribal health program, or an urban Indian organization to promote achievement of any of the objectives referred to in\nsection 1602(2) of this title\n(12)\nIndian health program\nThe term \u201cIndian health program\u201d means\u2014\n(A) any health program administered directly by the Service;\n(B) any tribal health program; and\n(C) any Indian tribe or tribal organization to which the Secretary provides funding pursuant to\nsection 47 of this title\n(13)\nIndians or Indian\nThe term \u201cIndians\u201d or \u201cIndian\u201d, unless otherwise designated, means any person who is a member of an Indian tribe, as defined in subsection (d) hereof,\n(A) ,\n3\n3 So in original. The comma probably should not appear.\n(B) is an Eskimo or Aleut or other Alaska Native, or\n(C) is considered by the Secretary of the Interior to be an Indian for any purpose, or\n(D) is determined to be an Indian under regulations promulgated by the Secretary.\n(14)\nIndian tribe\nThe term \u201cIndian tribe\u201d means any Indian tribe, band, nation, or other organized group or community, including any Alaska Native village or group or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act (\n85 Stat. 688\n43 U.S.C. 1601\n(15)\nJunior or community college\nThe term \u201cjunior or community college\u201d has the meaning given the term in section 1058(e)\n1\n(16)\nReservation\n(A)\nIn general\nThe term \u201creservation\u201d means a reservation, Pueblo, or colony of any Indian tribe.\n(B)\nInclusions\nThe term \u201creservation\u201d includes\u2014\n(i) former reservations in Oklahoma;\n(ii) Indian allotments; and\n(iii) Alaska Native Regions established pursuant to the Alaska Native Claims Settlement Act (\n43 U.S.C. 1601\n(17)\nSecretary\nThe term \u201cSecretary\u201d, unless otherwise designated, means the Secretary of Health and Human Services.\n(18)\nService\nThe term \u201cService\u201d means the Indian Health Service.\n(19)\nService area\nThe term \u201cService area\u201d means the geographical area served by each area office.\n(20)\nService unit\nThe term \u201cService unit\u201d means an administrative entity of the Service or a tribal health program through which services are provided, directly or by contract, to eligible Indians within a defined geographic area.\n(21)\nSubstance abuse\nThe term \u201cSubstance abuse\u201d includes inhalant abuse.\n(22)\nTelehealth\nThe term \u201ctelehealth\u201d has the meaning given the term in\nsection 254c\u201316(a) of title 42\n(23)\nTelemedicine\nThe term \u201ctelemedicine\u201d means a telecommunications link to an end user through the use of eligible equipment that electronically links health professionals or patients and health professionals at separate sites in order to exchange health care information in audio, video, graphic, or other format for the purpose of providing improved health care services.\n(24)\nTribal college or university\nThe term \u201ctribal college or university\u201d has the meaning given the term in\nsection 1059c(b) of title 20\n(25)\nTribal health program\nThe term \u201ctribal health program\u201d means an Indian tribe or tribal organization that operates any health program, service, function, activity, or facility funded, in whole or part, by the Service through, or provided for in, a contract or compact with the Service under the Indian Self-Determination and Education Assistance Act (\n25 U.S.C. 450\n1\n(26)\nTribal organization\nThe term \u201ctribal organization\u201d has the meaning given the term in section 4 of the Indian Self-Determination and Education Assistance Act (\n25 U.S.C. 450b\n1\n(27)\nUrban center\nThe term \u201cUrban center\u201d means any community which has a sufficient urban Indian population with unmet health needs to warrant assistance under subchapter IV, as determined by the Secretary.\n(28)\nUrban Indian\nThe term \u201cUrban Indian\u201d means any individual who resides in an urban center, as defined in subsection (g) hereof,\n1\n1\n(29)\nUrban Indian organization\nThe term \u201cUrban Indian organization\u201d means a nonprofit corporate body situated in an urban center, governed by an urban Indian controlled board of directors, 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\nsection 1653(a) of this title","url":"https://projectusc.org/usc/t25/s1603.html","content":[{"t":"sec","id":"/us/usc/t25/s1603","children":[{"t":"num","text":"\u00a7\u202f1603."},{"t":"heading","text":"Definitions","tail":"\n"},{"t":"chapeau","text":"In this chapter:"},{"t":"para","id":"/us/usc/t25/s1603/1","children":[{"t":"num","text":"(1)"},{"t":"heading","text":"Area office"},{"t":"content","children":[{"t":"p","text":"The term \u201cArea office\u201d means an administrative entity including a program office, within the Indian Health Service through which services and funds are provided to the service units within a defined geographic area.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/2","children":[{"t":"num","text":"(2)"},{"t":"heading","text":"Behavioral health"},{"t":"subpara","id":"/us/usc/t25/s1603/2/A","children":[{"t":"num","text":"(A)"},{"t":"heading","text":"In general"},{"t":"content","children":[{"t":"p","text":"The term \u201cbehavioral health\u201d means the blending of substance (alcohol, drugs, inhalants, and tobacco) abuse and mental health disorders prevention and treatment for the purpose of providing comprehensive services.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/2/B","children":[{"t":"num","text":"(B)"},{"t":"heading","text":"Inclusions"},{"t":"content","children":[{"t":"p","text":"The term \u201cbehavioral health\u201d includes the joint development of substance abuse and mental health treatment planning and coordinated case management using a multidisciplinary approach.","tail":"\n"}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/3","children":[{"t":"num","text":"(3)"},{"t":"heading","text":"California Indian"},{"t":"content","children":[{"t":"p","text":"The term \u201cCalifornia Indian\u201d means any Indian who is eligible for health services provided by the Service pursuant to ","children":[{"t":"ref","text":"section 1679 of this title","href":"/us/usc/t25/s1679","tail":"."}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/4","children":[{"t":"num","text":"(4)"},{"t":"heading","text":"Community college"},{"t":"chapeau","text":"The term \u201ccommunity college\u201d means\u2014"},{"t":"subpara","id":"/us/usc/t25/s1603/4/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":" a tribal college or university; or","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/4/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" a junior or community college.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/5","children":[{"t":"num","text":"(5)"},{"t":"heading","text":"Contract health service"},{"t":"chapeau","text":"The term \u201ccontract health service\u201d means any health service that is\u2014"},{"t":"subpara","id":"/us/usc/t25/s1603/5/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":" delivered based on a referral by, or at the expense of, an Indian health program; and","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/5/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" provided by a public or private medical provider or hospital that is not a provider or hospital of the Indian health program.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/6","children":[{"t":"num","text":"(6)"},{"t":"heading","text":"Department"},{"t":"content","children":[{"t":"p","text":"The term \u201cDepartment\u201d, unless otherwise designated, means the Department of Health and Human Services.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/7","children":[{"t":"num","text":"(7)"},{"t":"heading","text":"Disease prevention"},{"t":"subpara","id":"/us/usc/t25/s1603/7/A","children":[{"t":"num","text":"(A)"},{"t":"heading","text":"In general"},{"t":"chapeau","text":"The term \u201cdisease prevention\u201d means any activity for\u2014"},{"t":"clause","id":"/us/usc/t25/s1603/7/A/i","children":[{"t":"num","text":"(i)"},{"t":"chapeau","text":" the reduction, limitation, and prevention of\u2014"},{"t":"subclause","id":"/us/usc/t25/s1603/7/A/i/I","children":[{"t":"num","text":"(I)"},{"t":"content","text":" disease; and","tail":"\n"}],"tail":"\n"},{"t":"subclause","id":"/us/usc/t25/s1603/7/A/i/II","children":[{"t":"num","text":"(II)"},{"t":"content","text":" complications of disease; and","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/7/A/ii","children":[{"t":"num","text":"(ii)"},{"t":"content","text":" the reduction of consequences of disease.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/7/B","children":[{"t":"num","text":"(B)"},{"t":"heading","text":"Inclusions"},{"t":"chapeau","text":"The term \u201cdisease prevention\u201d includes an activity for\u2014"},{"t":"clause","id":"/us/usc/t25/s1603/7/B/i","children":[{"t":"num","text":"(i)"},{"t":"chapeau","text":" controlling\u2014"},{"t":"subclause","id":"/us/usc/t25/s1603/7/B/i/I","children":[{"t":"num","text":"(I)"},{"t":"content","text":" the development of diabetes;","tail":"\n"}],"tail":"\n"},{"t":"subclause","id":"/us/usc/t25/s1603/7/B/i/II","children":[{"t":"num","text":"(II)"},{"t":"content","text":" high blood pressure;","tail":"\n"}],"tail":"\n"},{"t":"subclause","id":"/us/usc/t25/s1603/7/B/i/III","children":[{"t":"num","text":"(III)"},{"t":"content","text":" infectious agents;","tail":"\n"}],"tail":"\n"},{"t":"subclause","id":"/us/usc/t25/s1603/7/B/i/IV","children":[{"t":"num","text":"(IV)"},{"t":"content","text":" injuries;","tail":"\n"}],"tail":"\n"},{"t":"subclause","id":"/us/usc/t25/s1603/7/B/i/V","children":[{"t":"num","text":"(V)"},{"t":"content","text":" occupational hazards and disabilities;","tail":"\n"}],"tail":"\n"},{"t":"subclause","id":"/us/usc/t25/s1603/7/B/i/VI","children":[{"t":"num","text":"(VI)"},{"t":"content","text":" sexually transmittable diseases; or","tail":"\n"}],"tail":"\n"},{"t":"subclause","id":"/us/usc/t25/s1603/7/B/i/VII","children":[{"t":"num","text":"(VII)"},{"t":"content","text":" toxic agents; or","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/7/B/ii","children":[{"t":"num","text":"(ii)"},{"t":"chapeau","text":" providing\u2014"},{"t":"subclause","id":"/us/usc/t25/s1603/7/B/ii/I","children":[{"t":"num","text":"(I)"},{"t":"content","text":" fluoridation of water; or","tail":"\n"}],"tail":"\n"},{"t":"subclause","id":"/us/usc/t25/s1603/7/B/ii/II","children":[{"t":"num","text":"(II)"},{"t":"content","text":" immunizations.","tail":"\n"}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/8","children":[{"t":"num","text":"(8)"},{"t":"heading","text":"FAE"},{"t":"content","children":[{"t":"p","text":"The term \u201cFAE\u201d means fetal alcohol effect.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/9","children":[{"t":"num","text":"(9)"},{"t":"heading","text":"FAS"},{"t":"chapeau","text":"The term \u201cfetal alcohol syndrome\u201d or \u201cFAS\u201d means a syndrome in which, with a history of maternal alcohol consumption during pregnancy, the following criteria are met:"},{"t":"subpara","id":"/us/usc/t25/s1603/9/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":" Central nervous system involvement such as mental retardation, developmental delay, intellectual deficit, microencephaly, or neurologic abnormalities.","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/9/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" Craniofacial abnormalities with at least 2 of the following: microophthalmia, short palpebral fissures, poorly developed philtrum, thin upper lip, flat nasal bridge, and short upturned nose.","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/9/C","children":[{"t":"num","text":"(C)"},{"t":"content","text":" Prenatal or postnatal growth delay.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/10","children":[{"t":"num","text":"(10)"},{"t":"heading","text":"Health profession"},{"t":"content","children":[{"t":"p","text":"The term \u201cHealth profession\u201d means allopathic medicine, family medicine, internal medicine, pediatrics, geriatric medicine, obstetrics and gynecology, podiatric medicine, nursing, public health nursing, dentistry, psychiatry, osteopathy, optometry, pharmacy, psychology, public health, social work, marriage and family therapy, chiropractic medicine, environmental health and engineering, an allied health profession, or any other health profession.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/11","children":[{"t":"num","text":"(11)"},{"t":"heading","text":"Health promotion"},{"t":"chapeau","text":"The term \u201chealth promotion\u201d means any activity for\u2014"},{"t":"subpara","id":"/us/usc/t25/s1603/11/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":" fostering social, economic, environmental, and personal factors conducive to health, including raising public awareness regarding health matters and enabling individuals to cope with health problems by increasing knowledge and providing valid information;","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/11/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" encouraging adequate and appropriate diet, exercise, and sleep;","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/11/C","children":[{"t":"num","text":"(C)"},{"t":"content","text":" promoting education and work in accordance with physical and mental capacity;","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/11/D","children":[{"t":"num","text":"(D)"},{"t":"content","text":" making available safe water and sanitary facilities;","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/11/E","children":[{"t":"num","text":"(E)"},{"t":"content","text":" improving the physical, economic, cultural, psychological, and social environment;","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/11/F","children":[{"t":"num","text":"(F)"},{"t":"content","text":" promoting culturally competent care; and","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/11/G","children":[{"t":"num","text":"(G)"},{"t":"chapeau","text":" providing adequate and appropriate programs, including programs for\u2014"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/i","children":[{"t":"num","text":"(i)"},{"t":"content","text":" abuse prevention (mental and physical);","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/ii","children":[{"t":"num","text":"(ii)"},{"t":"content","text":" community health;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/iii","children":[{"t":"num","text":"(iii)"},{"t":"content","text":" community safety;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/iv","children":[{"t":"num","text":"(iv)"},{"t":"content","text":" consumer health education;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/v","children":[{"t":"num","text":"(v)"},{"t":"content","text":" diet and nutrition;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/vi","children":[{"t":"num","text":"(vi)"},{"t":"content","text":" immunization and other methods of prevention of communicable diseases, including HIV/AIDS;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/vii","children":[{"t":"num","text":"(vii)"},{"t":"content","text":" environmental health;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/viii","children":[{"t":"num","text":"(viii)"},{"t":"content","text":" exercise and physical fitness;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/ix","children":[{"t":"num","text":"(ix)"},{"t":"content","text":" avoidance of fetal alcohol spectrum disorders;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/x","children":[{"t":"num","text":"(x)"},{"t":"content","text":" first aid and CPR education;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xi","children":[{"t":"num","text":"(xi)"},{"t":"content","text":" human growth and development;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xii","children":[{"t":"num","text":"(xii)"},{"t":"content","text":" injury prevention and personal safety;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xiii","children":[{"t":"num","text":"(xiii)"},{"t":"content","text":" behavioral health;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xiv","children":[{"t":"num","text":"(xiv)"},{"t":"content","text":" monitoring of disease indicators between health care provider visits through appropriate means, including Internet-based health care management systems;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xv","children":[{"t":"num","text":"(xv)"},{"t":"content","text":" personal health and wellness practices;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xvi","children":[{"t":"num","text":"(xvi)"},{"t":"content","text":" personal capacity building;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xvii","children":[{"t":"num","text":"(xvii)"},{"t":"content","text":" prenatal, pregnancy, and infant care;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xviii","children":[{"t":"num","text":"(xviii)"},{"t":"content","text":" psychological well-being;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xix","children":[{"t":"num","text":"(xix)"},{"t":"content","text":" reproductive health and family planning;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xx","children":[{"t":"num","text":"(xx)"},{"t":"content","text":" safe and adequate water;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xxi","children":[{"t":"num","text":"(xxi)"},{"t":"content","text":" healthy work environments;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xxii","children":[{"t":"num","text":"(xxii)"},{"t":"content","text":" elimination, reduction, and prevention of contaminants that create unhealthy household conditions (including mold and other allergens);","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xxiii","children":[{"t":"num","text":"(xxiii)"},{"t":"content","text":" stress control;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xxiv","children":[{"t":"num","text":"(xxiv)"},{"t":"content","text":" substance abuse;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xxv","children":[{"t":"num","text":"(xxv)"},{"t":"content","text":" sanitary facilities;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xxvi","children":[{"t":"num","text":"(xxvi)"},{"t":"content","text":" sudden infant death syndrome prevention;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xxvii","children":[{"t":"num","text":"(xxvii)"},{"t":"content","text":" tobacco use cessation and reduction;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xxviii","children":[{"t":"num","text":"(xxviii)"},{"t":"content","text":" violence prevention; and","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/11/G/xxix","children":[{"t":"num","text":"(xxix)"},{"t":"content","text":" such other activities identified by the Service, a tribal health program, or an urban Indian organization to promote achievement of any of the objectives referred to in ","children":[{"t":"ref","text":"section 1602(2) of this title","href":"/us/usc/t25/s1602/2","tail":"."}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/12","children":[{"t":"num","text":"(12)"},{"t":"heading","text":"Indian health program"},{"t":"chapeau","text":"The term \u201cIndian health program\u201d means\u2014"},{"t":"subpara","id":"/us/usc/t25/s1603/12/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":" any health program administered directly by the Service;","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/12/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" any tribal health program; and","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/12/C","children":[{"t":"num","text":"(C)"},{"t":"content","text":" any Indian tribe or tribal organization to which the Secretary provides funding pursuant to ","children":[{"t":"ref","text":"section 47 of this title","href":"/us/usc/t25/s47","tail":"."}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/13","children":[{"t":"num","text":"(13)"},{"t":"heading","text":"Indians or Indian"},{"t":"chapeau","text":"The term \u201cIndians\u201d or \u201cIndian\u201d, unless otherwise designated, means any person who is a member of an Indian tribe, as defined in subsection (d) hereof,","children":[{"t":"ref","text":"1"},{"t":"num","text":"1","tail":"\u202fSee References in Text note below."},{"t":"text","text":"\u202fSee References in Text note below.","tail":" except that, for the purpose of sections 1612 and 1613 of this title, such terms shall mean any individual who\u202f"},{"t":"ref","text":"2"},{"t":"num","text":"2","tail":"\u202fSo in original. Probably should be followed by a dash."},{"t":"text","text":"\u202fSo in original. Probably should be followed by a dash."}]},{"t":"subpara","id":"/us/usc/t25/s1603/13/A","children":[{"t":"num","text":"(A)"},{"t":"content","text":",","children":[{"t":"ref","text":"3"},{"t":"num","text":"3","tail":"\u202fSo in original. The comma probably should not appear."},{"t":"text","text":"\u202fSo in original. The comma probably should not appear.","tail":" irrespective of whether he or she lives on or near a reservation, is a member of a tribe, band, or other organized group of Indians, including those tribes, bands, or groups terminated since 1940 and those recognized now or in the future by the State in which they reside, or who is a descendant, in the first or second degree, of any such member, or"}],"tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/13/B","children":[{"t":"num","text":"(B)"},{"t":"content","text":" is an Eskimo or Aleut or other Alaska Native, or","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/13/C","children":[{"t":"num","text":"(C)"},{"t":"content","text":" is considered by the Secretary of the Interior to be an Indian for any purpose, or","tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/13/D","children":[{"t":"num","text":"(D)"},{"t":"content","text":" is determined to be an Indian under regulations promulgated by the Secretary.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/14","children":[{"t":"num","text":"(14)"},{"t":"heading","text":"Indian tribe"},{"t":"content","children":[{"t":"p","text":"The term \u201cIndian tribe\u201d means any Indian tribe, band, nation, or other organized group or community, including any Alaska Native village or group or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act (","children":[{"t":"ref","text":"85 Stat. 688","href":"/us/stat/85/688","tail":") ["},{"t":"ref","text":"43 U.S.C. 1601","href":"/us/usc/t43/s1601","tail":" et seq.], which is recognized as eligible for the special programs and services provided by the United States to Indians because of their status as Indians."}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/15","children":[{"t":"num","text":"(15)"},{"t":"heading","text":"Junior or community college"},{"t":"content","children":[{"t":"p","text":"The term \u201cjunior or community college\u201d has the meaning given the term in section 1058(e)\u202f","children":[{"t":"text","text":"1","tail":" of title 20."}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/16","children":[{"t":"num","text":"(16)"},{"t":"heading","text":"Reservation"},{"t":"subpara","id":"/us/usc/t25/s1603/16/A","children":[{"t":"num","text":"(A)"},{"t":"heading","text":"In general"},{"t":"content","children":[{"t":"p","text":"The term \u201creservation\u201d means a reservation, Pueblo, or colony of any Indian tribe.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"subpara","id":"/us/usc/t25/s1603/16/B","children":[{"t":"num","text":"(B)"},{"t":"heading","text":"Inclusions"},{"t":"chapeau","text":"The term \u201creservation\u201d includes\u2014"},{"t":"clause","id":"/us/usc/t25/s1603/16/B/i","children":[{"t":"num","text":"(i)"},{"t":"content","text":" former reservations in Oklahoma;","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/16/B/ii","children":[{"t":"num","text":"(ii)"},{"t":"content","text":" Indian allotments; and","tail":"\n"}],"tail":"\n"},{"t":"clause","id":"/us/usc/t25/s1603/16/B/iii","children":[{"t":"num","text":"(iii)"},{"t":"content","text":" Alaska Native Regions established pursuant to the Alaska Native Claims Settlement Act (","children":[{"t":"ref","text":"43 U.S.C. 1601","href":"/us/usc/t43/s1601","tail":" et seq.)."}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/17","children":[{"t":"num","text":"(17)"},{"t":"heading","text":"Secretary"},{"t":"content","children":[{"t":"p","text":"The term \u201cSecretary\u201d, unless otherwise designated, means the Secretary of Health and Human Services.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/18","children":[{"t":"num","text":"(18)"},{"t":"heading","text":"Service"},{"t":"content","children":[{"t":"p","text":"The term \u201cService\u201d means the Indian Health Service.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/19","children":[{"t":"num","text":"(19)"},{"t":"heading","text":"Service area"},{"t":"content","children":[{"t":"p","text":"The term \u201cService area\u201d means the geographical area served by each area office.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/20","children":[{"t":"num","text":"(20)"},{"t":"heading","text":"Service unit"},{"t":"content","children":[{"t":"p","text":"The term \u201cService unit\u201d means an administrative entity of the Service or a tribal health program through which services are provided, directly or by contract, to eligible Indians within a defined geographic area.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/21","children":[{"t":"num","text":"(21)"},{"t":"heading","text":"Substance abuse"},{"t":"content","children":[{"t":"p","text":"The term \u201cSubstance abuse\u201d includes inhalant abuse.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/22","children":[{"t":"num","text":"(22)"},{"t":"heading","text":"Telehealth"},{"t":"content","children":[{"t":"p","text":"The term \u201ctelehealth\u201d has the meaning given the term in ","children":[{"t":"ref","text":"section 254c\u201316(a) of title 42","href":"/us/usc/t42/s254c\u201316/a","tail":"."}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/23","children":[{"t":"num","text":"(23)"},{"t":"heading","text":"Telemedicine"},{"t":"content","children":[{"t":"p","text":"The term \u201ctelemedicine\u201d means a telecommunications link to an end user through the use of eligible equipment that electronically links health professionals or patients and health professionals at separate sites in order to exchange health care information in audio, video, graphic, or other format for the purpose of providing improved health care services.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/24","children":[{"t":"num","text":"(24)"},{"t":"heading","text":"Tribal college or university"},{"t":"content","children":[{"t":"p","text":"The term \u201ctribal college or university\u201d has the meaning given the term in ","children":[{"t":"ref","text":"section 1059c(b) of title 20","href":"/us/usc/t20/s1059c/b","tail":"."}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/25","children":[{"t":"num","text":"(25)"},{"t":"heading","text":"Tribal health program"},{"t":"content","children":[{"t":"p","text":"The term \u201ctribal health program\u201d means an Indian tribe or tribal organization that operates any health program, service, function, activity, or facility funded, in whole or part, by the Service through, or provided for in, a contract or compact with the Service under the Indian Self-Determination and Education Assistance Act (","children":[{"t":"ref","text":"25 U.S.C. 450","href":"/us/usc/t25/s450","tail":" et seq.)."},{"t":"text","text":"1"}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/26","children":[{"t":"num","text":"(26)"},{"t":"heading","text":"Tribal organization"},{"t":"content","children":[{"t":"p","text":"The term \u201ctribal organization\u201d has the meaning given the term in section 4 of the Indian Self-Determination and Education Assistance Act (","children":[{"t":"ref","text":"25 U.S.C. 450b","href":"/us/usc/t25/s450b","tail":")."},{"t":"text","text":"1"}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/27","children":[{"t":"num","text":"(27)"},{"t":"heading","text":"Urban center"},{"t":"content","children":[{"t":"p","text":"The term \u201cUrban center\u201d means any community which has a sufficient urban Indian population with unmet health needs to warrant assistance under subchapter IV, as determined by the Secretary.","tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/28","children":[{"t":"num","text":"(28)"},{"t":"heading","text":"Urban Indian"},{"t":"content","children":[{"t":"p","text":"The term \u201cUrban Indian\u201d means any individual who resides in an urban center, as defined in subsection (g) hereof,","children":[{"t":"text","text":"1","tail":" and who meets one or more of the four criteria in subsection (c)(1) through (4) of this section."},{"t":"text","text":"1"}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"para","id":"/us/usc/t25/s1603/29","children":[{"t":"num","text":"(29)"},{"t":"heading","text":"Urban Indian organization"},{"t":"content","children":[{"t":"p","text":"The term \u201cUrban Indian organization\u201d means a nonprofit corporate body situated in an urban center, governed by an urban Indian controlled board of directors, 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 ","children":[{"t":"ref","text":"section 1653(a) of this title","href":"/us/usc/t25/s1653/a","tail":"."}],"tail":"\n"}],"tail":"\n"}],"tail":"\n"},{"t":"text","text":"\n"},{"t":"text","text":"\n"}]}]}