82 FR 46997 - Re-designation of the Delivery Area for the Passamaquoddy Tribe at Indian Township
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service Federal Register Volume 82, Issue 194 (October 10, 2017)
Indian Health Service
Federal Register Volume 82, Issue 194 (October 10, 2017)
| Page Range | 46997-47004 | |
| FR Document | 2017-21759 |
[Federal Register Volume 82, Number 194 (Tuesday, October 10, 2017)] [Notices] [Pages 46997-47004] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-21759] ----------------------------------------------------------------------- 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 Re-Designation 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 re-designation 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 [[Page 46998]] (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 re- designation 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 Hot Springs, WY, Fremont, WY, Reservation, Wyoming. Sublette, WY. Aroostook Band of Micmacs.............. Aroostook, ME.\3\ Assiniboine and Sioux Tribes of the Daniels, MT, McCone, MT, Fort Peck Indian Reservation, Montana. Richland, MT, Roosevelt, MT, Sheridan, MT, Valley, MT. Bad River Band of the Lake Superior Ashland, WI, Iron, WI. Tribe of Chippewa Indians of the Bad River Reservation, Wisconsin. Bay Mills Indian Community, Michigan... Chippewa, MI. Blackfeet Tribe of the Blackfeet Indian Glacier, MT, Pondera, MT. Reservation of Montana. Brigham City Intermountain School (\4\). Health Center, Utah--Permanently Closed on May 17, 1984. 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 Corson, SD, Dewey, SD, Haakon, Cheyenne River Reservation, South SD, Meade, SD, Perkins, SD, Dakota. Potter, SD, Stanley, SD, Sully, SD, Walworth, SD, Ziebach, SD. Chippewa-Cree Indians of the Rocky Chouteau, MT, Hill, MT, Boy's Reservation, Montana. 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 La Paz, AZ, Riverside, CA, San Colorado River Indian Reservation, Bernardino, CA, Yuma, AZ. Arizona and California. Confederated Salish and Kootenai Tribes Flathead, MT, Lake, MT, of the Flathead Reservation. Missoula, MT, Sanders, MT. Confederated Tribes and Bands of the Klickitat, WA, Lewis, WA, Yakama Nation. Skamania, W,\8\ Yakima, WA. Confederated Tribes of Siletz Indians Benton, OR,\9\ Clackamas, OR, of Oregon. Lane, OR, Lincoln, OR, Linn, OR, Marion, OR, Multnomah, OR, Polk, OR, Tillamook, OR, Washington, OR, Yamhill, OR. Confederated Tribes of the Chehalis Grays Harbor, WA, Lewis, WA, Reservation. Thurston, WA. [[Page 46999]] Confederated Tribes of the Colville Chelan, WA,\10\ Douglas, WA, Reservation. Ferry, WA, Grant, WA, Lincoln, WA, Okanogan, WA, Stevens, WA. Confederated Tribes of the Coos, Lower Coos, OR,\11\ Curry, OR, Umpqua and Siuslaw Indians. Douglas, OR, Lane, OR, Lincoln, OR. Confederated Tribes of the Goshute Nevada, Juab, UT, Toole, UT. Reservation, Nevada and Utah. Confederated Tribes of the Grand Ronde Marion, OR, Multnomah, OR, Community of Oregon. Polk, OR,\12\ Tillamook, OR, Washington, OR, Yamhill, OR. Confederated Tribes of the Umatilla Umatilla, OR, Union, OR. Indian Reservation. Confederated Tribes of the Warm Springs Clackamas, OR, Jefferson, OR, Reservation of Oregon. 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 Coos, OR,\14\ Deshutes, OR, Indians. 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 Brule, SD, Buffalo, SD, Hand, Creek Reservation, South Dakota. 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 Hot Springs, WY, Fremont, WY, River Reservation, Wyoming. Sublette, WY. Flandreau Santee Sioux Tribe of South Moody, SD. Dakota. Forest County Potawatomi Community, Forest, WI, Marinette, WI, Wisconsin. Oconto, WI. Fort Belknap Indian Community of the Blaine, MT, Phillips, MT. Fort Belknap Reservation of Montana. Fort McDermitt Paiute and Shoshone Nevada, Malheur, OR. Tribes of the Fort McDermitt Indian Reservation, Nevada and Oregon. Fort McDowell Yavapai Nation, Arizona.. Maricopa, AZ. Fort Mojave Indian Tribe of Arizona, Nevada, Mohave, AZ, San California and Nevada. Bernardino, CA. Gila River Indian Community of the Gila Maricopa, AZ, Pinal, AZ. River Indian Reservation, Arizona. Grand Traverse Band of Ottawa and Antrim, MI,\17\ Benzie, MI, Chippewa Indians, Michigan. 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 Coconino, AZ. Reservation, Arizona. 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 Coconino, AZ, Mohave, AZ, Indian Reservation, Arizona. 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 Coconino, AZ, Mohave, AZ, Kane, Kaibab Indian Reservation, Arizona. UT. Kalispel Indian Community of the Pend Oreille, WA, Spokane, WA. Kalispel Reservation. 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 Brown, KS, Jackson, KS. Kickapoo Reservation in Kansas. Klamath Tribes......................... Klamath, OR.\23\ Koi Nation of Northern California Lake, CA, Sonoma, CA.\24\ (formerly known as Lower Lake Rancheria, California). Kootenai Tribe of Idaho................ Boundary, ID. Lac Courte Oreilles Band of Superior Sawyer, WI. Chippewa Indians of Wisconsin. Lac du Flambeau Band of Lake Superior Iron, WI, Oneida, WI, Vilas, Chippewa Indians of the Lac du WI. Flambeau Reservation of Wisconsin. Lac Vieux Desert Band of Lake Superior Gogebic, MI. Chippewa Indians of Michigan. Little River Band of Ottawa Indians, Kent, MI,\25\ Muskegon, MI, Michigan. Newaygo, MI, Oceana, MI, Ottawa, MI, Manistee, MI, Mason, MI, Wexford, MI, Lake, MI. Little Traverse Bay Bands of Odawa Alcona, MI,\26\ Alger, MI, Indians, Michigan. 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, SD, Buffalo, SD, Hughes, Brule Reservation, South Dakota. SD, Lyman, SD, Stanley, SD. Lower Elwha Tribal Community........... Clallam, WA. [[Page 47000]] Lower Sioux Indian Community in the Redwood, MN, Renville, MN. State of Minnesota. Lummi Tribe of the Lummi Reservation... Whatcom, WA. Makah Indian Tribe of the Makah Indian Clallam, WA. Reservation. 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 Allegan, MI,\29\ Barry, MI, Pottawatomi Indians of Michigan. 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 Chaves, NM, Lincoln, NM, Otero, Reservation, New Mexico. NM. Miccosukee Tribe of Indians............ Broward, FL, Collier, FL, Miami- Dade, FL, Hendry, FL. Minnesota Chippewa Tribe, Minnesota, Itasca, MN, Koochiching, MN, Bois Forte Band (Nett Lake). St. Louis, MN. Minnesota Chippewa Tribe, Minnesota, Carlton, MN, St. Louis, MN. Fond du Lac Band. Minnesota Chippewa Tribe, Minnesota, Cook, MN. Grand Portage Band. Minnesota Chippewa Tribe, Minnesota, Beltrami, MN, Cass, MN, Leech Lake Band. Hubbard, MN, Itasca, MN. Minnesota Chippewa Tribe, Minnesota, Aitkin, MN, Kanebec, MN, Mille Mille Lacs Band. Lacs, MN, Pine, MN. Minnesota Chippewa Tribe, Minnesota, Becker, MN, Clearwater, MN, White Earth Band. 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, & Apache, AZ, Bernalillo, NM, Utah. 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 Big Horn, MT, Carter, MT,\34\ Cheyenne Indian Reservation, Montana. Rosebud, MT. Northwestern Band of Shoshone Nation... Box Elder, UT.\35\ Nottawaseppi Huron Band of the Allegan, MI,\36\ Barry, MI, Pottawatomi, Michigan. 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, Allegan, MI,\47\ Berrien, MI, Michigan and Indiana. 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 Goodhue, MN. State of Minnesota. 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. [[Page 47001]] 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 King, WA, Pierce, WA, Thurston, Reservation. WA. Quechan Tribe of the Fort Yuma Indian Yuma, AZ, Imperial, CA. Reservation, Arizona and California. Quileute Tribe of the Quileute Clallam, WA, Jefferson, WA. Reservation. Quinault Indian Nation................. Grays Harbor, WA, Jefferson, WA. Rapid City, South Dakota............... Pennington, SD.\49\ Red Cliff Band of Lake Superior Bayfield, WI. Chippewa Indians of Wisconsin. Red Lake Band of Chippewa Indians, Beltrami, MN, Clearwater, MN, Minnesota. Koochiching, MN, Lake of the Woods, MN, Marshall, MN, Pennington, MN, Polk, MN, Roseau, MN. Rosebud Sioux Tribe of the Rosebud Bennett, SD, Cherry, NE, Indian Reservation, South Dakota. Gregory, SD, Lyman, SD, Mellette, SD, Todd, SD, Tripp, SD. Sac & Fox Nation of Missouri in Kansas Brown, KS, Richardson, NE. and Nebraska. Sac & Fox Tribe of the Mississippi in Tama, IA. Iowa. Saginaw Chippewa Indian Tribe of Arenac, MI,\50\ Clare, MI, Michigan. Isabella, MI, Midland, MI, Missaukee, MI. Saint Regis Mohawk Tribe............... Franklin, NY, St. Lawrence, NY. Salt River Pima-Maricopa Indian Maricopa, AZ. Community of the Salt River Reservation, Arizona. 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 Apache, AZ, Cochise, AZ, Gila, Carlos Reservation, Arizona. AZ, Graham, AZ, Greenlee, AZ, Pinal, AZ. San Juan Southern Paiute Tribe of Coconino, AZ, San Juan, UT. Arizona. Santee Sioux Nation, Nebraska.......... Bon Homme, SD, Knox, NE. Sauk-Suiattle Indian Tribe............. Snohomish, WA, Skagit, WA. Sault Ste. Marie Tribe of Chippewa Alger, MI,\52\ Chippewa, MI, Indians, Michigan. 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 Scott, MN. Minnesota. Shinnecock Indian Nation............... Nassau, NY,\53\ Suffolk, NY. Shoalwater Bay Tribe of the Shoalwater Pacific, WA. Bay Indian Reservation. Shoshone-Bannock Tribes of the Fort Bannock, ID, Bingham, ID, Hall Reservation. Caribou, ID, Lemhi, ID,\54\ Power, ID. Sisseton-Wahpeton Oyate of the Lake Codington, SD, Day, SD, Grant, Traverse Reservation, South Dakota. SD, Marshall, SD, Richland, ND, Roberts, SD, Sargent, ND, Traverse, MN. Skokomish Indian Tribe................. Mason, WA. Skull Valley Band of Goshute Indians of Tooele, UT. Utah. 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 Archuleta, CO, La Plata, CO, Southern Ute Reservation, Colorado. 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 Ferry, WA, Lincoln, WA, Reservation. Stevens, WA. Squaxin Island Tribe of the Squaxin Mason, WA. Island Reservation. St. Croix Chippewa Indians of Wisconsin Barron, WI, Burnett, WI, Pine, MN, Polk, WI, Washburn, WI. Standing Rock Sioux Tribe of North & Adams, ND, Campbell, SD, South Dakota. Corson, SD, Dewey, SD, Emmons, ND, Grant, ND, Morton, ND, Perkins, SD, Sioux, ND, Walworth, SD, Ziebach, SD. Stillaguamish Tribe of Indians of Snohomish, WA. Washington. Stockbridge Munsee Community, Wisconsin Menominee, WI, Shawano, WI. Suquamish Indian Tribe of the Port Kitsap, WA. Madison Reservation. Swinomish Indian Tribal Community...... Skagit, WA. Tejon Indian Tribe..................... Kern, CA.\56\ Three Affiliated Tribes of the Fort Dunn, ND, Mercer, ND, McKenzie, Berthold Reservation, North Dakota. 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 Divide, ND,\57\ McKenzie, ND, Montana. 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 Rolette, ND. Indians of North Dakota. Tuscarora Nation....................... Niagara, NY. [[Page 47002]] Ute Indian Tribe of the Uintah & Ouray Carbon, UT, Daggett, UT, Reservation, Utah. 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, AZ, Coconino, AZ, Gila, Apache Reservation, Arizona. 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 Yavapai, AZ. Indian Reservation, Arizona. Yavapai-Prescott Indian Tribe.......... Yavapai, AZ. Ysleta Del Sur Pueblo of Texas......... El Paso, TX.\62\ Zuni Tribe of the Zuni Reservation, New Apache, AZ, Cibola, NM, Mexico. McKinley, NM, Valencia, NM. ------------------------------------------------------------------------ \1\ Public Law 100-89, Restoration Act for Ysleta Del Sur and Alabama and Coushatta Tribes of Texas establishes service areas for ``members of the Tribe'' by sections 101(3) and 105(a) for the Pueblo and sections 201(3) and 206(a) respectively. \2\ Entire State of Alaska is included as a CHSDA by regulation (42 CFR 136.22(a)(1)). \3\ Aroostook Band of 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. \4\ 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 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. \5\ 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, is designated a CHSDA (25 U.S.C. 1680). \6\ The 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. \7\ There is no reservation for the Cayuga Nation; the service delivery area consists of those counties identified by the Cayuga Nation. \8\ Skamania 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. \11\ Pursuant 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. \12\ The 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. \13\ The 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. \15\ The 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. \16\ Treasure County, MT, has historically been a part of the Crow Service Unit population. \17\ The 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. \20\ Public 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. \21\ The 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. \22\ Kickapoo 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. \23\ The 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''. \24\ The 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. \25\ The 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. \26\ The 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. [[Page 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. \28\ The 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. \29\ The 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. \31\ Scott County, MS, has historically been a part of the Choctaw Service Unit population since 1970. \32\ The 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. \33\ Entire 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. \36\ The 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. \37\ Washabaugh County, SD, merged and became part of Jackson County, SD, in 1983; both were/are CHSDA counties for the Oglala Sioux Tribe. \38\ Entire State of Oklahoma is included as a CHSDA by regulation (42 CFR 136.22(a)(3)). \39\ Paiute 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. \42\ 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 contract health services to the Passamaquoddy Tribe and the Penobscot Nation. \43\ The 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. \44\ The 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. \45\ 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 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). \47\ Public 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. \48\ The 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. \49\ 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 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. \51\The 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)). \53\ The 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. \55\ The 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. \56\ On 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). \57\ The Secretary acting through the Service is directed to provide contract health services to Turtle Mountain Band of Chippewa Indians that reside in Trenton Service 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. \59\ According 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. \60\ The 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. \61\ The 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). \62\ Public Law 100-89, Restoration Act for Ysleta Del Sur and Alabama and Coushatta Tribes of Texas establishes service areas for ``members of the Tribe'' by sections 101(3) and 105(a) for the Pueblo and sections 201(3) and 206(a) respectively. [[Page 47004]] 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
![Federal Register / Vol. 82, No. 194 / Tuesday, October 10, 2017 / Notices 46997
This study will provide insight on prevention to reduce HIV infections in future HIV prevention needs, including
individual and community level PrEP- the Unite States. Findings will also anticipated changes in PrEP delivery.
related decision-making, and identify assist the CDC and frontline public The total annual burden hours are
barriers and facilitators to successful health programs in identifying and 335. There are no costs to the
PrEP initiation and PrEP acceptability. designing programs and intervention
respondents other than their time, travel
Findings will improve programming, in approaches that encourage, support, and
costs, and the total estimated annual
line with the CDC Division of HIV/AIDS maintain appropriate PrEP uptake
Prevention goal of high-impact among eligible MSM and anticipate burden hours.
ESTIMATED ANNUALIZED BURDEN HOURS
Average
Number of Total
Number of burden per
Type of respondent Form name responses per burden
respondents response
respondent hours
(in 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 300 1 5/60 25
continuing eligibility).
General Public—Adults ..................... Behavioral Assessment .................... 300 1 30/60 150
Total ........................................... ........................................................... ........................ ........................ ........................ 335
Leroy A. Richardson, Resource Access and Partnerships, is within the scope of the Indian health
Chief, Information Collection Review Office, Indian Health Service, 5600 Fishers program, as set forth in 42 CFR 136.12,
Office of Scientific Integrity, Office of the Lane, Mailstop: 10E85C, Rockville, creates no legal entitlement to PRC, only
Associate Director for Science, Office of the Maryland 20857. Telephone (301) 443– potential eligibility for services.
Director, Centers for Disease Control and 2694 (This is not a toll free number). Services needed but not available at an
Prevention. IHS or Tribal facility are provided under
SUPPLEMENTARY INFORMATION: The
[FR Doc. 2017–21750 Filed 10–6–17; 8:45 am] the PRC program depending on the
Passamaquoddy PRCDA previously
BILLING CODE 4163–18–P
covered Aroostook and Washington availability of funds, the person’s
Counties in the State of Maine. The relative medical priority, and the actual
expanded PRCDA for the Tribe’s availability and accessibility of alternate
DEPARTMENT OF HEALTH AND resources in accordance with the
reservation at Indian Township includes
HUMAN SERVICES regulations.
Hancock County in the State of Maine.
Indian Health Service This notice only relates to the expansion As applicable to the Tribes, these
of the Tribe’s PRCDA for the Indian regulations provide that, unless
Re-designation of the Delivery Area for Township reservation. otherwise designated, a PRCDA shall
the Passamaquoddy Tribe at Indian The Maine Indian Claims Settlement consist of a county that includes all or
Township Act of 1980 (Pub. L. 96–420; H. Rept. part of a reservation and any county or
96–1353) includes the intent of counties that have a common boundary
AGENCY: Indian Health Service, Congress to fund and provide with the reservation, 42 CFR
Department of Health and Human Purchased/Referred Care (PRC) to the 136.22(a)(6). The regulations also
Services. Passamaquoddy Tribe. The provide that after consultation with the
ACTION: Final Notice. Passamaquoddy Tribe has two Tribal governing body or bodies on
reservations: Indian Township and those reservations included within the
SUMMARY: This final notice advises the Pleasant Point. The PRCDA for the
public that the Indian Health Service PRCDA, the Secretary may from time to
Indian Township reservation is time, re-designate areas within the
(IHS) has decided to expand the Aroostook County, Maine, and
geographic boundaries of the United States for inclusion in or
Washington County, Maine. The PRCDA exclusion from a PRCDA. The
Purchased/Referred Care Delivery Area for the Pleasant Point reservation is
(PRCDA) for the Passamaquoddy Tribe’s regulations require that certain criteria
Washington County, Maine, south of must be considered before any re-
reservation at Indian Township State Route 9, and Aroostook County,
(Passamaquoddy at Indian Township or designation is made. The criteria are as
Maine. follows:
Tribe) in the State of Maine. Background: The IHS currently
DATES: October 10, 2017. (1) The number of Indians residing in
provides services under regulations
Inspection of Public Comments: The the area proposed to be so included or
codified at 42 CFR part 136, subparts A
IHS published a Federal Register Notice excluded;
through C. Subpart C defines a PRCDA,
entitled, ‘‘Notice To Propose the Re- formerly referred to as a Contract Health (2) Whether the Tribal governing body
sradovich on DSK3GMQ082PROD with NOTICES
Designation of the Service Delivery Area Service Delivery Area or Purchased/ has determined that Indians residing in
for the Passamaquoddy Tribe at Indian Referred Care Service Delivery Area, as the area near the reservation are socially
Township,’’ on March 8, 2017 (82 FR the geographic area within which PRC and economically affiliated with the
12968), and did not receive any will be made available by the IHS to Tribe;
comments regarding the notice. members of an identified Indian (3) The geographic proximity to the
FOR FURTHER INFORMATION CONTACT: community who reside in the area. reservation of the area whose inclusion
Terri Schmidt, Acting Director, Office of Residence in a PRCDA by a person who or exclusion is being considered; and
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![47004 Federal Register / Vol. 82, No. 194 / Tuesday, October 10, 2017 / Notices
Dated: October 2, 2017. Purchased/Referred Care Delivery Area PRCDA, excluding certain counties,
Michael D. Weahkee, (PRCDA) as the geographic area within under section 810 of the Indian
Assistant Surgeon General, U.S. Public Health which Purchased/Referred Care will be Healthcare Improvement Act, Public
Service, Acting Director, Indian Health made available by the Indian Health Law 94–437, as amended (25 U.S.C.
Service. Service (IHS) to members of an 1680). The IHS has utilized the
[FR Doc. 2017–21759 Filed 10–6–17; 8:45 a.m.] identified Indian community who reside congressionally specified PRCDA for the
BILLING CODE 4165–16–P in the Area. PRCDAs were previously purposes of administering PRC benefits
known as Contract Health Service to members of the Tribe. Thus, members
Delivery Areas (CHSDAs) and more of the Tribe who reside outside of the
DEPARTMENT OF HEALTH AND recently, the IHS referred to them as statutorily established California
HUMAN SERVICES Purchased/Referred Care Service PRCDA do not reside within the Tolowa
Delivery Areas (PRCSDAs) or PRCDAs, Dee-ni’s current PRCDA and are
Indian Health Service but the IHS intends to consistently refer currently not eligible for PRC services.
to them as PRCDAs going forward. The IHS has historically established
Re-Designation of the Delivery Area for Residence in a PRCDA by a person who PRCDAs in accordance with
the Tolowa Dee-ni’ Nation, Formerly is within the scope of the Indian health Congressional intent but has preserved
Known as Smith River Rancheria program, as set forth in 42 CFR 136.12, regulatory flexibility to re-designate
AGENCY: Indian Health Service, HHS. creates no legal entitlement to PRC, only areas as appropriate for inclusion in or
potential eligibility for services. exclusion from PRCDA under PRC
ACTION: Final notice.
Services needed, but not available at an regulations. One of the criteria for such
SUMMARY: The Secretary of the IHS/Tribal facility, are provided under re-designations is the geographic
Department of Health and Human the PRC program depending on the proximity of the expanded area to the
Services hereby issues this final notice availability of funds, the person’s existing reservation or PRCDA. Here, the
to re-designate the Purchased/Referred relative medical priority, and the actual IHS is expanding the Tribe’s PRCDA
Care Delivery Area (PRCDA) for the availability and accessibility of alternate beyond the geographic description in 25
Tolowa Dee-ni’ Nation (Tribe) resources in accordance with the U.S.C. 1680 to include a county adjacent
(previously known as the Smith River regulations. to the Tribe’s existing PRCDA, in a
Rancheria of Smith River, California), to As applicable to the Tribes, these neighboring state. There are already
provide Purchased/Referred Care (PRC) regulations provide that, unless PRCDAs that include part of the State of
services to their Tribal members otherwise designated, a PRCDA shall California and part of another state, for
residing in Curry County, Oregon, consist of a county that includes all or example, Cocopah Tribe of Arizona,
which is in the Portland Area Indian part of a reservation and any county or (Yuma, Arizona, and Imperial,
Health Service (IHS). The Tolowa Dee- counties that have a common boundary California); Colorado River Indian
ni’s Tribal Headquarters is located 3 with the reservation, 42 CFR Tribes of the Colorado River Indian
miles south of the California-Oregon 136.22(a)(6). The regulations also Reservation, Arizona and California, (La
border in Northern California. provide that after consultation with the Paz, Arizona; Riverside, California; San
The entire State of California, Tribal governing body or bodies on Bernardino, California; and Yuma,
excluding the counties of Alameda, those reservations included within the Arizona); Fort Mojave Indian Tribe of
Contra Costa, Los Angeles, Marin, PRCDA, the Secretary may from time to Arizona, California and Nevada,
Orange, Sacramento, San Francisco, San time, re-designate areas within the (Nevada; Mohave, Arizona; San
Mateo, Santa Clara, Kern, Merced, United States for inclusion in or Bernardino, California); and the
Monterey, Napa, San Benito, San exclusion from a PRCDA. The Quechan Tribe of Fort Yuma Indian
Joaquin, San Luis Obispo, Santa Cruz, regulations require that certain criteria Reservation, California and Arizona,
Solano, Stanislaus, and Ventura, was must be considered before any re- (Yuma, Arizona; and Imperial,
designated by the IHS as a PRCDA, designation is made. The criteria are as California).
formerly known as a Contract Health follows: The Tolowa Dee-ni’ Tribe has a
Service Delivery Area, in accordance (1) The number of Indians residing in significant number of Tribal members
with statute. The current PRCDA for the area proposed to be so included or who are not residents of California. The
Tolowa Dee-ni’ Tribal members is the excluded; Tribe asserts that 177 Tribal members
(2) Whether the Tribal governing body reside outside of its PRCDA, in Curry
statutorily specified California PRCDA.
has determined that Indians residing in County, in the State of Oregon, and are
The expanded PRCDA for the Tolowa
the area near the reservation are socially not able to access PRC funds from either
Dee-ni’ Tribe includes the statutorily
and economically affiliated with the the California Area facility (Smith River
specified California PRCDA and Curry
Tribe; Howonquet Indian Health Center) or
County in the State of Oregon.
(3) The geographic proximity to the from the closest Portland Area facility.
DATES: This notice shall take effect on Under 42 CFR 136.23, those otherwise
reservation of the area whose inclusion
October 10, 2017. or exclusion is being considered; and eligible Indians who do not reside on a
FOR FURTHER INFORMATION CONTACT: (4) The level of funding which would reservation, but reside within a PRCDA
Terri Schmidt, Acting Director, Office of be available for the provision of PRC, 42 must be either members of the Tribe or
Resource Access and Partnerships, CFR 136.22(b). maintain close economic and social ties
Indian Health Service, 5600 Fishers Additionally, the regulations require with the Tribe. In this case, in applying
Lane, Mail stop: 10E85C, Rockville, that any re-designation of a PRCDA
sradovich on DSK3GMQ082PROD with NOTICES
the aforementioned PRCDA re-
Maryland 20857. Telephone 301/443– must be made in accordance with the designation criteria required by
2694 (This is not a toll free number). Administrative Procedures Act (5 U.S.C. operative regulations codified at 42 CFR
SUPPLEMENTARY INFORMATION: 553). See 42 CFR 136.22(c). In part 136, subpart C, the following
Background: The IHS currently compliance with this requirement, we findings are made:
provides services under regulations are publishing this final notice. 1. By expanding, the Tribe estimates
codified at 42 CFR part 136, subparts A Congress directed the IHS to designate the current eligible population will be
through C. Subpart C defines a the entire State of California as a increased by 177.
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Document Created: 2017-10-07 10:32:29
Document Modified: 2017-10-07 10:32:29
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Final Notice. | |
| Dates | October 10, 2017. | |
| 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). | |
| FR Citation | 82 FR 46997 |
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