§ 1653. Contracts and grants for provision of health care and referral services
(a)
Requirements
Under authority of section
13 of this title, the Secretary, through the Service, shall enter into contracts with, or make grants to, urban Indian organizations for the provision of health care and referral services for urban Indians residing in the urban centers in which such organizations are situated. Any such contract or grant shall include requirements that the urban Indian organization successfully undertake to—
(1)
estimate the population of urban Indians residing in the urban center in which such organization is situated who are or could be recipients of health care or referral services;
(4)
identify all public and private health services resources within such urban center which are or may be available to urban Indians;
(5)
determine the use of public and private health services resources by the urban Indians residing in such urban center;
(8)
provide basic health education, including health promotion and disease prevention education, to urban Indians;
(9)
establish and implement training programs to accomplish the referral and education tasks set forth in paragraphs (6) through (8) of this subsection;
(10)
identify gaps between unmet health needs of urban Indians and the resources available to meet such needs;
(b)
Criteria for selection of organizations to enter into contracts or receive grants
The Secretary, through the Service, shall by regulation prescribe the criteria for selecting urban Indian organizations to enter into contracts or receive grants under this section. Such criteria shall, among other factors, include—
(3)
the accessibility to, and utilization of, health care services (other than services provided under this subchapter) by urban Indians in the urban center involved;
(4)
the extent, if any, to which the activities set forth in subsection (a) of this section would duplicate—
(5)
the capability of an urban Indian organization to perform the activities set forth in subsection (a) of this section and to enter into a contract with the Secretary or to meet the requirements for receiving a grant under this section;
(6)
the satisfactory performance and successful completion by an urban Indian organization of other contracts with the Secretary under this subchapter;
(c)
Grants for health promotion and disease prevention services
The Secretary, acting through the Service, shall facilitate access to, or provide, health promotion and disease prevention services for urban Indians through grants made to urban Indian organizations administering contracts entered into pursuant to this section or receiving grants under subsection (a) of this section.
(d)
Grants for immunization services
(1)
The Secretary, acting through the Service, shall facilitate access to, or provide, immunization services for urban Indians through grants made to urban Indian organizations administering contracts entered into pursuant to this section or receiving grants under subsection (a) of this section.
(2)
In making any grant to carry out this subsection, the Secretary shall take into consideration—
(B)
the immunization levels of the urban Indian population, particularly the immunization levels of infants, children, and the elderly;
(e)
Grants for mental health services
(1)
The Secretary, acting through the Service, shall facilitate access to, or provide, mental health services for urban Indians through grants made to urban Indian organizations administering contracts entered into pursuant to this section or receiving grants under subsection (a) of this section.
(2)
A grant may not be made under this subsection to an urban Indian organization until that organization has prepared, and the Service has approved, an assessment of the mental health needs of the urban Indian population concerned, the mental health services and other related resources available to that population, the barriers to obtaining those services and resources, and the needs that are unmet by such services and resources.
(3)
Grants may be made under this subsection—
(B)
to provide outreach, educational, and referral services to urban Indians regarding the availability of direct mental health services, to educate urban Indians about mental health issues and services, and effect coordination with existing mental health providers in order to improve services to urban Indians;
(f)
Grants for prevention and treatment of child abuse
(1)
The Secretary, acting through the Service, shall facilitate access to, or provide, services for urban Indians through grants to urban Indian organizations administering contracts entered into pursuant to this section or receiving grants under subsection (a) of this section to prevent and treat child abuse (including sexual abuse) among urban Indians.
(2)
A grant may not be made under this subsection to an urban Indian organization until that organization has prepared, and the Service has approved, an assessment that documents the prevalence of child abuse in the urban Indian population concerned and specifies the services and programs (which may not duplicate existing services and programs) for which the grant is requested.
(3)
Grants may be made under this subsection—
(B)
for the development of prevention, training, and education programs for urban Indian populations, including child education, parent education, provider training on identification and intervention, education on reporting requirements, prevention campaigns, and establishing service networks of all those involved in Indian child protection; and
(C)
to provide direct outpatient treatment services (including individual treatment, family treatment, group therapy, and support groups) to urban Indians who are child victims of abuse (including sexual abuse) or adult survivors of child sexual abuse, to the families of such child victims, and to urban Indian perpetrators of child abuse (including sexual abuse).
(4)
In making grants to carry out this subsection, the Secretary shall take into consideration—
(A)
the support for the urban Indian organization demonstrated by the child protection authorities in the area, including committees or other services funded under the Indian Child Welfare Act of 1978 (25 U.S.C. 1901 et seq.), if any;