Sec. 109. Rule establishing tribal consultation policy
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Title VIII of the Indian Health Care Improvement Act ( 25 U.S.C. 1671 et seq.), as amended by section 108, is further amended by adding at the end the following: Not later than 1 year after the date of enactment of the Restoring Accountability in the Indian Health Service Act of 2018 , the Secretary shall establish, after meaningful consultation with representatives of affected Indian Tribes, a rule establishing a tribal consultation policy for the Service. The policy established under the rule described in subsection
(a)shall— update, and replace, the tribal consultation policy established under Circular No. 2006–01 of the Service, or any successor policy; and include the following: A process for determining when the Service will notify Indian Tribes, and a description of how the Indian Tribes should be notified. A determination of what actions or agency decisions by the Service will trigger a requirement for meaningful consultation with Indian Tribes. A determination of what actions constitute meaningful consultation with Indian Tribes. .
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Sec. 109
Rule establishing tribal consultation policy
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