Sec. 601. ESTABLISHMENT OF THE INDIAN HEALTH SERVICE AS AN AGENCY OF THE PUBLIC HEALTH SERVICE

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## SEC. 601 ESTABLISHMENT OF THE INDIAN HEALTH SERVICE AS AN AGENCY OF THE PUBLIC HEALTH SERVICE **[**[25 U.S.C. 1661](/us/usc/t25/s1661)**]** ###

(a)Establishment ####

(1)In general In order to more effectively and efficiently carry out the responsibilities, authorities, and functions of the United States to provide health care services to Indians and Indian tribes, as are or may be hereafter provided by Federal statute or treaties, there is established within the Public Health Service of the Department the Indian Health Service. ####

(2)Director The Service shall be administered by a Director, who shall be appointed by the President, by and with the advice and consent of the Senate. The Director shall report to the Secretary. Effective with respect to an individual appointed by the President, by and with the advice and consent of the Senate, after January 1, 2008, the term of service of the Director shall be 4 years. A Director may serve more than 1 term. ####

(3)Incumbent The individual serving in the position of Director of the Service on the day before the date of enactment of the Indian Health Care Improvement Reauthorization and Extension Act of 2009 shall serve as Director. ####

(4)Advocacy and consultation The position of Director is established to, in a manner consistent with the government-to-government relationship between the United States and Indian Tribes— #####

(A)facilitate advocacy for the development of appropriate Indian health policy; and #####

(B)promote consultation on matters relating to Indian health. ###

(b)Agency The Service shall be an agency within the Public Health Service of the Department, and shall not be an office, component, or unit of any other agency of the Department. ###

(c)Duties The Director shall— ####

(1)perform all functions that were, on the day before the date of enactment of the Indian Health Care Improvement Reauthorization and Extension Act of 2009, carried out by or under the direction of the individual serving as Director of the Service on that day; ####

(2)perform all functions of the Secretary relating to the maintenance and operation of hospital and health facilities for Indians and the planning for, and provision and utilization of, health services for Indians, including by ensuring that all agency directors, managers, and chief executive officers have appropriate and adequate training, experience, skill levels, knowledge, abilities, and education (including continuing training requirements) to competently fulfill the duties of the positions and the mission of the Service; ####

(3)administer all health programs under which health care is provided to Indians based upon their status as Indians which are administered by the Secretary, including programs under— #####

(A)this Act; #####

(B)the Act of November 2, 192118 (25 U.S.C. 13); 18This Act is commonly referred to as the “Snyder Act”, which is included in this compilation. #####

(C)the Act of August 5, 195419 (42 U.S.C. 2001 et seq.); 19This Act is commonly referred to as the “Transfer Act”, which is included in this compilation. #####

(D)the Act of August 16, 1957 (42 U.S.C. 2005 et seq.); and #####

(E)the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450 et seq.); ####

(4)administer all scholarship and loan functions carried out under title I; ####

(5)directly advise the Secretary concerning the development of all policy- and budget-related matters affecting Indian health; ####

(6)collaborate with the Assistant Secretary for Health concerning appropriate matters of Indian health that affect the agencies of the Public Health Service; ####

(7)advise each Assistant Secretary of the Department concerning matters of Indian health with respect to which that Assistant Secretary has authority and responsibility; ####

(8)advise the heads of other agencies and programs of the Department concerning matters of Indian health with respect to which those heads have authority and responsibility; ####

(9)coordinate the activities of the Department concerning matters of Indian health; and ####

(10)perform such other functions as the Secretary may designate. ###

(d)Authority ####

(1)In general The Secretary, acting through the Director, shall have the authority— #####

(A)except to the extent provided for in paragraph (2), to appoint and compensate employees for the Service in accordance with title 5, United States Code; #####

(B)to enter into contracts for the procurement of goods and services to carry out the functions of the Service; and #####

(C)to manage, expend, and obligate all funds appropriated for the Service. ####

(2)Personnel actions Notwithstanding any other provision of law, the provisions of section 12 of the Act of June 18, 1934 (48 Stat. 986; 25 U.S.C. 472), shall apply to all personnel actions taken with respect to new positions created within the Service as a result of its establishment under subsection (a).

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