Page:United States Statutes at Large Volume 102 Part 5.djvu/799

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PUBLIC LAW 100-713—NOV. 23, 1988

102 STAT. 4805

"(8) fluoridation of water, and "(9) control of infectious agents.", (c) Title II (25 U.S.C. 1621, et seq.), as amended by section 202 of this Act, is further amended by adding at the end thereof the following new sections: "HEALTH PROMOTION AND DISEASE PREVENTION SERVICES

"SEC. 203. (a) The Secretary, acting through the Service, shall provide health promotion and disease prevention services to Indians. "QD) The Secretary shall submit to the President for inclusion in each statement which is required to be submitted to the Congress under section 201(f) an evaluation of— "(1) the health promotion and disease prevention needs of Indians, "(2) the health promotion and disease prevention activities which would best meet such needs, "(3) the internal capacity of the Service to meet such needs, and "(4) the resources which would be required to enable the Service to undertake the health promotion and disease prevention activities necessary to meet such needs. "(c)(1) The Secretary shall establish at least 1 demonstration project (but no more than 4 demonstration projects) to determine the most effective and cost-efficient means of— "(A) providing health promotion and disease prevention services, "(B) encouraging Indians to adopt good health habits, "(C) reducing health risks to Indians, particularly the risks of heart disease, cancer, stroke, diabetes, anxiety, depression, and lifestyle-related accidents, "(D) reducing medical expenses of Indians through health promotion and disease prevention activities, "(E) establishing a program— "(i) which trains Indians in the provision of health promotion and disease prevention services to members of their tribe, and "(ii) under which such Indians are available on a contract basis to provide such services to other tribes, and "(F) providing traming and continuing education to employees of the Service, and to paraprofessionals participating in the Community Health Representative Program, in the delivery of health promotion and disease prevention services. "(2) The demonstration project described in paragraph (1) shall include an analysis of the cost effectiveness of organizational structures and of social and educational programs that may be useful in achieving the objectives described in paragraph (1). "(3)(A) The demonstration project described in paragraph (1) shall be conducted in association with at leeist one— "(i) health profession school, "(ii) allied health profession or nurse training institution, or "(iii) public or private entity that provides health care. "(B) The Secretary is authorized to enter into contracts with, or make grants to, any school of medicine or school of osteopathy for the purpose of carrying out the demonstration project described in paragraph (1).

25 USC I62lb.

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