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67884 Federal Register / Vol. 74, No. 243 / Monday, December 21, 2009 / Notices Secretary of Health and Human be made available by the IHS to include Columbia County in the State of Services. Information about the RoC and members of an identified Indian Oregon, and Kittitas and Wahkiakum the review process is available on its community who reside in the area. Counties in the State of Washington. Web site (http://ntp.niehs.nih.gov/go/ Residence with a CHSDA or SDA by a Under 42 CFR 136.23 those otherwise roc) or by contacting Dr. Lunn (see FOR person who is within the scope of the eligible Indians who do not reside on a FURTHER INFORMATION CONTACT above). Indian health program, as set forth in 42 reservation but reside within a CHSDA Dated: December 9, 2009. CFR 136.12, creates no legal entitlement must be either members of the Tribe or John R. Bucher, to contract health services but only maintain close economic and social ties potential eligibility for services. Associate Director, National Toxicology with the Tribe. In this case, the Tribe Program. Services needed but not available at a estimates the current eligible population IHS/Tribal facility are provided under [FR Doc. E9–30300 Filed 12–18–09; 8:45 am] will be increased by 35 individuals’ the CHS program depending on the enrolled Cowlitz members who are BILLING CODE 4140–01–P availability of funds, the person’s actively involved with the Tribe, but not relative medical priority, and the actual eligible for health services. DEPARTMENT OF HEALTH AND availability and accessibility of alternate In applying the aforementioned HUMAN SERVICES resources in accordance with the CHSDA re-designation criteria required regulations. by operative regulations (43 FR 35654), Indian Health Service As applicable to the Tribes, these the following findings are made: regulations provide that, unless 1. Columbia County, Oregon is Notice of Re-Designation of the otherwise designated, a CHSDA shall contiguous with Clark County in the Service Delivery Area for the Cowlitz consist of a county which includes all state of Washington. Kittitas County is Indian Tribe or part of a reservation and any county contiguous to King County and or counties which have a common AGENCY: Indian Health Service. Wahkiakum County is contiguous to boundary with the reservation (42 CFR Lewis in the State of Washington. ACTION: Notice. 136.22(a)(6) (2007). The regulations also 2. These three counties are not part of SUMMARY: This Notice advises the public provide that after consultation with the any other Tribes CHSDA. that the Indian Health Service (IHS) Tribal governing body or bodies of those 3. It is important for the Cowlitz proposes to expand the geographic reservations included in the CHSDA, Indian Tribe to be able to deliver health boundaries of the Service Delivery Area the Secretary may, from time to time, re- care services to enrolled members (SDA) for the Cowlitz Indian Tribe. The designate areas within the United States residing in these three counties. The Cowlitz SDA currently is comprised of for inclusion in or exclusion from a Tribe believes eligible Tribal members Clark, Cowlitz, King, Lewis, Pierce, CHDSA. The regulations require that living in the counties proposed for Skamania, and Thurston in the State of certain criteria must be considered expansion should also be eligible for Washington. These counties were before any re-designation is made. The CHS. criteria are as follows: designated as the Tribe’s SDA in 67 FR 4. Most of the 35 Tribal members use (1) The number of Indians residing in 46329. It is proposed that Columbia the Cowlitz Clinic in Longview, the area proposed to be so included or County, Oregon, and Wahkiakum and Washington for their health care needs. excluded; Kittitas Counties, Washington be added It is estimated that members have a 40 to the existing SDA. (2) Whether the Tribal governing body has determined that Indians residing in minute drive to receive their health DATES: This notice is effective 30 days the area near the reservation are socially care. These Tribal members do not after date of publication in the Federal and economically affiliated with the currently receive care under the CHS Register. Tribes; program. ADDRESSES: Comments may be mailed to (3) The geographic proximity to the 5. The financial resources required to Betty Gould, Regulations Officer, Indian reservation of the area whose inclusion meet the immediate needs of the Tribal Health Service, Suite 450, 12300 or exclusion is being considered; and members residing in the three counties Twinbrook Parkway, Rockville, (4) The level of funding which would will not be substantial as the Tribe will Maryland 20852. Comments will be be available for the provision of contract use existing Federal allocations for made available for public inspection at health services. contract health funds. this address from 8:30 a.m. to 5:00 p.m. Additionally, the regulations require Since CHS is a critical component of Monday–Friday beginning that any re-designation of a CHSDA the Tribes’ overall health care system for approximately 2 weeks after publication must be made in accordance with the its members, the Tribe feels that the of this notice. Administrative Procedures Act (5 U.S.C. members residing in the three counties FOR FURTHER INFORMATION CONTACT: Carl 553). In compliance with this should be included within the SDA for Harper, Director, Office of Resource requirement, we are publishing this the Tribe. Access and Partnerships, Indian Health proposal and requesting public Accordingly, after considering the Service, Suite 360, 12300 Twinbrook comment. Tribes’ request in light of the criteria Parkway, Rockville, Maryland 20852. The purpose of this FR notice is to specified in the regulations, the IHS is Telephone 301/443–2694 (This is not a notify the public of the request of the proposing to re-designate the SDA for toll free number). Cowlitz Indian Tribe to expand their the Tribe to consist of Columbia County SUPPLEMENTARY INFORMATION: The IHS SDA as presented in their 08–3 Tribal in the State of Oregon and Kittitas and currently provides services under resolution dated January 5, 2008, and Wahkiakum Counties in the State of regulations in effect on September 15, 08–56 Tribal resolution, dated Washington. 1987 and IHS republished at 42 CFR December 06, 2008. The Tribe’s request This notice does not contain reporting part 136, subparts A–C. Subpart C will expand their current SDA which or recordkeeping requirements subject defines a Contract Health Service incorporates Cowlitz, Clark, Skamania, to prior approval by the Office of Delivery Area (CHSDA) as the King, Pierce, Thurston and Lewis Management and Budget under the geographic area within which CHS will Counties in the State of Washington, to Paperwork Reduction Act of 1980. VerDate Nov<24>2008 14:14 Dec 18, 2009 Jkt 220001 PO 00000 Frm 00035 Fmt 4703 Sfmt 4703 E:\FR\FM\21DEN1.SGM 21DEN1 erowe on DSK5CLS3C1PROD with NOTICES Federal Register / Vol. 74, No. 243 / Monday, December 21, 2009 / Notices 67885 CONTRACT HEALTH SERVICE DELIVERY AREAS AND SERVICE DELIVERY AREAS Tribe/reservation County/State Ak Chin Indian Community of the Maricopa (Ak Chin) Indian Reserva- Pinal, AZ. tion, Arizona. Alabama-Coushatta Tribes of Texas ........................................................ Polk, TX.1 Alaska ....................................................................................................... Entire State.2 Arapaho Tribe of the Wind River Reservation, Wyoming ........................ Hot Springs, WY, Fremont, WY, Sublette, WY. Aroostook Band of Micmac Indians of Maine .......................................... Aroostook, ME.3 Assiniboine and Sioux Tribes of the Fort Peck Indian Reservation, Daniels, MT, McCone, MT, Richland, MT, Montana. Roosevelt, MT, Sheridan, MT, Valley, MT. Bad River Band of the Lake Superior Tribe of Chippewa Indians of the Ashland, WI, Iron, WI. Bad River Reservation, Wisconsin. Bay Mills Indian Community, Michigan .................................................... Chippewa, MI. Blackfeet Tribe of the Blackfeet Indian Reservation of Montana ............ Glacier, MT, Pondera, MT. Minnesota Chippewa Tribe, Minnesota Bois Forte Band (Nett Lake) ..... Itasca, MN, Koochiching, MN, St. Louis, MN. Brigham City Intermountain School Health Center, Utah ........................ 4 Burns Paiute Tribe of the Burns Paiute Indian Colony of Oregon .......... Harney, OR. California ................................................................................................... Entire State, except for the counties listed in the footnote.5 Catawba Indian Nation of South Carolina ................................................ All Counties in SC,6 Cabarrus, NC, Cleveland, NC, Gaston, NC, Meck- lenburg, NC, Rutherford, NC, Union, NC. Cayuga Nation of New York ..................................................................... Allegany, NY.7,Cattaraugus, NY, Chautaugua, NY, Erie, NY, Warren, PA. Cheyenne River Sioux Tribe of the Cheyenne River Reservation, South Corson, SD, Dewey, SD, Haakon, SD, Meade, SD, Perkins, SD, Pot- Dakota. ter, SD, Stanley, SD, Sully, SD, Walworth, SD, Ziebach, SD. Chippewa-Cree Indians of the Rocky Boy’s Reservation, Montana ........ Chouteau, MT, Hill, MT, Liberty, MT. Chitimacha Tribe of Louisiana .................................................................. St. Mary Parish, LA. Cocopah Tribe of Arizona ........................................................................ Yuma, AZ, Imperial, CA. Coeur D’Alene
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