8 that of the general population, and to provide for the maximum participation of Indian tribes, tribal organizations, and urban Indian organizations in the planning, delivery, and management of those services. "(6) Federal health services to Indians have resulted in a reduction in the prevalence and incidence of illnesses among, and unnecessary and premature deaths of, Indians. "(7) Despite such services, the unmet health needs of the American Indian people remain alarmingly severe, and even continue to increase, and the health status of the Indians is far below the health status of the general population of the United States. "(8) The disparity in health status that is to be addressed is formidable. In death rates for example, Indian people suffer a death rate for diabetes mellitus that is 249 percent higher than the death rate for all races in the United States, a pneumonia and influenza death rate that is 71 percent higher, a tuberculosis death rate that is 533 percent higher, and a death rate from alcoholism that is 627 percent higher. 9 1 ❝SEC. 3. DECLARATION OF HEALTH OBJECTIVES. 2 "Congress hereby declares that it is the policy of the 3 United States, in fulfillment of its special trust respon 4 sibilities and legal obligations to the American Indian 5 people "(1) to assure the highest possible health status for Indians and to provide all resources necessary to effect that policy; "(2) to raise the health status of Indians by the year 2010 to at least the levels set forth in the goals contained within the Healthy People 2010, or any successor standards thereto; "(3) in order to raise the health status of Indian people to at least the levels set forth in the goals contained within the Healthy People 2010, or any successor standards thereto, to permit Indian tribes and tribal organizations to set their own health care priorities and establish goals that reflect their unmet needs; "(4) to increase the proportion of all degrees in the health professions and allied and associated health professions awarded to Indians so that the proportion of Indian health professionals in each geographic service area is raised to at least the level of that of the general population; 1 2 3 4 5 6 7 8 9 10 "(5) to require meaningful, active consultation with Indian tribes, Indian organizations, and urban Indian organizations to implement this Act and the national policy of Indian self-determination; and "(6) that funds for health care programs and facilities operated by tribes and tribal organizations be provided in amounts that are not less than the funds that are provided to programs and facilities operated directly by the Service. 10 "SEC. 4. DEFINITIONS. 11 "In this Act: "(1) ACCREDITED AND ACCESSIBLE.-The term 'accredited and accessible', with respect to an entity, means a community college or other appropriate en tity that is on or near a reservation and accredited by a national or regional organization with accredit ing authority. "(2) AREA OFFICE.-The term 'area office' means an administrative entity including a program office, within the Indian Health Service through which services and funds are provided to the service units within a defined geographic area. "(3) ASSISTANT SECRETARY.-The term 'Assistant Secretary' means the Assistant Secretary of the Indian Health as established under section 601. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 11 “(4) CONTRACT HEALTH SERVICE.-The term 'contract health service' means a health service that is provided at the expense of the Service, Indian tribe, or tribal organization by a public or private medical provider or hospital, other than a service funded under the Indian Self-Determination and Education Assistance Act or under this Act. "(5) DEPARTMENT.-The term 'Department', unless specifically provided otherwise, means the Department of Health and Human Services. "(6) FUND.-The terms 'fund' or 'funding' mean the transfer of monies from the Department to any eligible entity or individual under this Act by any legal means, including funding agreements, con tracts, memoranda of understanding, Buy Indian Act contracts, or otherwise. "(7) FUNDING AGREEMENT.-The term 'funding agreement' means any agreement to transfer funds for the planning, conduct, and administration of programs, functions, services and activities to tribes and tribal organizations from the Secretary under the authority of the Indian Self-Determination and Education Assistance Act. "(8) HEALTH PROFESSION.-The term 'health profession' means allopathic medicine, family medi 12 cine, internal medicine, pediatrics, geriatric medi cine, obstetrics and gynecology, podiatric medicine, nursing, public health nursing, dentistry, psychiatry, osteopathy, optometry, pharmacy, psychology, public health, social work, marriage and family therapy, chiropractic medicine, environmental health and engineering, and allied health professions, or any other health profession. "(9) HEALTH PROMOTION; DISEASE PREVENTION. The terms 'health promotion' and 'disease prevention' shall have the meanings given such terms in paragraphs (1) and (2) of section 203(c). "(10) INDIAN.-The term 'Indian' and 'Indians' shall have meanings given such terms for purposes of the Indian Self-Determination and Edu cation Assistance Act. "(11) INDIAN HEALTH PROGRAM.-The term 'Indian health program' shall have the meaning given such term in section 110(a)(2)(A). "(12) INDIAN TRIBE.-The term 'Indian tribe' shall have the meaning given such term in section 4(e) of the Indian Self Determination and Education Assistance Act. "(13) RESERVATION.-The term 'reservation' means any federally recognized Indian tribe's res |