13 ervation, Pueblo or colony, including former reservations in Oklahoma, Alaska Native Regions estab lished pursuant to the Alaska Native Claims Settle ment Act, and Indian allotments. "(14) SECRETARY.-The term 'Secretary', unless specifically provided otherwise, means the Sec retary of Health and Human Services. "(15) SERVICE.-The term 'Service' means the Indian Health Service. "(16) SERVICE AREA. The term 'service area' means the geographical area served by each area office. "(17) SERVICE UNIT.-The term 'service unit' means "(A) an administrative entity within the Indian Health Service; or "(B) a tribe or tribal organization operating health care programs or facilities with funds from the Service under the Indian Self-Determination and Education Assistance Act, through which services are provided, directly or by contract, to the eligible Indian population within a defined geographic area. "(18) TRADITIONAL HEALTH CARE PRAC TICES.-The term 'traditional health care practices' 14 means the application by Native healing practitioners of the Native healing sciences (as opposed or in contradistinction to western healing sciences) which embodies the influences or forces of innate tribal dis covery, history, description, explanation and knowledge of the states of wellness and illness and which calls upon these influences or forces, including physical, mental, and spiritual forces in the promotion, restoration, preservation and maintenance of health, well-being, and life's harmony. "(19) TRIBAL ORGANIZATION.-The term 'tribal organization' shall have the meaning given such term in section 4(1) of the Indian Self Determination and Education Assistance Act. "(20) TRIBALLY CONTROLLED COMMUNITY COLLEGE. The term 'tribally controlled community college' shall have the meaning given such term in section 126 (g)(2). "(21) URBAN CENTER.-The term 'urban center' means any community that has a sufficient urban Indian population with unmet health needs to warrant assistance under title V, as determined by the Secretary. 15 1 2 3 4 5 6 7 8 9 10 11 2 3 4 15 16 17 18 "(22) URBAN INDIAN.-The term 'urban In dian' means any individual who resides in an urban center and who "(A) for purposes of title V and regardless of whether such individual lives on or near a reservation, is a member of a tribe, band or other organized group of Indians, including those tribes, bands or groups terminated since 1940 and those tribes, bands or groups that are recognized by the States in which they reside, or who is a descendant in the first or second degree of any such member; "(B) is an Eskimo or Aleut or other Alaskan Native; "(C) is considered by the Secretary of the Interior to be an Indian for any purpose; or "(D) is determined to be an Indian under regulations promulgated by the Secretary. "(23) URBAN INDIAN ORGANIZATION.-The term 'urban Indian organization' means a nonprofit corporate body situated in an urban center, governed by an urban Indian controlled board of directors, and providing for the participation of all interested Indian groups and individuals, and which is capable of legally cooperating with other public and private 16 entities for the purpose of performing the activities described in section 503(a). 1 2 7 "The purpose of this title is to increase, to the maxi 8 mum extent feasible, the number of Indians entering the 9 health professions and providing health services, and to 10 assure an optimum supply of health professionals to the 11 Service, Indian tribes, tribal organizations, and urban In12 dian organizations involved in the provision of health serv13 ices to Indian people. 14 “SEC. 102. GENERAL REQUIREMENTS. 15 "(a) SERVICE AREA PRIORITIES.-Unless specifically 16 provided otherwise, amounts appropriated for each fiscal 17 year to carry out each program authorized under this title 18 shall be allocated by the Secretary to the area office of 19 each service area using a formula― 20 21 22 23 24 25 "(1) to be developed in consultation with Indian tribes, tribal organizations and urban Indian organizations; "(2) that takes into account the human re source and development needs in each such service area; and 1 2 3 4 5 6 7 8 9 10 11 17 "(3) that weighs the allocation of amounts appropriated in favor of those service areas where the health status of Indians within the area, as meas ured by life expectancy based upon the most recent data available, is significantly lower than the average health status for Indians in all service areas, except that amounts allocated to each such area using such a weighted allocation formula shall not be less than the amounts allocated to each such area in the previous fiscal year. "(b) CONSULTATION.-Each area office receiving 12 funds under this title shall actively and continuously con13 sult with representatives of Indian tribes, tribal organiza14 tions, and urban Indian organizations to prioritize the uti15 lization of funds provided under this title within the serv16 ice area. 17 "(c) REALLOCATION.-Unless specifically prohibited, 18 an area office may reallocate funds provided to the office 19 under this title among the programs authorized by this 20 title, except that scholarship and loan repayment funds 21 shall not be used for administrative functions or expenses. 22 "(d) LIMITATION.-This section shall not apply with 23 respect to individual recipients of scholarships, loans or 24 other funds provided under this title (as this title existed 25 1 day prior to the date of enactment of this Act) until |