Notice2025-11747
Notice of Purchased/Referred Care Delivery Area Redesignation for the Shoshone-Bannock Tribes of the Fort Hall Indian Reservation in Idaho
Primary source
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Published
June 26, 2025
Issuing agencies
Health and Human Services DepartmentIndian Health Service
Abstract
Notice is hereby given that the Indian Health Service (IHS) has decided to expand the geographic boundaries of the Purchased/ Referred Care Delivery Area (PRCDA) for the Shoshone-Bannock Tribes of the Fort Hall Indian Reservation in Idaho (Shoshone-Bannock Tribes or Tribe) to include the Idaho counties of Ada, Bear Lake, Blaine, Bonneville, Butte, Canyon, Cassia, Custer, Elmore, Franklin, Fremont, Gem, Gooding, Jefferson, Jerome, Madison, Minidoka, Oneida, Payette, Teton, Twin Falls, and Washington. The final PRCDA for the Shoshone- Bannock Tribes now includes the Idaho counties of Ada, Bannock, Bear Lake, Bingham, Blaine, Bonneville, Butte, Canyon, Caribou, Cassia, Custer, Elmore, Franklin, Fremont, Gem, Gooding, Jefferson, Jerome, Lemhi, Madison, Minidoka, Oneida, Payette, Power, Teton, Twin Falls, and Washington. The sole purpose of this expansion is to authorize additional Shoshone-Bannock Tribal members and beneficiaries to receive Purchased/Referred Care (PRC) services.
Full Text
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<title>Federal Register, Volume 90 Issue 121 (Thursday, June 26, 2025)</title>
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[Federal Register Volume 90, Number 121 (Thursday, June 26, 2025)]
[Notices]
[Pages 27326-27327]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-11747]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Notice of Purchased/Referred Care Delivery Area Redesignation for
the Shoshone-Bannock Tribes of the Fort Hall Indian Reservation in
Idaho
AGENCY: Indian Health Service, Department of Health and Human Services.
ACTION: Notice.
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SUMMARY: Notice is hereby given that the Indian Health Service (IHS)
has decided to expand the geographic boundaries of the Purchased/
Referred Care Delivery Area (PRCDA) for the Shoshone-Bannock Tribes of
the Fort Hall Indian Reservation in Idaho (Shoshone-Bannock Tribes or
Tribe) to include the Idaho counties of Ada, Bear Lake, Blaine,
Bonneville, Butte, Canyon, Cassia, Custer, Elmore, Franklin, Fremont,
Gem, Gooding, Jefferson, Jerome, Madison, Minidoka, Oneida, Payette,
Teton, Twin Falls, and Washington. The final PRCDA for the Shoshone-
Bannock Tribes now includes the Idaho counties of Ada, Bannock, Bear
Lake, Bingham, Blaine, Bonneville, Butte, Canyon, Caribou, Cassia,
Custer, Elmore, Franklin, Fremont, Gem, Gooding, Jefferson, Jerome,
Lemhi, Madison, Minidoka, Oneida, Payette, Power, Teton, Twin Falls,
and Washington. The sole purpose of this expansion is to authorize
additional Shoshone-Bannock Tribal members and beneficiaries to receive
Purchased/Referred Care (PRC) services.
DATES: This expansion is effective as of the date of publication of
this notice.
ADDRESSES: This notice can be found at <a href="https://www.federalregister.gov">https://www.federalregister.gov</a>.
Written requests for information should be delivered to: CDR Tracy
Sanchez, Acting Director, Office of Resource Access and Partnerships,
Indian Health Service, 5600 Fishers Lane, Mail Stop 10E85C, Rockville,
MD 20857.
FOR FURTHER INFORMATION CONTACT: CDR Tracy Sanchez, Acting Director,
Office of Resource Access and Partnerships by email at
<a href="/cdn-cgi/l/email-protection#85d1f7e4e6fcabd6e4ebe6ede0ffc5ecedf6abe2eaf3"><span class="__cf_email__" data-cfemail="1044627173693e43717e7378756a507978633e777f66">[email protected]</span></a>, or by phone at (301) 443-3216 (this is not a
toll-free number).
SUPPLEMENTARY INFORMATION: The IHS provides services under regulations
in effect as of September 15, 1987, and republished at 42 CFR part 136,
subparts A-C. Subpart C defines a Contract Health Service Delivery Area
(CHSDA), now referred to as a PRCDA, as the geographic area within
which PRC will be made available by the IHS to members of an identified
Indian community who reside in the PRCDA. Residence within a PRCDA by a
person who is within the scope of the Indian health program, as set
forth in 42 CFR 136.12, creates no legal entitlement to PRC but only
potential eligibility for services. Services needed, but not available
at an IHS/Tribal facility, are provided under the PRC program depending
on the availability of funds, the relative medical priority of the
services to be provided, and the actual availability and accessibility
of alternate resources in accordance with the regulations.
The regulations at 42 CFR part 136, subpart C provide that, unless
otherwise designated, a PRCDA shall consist of a county which includes
all or part of a reservation and any county or counties which have a
common boundary with the reservation. 42 CFR 136.22(a)(6). The
regulations also provide that after Consultation with the Tribal
governing body or bodies on those reservations included within the
PRCDA, the Secretary may, from time to time, redesignate areas within
the United States for inclusion in or exclusion from a PRCDA. 42 CFR
136.22(b). The regulations require that certain criteria must be
considered before any redesignation is made. The criteria are as
follows:
(1) The number of Indians residing in the area proposed to be so
included or excluded;
(2) Whether the Tribal governing body has determined that Indians
residing in the area near the reservation are socially and economically
affiliated with the Tribe;
(3) The geographic proximity to the reservation of the area whose
inclusion or exclusion is being considered; and
(4) The level of funding which would be available for the provision
of PRC.
Additionally, the regulations require that any redesignation of a
PRCDA be made in accordance with the procedures of the Administrative
Procedure Act (5 U.S.C. 553). 42 CFR 136.22(c). In compliance with this
requirement, the IHS published a notice of proposed redesignation and
requested public comments on December 16, 2024, (89
[[Page 27327]]
FR 101608). The IHS did not receive any comments in response to the
notice of proposed redesignation.
In support of this expansion, the IHS makes the following findings:
1. By expanding the PRCDA to include Ada, Bear Lake, Blaine,
Bonneville, Butte, Canyon, Cassia, Custer, Elmore, Franklin, Fremont,
Gem, Gooding, Jefferson, Jerome, Madison, Minidoka, Oneida, Payette,
Teton, Twin Falls, and Washington counties in the State of Idaho, the
Shoshone-Bannock Tribe's PRC-eligible population will increase by an
estimated 323 Tribal members.
2. The IHS finds that the Tribal members within the proposed,
expanded PRCDA are socially and economically affiliated with the
Shoshone-Bannock Tribes, based on a statement from the Shoshone-Bannock
Tribes that Tribal members who reside in Idaho and receive direct care
services from Tribal and Federal health programs located on the Tribes'
reservation retain social and economic ties to the Tribes.
3. The expanded PRCDA counties form a contiguous area with the
existing PRCDA, and members of the Shoshone-Bannock Tribes reside in
each of the counties proposed for inclusion in the expanded PRCDA.
Additionally, as noted above, Tribal members who reside in these
counties seek direct care services from programs located on the Tribes'
reservation. For these reasons, the IHS has determined the additional
counties proposed for inclusion herein to be geographically proximate,
meaning ``on or near,'' to the Tribes' reservation.
4. The governing body of the Shoshone-Bannock Tribes has indicated
that the PRC program can continue providing the same level of care to
the PRC-eligible population if the PRCDA is expanded as proposed,
without requiring additional funding or reduction of the current
medical priority level.
An updated listing of the PRCDAs for all federally recognized
Tribes may be accessed via a link on the IHS PRCDA Expansion website
(<a href="https://www.ihs.gov/prc/prcda-expansion">https://www.ihs.gov/prc/prcda-expansion</a>).
Public Comments: The IHS did not receive any comments in response
to the notice of proposed expansion.
P. Benjamin Smith,
Acting Director, Indian Health Service.
[FR Doc. 2025-11747 Filed 6-25-25; 8:45 am]
BILLING CODE 4166-14-P
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