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279 in serious bodily injury, arson, burglary, robbery , and larceny within the Indian country, shall be subject to the same laws and penalties as all other persons committing any of the above offenses, within the exclusive jurisdiction of the United States. “As used in this section, the offenses of burglary and incest shall be defined and punished in accordance with the laws of the State in which such offense was committed as are in force at the time of such offense. “In addition to the offenses of burglary and incest, any other of the above offenses which are not defined and punished by Federal law in force within the exclusive jurisdiction of the United States shall be defined and punished in accordance with the laws of the State in which such offense was committed as are in force at the time of such offense.” . . . Sec. 4. Section 3242, title 18, United States Code, is amended to read as follows: “§3242. Indians committing certain offenses; acts on reservations “All Indians committing any offense listed in the first paragraph of and punishable under section 1153 (relating to offenses committed within Indian country) of this title shall be tried in the same courts and in the same manner as are all other persons committing such offense within the exclusive jurisdiction of the United States.” [U.S. Statutes at Large, 90:585–86.] 177. Indian Health Care Improvement Act September 30, 1976 In order to lessen or remove the gap between Indian health conditions and those of the total population, Congress provided incremental funding for health services and health facilities over a seven-year period. The law also provided funds for urban health centers and for a feasibility study for an Indian medical school. An Act to implement the Federal responsibility for the care and education of the Indian people by improving the services and facilities of Federal Indian health programs and encouraging maximum participation of Indians in such programs, and for other purposes (P.L. 94–437). . . . . findings Sec. 2. The Congress finds that— (a) Federal health services to maintain and improve the health of the Indians are consonant with and required by the Federal Government’s historical and unique legal relationship with, and resulting responsibility to, the American Indian people. (b) A major national goal of the United States is to provide the quantity and quality ofhealthserviceswhichwillpermitthehealth status of Indians to be raised to the highest possible level and to encourage the maximum participation of Indians in the planning and management of those services. (c) Federal health services to Indians have resulted in a reduction in the prevalence and incidence of preventable illnesses among, and unnecessary and premature deaths of, Indians. (d) Despite such services, the unmet health needs of the American Indian people are severe and the health status of the Indians is far below that of the general population of the United States. . . . (e) All other Federal services and programs in fulfillment of the Federal responsibility to Indians are jeopardized by the low health status of the American Indian people. (f) Further improvement in Indian health is imperiled by— (1) inadequate, outdated, inefficient, and undermanned facilities. . . . (2) shortage of personnel. . . . (3) insufficient services in such areas as laboratory, hospital inpatient and outpatient , eye care and mental health services , and services available through contracts with private physicians, clinics, and agencies. . . . (4) related support factors. . . . (5) lack of access of Indians to health services due to remote residences, undeveloped or underdeveloped communication and transportation systems, and difficult, sometimes severe, climate conditions ; and 280 (6) lack of safe water and sanitary waste disposal services. . . . (g) The Indian people’s growth of confidence in Federal Indian health services is revealed by their increasingly heavy use of such services. Progress toward the goal of better Indian health is dependent on this continued growth of confidence. But such progress and such confidence are dependent on improved Federal Indian health services. declaration of policy Sec. 3. The Congress hereby declares that it is the policy of this Nation, in fulfillment of its special responsibilities and legal obligation to the American Indian people, to meet the national goal of providing the highest possible health status to Indians and to provide existing Indian health services with all resources necessary to effect that policy. . . . TITLE I—INDIAN HEALTH MANPOWER purpose Sec. 101. The purpose of this title is to augment the inadequate number of health professionals serving Indians and...


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