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337 (c) Recommendations from California Indian Tribes.—In making appointments to the Council under subsection (b), the Secretary shall ensure that the California Indian tribes have been afforded a full and fair opportunity to select by consensus, in accordance with procedures developed by the California Indian tribes, representatives they will recommend to the Secretary for appointment to the Council, consult with the California Indian tribes; and make appointments to the Council from among those recommended or nominated by California Indian tribes. . . . sec. 5. duties of the council. The Council shall— (1) develop a comprehensive list of California Indian tribes and the descendency list for each tribe based upon documents held by the Bureau including, but not limited to those specified in section 6; (2) identify the special problems confronting unacknowledged and terminated Indian tribes and propose reasonable mechanisms to provide for the orderly and fair consideration of requests by such tribes for Federal acknowledgement; (3) conduct a comprehensive study of— (A) the social, economic, and political status of California Indians; (B) the effectiveness of those policies and programs of the United States that affect California Indians; and (C) the services and facilities being provided to California Indian tribes; compared to those being provided to Indian tribes nationwide; (4) conduct public hearings on the subjects of such study; (5) develop recommendations for speci fic actions that— (A) will help to ensure that California Indians have life opportunities comparable to other American Indians of federally recognized tribes, while respecting their unique traditions, cultures , and special status as California Indians; (B) will address, among other things, the needs of California Indians for economic self-sufficiency, improved levels of educational achievement , improved health status, and reduced incidence of social problems; and (C) will respect the important cultural differences which characterize California Indians and California Indian tribes and tribal groups. . . . (g) No Infringement on Tribal Authority.—The creation of the Council is not intended to, nor shall it, restrict, preempt or infringe the right of any California Indian tribe to interact or communicate with Congress or other branches of the Federal Government on a government-togovernment basis. . . . [U.S. Statutes at Large, 106:2131–36.] 218. Indian Health Amendments of 1992 October 29, 1992 This legislation updating the Indian Health Care Improvement Act of September 30, 1976, is long and comprehensive. The 1976 law was 15 pages in length; this law runs to 67 pages and cannot be summarized easily. Printed here are only some examples from the health objectives with which the act begins, the titles within the act, and two other items (one upgrading the position of the director of the Indian Health Service to a presidential appointment and the other authorizing the IHS to take part in the Self-Governance Demonstration Project). An Act to amend the Indian Health Care Improvement Act to authorize appropriations for Indian health programs, and for other purposes. . . . . sec. 3. findings; policy; . . . (b) Declaration of Policy.—Section 3 of the Act (25 U.S.C. 1602) is amended to read as follows: 338 ‘‘declaration of health objectives “Sec. 3 (a) 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 assure the highest possible health status for Indians and urban Indians and to provide all resources necessary to effect that policy. “(b) It is the intent of the Congress that the Nation meet the following health status objectives with respect to Indians and urban Indians by the year 2000 [selected items from a total list of 61]: “(1) Reduce coronary heart disease deaths to a level of no more than 100 per 100,000. . . . “(4) Reduce the level of cancer deaths to a rate of no more than 130 per 100,000. “(5) Reduce the level of lung cancer deaths to a rate of no more than 42 per 100,000. . . . “(7) Reduce deaths among men caused by alcohol-related motor vehicle crashes to no more than 44.8 per 100,000. “(8) Reduce cirrhosis deaths to no more than 13 per 100,000. “(9) Reduce drug-related deaths to no more than 3 per 100,000. . . . “(11) Reduce suicide among men to no more than 12.8 per 100,000. . . . “(13) Reduce to less than 10 percent the prevalence of mental disorders among children and adolescents. . . . “(16) Increase years of healthy life to at least 65 years. . . . “(20) Reduce dental caries (cavities) so that the proportion...


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