republic-os/legal/us/code/title-25/chapter-18/section-1616.md

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LegalText	25 U.S.C. § 1616	Community Health Representative Program	us	united_states_code	code_section	25	INDIANS	18	INDIAN HEALTH CARE	1616	25 U.S.C. § 1616	current	119-100	2026-06-26	official	https://uscode.house.gov/download/releasepoints/us/pl/119/100/xml_usc25@119-100.zip	/us/usc/t25/s1616	data/legal/raw/us/code/title-25/usc25.xml	cd2e7733a5a97bd16cd29112416143c5b25366c0d7eec001c48bef21ba97d2dd	d4661d83bff6862be548ac8e843ba61e942ed983aade7cf83cb7dbc3dcd08168	e71542267ab78d83aec74fff70ac44fb71d6b4f1de256b5b1c980e301bee2745	2026-07-04	official	legal us-code

25 U.S.C. § 1616 - Community Health Representative Program

Text

(a) Under the authority of section 13 of this title, the Secretary shall maintain a Community Health Representative Program under which the Service—

(1) provides for the training of Indians as health paraprofessionals, and

(2) uses such paraprofessionals in the provision of health care, health promotion, and disease prevention services to Indian communities.

(b) The Secretary, acting through the Community Health Representative Program of the Service, shall—

(1) provide a high standard of training for paraprofessionals to Community Health Representatives to ensure that the Community Health Representatives provide quality health care, health promotion, and disease prevention services to the Indian communities served by such Program,

(2) in order to provide such training, develop and maintain a curriculum that—

(A) combines education in the theory of health care with supervised practical experience in the provision of health care, and

(B) provides instruction and practical experience in health promotion and disease prevention activities, with appropriate consideration given to lifestyle factors that have an impact on Indian health status, such as alcoholism, family dysfunction, and poverty,

(3) maintain a system which identifies the needs of Community Health Representatives for continuing education in health care, health promotion, and disease prevention and maintain programs that meet the needs for such continuing education,

(4) maintain a system that provides close supervision of Community Health Representatives,

(5) maintain a system under which the work of Community Health Representatives is reviewed and evaluated, and

(6) promote traditional health care practices of the Indian tribes served consistent with the Service standards for the provision of health care, health promotion, and disease prevention.

(Pub. L. 94–437, title I, § 107, as added Pub. L. 100–713, title I, § 107, Nov. 23, 1988, 102 Stat. 4788; amended Pub. L. 102–573, title I, § 105, Oct. 29, 1992, 106 Stat. 4535.)

Notes

Editorial Notes

Amendments1992—Subsec. (b)(2). Pub. L. 102–573, § 105(1), inserted “and maintain” in introductory provisions. Subsec. (b)(2)(B). Pub. L. 102–573, § 105(2), inserted at end “with appropriate consideration given to lifestyle factors that have an impact on Indian health status, such as alcoholism, family dysfunction, and poverty,”. Subsec. (b)(3). Pub. L. 102–573, § 105(3), substituted “maintain” for “develop” in two places. Subsec. (b)(4). Pub. L. 102–573, § 105(4), struck out “develop and” before “maintain”. Subsec. (b)(5). Pub. L. 102–573, § 105(3), substituted “maintain” for “develop”.