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Title 42

Displaying title 42, up to date as of 7/20/2026. Title 42 was last amended 7/20/2026.
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  1. Title 42 —Public Health
  2. Chapter I —Public Health Service, Department of Health and Human Services
  3. Subchapter M —Indian Health Service, Department of Health and Human Services
  4. Part 137 —Tribal Self-Governance
  5. Subpart H   View Full Text
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eCFR Content

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Title 42Public HealthPart / Section
Chapter IPublic Health Service, Department of Health and Human Services2 – 199
Subchapter MIndian Health Service, Department of Health and Human Services136 – 199
Part 137Tribal Self-Governance137.1 – 137.450
Subpart HFinal Offer137.130 – 137.155
§ 137.130What is covered by this subpart?
§ 137.131When should a final offer be submitted?
§ 137.132How does the Indian Tribe submit a final offer?
§ 137.133What does a final offer contain?
§ 137.134When does the 45 day review period begin?
§ 137.135May the Secretary request and obtain an extension of time of the 45 day review period?
§ 137.136What happens if the agency takes no action within the 45 day review period (or any extensions thereof)?
§ 137.137If the 45 day review period or extension thereto, has expired, and the Tribes offer is deemed accepted by operation of law, are there any exceptions to this rule?
§ 137.138Once the Indian Tribe's final offer has been accepted or deemed accepted by operation of law, what is the next step?
Rejection of Final Offers137.140 – 137.148
§ 137.140On what basis may the Secretary reject an Indian Tribe's final offer?
§ 137.141How does the Secretary reject a final offer?
§ 137.142What is a “significant danger” or “risk” to the public health?
§ 137.143How is the funding level to which the Indian Tribe is entitled determined?
§ 137.144Is technical assistance available to an Indian Tribe to avoid rejection of a final offer?
§ 137.145If the Secretary rejects a final offer, is the Secretary required to provide the Indian Tribe with technical assistance?
§ 137.146If the Secretary rejects all or part of a final offer, is the Indian Tribe entitled to an appeal?
§ 137.147Do those portions of the compact, funding agreement, or amendment not in dispute go into effect?
§ 137.148Does appealing the decision of the Secretary prevent entering into the compact, funding agreement, or amendment?
Burden of Proof137.150
§ 137.150What is the burden of proof in an appeal from rejection of a final offer?
Decision Maker137.155
§ 137.155What constitutes a final agency action?
eCFR Content