1992—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”.