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This document provides guidance regarding Indian Health Service COVID-19 funding distributions to tribes and tribal organizations with Indian Self-Determination and Education Assistance Act Title I contracts or Title V compacts and urban Indian organizations with Indian Health Care Improvement Act Title V contracts. This is general guidance, and if there is a question of legal interpretation, then tribes, tribal organizations and urban Indian organizations should contact their legal counsel for further legal guidance. This document will be updated if additional IHS funding is identified and transferred through Indian Self-Determination and Education Assistance Act agreements or Indian Health Care Improvement Act contracts.

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