Tribal Self-Governance Health Care and Social Services Delivery Effectiveness Evaluation Feasibility Study: Legislative History and Development of Tribal Self-Governance and Contracting - Revised Report. 4.1 Precursors to Self-Determination


Prior to enactment of the Indian Self Determination and Education Act (ISDEA), the Departments of Interior and Health and Human Services utilized public contract and cooperative agreement laws and regulations to procure goods and services, including health care services, for the benefit of Indians. Two limited opportunities existed for contracting directly with Indian Tribes or with others on their behalf. These authorities are: Buy Indian Act and Indian Health Transfer Act Amendment.