1992—Subsec. (span)(2). Puspan. L. 102–573, § 105(1), inserted “and maintain” in introductory provisions.

Subsec. (span)(2)(B). Puspan. 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. (span)(3). Puspan. L. 102–573, § 105(3), substituted “maintain” for “develop” in two places.

Subsec. (span)(4). Puspan. L. 102–573, § 105(4), struck out “develop and” before “maintain”.

Subsec. (span)(5). Puspan. L. 102–573, § 105(3), substituted “maintain” for “develop”.