Urban Indian Issues–Concerns Raised by Senator Enzi December 12, 2007

Authors: Enzi, Mike
Publication Year: 2007
Last Updated: 2010-10-06 14:10:58
Journal: NCUIH
Keywords: United States Senate, Senator Enzi, SCIA, IHCIA, S.1200, NCUIH, IHS, Senate Committee on Indian Affairs, Indian Health Care Improvement Act, National Council of Urban Indian Health

Short Abstract:

Concerns raised by Senator Enzi.  Based upon meetings with Senate Committee on Indian Affairs staff, NCUIH understands that Senator Enzi (R-WY), the ranking member of the Senate HELP Committee, has presented a list of concerns that he has with the IHCIA legislation (S. 1200).  In particular, he has raised two concerns with the urban Indian provisions.  First, Senator Enzi does not want to see an expansion in program authority for urban Indians lest it lead to additional funding for urban Indians at the expense of reservation-based programs.  NCUIH considers this concern overblown.  NCUIH does not believe that the limited program authority expansion for urban Indians in the bill is going to achieve a significant change in the current funding level for the Urban Indian Health Program of approximately 1% of the IHS budget.  Like every other Indian health interest that has looked forward to passage of the IHCIA, NCUIH wants this bill to empower its members to provide the best possible health services in todays world.  This means the ability to provide a broader range of services to meet the growing needs of the urban Indian population.  If Enzis position were accepted, it would freeze the urban Indian health programs where they stood the last time the IHCIA was reauthorized 14 years ago.

Abstract:

Concerns raised by Senator Enzi.  Based upon meetings with Senate Committee on Indian Affairs staff, NCUIH understands that Senator Enzi (R-WY), the ranking member of the Senate HELP Committee, has presented a list of concerns that he has with the IHCIA legislation (S. 1200).  In particular, he has raised two concerns with the urban Indian provisions.  First, Senator Enzi does not want to see an expansion in program authority for urban Indians lest it lead to additional funding for urban Indians at the expense of reservation-based programs.  NCUIH considers this concern overblown.  NCUIH does not believe that the limited program authority expansion for urban Indians in the bill is going to achieve a significant change in the current funding level for the Urban Indian Health Program of approximately 1% of the IHS budget.  Like every other Indian health interest that has looked forward to passage of the IHCIA, NCUIH wants this bill to empower its members to provide the best possible health services in todays world.  This means the ability to provide a broader range of services to meet the growing needs of the urban Indian population.  If Enzis position were accepted, it would freeze the urban Indian health programs where they stood the last time the IHCIA was reauthorized 14 years ago.

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