FY 09 HHS Annual Tribal Budget Consultation Session – FY 2010 Budget Recommendation: Restoring the Trust and Leaving a Legacy Presented by Indian Health Service Budget Workgroup 03-04-08

Authors: Indian Health Service
Publication Year: 2008
Last Updated: 2016-03-04 14:11:07
Journal: Department of Health and Human Services
Keywords: HHS, Health and Human Services, Budget, IHS, Indian Health Service, Indian Health Service budget recommendation, Restoring the Trust and Leaving a Legacy

Short Abstract:

Each year, the Indian Health Service (IHS) budget is developed using a budget formulation process that involves IHS direct operated programs, tribally-operated programs, and Urban Indian health programs, commonly referred to as the I/T/U. Representatives from each of the 12 IHS Areas serve on the I/T/U budget work team to discuss their health and budget priorities and develop funding recommendations. The work team, along with IHS headquarters and national organizations, come together to develop consensus on the IHS budget priorities for that year, and to present their recommendations before the Department of Health & Human Services (HHS). In previous years, tribal representatives were allowed to make budget presentations to the Office of Management and Budget (OMB)—however despite repeated requests by the IHS budget formulation work group—this has not happened for the past seven years.


We are here today with all of the same concerns that we voiced last year. While our health and budget priorities have not changed, tragically, several things have. In the last year, nearly 3,000 American Indians and Alaska Natives (AI/AN) died of cardiovascular disease, over 16,500 were diagnosed with a sexually transmitted disease, 5,000 were diagnosed with diabetes for the first time, over 22,000 are now living with cancer (45% of which were diagnosed in the late-stages), and 400 took their own life. These are our community members and our tribal leaders, our daughters and sons, our mothers and fathers, our brothers and sisters. The urgency of this situation should not be taken lightly. For over 100 years, Native people have experienced inferior health outcomes; our life expectancy is still five years less than that of other Americans. Adequate funding is needed to end this lasting injustice, and uphold the federal trust responsibility of the United States and the Federal government

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