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Code · BILL · 117th Congress · S. 5186 (Introduced in Senate) — To ensure progress toward the fulfillment by the Federal Government of its trust and treaty obligations to Native Ame... · Sec. 202

Sec. 202. Sense of Congress

574 words·~3 min read·/bill/117/s/5186/is/section-202

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It is the sense of Congress that— funding for the delivery of health care to American Indians, Alaska Natives, and Native Hawaiians through the Indian Health Service, Indian tribes, tribal organizations, urban Indian organizations, and the Native Hawaiian Health Care Program should be fully funded; the funding described in paragraph
(1)should be mandatory; Congress should allocate funding to job training and tuition reimbursement programs to increase the number of clinicians and non-medical health care staff serving American Indians, Alaska Natives, Native Hawaiians, and Indian tribes; Congress should provide funding under the Medicare program under title XVIII of the Social Security Act ( 42 U.S.C. 1395 et seq. ) and the Medicaid program under title XIX of that Act ( 42 U.S.C. 1396 et seq. ) directly to Indian tribes and end the practice of pass-through of funds through States; the Indian Health Care Improvement Act ( 25 U.S.C. 1601 et seq. ) is crucial to protecting the health and well-being of American Indians and Alaska Natives; all of the provisions of that Act should be implemented and fully funded; and in accordance with section 3 of that Act ( 25 U.S.C. 1602 ), it is the policy of the United States, in fulfillment of the special trust responsibilities and legal obligations to Indians of the United States, including Indians living in urban settings— to ensure the highest possible health status for Indians and to provide all resources necessary to effect that policy; to raise the health status of Indians to at least the levels set forth in the goals contained within the Healthy People 2010 initiative or successor objectives; to ensure maximum Indian participation in the direction of health care services so as to render the persons administering such services and the services themselves more responsive to the needs and desires of Indian communities; to increase the proportion of all degrees in the health professions and allied and associated health professions awarded to Indians so that the proportion of Indian health professionals in each Indian Health Service area is raised to at least the level of that of the general population; to require that all actions under that Act shall be carried out with active and meaningful consultation with Indian tribes, and conference with tribal organizations and urban Indian organizations, to implement that Act and the national policy of Indian self-determination; to ensure that the United States and Indian tribes work in a government-to-government relationship to ensure quality health care for all Tribal members; and to provide funding for programs and facilities operated by Indian tribes and tribal organizations in amounts that are not less than the amounts provided to programs and facilities operated directly by the Indian Health Service; legal challenges to that Act and the Patient Protection and Affordable Care Act ( Public Law 111–148 ; 124 Stat. 119) are harmful; legislation to address the opioid and substance use epidemic facing American Indian, Alaska Native, and Native Hawaiian communities (known as the Comprehensive Addiction Resources Emergency Act of 2021 , S. 3418 and H.R. 6311, 117th Congress, as introduced on December 16, 2021) should be enacted without delay; and legislation to provide significant resources to Indian tribes to combat child abuse and neglect (known as the American Indian and Alaska Native Child Abuse Prevention and Treatment Act , S. 1868 and H.R. 1566, 117th Congress, as introduced on May 26, 2021, and March 3, 2021, respectively) should be enacted without delay.
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  • Pub. L. 111-148
  • 124 Stat. 119
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Sec. 202
Sense of Congress
Pub. L.Pub. L. 111-148
Stat.124 Stat. 119
Cites 6Cited by 0 across 0 sources
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