Sec. 201. Findings
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Congress finds that— funding for the Indian Health Service and health care for American Indians and Alaska Natives is inequitable and unequal; Indian Health Service expenditures per capita are well below other Federal healthcare programs, which results in— unacceptable health conditions of American Indians and Alaska Natives; and American Indians and Alaska Natives living sicker and dying younger than other individuals in the United States; the urban Indian health care budget has failed to keep pace with urban Indian population growth or inflation, and that severe underfunding impedes fulfillment of the trust and treaty obligations of the Federal Government; due to chronic underfunding to healthcare programs that serve American Indians and Alaska Natives, American Indians and Alaska Natives face overwhelming health disparities compared to other populations, including— having lower life expectancies and experiencing a disproportionate number of diseases; and dying at higher rates than other individuals in the United States from chronic liver disease, cirrhosis, diabetes mellitus, unintentional injuries, intentional self-harm and suicide, and chronic lower respiratory diseases; the significant decline of third-party reimbursements for care, as clinics serving Tribal areas operate with limited staff and cancel non-essential procedures and visits, is affecting Tribal resources, which— reduces the amount that Tribal health facilities can bill Medicare, Medicaid, or other private insurances for reimbursement of services; and poses a threat to the continuity of operations of those facilities; section 10221 of the Patient Protection and Affordable Care Act ( Public Law 111–148 ; 124 Stat. 935) permanently reauthorized the Indian Health Care Improvement Act ( 25 U.S.C. 1601 et seq. ) in the hope of reducing health disparities faced by Native Americans; but many of the provisions of the Indian Health Care Improvement Act ( 25 U.S.C. 1601 et seq. ) remain underfunded; and the Native Hawaiian Health Care Improvement Act ( 42 U.S.C. 11701 et seq. ) authorized the Native Hawaiian Health Care Program— to improve the health status of Native Hawaiians; and to provide Native Hawaiian health care programs with the resources necessary to improve the health status of Native Hawaiians.
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- Pub. L. 111-148
- 124 Stat. 935
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