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Senate Hearing on Indian Health Service (IHS) 2018 Budget

Original title: DEPARTMENT OF THE INTERIOR, ENVIRONMENT, AND RELATED AGENCIES APPROPRIATIONS FOR FISCAL YEAR 2018

Record date · January 1, 2017

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What This Bill Does

The Senate Appropriations Subcommittee held a hearing to review the proposed 2018 budget for the Indian Health Service (IHS). The discussion focused on the $4.7 billion funding request, ongoing staffing shortages, facility maintenance backlogs, and recent reports of dangerous medical care conditions at IHS facilities.

Why it matters

The hearing sets the stage for federal funding levels for the Indian Health Service, which provides healthcare to 2.2 million American Indians and Alaska Natives, and addresses critical oversight concerns regarding patient safety and facility management.

Who It Affects

Groups the bill's text affects, as described in the record. Being affected is not a position for or against it.

Directly affected

American Indian and Alaska Native populations

This group relies on the Indian Health Service for medical care and is directly impacted by budget levels, staffing, and facility quality.

Directly affected

IHS medical staff

Staffing levels, facility resources, and operational protocols directly dictate their working conditions and ability to provide care.

Key Facts

  • The proposed 2018 budget for the Indian Health Service is $4.7 billion.
  • The proposed budget represents a $300 million (6%) decrease from the previous year's enacted budget.
  • The budget maintains full funding for Contract Support Costs using indefinite appropriations language.
  • The IHS vacancy rate for doctors, dentists, and physician assistants is approximately 30%.
Show all 9 facts
  • The backlog for facilities maintenance at IHS hospitals exceeds $500 million.
  • The average age of IHS facilities is four times that of private-sector healthcare facilities.
  • American Indians and Alaska Natives are three times more likely to die from diabetes than the general population.
  • The suicide rate among Native Americans is roughly twice that of the general population.
  • The drug-related death rate for Native Americans has increased 454% since 1979.

Frequently Asked Questions

How much is the Indian Health Service budget being cut?
The proposed budget for 2018 is $4.7 billion, which is a $300 million (6%) decrease from the previous year.
What are the main challenges facing IHS facilities mentioned in the hearing?
The agency faces a 30% vacancy rate for medical staff, a $500 million maintenance backlog, and reports of dangerous care conditions at some facilities.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Lobbying Activity

VAN SCOYOC ASSOCIATES

on behalf of BOARD OF TRUSTEES OF EASTERN ILLINOIS UNIVERSITY

Senate LDAMatched on title words onlyView filing on LDA.gov →

VAN SCOYOC ASSOCIATES

on behalf of WATER AND SEWER DISTRIBUTORS OF AMERICA

Senate LDAMatched on title words onlyView filing on LDA.gov →

VAN SCOYOC ASSOCIATES

on behalf of EJ WATER COOPERATIVE, INC.

Senate LDAMatched on title words onlyView filing on LDA.gov →

LEWIS-BURKE ASSOCIATES, LLC

on behalf of UNIVERSITY OF ILLINOIS

Senate LDAMatched on title words onlyView filing on LDA.gov →

HARO SOLUTIONS LLC

on behalf of COOK COUNTY, ILLINOIS

Senate LDAMatched on title words onlyView filing on LDA.gov →

HOLLAND & KNIGHT LLP

on behalf of POLK COUNTY

Senate LDAMatched on title words onlyView filing on LDA.gov →

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

Mitigated Budget Cuts

The subcommittee noted that IHS budget cuts were limited to 6% compared to an average 18% reduction for other Department of Health and Human Services agencies.

Connected Entities

Lisa Murkowski, Elizabeth Fowler, Gary Hartz and 4 more
PersonLisa Murkowski“Chairman of the Senate Appropriations Subcommittee”Map →
PersonElizabeth Fowler“Deputy Director for Management Operations”Map →
PersonGary Hartz“Director of the Office of Environmental Health and Engineering”Map →
OrganizationIndian Health Service“Federal agency providing healthcare to Native Americans”Map →
PersonChris Buchanan“Deputy Director of IHS”Map →
PersonTom Udall“Senator on the subcommittee”Map →
PersonMichael Weahkee“Acting Director of the Indian Health Service”Map →

Sources

Open source document

www.govinfo.gov

Analysis Score

0–100
  • Significance85
    How much this matters to a regular citizen
  • Controversy60
    Intensity of disagreement among stakeholders
  • Entertainment40
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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