indianz.com your internet resource indianz.com on facebook indianz.com on twitter indianz.com on Google+ indianz.com on soundcloud
phone: 202 630 8439
Fredericks Peebles & Morgan LLP
Advertise on Indianz.Com
Home > News > Headlines

printer friendly version
Consultation session focuses on IHS budget
Thursday, April 29, 2004

Tribal leaders are meeting in the Washington, D.C., area this week to discuss their concerns and priorities for the Indian Health Service (IHS) budget.

Representatives of all 12 areas of the IHS are using the session to get a better handle on the way the agency's budget is formulated. On Wednesday, they heard from top officials at the Department of Health and Human Services (HHS) and from the Office of Management and Budget (OMB) within the White House.

Government officials described the talks, which have been held for several years, as productive. They said they have tried to incorporate suggestions made by tribal leaders into the budget.

"I find the consultation very helpful in that regard," said Kerry Weems, the acting assistant secretary for budget, technology and finance at HHS.

But tribal leaders expressed frustration that their needs aren't being addressed despite an abundance of evidence showing that American Indians and Alaska Natives experience the worst health conditions in the nation. They repeatedly cited an apparent "disconnect" between HHS and OMB, where the budget request originates.

"Every year we come here, IHS says 4 percent [increase]. Last year we got 1 percent," said Don Kashevaroff, president of the Alaska Native Tribal Health Consortium. "Somewhere between the 4 and the 1, the president didn't request it."

Tribes also were concerned that the rising costs of health care aren't included in the budget. In fiscal year 2005, the IHS is growing by just 1.6 percent in the face of double-digit increases in health service expenditures.

"We're going backwards," observed one tribal leader.

"We're aware that inflation occurs," Charles Montgomery, the OMB examiner who handles the public health budget, later said. "The honest answer is we don't always meet it. We have finite resources." Montgomery also described the budget as "austere."

But Dr. Charles Grim, the director of the IHS, said his agency has fared well in an era of restrained spending. He tied increases in recent years to the ratings IHS programs have received under the Performance and Results Act (GPRA) and under the Program Assessment Rating Tool (PART), a new initiative that President Bush brought to OMB.

"We have actually made some strong showings," Grim told tribal leaders. "We have had some of the best scores."

At the same time, Weems and Montgomery sought to downplay the effect a PART score has on funding. "It's another point in our decision making," said Weems. "It's not the only thing that helps determine the federal budget."

Tribal leaders are worried that the GPRA and PART systems are being handled inconsistently. They say negative scores are used to justify cuts in the budget while positive scores don't lead to increases.

"Even with the limited resources we receive, we are doing a substantially good job," Rachel Joseph, chair of the Lone Pine Paiute-Shoshone Tribe of California, said.

The session concludes today as tribal leaders finalize their priorities and recommendations for the IHS budget. They will also prepare for another round of talks with HHS officials. On May 12-13, the department will host its sixth annual budget consultation in Washington, D.C.

Budget Documents:
HHS Budget in Brief | HHS Performance Plan | Secretary Thompson's Remarks

Relevant Links:
National Indian Health Board - http://www.nihb.org
Northwest Portland Area Indian Health Board - http://www.npaihb.org
Indian Health Service - http://www.ihs.gov
Department of Health and Human Services - http://www.hhs.gov

Related Stories:
Tribes ask Congress to address contract shortfalls (04/28)
IHS funding a campaign issue for S.D. politicians (04/02)
Budget resolution barely clears House vote (03/26)
Proposed boost in IHS budget rejected by Senate (03/12)
Senate panel shares criticism of Bush budget (02/12)
Tribal leaders pressing Congress on funding (02/11)
Bush seeks $3 billion for Indian Health Service (02/03)
Daschle criticizes Bush on Indian health funds (02/03)
Daschle asks Bush to increase funding for IHS (12/18)
Democrats lay out plan for minority and Indian health (10/22)
Daschle: Improve Health Care in Indian Country (10/15)
Senate votes down health and trust measures (09/24)
Senate rejects one IHS funding measure, passes another (03/26)
Tribes told to explore health funding options (02/05)
Thompson releases new IHS budget (2/4)
Indian Country receives diabetes grants (12/11)
Congress approves $750M for Indian diabetes (11/21)

Copyright 2000-2004 Indianz.Com
More headlines...
Stay Connected:
On Facebook

On Twitter

On Google+

On SoundCloud
Local Links:
Federal Register | Indian Gaming | Jobs & Notices | In The Hoop | Message Board
Latest News:
Senate committee examines costs of substance abuse on tribes (7/30)
Senate Indian Affairs Committee delays action on land-into-trust (7/30)
Inmate charged with murdering Mississippi Choctaw man in jail (7/30)
Native Sun News: Keystone XL Pipeline protest draws big crowd (7/30)
James Giago Davies: Don't judge anyone's depth of Lakotaness (7/30)
Tara Houska: DC rally puts focus on threats to sacred Oak Flat (7/30)
Sarah Sunshine Manning: Native mother left to die in a jail cell (7/30)
Julian Brave NoiseCat: Native issues you aren't hearing about (7/30)
Peter d'Errico: Seeking action after apology from Pope Francis (7/30)
Suspect in custody over deadly shooting on Crow Reservation (7/30)
Shooting highlights racial tensions on Wind River Reservation (7/30)
Pueblo man goes on trial for brutal murder of Navajo woman (7/30)
Another sentence in Chippewa Cree Tribe corruption scandal (7/30)
Oglala Sioux Tribe on track to complete $16.5M nursing home (7/30)
Quapaw Tribe hosts relatives for annual language conference (7/30)
Former police chief for Swinomish Tribe pleads guilty to theft (7/30)
Winnebago Tribe seeks more time to remove old bank building (7/30)
Opinion: Eastern Cherokee leaders kick reporter out of meeting (7/30)
BIA allows two more New Mexico gaming deals to go into effect (7/30)
Former workers at Choctaw Nation casino plead guilty to theft (7/30)
Indian family in Washington still pursuing casino on trust land (7/30)
Red Lake Nation leader supports sales of liquor at two casinos (7/30)
Mohegan Tribe reports increase in profit from casino enterprise (7/30)
Sen. Barrasso introduces another version of land-into-trust fix (7/29)
Standing Rock Sioux Tribe adopts banishment for drug dealers (7/29)
Native Sun News: Rapid City trial ends with no defense witnesses (7/29)
Lakota Country Times: Youth come to Pine Ridge for 'Exposures' (7/29)
Charles Trimble: Being mixed-race Indian and being proud of it (7/29)
Ivan Star: It's up to all of us to keep the Lakota language alive (7/29)
Congress fails to provide funds to help tribes comply with VAWA (7/29)
Suit alleges tribal leaders received kickbacks from lobbying firm (7/29)
Flandreau Santee Sioux Tribe claims DOJ support for marijuana (7/29)
Community on Crow Reservation on lockdown due to shooting (7/29)
Former Chippewa Cree Tribe chair sentenced in corruption case (7/29)
Hillary Clinton refuses to answer questions about Keystone XL (7/29)
Judge upset with delay in drilling dispute affecting sacred land (7/29)
Tribal leaders scale back plans to regulate energy development (7/29)
Fort Belknap Indian Community awaits tests in deaths of bison (7/29)
Column: Northern Cheyenne Tribe took a final stand in Oklahoma (7/29)
Public school board in Indiana votes to eliminate 'Indian' mascot (7/29)
Opinion: Sioux tribes deserve a seat on university naming panel (7/29)
Study outlines impacts of tribal gaming on economy in Oklahoma (7/29)
Judge orders Aquinnah Wampanoag Tribe to stop work on casino (7/29)
Fond du Lac Band prevails yet again in long-running casino feud (7/29)
Chukchansi Tribe hosts job fair amid hopes of reopening casino (7/29)
Cowlitz Tribe still working on design plans for contested casino (7/29)
Indian Health Service discusses LGBT issues in historic meeting (7/28)
Haskell students to study fracking on North Dakota reservation (7/28)
Erica Pinto makes history as first woman leader of Jamul Village (7/28)
Native Sun News: Young artist wins top award at Native market (7/28)
Lakota Country Times: Oglala Sioux Tribe hosts war pony races (7/28)
Steve Russell: The hypocrisy of race and Cherokee citizenship (7/28)
Terese Marie Mailhot: I was raised to be angry at White women (7/28)
Dina Gilio-Whitaker: Indian Country stuck with bad Republican (7/28)
more headlines...

Home | Arts & Entertainment | Business | Canada | Cobell Lawsuit | Education | Environment | Federal Recognition | Federal Register | Forum | Health | Humor | Indian Gaming | Indian Trust | Jack Abramoff Scandal | Jobs & Notices | Law | National | News | Opinion | Politics | Sports | Technology | World

Indianz.Com Terms of Service | Indianz.Com Privacy Policy
About Indianz.Com | Advertise on Indianz.Com

Indianz.Com is a product of Noble Savage Media, LLC and Ho-Chunk, Inc.