indianz.com your internet resource indianz.com on facebook indianz.com on twitter indianz.com on Google+
ph: 202 630 8439   fax: 202 318 2182
Kill The Tobacco Master Settlement Agreement
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...
Local Links:
Federal Register | Indian Gaming | Jobs & Notices | In The Hoop | Message Board
Latest News:
Tim Giago: Oglala Sioux people aren't afraid to say no to easy cash (9/1)
Native Sun News: Release of secret uranium mining data ordered (9/1)
Mark Trahant: It's past time for tribal leaders to govern the nation (9/1)
Jennie Stockle: A safe space for opponents of offensive mascotry (9/1)
John Christian Hopkins: A big thank you to the friend I never met (9/1)
National Museum of the American Indian celebrates 10th birthday (9/1)
Mother arrested in connection with child's death on Navajo Nation (9/1)
Opinion: Energy development can help secure tribal independence (9/1)
Cherokee Nation announces $170M casino and retail development (9/1)
Tunica-Biloxi Tribe won't be sharing gaming revenues this quarter (9/1)
Seminole Tribe on track to see gaming revenues increase to $2.1B (9/1)
Eastern Shawnee Tribe to reopen gaming facility in February 2015 (9/1)
Editorial: Tohono O'odham Nation didn't play by 'rules' with casino (9/1)
Opinion: Gaming good for Eastern Cherokees but not for fellow tribe (9/1)
Opinion: Federal recognition only means more casinos in California (9/1)
Native Sun News: Tribes walk out of contract support cost meeting (8/29)
Clara Caufield: Northern Cheyenne Tribe spends $2.4M on property (8/29)
Mike Johanns: Retracing steps of great Ponca Chief Standing Bear (8/29)
Steven Newcomb: Racist mascot a sign of deeper problems in US (8/29)
Lauren Jones: Affordable Care Act benefits Native Americans too (8/29)
Gila River Indian Community to see $77.6M from Cobell buy-back (8/29)
Energy boom linked to rise in human trafficking in Indian Country (8/29)
Navajo man heads up Native American Homelessness Task Force (8/29)
9th Circuit hears case over Yakama Nation tobacco manufacturer (8/29)
WAER: ICWA matters handled in 'kangaroo courts' in South Dakota (8/29)
MPR: Red Lake Nation opposes liquor license near dry reservation (8/29)
Tule River Tribe helps remove marijuana operation on reservation (8/29)
Omaha Tribe signs agreement with EPA to improve utility services (8/29)
Las Vegas Paiute Tribe rejected 'gift' from NFL team's foundation (8/29)
KPLU: Spokane Tribe maintains close ties with baseball franchise (8/29)
Opinion: HUD loan program a small step to boost Indian housing (8/29)
DNA study finds distinct population of Native people in Arctic area (8/29)
Tribes closely watching Big Lagoon Rancheria casino land dispute (8/29)
Tohono O'odham Nation to build off-reservation casino in phases (8/29)
State questions Forest County Powatatomi Tribe's slot machines (8/29)
Quapaw Tribe eyes local support for commercial casino in Kansas (8/29)
Native Sun News: Police officers who shot Indian teen get medals (8/28)
Cara Cowan Watts: Laying the groundwork for college scholarship (8/28)
Rudolph Ryser: Indigenous nations need leverage to bring change (8/28)
DOI extends $100M in Cobell buy-back offers on two reservations (8/28)
Cobell buy-backs could return over 38K acres to tribe in Montana (8/28)
Five-year-old Navajo boy sent home from school for his long hair (8/28)
Three charged with murder for death of Mississippi Choctaw man (8/28)
Lummi Nation seeks cooperation after ruling in treaty rights case (8/28)
Artist Gregg Deal takes on Indian mascots for performance piece (8/28)
Sports announcer won't use Washington NFL team's name on air (8/28)
Recruiter from Spokane Tribe's college selected for Peirone Prize (8/28)
California tribes support release of water to benefit salmon runs (8/28)
Southern Ute Tribe invests $2B in big energy production system (8/28)
County hires lobbying firm to oppose federal recognition reforms (8/28)
Tohono O'odham Nation breaks ground for off-reservation casino (8/28)
Cherokee Nation starts construction on casino at Indian allotment (8/28)
Aquinnah Wampanoag Tribe responds to opponents in casino suit (8/28)
Jamul Band continues work on $360M casino after victory in court (8/28)
Editorial: Forest County Potawatomi Tribe ups ante in casino feud (8/28)
Ho-Chunk Nation launches outreach effort amid casino expansion (8/28)
Nebraska Supreme Court hears arguments over gaming initiative (8/28)
Tim Giago: Greedy lawyers and government ruin Cobell settlement (8/27)
Native Sun News: Facility in Montana set to house Indian inmates (8/27)
Gerald Gipp: National strategy needed to reform Indian education (8/27)
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.