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Why Congress Failed to Pass the 'Indian Health Care Improvement Act,' Held Up for 7 Years


US Politics & Gov't  (tags: Native Americans, health, underfunded, 'Indian Health Care Improvement Act', reauthorization, failure, Congress, anti-abortion language, kiss of death, weak, opposition, House, Pelosi, NCAI, lobbying, outreach, strategy, blunder, alliesNativeAmCaucas )

Alba
- 431 days ago - indiancountrytoday.com
Did anti-abortion language added by Sen.D Vitter doom it? On watch of 1st-ever woman HouseSpeaker? Did NatCongressofAmIndians drop ball instead of fighting attempt to narrow focus of broad health bill? Programs underfunded or eliminated. See comments..
Comments

Alba Nuova (62)
Tuesday October 21, 2008, 4:28 am
There are other causes for the failure to pass this very important reauthorization bill that are being discussed on Native American sites, for example in the 'Indianz.com' article, "Congress fails to pass critical Indian health care bill" - http://www.indianz.com/News/2008/011362.asp

Congress had committed to a goal of reducing health disparities between people of color and others in the larger society. Great disparities exist between the health conditions and health care of Native Americans and others.


Why the Bill Is Needed (this was written while there was still hope)


-The infant mortality rate is 150 percent greater for Indians than for Caucasians.

-Indians are 2.6 times more likely to be diagnosed with diabetes.

-Life expectancy for Indians is nearly 6 years less than the rest of the U.S. population.

-Suicide for Indians is 2 1/2 times higher than the national average.

-Indians have fewer mental health professionals available to treat them than does the rest of the U.S. population.

-U.S. health-care expenditures for Indian men, women, and children are less than half of what the government spends on the health of federal prisoners.

For more on the bill & health issues- http://www.lenapeprograms.info/Census/Indian_Health_Care.htm



NATIVE AMERICAN HERITAGE DAY

While Native American health care was being betrayed, Congress and the President did find time to vote and sign into law The Native American Heritage Day Bill ( which encourages Americans of all backgrounds to observe Friday, November 28, as Native American Heritage Day, through appropriate ceremonies and activities. It also encourages public elementary and secondary schools to enhance student understanding of Native Americans by providing classroom instruction focusing on their history, achievements, and contributions.)

H.J. Res. 62 was originally passed by the House of Representatives on November 13, 2007. The bill was passed with technical adjustments by unanimous consent in the U.S. Senate on September 22, 2008. Then, on September 26, 2008, the House of Representatives unanimously voted to pass the legislation again, this time including the adjustments from the Senate. The legislation was signed into public law by the President on October 8, 2008.



I haven't found a petition on this, but while searching for one nothing prevents us from writing directly to our Representatives and Senators.
 

Alba Nuova (62)
Thursday October 23, 2008, 1:16 am

In this Indianz.com article, the one I gave the URL to in my first comment, the anti-abortion language and Congressional fears that confronting the abortion issue in the Indian Health Bill would make it a national election issue are also discussed as causes of the failure. But they also point out that a lot more time and effort was spent on the tribal membership issue (the disenfranchisement of the Freedmen from the Cherokee Nation of Oklahoma), pushing tragically neglected health care into the sidelines.

I would be tempted to point out that Native American health care is an urgent issue, but after seven years, would anyone support that claim? I mean, if they have neglected this bill for 7 years, how urgent can it seem to them? (All the laws and bills mentioned in this article are links on the page- (http://www.indianz.com/News/2008/011362.asp )

Congress fails to pass critical Indian health care bill


Lawmakers on Capitol Hill went home for the November election last week without taking action on one of the biggest priorities for Indian Country.

The Indian Health Care Improvement Act has been stalled in Congress for more than seven years. Tribal leaders gained hope when it cleared the Senate in February and appeared ready to pass the House.

Instead, the national economic crisis took center stage and despite last-minute attempts by tribal advocates, the bill failed to get a vote. That left many in Indian Country upset and angry.

"Several members of Congress promised Indian Country that the IHCIA would be passed in the 110th session," said National Congress of American Indians President Joe Garcia. "Sadly it did not, and sadly Indian people will continue to suffer from astounding health disparities."

When Democrats took control of Congress in January 2007, they told NCAI and other Indian organizations like the United South and Eastern Tribes that the IHCIA was their top priority. They criticized Republicans for focusing on gaming and gaming-related controversies in the 109th Congress.

But a different hot-button issue grabbed their attention -- the disenfranchisement of the Freedmen from the Cherokee Nation of Oklahoma. The tribe came under fire for voting to exclude the descendants of former slaves from citizenship.

Nearly every piece of Indian legislation was put in doubt as lawmakers sought to cut federal funds to the tribe unless the Freedmen were reinstated. The IHCIA passed the Senate without Cherokee restrictions but it stalled in the House, where members had included similar provisions in the Native American Housing and Self-Determination Act.

After a federal appeals court cleared the tribe from a lawsuit over the Freedmen, the NAHASDA reauthorization finally advanced in Congress. The tribe credited lawmakers of both parties for removing language that punished the tribe. The bill, H.R.2786, now awaits President Bush's signature.

The IHCIA reauthorization appeared to be headed towards similar success until the economic meltdown dominated the agenda in September, the last full month of work for the 110th Congress. But another sensitive political issue -- abortion -- affected its passage, according to advocates and lobbyists who spoke to Indian Country Today about the bill.

Republicans in the Senate added language to the bill to prevent the Indian Health Service from using federal funds for abortion services. The National Indian Health Board called the amendment unnecessary because existing law contains similar restrictions.

According to ICT, lawmakers didn't want to call a vote on the bill so close to the election because National Right to Life said it would "score" the bill and make it a campaign issue. "We'll fight back if they try to hijack our bill again," Kitty Marx, the legislative director of NIHB, told the paper.

Despite the IHCIA's failure, there were some important achievements in the 110th Congress. Besides the NAHASDA reauthorization, the biggest news was a surprising $2 billion boost for law enforcement, health care and water projects in Indian Country as part of S.2731, a global health bill.

There was also a long overdue recognition for all of the Indian soldiers who used their languages to help the military during World War I, World War II and other operations. H.R.4544, the Code Talkers Recognition Act, awaits Bush's signature.

H.R.6893, the Fostering Connections to Success and Increasing Adoptions Act, included a title to put tribes on equal footing with states for federal foster care funds. Bush signed the bill into law on October 7.

H.R.1424, the Emergency Economic Stabilization Act, also included tribal language. It extended two tax credits that encourage economic development and employment in Indian Country, in addition to the provisions aimed at preventing the American economy from collapsing.

Finally, individual tribes across the country saw action on their bills. H.R.6370, the Oregon Surplus Federal Land Act, a bill to return ancestral land to the Confederated Tribes of Coos, Lower Umpqua and Siuslaw Indians of Oregon was signed into law on Friday.

S.3128, the White Mountain Apache Tribe Rural Water System Loan Authorization Act, also cleared Congress and is ready for action from Bush. H.R.2963, the Pechanga Band of Luiseno Mission Indians Land Transfer Act, is at the White House.

 

Stephen Hannon (214)
Saturday October 25, 2008, 8:44 am
Noted, thanks Jill. Congress needs to wake up to the needs of our Native Amreicans, and take proper action to protect them against the racists in our country.
 

Marion Y. (287)
Saturday October 25, 2008, 9:05 am
God must be crying. I am so ashamed for our "leaders" and Americans to allow these great people's basic needs to be ignored. My heart bleeds for Native Americans. They R Us. Until we realize that, America is doomed to blindness, failure and unhappiness.

Karma...The Big Payback.

Mitakuye Oyasin
 
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