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Indian Health Service: Considerations Related to Providing Advance Appropriation Authority

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Report Type Reports and Testimonies
Report Date Sept. 13, 2018
Release Date Sept. 13, 2018
Report No. GAO-18-652
Summary:

The Indian Health Service (IHS) funds health care for over 2 million American Indians and Alaska Natives. Currently, IHS receives its funding as part of the annual fiscal year appropriations cycle.

Delays in passing appropriations create uncertainty and disrupt operations. For example, tribal representatives told us that such delays have led them to pay invoices late—hurting their relationship with a pharmaceutical vendor.

We identified issues and questions for policymakers to consider when deciding whether to give IHS an uncommon type of budget authority that would fund an additional year.

 

Photo of the Headquarters of Indian Health Service

Photo of the Headquarters of Indian Health Service

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