National Council of Urban Indian Health
On November 19, 2019, the Subcommittee for Indigenous Peoples of the United States held an Oversight Hearing Reviewing the Broken Promises Report: Examining the Chronic Federal Funding Shortfalls in Indian Country. National Council of Urban Indian Health Executive Director Francys Crevier, JD, Algonquin, testified before the Subcommittee and made several recommendations in response to the U.S. Civil Rights Commission “Broken Promises” Report.
“The Broken promises report, like many other well-intentioned reports and research, such as the Indian Health Service Urban Indian Needs Assessment and the Urban Indian Organization demonstration projects, raises awareness of these issues, but without a prompt true long-term commitment and subsequent actions to address these disparities, a report is only a report, and has little impact on the health status of our people. We ask Congress to treat this health system like the only one that you, your children and family have. We thank Chairman Gallego and Ranking Member Cook for holding this important hearing,” said National Council of Urban Indian Health Executive Director Francys Crevier, JD (Algonquin).
In her testimony, Ms. Crevier emphasized that Congress has long recognized that the federal government’s obligation to provide health care for Native people off of reservations, declaring:
“The responsibility for the provision of health care, arising from treaties and laws that recognize this responsibility as an exchange for the cession of millions of acres of Indian land does not end at the borders of an Indian reservation. Rather, government relocation policies which designated certain urban areas as relocation centers for Indians, have in many instances forced Indian people who did not [want] to leave their reservations to relocate in urban areas, and the responsibility for the provision of health care services follows them there.”
“Data shows that reoccurring health problems are more acute for Natives living in urban areas than other populations. Urban Indians have greater mortality rates from chronic disease compared to all other populations, including diabetes, liver disease, tuberculosis, and suicide,” added Ms. Crevier.
National Council of Urban Indian Health made the following recommendations:
- Indian Health Service UIO parity for FTCA, 100% FMAP and the Indian Health Service-VA MOU
- Increase urban Indian line item budget to $81 million (currently it is less than 1% of the Indian Health Service Budget)
- Advanced Appropriations to prevent future devastation during shutdowns as shown through the National Council of Urban Indian Health Shutdown Preliminary Report
- Recording of Hearing
- Recording Starting at National Council of Urban Indian Health Testimony
- National Council of Urban Indian Health Testimony
- The Honorable Patricia Timmons Goodson (testimony), Vice-Chair, U.S. Commission on Civil Rights
- Dr. Anna Maria Ortiz (testimony), Director, Natural Resources and Environment, U.S. Government Accountability Office
- Rear Adm. Chris Buchanan (testimony), Deputy Director, Indian Health Service, U.S. Department of Health and Human Services
- Mr. Jason Freihage (testimony), Deputy Assistant Secretary for Management, Bureau of Indian Affairs, U.S. Department of the Interior
- The Honorable Fawn Sharp (testimony), President, National Congress of American Indians
- The Honorable Lynn Malerba (testimony), Secretary, USET Sovereignty Protection Fund
- The Honorable Jonodev Chaudhuri (testimony), Ambassador, Muscogee Creek Nation
- Ms. Stacey Bohlen (testimony), Chief Executive Officer, National Indian Health Board
- Ms. Francys Crevier (testimony), Executive Director, National Council of Urban Indian Health