{"id":11959,"date":"2021-05-25T10:58:48","date_gmt":"2021-05-25T14:58:48","guid":{"rendered":"https:\/\/www.indianz.com\/News\/?p=11959"},"modified":"2021-05-25T11:06:15","modified_gmt":"2021-05-25T15:06:15","slug":"bipartisan-bill-brings-long-overdue-boost-to-urban-indian-health-providers","status":"publish","type":"post","link":"https:\/\/indianz.com\/News\/2021\/05\/25\/bipartisan-bill-brings-long-overdue-boost-to-urban-indian-health-providers\/","title":{"rendered":"Bipartisan bill brings long-overdue boost to urban Indian health providers"},"content":{"rendered":"<img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1853\" data-attachment-id=\"11965\" data-permalink=\"https:\/\/indianz.com\/News\/2021\/05\/25\/bipartisan-bill-brings-long-overdue-boost-to-urban-indian-health-providers\/okcic\/\" data-orig-file=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2021\/05\/25\/okcic-scaled.jpg\" data-orig-size=\"2560,1853\" data-comments-opened=\"0\" data-image-title=\"okcic\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;The Oklahoma City Indian Clinic hosted a series of COVID-19 community vaccine events in Oklahoma in April 2021. Photo courtesy OKCIC&lt;\/p&gt;\n\" data-large-file=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2021\/05\/25\/okcic-1024x741.jpg\" src=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2021\/05\/25\/okcic-scaled.jpg\" alt=\"okcic\" class=\"alignnone size-full wp-image-11965\" \/><figcaption class=\"figure-caption\">The Oklahoma City Indian Clinic hosted a series of COVID-19 community vaccine events in Oklahoma in April 2021. Photo courtesy OKCIC<\/figcaption>\r\n<div class=\"h3-responsive font-weight-bold\">Bipartisan bill brings long-overdue boost to urban Indian health providers<\/div>\r\n<div class=\"date\">Tuesday, May 25, 2021<\/div>\r\n<div class=\"byline\">By Acee Agoyo<\/div>\r\n<div class=\"source\">Indianz.Com<\/div>\r\n<p><\/p>\r\nWASHINGTON, D.C. &#8212; As the first Americans continue to feel the disproportionate impacts of the <a href=\/covid19\/>coronavirus pandemic<\/a>, a bipartisan group of lawmakers is seeking to bring more resources to urban Indian communities.\r\n<p><\/p>\r\nAlthough the majority of American Indians and Alaska Natives live in urban areas, barely 1 percent of the <a href=https:\/\/www.ihs.gov\/>Indian Health Service<\/a> budget has gone to urban Indian health providers  Funding has finally started to increase and  only as a result of <a href=\"https:\/\/mailchi.mp\/ncuih\/04162021-policy-alert?e=366f054289\">COVID-19 relief legislation<\/a> passed by Congress.\r\n<p><\/p>\r\nLawmakers from both parties are now hoping to expand on those efforts. A bill    being introduced on Tuesday offers  a simple solution  that will help improve the <a href=https:\/\/www.ihs.gov\/urban\/urban-indian-organizations\/>facilities and clinics that serve urban Indians<\/a> across the nation.\r\n<p><\/p>\r\n\u201cUrban Indian Organizations  are a lifeline to Native Americans living in urban areas across California,\u201d   <a href=\"https:\/\/www.padilla.senate.gov\/\">Sen. Alex Padilla<\/a> (D-California), a new member of the <a href=https:\/\/www.senate.gov\/>U.S. Senate<\/a>, said in introducing the Urban Indian Health Providers Facilities Improvement Act. [<a href=https:\/\/indianz.com\/News\/wp-content\/uploads\/2021\/05\/25\/UrbanIndianHealthProvidersFacilitiesImprovementAct.pdf>PDF<\/a>]\r\n<p><\/p>\r\n \u201cYet, UIOs are prohibited from using Indian Health Service funding for facilities, maintenance, equipment, and other necessary construction upgrades,\u201d added Padilla, whose home state of California is home to the largest population of American Indians and Alaska Natives in the United States.\r\n<P><\/P>\r\n<div class=\"wp-block-pdfemb-pdf-embedder-viewer\"><a href=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2021\/05\/25\/UrbanIndianHealthProvidersFacilitiesImprovementAct.pdf\" class=\"pdfemb-viewer\" style=\"\" data-width=\"max\" data-height=\"max\" data-toolbar=\"both\" data-toolbar-fixed=\"on\">UrbanIndianHealthProvidersFacilitiesImprovementAct<\/a><\/div>\r\n<P><\/P>\r\nThe Urban Indian Health Providers Facilities Improvement Act  is just  two pages long. Yet it finally resolves the situation by allowing urban Indian providers to utilize  IHS funds to improve, update or renovate their facilities.  \r\n<P><\/P>\r\n\u201cDuring the pandemic, many UIOs couldn\u2019t get approval for ventilation upgrades, heaters, generators, and weatherization equipment,\u201d  observed  Padilla. \u201cRemoving this unjust burden on UIOs is a commonsense fix, and would allow them to improve the quality of the culturally competent care that they provide.\u201d\r\n<p><\/p>\r\nThe <a href=\"https:\/\/www.ncuih.org\/\">National Council of Urban Indian Health<\/a>  (NCUIH) has been among the many voices pushing for the facilities fix.  According to the  organization, UIOs will need at least   $80 million  to start improving the spaces that serve their patients and clients.\r\n<p><\/p>\r\n \u201cFacility-related use of funds remains the most requested priority for UIOs,\u201d Francys Crevier,  a citizen of the Algonquin First Nation who serves as NCUIH&#8217;s chief executive officer, said in <a href=\"https:\/\/naturalresources.house.gov\/hearings\/a-year-in-review-the-state-of-covid-19-in-american-indian-alaska-native-and-native-hawaiian-communitieslessons-learned-for-future-action\">testimony to Congress<\/a> in March, a year into the COVID-19 pandemic.\r\n<p><\/p>\r\n<iframe loading=\"lazy\" width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" allow=\"autoplay\" src=\"https:\/\/w.soundcloud.com\/player\/?url=https%3A\/\/api.soundcloud.com\/tracks\/1015236637&#038;color=%23ff5500&#038;auto_play=false&#038;hide_related=false&#038;show_comments=true&#038;show_user=true&#038;show_reposts=false&#038;show_teaser=true\"><\/iframe><div style=\"font-size: 10px; color: #cccccc;line-break: anywhere;word-break: normal;overflow: hidden;white-space: nowrap;text-overflow: ellipsis; font-family: Interstate,Lucida Grande,Lucida Sans Unicode,Lucida Sans,Garuda,Verdana,Tahoma,sans-serif;font-weight: 100;\"> <\/div>\r\n<figcaption class=\"figure-caption\">Indianz.Com Audio: <a href=https:\/\/soundcloud.com\/indianz\/francys-crevier-national-2?in=indianz\/sets\/the-state-of-covid-19-in-american-indian-alaska-native-and-native-hawaiian-communities>Subcommittee for Indigenous Peoples of the United States &#8211; Francis Crevier \/ National Council of Urban Indian Health &#8211; March 23, 2021<\/a><\/figcaption>\r\n<P><\/P>\r\nThe Urban Indian Health Providers Facilities Improvement Act does not allocate any money for UIOs. But by lifting the restriction in existing law, it paves the way for Congress to approve funding, which supporters are hoping can happen as soon as this year.\r\n<p><\/p>\r\n\u201cDespite having extremely limited resources, Urban Indian organizations have been on the front lines of the COVID-19 pandemic, and for long before that have provided comprehensive, culturally competent care to urban Indians and other medically underserved patients across the country,\u201d said <a href=\"https:\/\/rubengallego.house.gov\/\">Rep. Ruben Gallego<\/a> (D-Arizona), who is introducing the companion version of the bill in the <a href=https:\/\/www.house.gov\/>U.S. House of Representatives<\/a>.\r\n<p><\/p>\r\n\u201cCongress must immediately end this erroneous restriction on UIOs\u2019 ability to spend the money Congress gave them on the projects that will best serve their patients,\u201d said Gallego, who serves on the <a href=https:\/\/naturalresources.house.gov\/subcommittees\/subcommittee-for-indigenous-peoples-of-the-united-states>House Subcommittee for Indigenous Peoples of the United States<\/a>. \u201cWe must pass this bill without delay.\u201d\r\n<p><\/p>\r\nLike a number of urban Indian initiatives that NCUIH has championed throughout the pandemic, the Urban Indian Health Providers Facilities Improvement Act enjoys bipartisan support. <a href=\"https:\/\/www.lankford.senate.gov\">Sen. James Lankford<\/a> (R-Oklahoma) is  co-sponsoring Padilla&#8217;s bill.\r\n<p><\/p>\r\n\u201cOklahoma has the second-largest Urban Indian patient population and is proudly served in both Tulsa and Oklahoma City clinics,\u201d said Lankford. \u201cWe should continue to improve health care access for our Urban Indian population and broaden the flexibility for Urban Indian Organizations\u2019 use of facilities renovation dollars, in addition to those for accreditation, to meet patient needs.\u201d\r\n<P><\/p><img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1758\" data-attachment-id=\"11972\" data-permalink=\"https:\/\/indianz.com\/News\/2021\/05\/25\/bipartisan-bill-brings-long-overdue-boost-to-urban-indian-health-providers\/okcic-2\/\" data-orig-file=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2021\/05\/25\/okcic-scaled.jpeg\" data-orig-size=\"2560,1758\" data-comments-opened=\"0\" data-image-title=\"okcic\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;The Oklahoma City Indian Clinic hosted a series of COVID-19 community vaccine events in Oklahoma in April 2021. Photo courtesy OKCIC&lt;\/p&gt;\n\" data-large-file=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2021\/05\/25\/okcic-1024x703.jpeg\" src=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2021\/05\/25\/okcic-scaled.jpeg\" alt=\"okcic\" class=\"alignnone size-full wp-image-11972\" \/><figcaption class=\"figure-caption\">The Oklahoma City Indian Clinic hosted a series of COVID-19 community vaccine events in Oklahoma in April 2021. Photo courtesy OKCIC<\/figcaption>\r\n<p><\/p>\r\nAdditional sponsors include <a href=\"https:\/\/www.feinstein.senate.gov\/\">Sen. Dianne Feinstein<\/a> (D-California)  and <a href=\"https:\/\/www.smith.senate.gov\/\">Sen. Tina Smith<\/a> (D-Minnesota), who serves on the <a href=https:\/\/indian.senate.gov\/>Senate Committee on Indian Affairs<\/a>. \r\n<p><\/p>\r\n\u201cWe should finalize these changes to ensure we provide more, quality options for tribal health care,\u201d  Lankford said.  \u201cI look forward to the support from the leadership of the Senate Committee on Indian Affairs on this important legislation.\u201d \r\n<p><\/p>\r\nOver on the House side,   <a href=\"https:\/\/bacon.house.gov\">Rep.  Don Bacon<\/a> (R-Nebraska) is signing onto Gallego&#8217;s version of the Urban Indian Health Providers Facilities Improvement Act.\r\n<P><\/P>\r\n\u201cLike many community healthcare centers, Urban Indian Organizations   have been hit financially because of COVID and have struggled to renovate their facilities and expand capacity requirements,\u201d said  Bacon. \u201cUnder current law, UIOs cannot use federal funds to pay for these improvements and keep their doors open. Our bill lifts that restriction and grants access to these funds.\u201d\r\n<p><\/p>\r\n \u201cThese health centers care for so many members in our Nebraska community,\u201d Bacon added. \u201cIt\u2019s only right we close this loop hole so they can provide quality care to their patients.\u201d\r\n<p><\/p><div class=\"mt-1 mb-1\"><ins class=\"adsbygoogle\" style=\"display:block; text-align:center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-8411603009680747\" data-ad-slot=\"6394965691\"><\/ins><script>(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/div>\r\n<P><\/P>\r\nThe prohibition on UIOs utilizing IHS funding for facilities improvement is tied to  the <a href=\"https:\/\/www.ihs.gov\/ihcia\/\">Indian Health Care Improvement Act<\/a>, also known as the IHCIA.  The law has  hindered  all but one of the dozens of  urban Indian providers, Crevier said in her <a href=\"https:\/\/soundcloud.com\/indianz\/sets\/the-state-of-covid-19-in-american-indian-alaska-native-and-native-hawaiian-communities\">testimony to the House Subcommittee for Indigenous Peoples of the United States<\/a> on March 23.\r\n<p><\/p>\r\n \u201cThe IHCIA limits renovation funding to facilities that are seeking to meet or maintain Joint Commission for Accreditation of Health Care Organizations   accreditation (only 1 of 41 even have this type of accreditation), leaving most UIOs forced to use their limited third-party funds for necessary facility improvements,\u201d Crevier said in a written statement.\r\n<P><\/p>\r\n The Urban Indian Health Providers Facilities Improvement Act, which amends the IHCIA to eliminate the limitation, is a critical  piece of an ongoing effort to bring more resources to urban Indians and their communities. NCUIH is already  asking    the <a href=\"https:\/\/appropriations.house.gov\/\">House Committee on Appropriations<\/a>, which writes federal funding bills, to step in with support with funding in fiscal year 2022, which begins this October.\r\n<p><\/p>\r\n\u201cWe will be requesting $80 million in facilities funding for UIOs from the  Appropriations Committee for fiscal year 2022 and ask your support of that request to make long needed upgrades to address gaps that have been exacerbated by COVID-19,\u201d Crevier noted.\r\n<p><\/p>\r\n<div class=\" content_cards_card content_cards_domain_twitter-com\">\n\t\t\t<div class=\"content_cards_image\">\n\t\t\t\t<a class=\"content_cards_image_link\" href=\"https:\/\/twitter.com\/NCUIH_Official\/status\/1396888921536073731\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/pbs.twimg.com\/media\/E2K_EYzXMAUcLvo?format=webp&#038;name=large\" alt=\"National Council of Urban Indian Health (@NCUIH_Official) on X\">\t\t\t\t<\/a>\n\t\t<\/div>\n\t\n\t<div class=\"content_cards_title\">\n\t\t<a class=\"content_cards_title_link\" href=\"https:\/\/twitter.com\/NCUIH_Official\/status\/1396888921536073731\">\n\t\t\tNational Council of Urban Indian Health (@NCUIH_Official) on X\t\t<\/a>\n\t<\/div>\n\t<div class=\"content_cards_description\">\n\t\t<a class=\"content_cards_description_link\" href=\"https:\/\/twitter.com\/NCUIH_Official\/status\/1396888921536073731\">\n\t\t\t<p>Congratulations to our 2021 Urban Indian Health Congressional Champion Award recipients: @SenatorLankford (R-OK), @SenTinaSmith (D-MN), @RepRubenGallego (D-AZ), and @repdonyoung (R-AK)! Thank you for your leadership on #UrbanIndianHealth and for speaking at our Keynote tomorrow!<\/p>\n\t\t<\/a>\n\t<\/div>\n\t<div class=\"content_cards_site_name\">\n\t\t<img decoding=\"async\" src=\"https:\/\/twitter.com\/favicon.ico\" alt=\"X (formerly Twitter)\" class=\"content_cards_favicon\"\/>\t\tX (formerly Twitter)\t<\/div>\n<\/div>\r\n<p><\/p>\r\nHistorically, only about 1 percent of the IHS budget has gone to UIOs. In fiscal year 2020, which started in the October prior to COVID-19, only about $58 million went to these providers.\r\n<p><\/p>\r\nThe American Rescue Plan Act, which was pushed by President Joe Biden and Democrats in Congress, mandated at least $84 million for UIOs. Last month, the <a href=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2021\/05\/25\/ihs041621.pdf\">IHS announced it would be distributing<\/a>  a total of about $250 million for urban Indian programs, a significant increase.\r\n<p><\/p>\r\nThe law provided an additional $6 billion to the IHS, of which $4.3 billion in distributions were  announced in the April 16 letter to tribes and UIOs.   Another   $1.7 billion will also be distributed by the agency.\r\n<p><\/p>\r\n<div class=\"wp-block-pdfemb-pdf-embedder-viewer\"><a href=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2021\/05\/25\/ihs041621.pdf\" class=\"pdfemb-viewer\" style=\"\" data-width=\"max\" data-height=\"max\" data-toolbar=\"both\" data-toolbar-fixed=\"on\">ihs041621<\/a><\/div>\r\n \r\n","protected":false},"excerpt":{"rendered":"As the first Americans continue to feel the disproportionate impacts of the coronavirus pandemic, a bipartisan group of lawmakers is seeking to bring more resources to urban Indian communities.","protected":false},"author":1,"featured_media":11965,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_vp_format_video_url":"","_vp_image_focal_point":[],"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[19,20,1,14],"tags":[869,1596,1308,214,42,38,94,1598,1597,1599,225,1123,49,48,506,210,1089,53,367,69,127,85,124,213,51,91,1136,6],"class_list":["post-11959","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-indian-trust","category-national","category-politics","tag-117th","tag-alex-padilla","tag-american-rescue-plan","tag-appropriations","tag-arizona","tag-california","tag-democrats","tag-dianne-feinstein","tag-don-bacon","tag-fy2020","tag-fy2021","tag-fy2022","tag-hnrc","tag-house","tag-ihcia","tag-ihs","tag-james-lankford","tag-joe-biden","tag-ncuih","tag-nebraska","tag-oklahoma","tag-republicans","tag-ruben-gallego","tag-scia","tag-scip","tag-senate","tag-tina-smith","tag-urban-indians","no-wpautop"],"jetpack_shortlink":"https:\/\/wp.me\/pcoJ7g-36T","jetpack_sharing_enabled":true,"jetpack_featured_media_url":"https:\/\/indianz.com\/News\/wp-content\/uploads\/2021\/05\/25\/okcic-scaled.jpg","_links":{"self":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/posts\/11959","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/comments?post=11959"}],"version-history":[{"count":0,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/posts\/11959\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/media\/11965"}],"wp:attachment":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/media?parent=11959"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/categories?post=11959"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/tags?post=11959"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}