GAO Reports
GAO-08-90Indian Health Service: HIV/AIDS Prevention and Treatment Services for
American Indians and Alaska Natives. GAO-08-90, December 14.
Highlights - http://www.gao.gov/highlights/d0890high.pdf
GAO-02-343R Appropriateness of Indian Health Service’s Request for Proposals
... GAO-02-343R Indian Health Service United States General ... States Senate Re: Appropriateness of Indian Health Service’s Request for ... a termination of a 1997 Indian Health Services request for proposals ...
http://www.gao.gov/new.items/d02343r.pdf - GAO Reports
Background: GAO reviewed the appropriateness of a termination of a 1997 request by the Indian Health Services (IHS) for proposals to provide computed tomographic scanning services for the Blackfeet and Crow Service Units in Montana. GAO found no indication that IHS negotiated in bad faith. GAO’s Office of Special Investigations had looked into the case in December 1998. GAO determined that the case was not within the scope of ongoing work and referred the case to the Department of Health and Human Services Office of Inspector General (OIG). A June 1999 report by the OIG concluded that the allegations were unwarranted.
B-210420 [Protest of Inclusion of Indian Preference Provision in HHS Solicitation]
... Services which gives preference to Indian organizations or Indian-owned economic organizations by requiring ... Administration for Native Americans give Indian organizations and Indian-owned economic enterprises preference in ... organizations if one or more Indian organizations or Indian-owned economic enterprises are within ...
http://archive.gao.gov/lglpdf3/121248.pdf - Legal Products
Background: A firm protested an Indian preference provision in a Department of Health and Human Services (HHS) solicitation, contending that there was no legal basis for such a preference. Although HHS argued that the provision reasonably furthered the purposes of the Native American Programs Act, GAO found nothing in the act that permitted the provision to be included in the solicitation. Further, the solicitation violated the requirement for maximum competition in Federal procurements. GAO recommended that HHS regulations be revised to eliminate the preference and that the solicitation be amended to provide for discussions with all offerers in the competitive range. Accordingly, the protest was…
HRD-86-99 Indian Health Service: Contracting for Health Services Under the Indian Self- ...
... Chairman, Select Committee l on Indian Affairs United States Senate September ... of Health and Human Servrces’ Indian Health Service and various Indian tribes in contracting for health ... 93-638 (commonly called the Indian Self-Determination Act), Indian tribes are authorized to plan ...
http://archive.gao.gov/d4t4/130995.pdf - GAO Reports
Background: In response to a congressional request, GAO presented information concerning contracting activities between various Indian tribes and the Department of Health and Human Services’ Indian Health Service (IHS) under the Indian Self-Determination Act. The act established a policy to permit Indians to effectively and meaningfully participate in the planning, conduct, and administration of programs and services through contracts with the federal government. GAO found that the majority of Indian tribal contractors had problems working with IHS in obtaining and administering contracts. Disagreements over subject matter or funding levels for contracts have resulted in delays in approving or ...
CED-80-124 EPA Needs To Improve the Navajo Indian Safe Drinking Water Program
... Needs To Improve The Navajo Indian Safe Drinking Water Program The ... this safety on the Navajo Indian Reservation have not been effective ... program in conjunction with the Indian Health Service on the Navajo ...
http://archive.gao.gov/f0202/113633.pdf - GAO Reports
Background: GAO was asked to review the Environmental Protection Agency’s (EPA) implementation of the drinking water program on the Navajo Indian Reservation. Water sampling and laboratory analysis practices used on the reservation were also reviewed. Because there is no overall plan or supervision by EPA, confusion and misunderstandings have resulted over the roles and responsibilities of water suppliers and organizations in carrying out the drinking water program. Poor records and inconsistent or nonexistent identification systems make it difficult to inventory and locate water sources. Few water suppliers maintain records and make reports as required by EPA. Consequently, EPA has little assurance ...
GAO-05-789 Indian Health Service: Health Care Services Are Not Always Available to Native ..
... Report to the Committee on Indian Affairs, U. S. Senate INDIAN ... report to the Committee on Indian Affairs, U. S. Senate August ... willing to do so. The Indian Health Service (IHS), located within ...
http://www.gao.gov/new.items/d05789.pdf - GAO Reports
Background: The Indian Health Service (IHS), located within the Department of Health and Human Services, is responsible for arranging health care services for Native Americans (American Indians and Alaska Natives). IHS services include primary care (medical, dental, and vision); ancillary services, such as laboratory and pharmacy; and specialty care, including services provided by physician specialists. IHS provides some services through direct care at hospitals, health centers, and health stations, which may be federally or tribally operated. When services are not available--that is, both offered and accessible--on site, IHS offers them, as funds permit, through contract care furnished by outside ...
Background: In response to a congressional request, GAO presented information concerning contracting activities between various Indian tribes and the Department of Health and Human Services’ Indian Health Service (IHS) under the Indian Self-Determination Act. The act established a policy to permit Indians to effectively and meaningfully participate in the planning, conduct, and administration of programs and services through contracts with the federal government. GAO found that the majority of Indian tribal contractors had problems working with IHS in obtaining and administering contracts. Disagreements over subject matter or funding levels for contracts have resulted in delays in approving or ...
CED-80-124 EPA Needs To Improve the Navajo Indian Safe Drinking Water Program
... Needs To Improve The Navajo Indian Safe Drinking Water Program The ... this safety on the Navajo Indian Reservation have not been effective ... program in conjunction with the Indian Health Service on the Navajo ...
http://archive.gao.gov/f0202/113633.pdf - GAO Reports
Background: GAO was asked to review the Environmental Protection Agency’s (EPA) implementation of the drinking water program on the Navajo Indian Reservation. Water sampling and laboratory analysis practices used on the reservation were also reviewed. Because there is no overall plan or supervision by EPA, confusion and misunderstandings have resulted over the roles and responsibilities of water suppliers and organizations in carrying out the drinking water program. Poor records and inconsistent or nonexistent identification systems make it difficult to inventory and locate water sources. Few water suppliers maintain records and make reports as required by EPA. Consequently, EPA has little assurance ...
GAO-05-789 Indian Health Service: Health Care Services Are Not Always Available to Native ..
... Report to the Committee on Indian Affairs, U. S. Senate INDIAN ... report to the Committee on Indian Affairs, U. S. Senate August ... willing to do so. The Indian Health Service (IHS), located within ...
http://www.gao.gov/new.items/d05789.pdf - GAO Reports
Background: The Indian Health Service (IHS), located within the Department of Health and Human Services, is responsible for arranging health care services for Native Americans (American Indians and Alaska Natives). IHS services include primary care (medical, dental, and vision); ancillary services, such as laboratory and pharmacy; and specialty care, including services provided by physician specialists. IHS provides some services through direct care at hospitals, health centers, and health stations, which may be federally or tribally operated. When services are not available--that is, both offered and accessible--on site, IHS offers them, as funds permit, through contract care furnished by outside ...
GAO-01-1001T Federal Tort Claims Act: Coverage and Claims for Tribal Self-Determination ..
... Self-Determination Contracts at the Indian Health Service Statement of Barry ... Testimony Before the Committee on Indian Affairs, U. S. Senate For ... and Interior’s Bureau of Indian Affairs. 1 For the Indian Health Service, the programs include ...
http://archive.gao.gov/f0302/d011001t.pdf - GAO Reports
Background: The Indian Self-Determination and Education Assistance Act of 1975 encourages tribes to participate in and manage programs that for years had been administered on their behalf by the Department of Health and Human Services (HHS) and the Department of the Interior. The act authorizes tribes to take over the administration of such programs through contractual arrangements with the agencies that previously ran them: HHS’ Indian Health Service and Interior’s Bureau of Indian Affairs. For the Indian Health Service, the programs include mental health, dental care, hospitals and clinics. For the Bureau of Indian Affairs, the programs that can be contracted by tribes include law enforcement, ...
OSI-99-3R Award of Indian Health Professions Scholarships
... Nighthorse Campbell Chairman, Committee on Indian Affairs United States Senate . Subject ... States Senate . Subject: Award of Indian Health Professions Scholarshins Dear Mr ... of Health and Human Services’ Indian Health Service (IHS) award of ...
http://archive.gao.gov/paprpdf2/161554.pdf - GAO Reports
Background: Pursuant to a congressional request, GAO investigated: (1) the Indian Health Service (IHS) award of Indian Health Professions Scholarships (graduate scholarships) pursuant to 25 U.S.C. section 1613a of the Indian Health Care Improvement Act. GAO noted that: (1) 87 of the 1,164 students who received graduate scholarships pursuant to 25 U.S.C. section 1613a for the 1993-1997 academic years were ineligible because they were not members of federally recognized tribes; (2) these 87 students received $4.7 million in scholarship funds; (3) the IHS explained that 38 of the 87 students received scholarship awards because they had previously received undergraduate or graduate scholarships under an ...
HEHS-94-180FS Indian Health Service: Efforts to Recruit Health Care Professionals
... we conduct a study of Indian Health Service (IHS) employment practices ... Dakota. GAO/HEHS-94-180FS Indian Health Service B-256118 and ... 2 GAO/HEHS-94- 180FS Indian Health Service I ) B-256118 ...
http://archive.gao.gov/t2pbat2/152157.pdf - GAO Reports
Background: Indian Health Service (IHS) salary schedules for health care professionals are set on a national basis. Thus, the base pay these persons receive does not differ among IHS regions or areas. However, bonuses and allowances may be paid to doctors who agree to work in hard-to-fill locations, such as the Aberdeen Area. In many IHS areas, health care delivery has been hampered by problems in recruiting and retaining health care professionals, particularly doctors. The recruitment and retention of physicians in the Aberdeen Area has been affected by the relatively low pay; inadequate housing for medical personnel on the reservations; remoteness of the reservations; cultural differences between ...
HRD-93-48 Indian Health Service: Basic Services Mostly Available; Substance Abuse Problems ..
... McCain, Vice-Chairman Committee on Indian Affairs United States Senate The ... Alaska Natives residing in five Indian Health Service (IHS) areas-Aberdeen ... concerns, the Senate Committee on Indian Affairs; the House Committee on ...
http://archive.gao.gov/t2pbat6/149156.pdf - GAO Reports
Background: The five Indian Health Service area offices GAO visited--Aberdeen, Alaska, California, Navajo, and Portland--differed greatly in the way that they delivered health care services. Nonetheless, the areas reported generally similar levels in the availability of basic clinical services. The services most available were treatment services, such as routine prenatal care, and diagnostic services, such as biopsies for cancer diagnoses. Almost all patients seeking such services were able to receive them. Preventive care, such as diabetes education and dental care, was comparatively less available. Service unit officials generally named alcohol and substance abuse services as their greatest ...
HRD-91-5 Indian Health Service: Funding Based on Historical Patterns, Not Need
... concerns about the equity of Indian Health Service (IHS) funding distribution ... however, due to objections from Indian tribes adversely affected by the ... 1 GAO/HRl% Sl-6 Indian Health Service Funding -.-B-240949 ...
http://archive.gao.gov/d21t9/143251.pdf - GAO Reports
Background: Pursuant to a congressional request, GAO obtained information on: (1) Indian Health Service (IHS) funding distribution methods and the funds allocated for fiscal year (FY) 1980 through FY 1990; (2) per-capita funding for the Oklahoma IHS area; and (3) the effect of IHS funding constraints on health services delivery in Oklahoma, with special attention to the Contract Health Services (CHS) program. GAO found that: (1) IHS distributed its funding among its 12 service delivery areas based primarily on previous-year funding and rarely used needs-based methods; (2) total IHS funding increased from approximately $517 million in FY 1980 to about $1 billion in FY 1990, and Oklahoma’s funding ...
T-RCED-90-30 Adequacy of Nutrition Programs on Indian Reservations
... Ackquacy of Nutrition Programs on Indian Delivery Ekpectedat 9: 00 a ... the Food Distribution Program on Indian Reservations: (Indian commodity program) and the Food ... households located on or near Indian reservations. The Indian commodity program provides participants with ...
http://archive.gao.gov/d38t12/140656.pdf - GAO Reports
Background: GAO discussed the availability of food and the nutritional adequacy of the Department of Agriculture’s (USDA) food assistance programs on Indian reservations. GAO found that: (1) there were indications of hunger among Food Stamp Program participants and nonparticipants on each reservation it visited; (2) the major causes of hunger included obstacles to application and qualification for food stamps, procedural requirements that influenced the size and delivery of benefits, poor physical access, and high food prices; (3) the food package lacked the nutritional variety needed for a healthy diet; (4) vegetables and fruits were consistently unavailable or inedible; and (5) nutrition education ...
HRD-86-68FS Indian Health: Budgetary Effects of Indigent Indians’ Medical Costs on Two ..
... Minority Member Select Committee on Indian Affairs United States Senate This ... Counties, Montana, because ~they have Indian reservations within their boundaries and ... did not have records showing Indian and non-Indian indigent medical care cost for ...
http://archive.gao.gov/d13t3/129565.pdf - GAO Reports
Background: In response to a congressional request, GAO provided information on indigent Indians’ medical care costs in two Montana counties to determine the: (1) costs that counties and local governments had incurred; and (2) amount of federal funds, if any, these governments had received for this purpose. GAO found that: (1) under Montana state law, the county governments are responsible for providing medical care for the indigent; (2) property taxes have been the principal source of funds for indigent medical care in the two counties studied; (3) the counties received no federal funds for indigent medical care costs during fiscal years (FY) 1982 through 1985; (4) from FY 1984 through 1985, Blaine ...
B-214711 [Protest of Sole-Source Contract Award]
... Lc: B-214711 DIOE8T: 1 . Indian Self-Determination and Education Assistance ... authority to contract exclusively with Indian-owned firms, American Indian Technical Services, Inc., B-211138 ... contractor to subcon-tract with Indian- owned economic enterprises or Indian organizations to the greatest extent ...
http://archive.gao.gov/lglpdf10/124966.pdf - Legal Products
Background: A firm protested the sole-source award of a contract for construction of a hospital for native Alaskan Americans. The Department of Health and Human Services (HHS) awarded the contract to an Alaskan native tribe’s corporation pursuant to the Indian Self-Determination and Education Assistance Act, which directs HHS to enter into a contract with any tribal organization at the tribe’s request to carry out HHS functions relating to the maintenance and operation of health facilities for Indians. The protester contended that: (1) the act was not intended to apply to major construction projects; (2) the contract was awarded on a sole-source basis without regard to the availability of ...
HRD-82-54 Indian Health Service Not Yet Distributing Funds Equitably Among Tribes
... Senate OF THE UNITED STATES Indian Health Service Not Yet Distributing ... Funds Equitably Among Tribes The Indian Health Service’s (IHS) equity ... 1980, we have reviewed the Indian Health Service’s distribution of ...
http://archive.gao.gov/f0102/118864.pdf - GAO Reports
Background: GAO reviewed the Indian Health Service’s (IHS) distribution of its fiscal year 1981 equity health care fund. Not all eligible Indians have received an equitable share of IHS funds or services. IHS has distributed an equity health care fund to tribes using a needs-based ranking system that incorporates standards and criteria to estimate staffing or contract care dollars required to provide a range of health services. California Indians received about 74 percent of the fiscal year 1981 equity fund. IHS plans to continue the equity fund until 1984 to raise the level of services provided to those tribes with the greatest need. However, because of weaknesses in the needs-based ranking system, ...
HRD-80-28 Congressional Monitoring of Planning for Indian Health Care Facilities Is Still ..
... Congressional Monitoring Of Planning For Indian Health Care Facilities Is Still ... concerns the adequacy of the Indian Health Service’s hospital planning ... NEEDED DIGEST -m--M_ The Indian Health Service is responsible for ...
http://archive.gao.gov/f0202/112074.pdf - GAO Reports
Background: GAO studied the adequacy of the Indian Health Service’s hospital planning activities. The Service is responsible for providing comprehensive health care to Indians and Alaska Natives. In May 1977, GAO reported to Congress that the Service’s methodology for determining the number of hospital beds needed in the Navajo area would result in too many acute care beds. Because the Service used the same methodology for planning hospitals throughout its system, GAO estimated that similar problems probably existed elsewhere. Thus, the Appropriations Committees recommended, and Congress approved, a moratorium on the use of planning funds until the Service recognized the declining need for acute ...
HRD-80-60 Indian Health Service Contracts With Alaska Native Health Organizations
... Gravel: Subject: c Indian Health Service Contracts with Alaska ... the costs the Indian Health Service (IHS) has incurred ... in the Nome area. The Indian Self-Determination and Education Assistance ...
http://archive.gao.gov/f0202/111784.pdf - GAO Reports
Background: The Indian Health Service (IHS), a component of the Health Service Administration (HSA) of the Department of Health, Education, and Welfare (HEW), is responsible for providing comprehensive health care to Indians and Alaska Natives. The Alaska Area Native Health Service (AANHS) is the IHS component responsible for providing health care services to Alaska Natives. The Indian Self-Determination and Education Assistance Act permits Indian tribes and Alaska Natives to assume control over Federal Indian programs. Under the Act, tribes must request to contract with the Secretaries of the Interior and HEW to plan and conduct programs which the Bureau of Indian Affairs and/or IHS administers for ...
