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S. 269, a Bill to Provide for the Conveyance of Certain Property to the Tanana Tribal Council Located in Tanana, Alaska and to the Bristol Bay Area Health Corporation Located in Dillingham, Alaska, and for Other Purposes 1 (February 21, 2017)

handle is hein.congrec/cbo3353 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE COST ESTIMATE February 21, 2017 S. 269 A bill to provide for the conveyance of certain property to the Tanana Tribal Council located in Tanana, Alaska and to the Bristol Bay Area Health Corporation located in Dillingham, Alaska, and for other purposes As ordered reported by the Senate Committee on Indian Affairs on February 8, 2017 S. 269 would authorize the Secretary of Health and Human Services (HHS) to convey a parcel of land in Tanana, Alaska, to the Tanana Tribal Council (TTC) and another parcel in Dillingham, Alaska, to the Bristol Bay Area Health Corporation (BBAHC). The conveyances would be made by a warranty deed, which is a type of deed that guarantees a clear title to the new owner of the property. The Indian Self-Determination and Education Act allows tribal entities to assume responsibility for providing health care services funded by the Indian Health Service (IHS). The TTC, the governing body for 1,460 tribal members and the village of Tanana, Alaska, plans to build a community wellness center under the authority of that act on the parcel of land that would be transferred to them under this bill. The BBAHC, which has been managing and operating the Kanakanak Hospital and the Bristol Bay Service Unit for the IHS since 1980, plans to build a free-standing dental clinic on the other parcel that would be transferred under this bill. According to IHS, the TTC and BBAHC currently do not pay rent or any other remuneration to IHS for the use of these parcels. Consequently, CBO estimates that enacting S. 269 would not have a significant effect on the federal budget. Because enacting S. 269 would not affect direct spending or revenues, pay-as-you-go procedures do not apply. CBO estimates that enacting the bill would not increase net direct spending or on-budget deficits in any of the four consecutive 10-year periods beginning in 2028. S. 269 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act. The CBO staff contact for this estimate is Robert Stewart. The estimate was approved by Holly Harvey, Deputy Assistant Director for Budget Analysis.

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