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1 1 (April 14, 2020)

handle is hein.crs/govcuzz0001 and id is 1 raw text is: ees Researh Sevice COVID-19 and the Indian Health Service April 14, 2020 The Indian Health Service (IHS) within the Department of Health and Human Services (HHS) is the lead federal agency charged with improving the health of American Indians and Alaska Natives. In FY2019, IHS provided health care to approximately 2.6 million eligible American indians/Alaska Natives. Its total FY2020 annual appropriation was $6.2 billion. IHS has seen nearly 1,000 positive tests as of early April for coronavirus. This Insight discusses the coronavirus and IHS. IHS Is a Three-Tiered System with Resource Constraints IHS provides health care to eligible American Indians/Alaska Natives. It does this either directly or through facilities and programs operated by Indian tribes (ITs) or tribal organizations (TOs) through self- determination contracts and self-governance compacts authorized in the Indian Self-Determination and Education Assistance Act (ISDEAA, P.L. 93-638). IHS also provides services to urban Indians through grants or contracts to Urban Indian Organizations (UJOs). The system is referred to as the I/T/l system, and services available vary across the system and by facility. UJOs offer outpatient services, while the IHS and the ITs may provide both outpatient and inpatient care, with IHS operating half of the system's 46 hospitals. IHS does not offer a standard benefit package, nor is it required to cover certain services that its beneficiaries may receive at facilities outside of IHS. When services are not available at an IHS facility, facilities may authorize payment through the Purchased Referred Care Program (PRC). Generally, PRC requires prior approval except in cases of emergency. PRC funds are limited, as such, not all PRC claims are authorized. UJOs do not have access to PRC funds. To be authorized, claims must meet medical priority levels, individuals must not be eligible for another source of coverage (e.g., Medicaid or private health insurance), and individuals must live in certain geographic areas. IHS has stated that treatment of COVID-19 is considered to be medical priority one (he, an emergent or urgent care service). IHS and COVID-19 As noted, IHS facilities have reported cases of COVID-19; the ability to test for coronavirus and to treat active cases varies throughout its system. For example, some tribes have reported shortages of tests, the materials needed to administer testing, and the personal protective equipment needed by health providers. Congressional Research Service https://crsreports.congress.gov IN11333 CRS NStGHT Prepaimed for Mernbei-s and Com mittees 4 o C- --q.. . . . . . . . . . . ..---------------------------------------------------------------------------------------------------------------------------------------------------------------------

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