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H.R. 521, a Bill to Provide for the Conveyance of Certain Property to the Yukon Kuskokwim Health Corporation in Bethel, Alaska [i] (June 30, 2015)

handle is hein.congrec/cbo2316 and id is 1 raw text is: CONGRESSIONAL BUDGET OFFICE
COST ESTIMATE
June 30, 2015
H.R. 521
A bill to provide for the conveyance of certain property to the
Yukon Kuskokwim Health Corporation in Bethel, Alaska
As ordered reported by the House Committee on Natural Resources on June 11, 2015
H.R. 521 would authorize the Secretary of Health and Human Services (HHS) to convey a
23-acre parcel of land in Bethel, Alaska to the Yukon Kuskokwim Health Corporation
(YKHC). The conveyance would be made by a warranty deed, which is a type of deed that
provides that the grantor (the United States) has a good title free and clear of all liens and
encumbrances and that the grantor promises to defend the title to the property against all
persons claiming the property.
The Indian Self-Determination and Education Act allows tribal entities to assume
responsibility for the provision of health care services funded by the Indian Health Service
(IHS), the agency within HHS responsible for providing health care to American Indians
and Alaska Natives. The YKHC, a nonprofit tribal organization that administers health
care services for 58 tribal communities in Alaska, operates a hospital under the authority of
that act on the parcel of land that would be transferred under this bill. According to IHS,
the YKHC currently does not pay rent or any other remuneration to IHS for the use of the
land. As a result, CBO estimates that enacting H.R. 521 would not have a significant effect
on the federal budget. Because enacting the bill would not affect direct spending or
revenues, pay-as-you-go procedures do not apply.
H.R. 521 contains no intergovernmental or private-sector mandates as defined in the
Unfunded Mandates Reform Act and would benefit the YKHC by transferring the property
to the corporation. Any costs to the YKHC would be incurred voluntarily.
On March 13, 2015, CBO transmitted a cost estimate for S. 230, as ordered reported by the
Senate Committee on Indian Affairs, on February 15, 2015. H.R. 521 contains provisions
similar to those in S. 230, and the CBO cost estimates for those provisions are the same.
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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