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1 S. 224, a Bill to Provide for the Conveyance of Certain Property to the Tanana Tribal Council Located in Tanana, Alaska, and to the Britsol Bay Area Health Corporation Located in Dillingham, Alaska, and for Other Purposes 1 (March 4, 2019)

handle is hein.congrec/cbotanana0001 and id is 1 raw text is: 




       Congressional Budget Office
\   Cost Estimate


March 4, 2019


S. 224 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 of land 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 (ISDEAA) allows tribal entities to assume
responsibility for providing health care services funded by the Indian Health Service (IHS). The TTC is
a non-profit health care and social services corporation that operates facilities under the ISDEAA in 39
communities throughout Alaska. The BBAHC  is a non-profit health care corporation that operates
facilities under the ISDEAA in 28 communities throughout Southwest Alaska. According to IHS,
neither the TTC nor the BBAHC currently pays rent or any other remuneration to IHS for the use of the
land to be transferred. Consequently, CBO estimates that enacting S. 224 would have a negligible effect
on the federal budget. Furthermore, any spending would be subject to the availability of appropriated
funds.

The CBO  staff contact for this estimate is Robert Stewart. The estimate was reviewed by Leo Lex,
Deputy Assistant Director for Budget Analysis.






                   See also CBO's Cost Estimates Explained, www.cbo.gov/publication/54437;
    How CBO Prepares Cost Estimates, www.cbo.gov/publication/53519; and Glossary, www.cbo.gov/publication/42904.

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