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![handle is hein.congrecreports/crptxaebl0001 and id is 1 raw text is: AUTHENTICATED
U.S. GOVERNMENT
INFORMATION
GP
117TH CONGRESS 1 REPT. 117-168
1st Session HOUSE OF REPRESENTATIVES Part 1
URBAN INDIAN HEALTH CONFER ACT
NOVEMBER 1, 2021.-Committed to the Committee of the Whole House on the State
of the Union and ordered to be printed
Mr. GRIJALVA, from the Committee on Natural Resources,
submitted the following
R E P O R T
[To accompany H.R. 5221]
[Including cost estimate of the Congressional Budget Office]
The Committee on Natural Resources, to whom was referred the
bill (H.R. 5221) to amend the Indian Health Care Improvement Act
to establish an urban Indian organization confer policy for the De-
partment of Health and Human Services, having considered the
same, reports favorably thereon without amendment and rec-
ommends that the bill do pass.
PURPOSE OF THE BILL
The purpose of H.R. 5221 is to amend the Indian Health Care
Improvement Act to establish an urban Indian organization confer
policy for the Department of Health and Human Services.
BACKGROUND AND NEED FOR LEGISLATION
The Indian Health Service (IHS) supports contracts and grants
to 41 Urban Indian Organization programs. These programs offer
medical services ranging from dental services, optometry services,
pharmacy services to community services, alcohol, and drug abuse
prevention, nutrition education, and counseling services. The In-
dian Health Care Improvement Act established the Urban Indian
Organizations (UIOs) in response to the 70% of American Indians
and Alaska Natives living and seeking healthcare outside tribal
lands throughout the United States.
Currently, only IHS maintains a legal obligation to confer with
UIOs. An Urban Confer policy at HHS will serve as the preferred
method of dialogue between the agency and UIOs. HHS's Urban
Confer policy's limited scope is a barrier for UIOs communication
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