{ "id": "R44040", "type": "CRS Report", "typeId": "REPORTS", "number": "R44040", "active": true, "source": "EveryCRSReport.com, University of North Texas Libraries Government Documents Department", "versions": [ { "source": "EveryCRSReport.com", "id": 462656, "date": "2017-07-17", "retrieved": "2017-08-22T13:53:58.585972", "title": "Indian Health Service (IHS) Funding: Fact Sheet", "summary": "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. IHS provides health care for approximately 2.2 million eligible American Indians/Alaska Natives through a system of programs and facilities located on or near Indian reservations, and through contractors in certain urban areas. IHS provides services to members of 566 federally recognized tribes. It provides services either directly or through facilities and programs operated by Indian Tribes or Tribal Organizations through self-determination contracts and self-governance compacts authorized in the Indian Self-Determination and Education Assistance Act (ISDEAA).\nThe IHS has three major sources of funding, described here in order of magnitude: (1) discretionary appropriations, (2) collections, and (3) mandatory appropriations. \nIHS receives its discretionary appropriations through the Interior/Environment appropriations act, unlike most agencies within HHS, which receive their appropriations through the Labor-Health and Human Services and Education appropriations act. IHS\u2019s discretionary appropriations are divided into three accounts: (1) Indian Health Services, (2) Contract Support Costs, and (3) Indian Health Facilities.\nIHS collects reimbursements for health services it provides. IHS, unlike other federal agencies, has the authority to receive reimbursement from other federal programs such as Medicaid, Medicare, and the Department of Veterans Affairs. IHS also receives reimbursements from state programs (such as workers compensation) and from private insurance. In addition to reimbursements (its largest source of collections), IHS collects rent from facilities it owns. \nSince FY1998, IHS also has received a mandatory appropriation each fiscal year to support the Special Diabetes Program. Under current law, FY2017 is the last year for which mandatory appropriations have been provided for this program. \nThis fact sheet focuses on the funding that IHS has received between FY2010 and FY2018 (proposed).", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R44040", "sha1": "274af6ae796e71fc5ed47c522533447985bc5751", "filename": "files/20170717_R44040_274af6ae796e71fc5ed47c522533447985bc5751.html", "images": { "/products/Getimages/?directory=R/html/R44040_files&id=/0.png": "files/20170717_R44040_images_ad524116f61e5763308f92e92ebc5b0b05554f06.png" } }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R44040", "sha1": "26f7f41da6a2dd20af971a29387ab4af137a2480", "filename": "files/20170717_R44040_26f7f41da6a2dd20af971a29387ab4af137a2480.pdf", "images": {} } ], "topics": [ { "source": "IBCList", "id": 4773, "name": "Interior & Environment Appropriations" }, { "source": "IBCList", "id": 4788, "name": "Health Care Delivery" }, { "source": "IBCList", "id": 4932, "name": "Public Health Services & Special Populations" } ] }, { "source": "EveryCRSReport.com", "id": 451467, "date": "2016-04-06", "retrieved": "2016-04-07T17:29:26.436029", "title": "Indian Health Service (IHS) Funding: Fact Sheet", "summary": "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. IHS provides health care for approximately 2.2 million eligible American Indians/Alaska Natives through a system of programs and facilities located on or near Indian reservations, and through contractors in certain urban areas. IHS provides services to members of 566 federally recognized tribes. It provides services either directly or through facilities and programs operated by Indian Tribes or Tribal Organizations through self-determination contracts and self-governance compacts authorized in the Indian Self-Determination and Education Assistance Act (ISDEAA).\nThe IHS has three major sources of funding, described here in order of magnitude: (1) discretionary appropriations, (2) collections, and (3) mandatory appropriations. The IHS receives its discretionary appropriations through the Interior/Environment appropriations act, unlike most agencies within HHS, which receive their appropriations through the Labor-Health and Human Services and Education appropriations act. IHS\u2019s discretionary appropriations are divided into two accounts: (1) Indian Health Services and (2) Indian Health Facilities.\nThis fact sheet focuses on the funding that IHS has received between FY2010 and FY2017 (proposed).", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R44040", "sha1": "4ba7524ab4105307401087a1e1324049eaaa0ee5", "filename": "files/20160406_R44040_4ba7524ab4105307401087a1e1324049eaaa0ee5.html", "images": null }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R44040", "sha1": "207d8f55e89125d9eb36c8cb0c460625bcf384d2", "filename": "files/20160406_R44040_207d8f55e89125d9eb36c8cb0c460625bcf384d2.pdf", "images": null } ], "topics": [ { "source": "IBCList", "id": 2346, "name": "Interior, Environment, and Related Agencies' Appropriations" }, { "source": "IBCList", "id": 4070, "name": "Health Care Delivery" } ] }, { "source": "EveryCRSReport.com", "id": 451305, "date": "2015-12-23", "retrieved": "2016-04-06T17:39:15.833421", "title": "Indian Health Service (IHS) FY2010-FY2016 Funding: Fact Sheet ", "summary": "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. IHS provides health care for approximately 2.2 million eligible American Indians/Alaska Natives through a system of programs and facilities located on or near Indian reservations, and through contractors in certain urban areas. IHS provides services to members of 566 federally recognized tribes. It provides services either directly or through facilities and programs operated by Indian Tribes or Tribal Organizations through self-determination contracts and self-governance compacts authorized in the Indian Self-Determination and Education Assistance Act (ISDEAA).\nThe IHS has three major sources of funding, described here in order of magnitude: (1) discretionary appropriations, (2) collections, and (3) mandatory appropriations. The IHS receives its discretionary appropriations through the Interior/Environment appropriations act, unlike most agencies within HHS, which receive their appropriations through the Labor-Health and Human Services and Education appropriations act. IHS\u2019s discretionary appropriations are divided into two accounts: (1) Indian Health Services and (2) Indian Health Facilities.\nThis fact sheet focuses on the funding that IHS has received between FY2010 and FY2016.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R44040", "sha1": "f0f355a1bd73ff65227e19aecab0684f8b41aa79", "filename": "files/20151223_R44040_f0f355a1bd73ff65227e19aecab0684f8b41aa79.html", "images": null }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R44040", "sha1": "02db0c83123e28dc4827d66b1f41ca23cdb1a31d", "filename": "files/20151223_R44040_02db0c83123e28dc4827d66b1f41ca23cdb1a31d.pdf", "images": null } ], "topics": [ { "source": "IBCList", "id": 2346, "name": "Interior, Environment, and Related Agencies' Appropriations" }, { "source": "IBCList", "id": 4070, "name": "Health Care Delivery" } ] }, { "source": "University of North Texas Libraries Government Documents Department", "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc812464/", "id": "R44040_2015May19", "date": "2015-05-19", "retrieved": "2016-03-19T13:57:26", "title": "Indian Health Service FY2016 Budget Request and Funding History: Fact Sheet", "summary": null, "type": "CRS Report", "typeId": "REPORT", "active": false, "formats": [ { "format": "PDF", "filename": "files/20150519_R44040_6397dc6895a3693c46e10e82d60d6a0fff16e514.pdf" }, { "format": "HTML", "filename": "files/20150519_R44040_6397dc6895a3693c46e10e82d60d6a0fff16e514.html" } ], "topics": [] } ], "topics": [ "Appropriations", "Health Policy" ] }