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The Origin and Application of the Confer Requirement in the Indian Health Care Improvement Act

Authors: National Council of Urban Indian Health

Publication Year: 2010

Last Updated: 2016-09-30

Journal: NCUIH

Keywords: NCUIH, Confer Requirement, Indian Health Care Improvement Act

Abstract:

Origin of the “Confer” Requirement – An Agreement Reached with NCUIH and
the Title V Programs. As originally drafted by the Senate Committee on Indian Affairs,
the Indian Health Care Improvement Act reauthorization legislation provided for the
Secretary of Health and Human Services to “consult” (not “confer”) with both tribes and “urban Indian organizations.” Late in the process, a regional inter-tribal organization became involved and had, as one of its major concerns, an objection to the application of the term “consult” with regard to NCUIH and its members. The conflict escalated as NCUIH felt that it was vital to NCUIH and its membership that they have an elevated status in IHS deliberations about matters that affect the urban Indian community. The Senate Committee on Indian Affairs convened several meetings to seek a resolution of this conflict.

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