Exclusive: The Trump administration has held up $40 million in aid to Indian country for weeks. Meanwhile, Indian Health Service officials have admitted to running a “shoestring” operation and struggled to get a handle on hospital capacity.
The Trump administration has held up $40 million in emergency aid Congress approved earlier this month to help American Indians combat the coronavirus — a delay that’s left tribal leaders across the nation frustrated and ill-equipped to respond to the fast-growing outbreak.
An IHS spokesperson told POLITICO that the agency is working with HHS and the CDC to determine how best to allocate the $40 million, but did not provide a timeline for distributing the funds. Yet the money remains hung up as officials at IHS and the CDC debate how to solve an obscure appropriations hurdle. Congress initially allocated the aid as grants through the CDC, despite warnings from tribal organizations and some House staffers that it could invite bureaucratic snafus, two people with knowledge of the process said.
Tribal leaders said the CDC has also balked at their idea to set up an inter-agency transfer that would deliver the money to IHS directly, questioning whether it has the authority for such a transfer “Health providers across Indian Country are risking their lives on the front lines of this crisis,” said Meredith Raimondi, a spokesperson for the National Council of Urban Indian Health, which supports health services for American Indians living in urban areas. “We don’t know what the delay is.”
Tribes rely heavily on IHS facilities, which provide many health care services to American Indians and Alaska Natives for free. Over a quarter of the tribal population in the U.S. is uninsured, more than double the national rate.IHS’ capacity figures on a press call for media outlets that cover Native issues.
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