Tribal programs: resource constraints and management weaknesses can limit federal program delivery to tribes : testimony before the Subcommittee for Indigenous Peoples of the United States, House of Representatives
- Collection:
- Health Policy and Services Research
- Contributor(s):
- United States. Government Accountability Office. issuing body. United States. Congress. House. Committee on Natural Resources. Subcommittee for Indigenous Peoples of the United States. issuing body.
- Publication:
- Washington, DC : United States Government Accountability Office, November 19, 2019
- Language(s):
- English
- Format:
- Text
- Subject(s):
- American Natives -- legislation & jurisprudence Government Regulation Minority Health -- economics Population Groups -- legislation & jurisprudence United States
- Genre(s):
- Technical Report
- Abstract:
- Why GAO did this study. As Congress affirmed in the Indian Trust Asset Reform Act, the United States has undertaken a unique trust responsibility to protect and support Indian tribes and Indians. Thus, federal agencies have many programs that provide services to tribes. However, in 2018, the U.S. Commission on Civil Rights found that, due to a variety of reasons—including historical discriminatory policies, insufficient resources, and inefficient federal program delivery—Native Americans continue to rank near the bottom of all Americans in terms of health, education, and employment. In February 2017 GAO designated federal management of programs that serve tribes in education, health care and energy as high risk. This designation is neither reflective of the performance of programs administered by tribes nor directed at tribal activities. This testimony, which is based on reports GAO issued from June 2015 through March 2019 primarily related to education, health care, and energy development, provides examples of (1) capacity and funding constraints and budget uncertainty and (2) management weaknesses that limit the effective delivery of federal programs for tribes and their members. What GAO Recommends. GAO has made more than 50 recommendations related to its high-risk area and more than 40 recommendations for tribal water infrastructure, tribal self-governance and tribal consultation of which 60 recommendations are open. Sustained focus by the respective agencies and Congress on these and other issues are essential to continued progress.
- Copyright:
- The National Library of Medicine believes this item to be in the public domain. (More information)
- Extent:
- 1 online resource (1 PDF file (11 pages, 1 unnumbered page))
- NLM Unique ID:
- 9918284259906676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918284259906676