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F I S C A L I M P A C T R E P O R T
SPONSOR Jennings
ORIGINAL DATE
LAST UPDATED
3/16/07
HB
SHORT TITLE Native American Health Care Laws Suits Merits
SJM 73
ANALYST Baca
APPROPRIATION (dollars in thousands)
Appropriation
Recurring
or Non-Rec
Fund
Affected
FY07
FY08
NFI
(Parenthesis ( ) Indicate Expenditure Decreases
)
SOURCES OF INFORMATION
LFC Files
SUMMARY
Synopsis of Bill
Senate Joint Memorial 73 requests the Office of the Attorney General investigate the merits of a
lawsuit against the United States to enforce
treaty obligations to provide health care to Native
Americans.
FISCAL IMPLICATIONS
SJM 73 contains no appropriation. However, there are implicit but unknown costs in honoring its
provisions.
SIGNIFICANT ISSUES
SJM 73 cites the federal government’s treaty obligations to Native Americans generally and
commitment to providing health care specifically. The bill relates the decreasing federal support
for health care for Native Americans, the creating of conditions that tend to discourage Native
Americans from seeking health care in a timely manner and the adverse impact on their health
they seek assistance outside the BIA health care system. The federal government’s responsibility
is founded on treaty, statute constitution and ethics, according to the memorial.
The memorial notes that The Indian health service, prior to the funding cuts, spent an estimated
one thousand nine hundred twenty dollars ($1,920) per patient per year, which is less than half
the amount spent for veterans, for federal prisoners or for Medicare recipients.