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Health Care Financing Administration (HCFA)

  • इसका हिस्सा Records of the Office of the Chief of Staff (Clinton Administration), Lynn Cutler's Files

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OCR Page 1 of 14
JUN. 20. 1997 10:02AM CRIHB NO. 886 9pages P.1/9 CALIFORNIA RURAL INDIAN HEALTH BOARD, INC. 1451 River Park Dr., Suite 220 Sacramento, CA 95815 (916) 929-9761 Fax (916) 929-7246 FAX MEMORANDUM TO: Leta Bets Intergovernmental Affairs 202/456-2889 FROM: Barbara BellerBaubabaro Beller Tribal Government Resource Specialist SUBJECT: House Budget Reconciliation Bill/Medicaid DATE: June 20, 1997 Thank you for speaking with Linda Navarro yesterday regarding our opposition to Senator Roth's proposal that would be detrimental to Indian people. I am sending you three documents that will explain where we are at. First; is a copy of a "Memorandum of Agreement" between the Indian Health Service and the Health Care Finance Administration allowing Indian health programs to bill HCFA directly, thus removing tribal health programs from the state block grant. IL am sure you know that as sovereign nations, we should not have to negotiate our services with state governments. Senator Roth' proposal will place tribes at the mercy of states to serve our own Indian people. Secondly; is a letter from Andy Schneider, Center on Budget and Policy Priorities that details the harm that will come to tribes if this proposal is passed and signed by the President. Andy is former chief counsel for Congressman Henry Waxman and Richard Gebhardt and very knowledgeable on Indian issues. Third; is my previous fax to Lynn Cutler At this time we have organized our tribes and health programs to write to Senator Nighthouse-Campbell to intervene on our behalf on the Senate floor. We are also contacting our two California Senators, Boxer and Feinstein for support. We appreciate anything your office can do to remove tribes from the state block grant system. We do not believe in creating another bureaucracy for tribal programs. Please call me if you have any questions.