Questions for the Record: Legislative Hearing on H.R. 5549 (Questions for Nez and Francis)

Summary

A Questions for the Record document for the Committee on Natural Resources, Subcommittee for Indigenous Peoples of the United States, on the Legislative Hearing on H.R. 5549 dated July 28, 2022. It lists questions from Rep. Leger Fernández for Hon. Johnathan Nez, President of the Navajo Nation and Navajo Area Representative of the National Indian Health Board, including what would occur if another government shutdown affected tribal health disparities and how continuing resolutions and shutdowns affect staffing. It also lists questions for Hon. Kirk Francis of the United South and Eastern Tribes.

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                 COMMITTEE ON NATURAL RESOURCES
     SUBCOMMITTEE FOR INDIGENOUS PEOPLES OF THE UNITED STATES
                     1324 LHOB & CISCO WEBEX
                       July 28, 2022 at 1:00 p.m. ET

                                    Questions for the Record

                              Legislative Hearing on H.R. 5549

Questions from Rep. Leger Fernández for Hon. Johnathan Nez, President, Navajo Nation &
Navajo Area Representative, National Indian Health Board
   1. Considering the immense impact that COVID-19 continues to have on tribal
      communities, can you provide an example of what would occur if another government
      shutdown might have on tribal health disparities?

   2. It can be tough to adequately recruit and retain staff, especially for specialty positions, in
      rural communities like the ones I represent.
          a. President Nez, would you please help us better understand the impact that CRs
              and shutdowns can have on staffing, which is critical to delivering the best care?

   3. President Nez, you noted how a lack of funding during shutdowns often requires tribes to
      use their funds or even take out private loans.
          a. Whether it’s redirecting staff from other necessary projects or potentially harming
              tribes’ credit rating, what is the ripple effect of CRs on tribal governments and
              services more broadly?

Questions from Rep. Leger Fernández for Hon. Kirk Francis, President, United South and
Eastern Tribes Sovereignty Protection Fund
   1. President Biden’s FY2022 budget request notably called for advance appropriations for
       the Indian Health Service.
           a. Can you speak to the historic nature of this request coming from an
               administration?
           b. Why do you think this was not included for FY2023?

Questions from Rep. Leger Fernández for Hon. Fawn Sharp, President, National Congress of
American Indians
  1. Can you speak more on the need for advance appropriations for the Indian Health Service
      considering ongoing tribal economic development concerns?

Questions from Rep. Leger Fernández for Ms. Maureen Rosette, Board Member, National
Council of Urban Indian Health
   1. How would advance appropriations enable urban Indian organizations to better care for
      the health needs of urban American Indians and Alaska Natives?


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