Washington, DC \u2013 Hoy, el senador estadounidense de Oreg\u00f3n, Jeff Merkley, presidente del Subcomit\u00e9 de Asignaciones del Interior del Senado, anunci\u00f3 una gran victoria para el pa\u00eds ind\u00edgena: la inclusi\u00f3n de su propuesta para proporcionar financiaci\u00f3n anticipada para el Servicio de Salud Ind\u00edgena (IHS) en el \u00faltimo a\u00f1o fiscal. Proyecto de ley general de 2023: garantizar que los servicios de atenci\u00f3n m\u00e9dica a trav\u00e9s de la agencia nunca se detengan durante una interrupci\u00f3n en las asignaciones gubernamentales.<\/p>\n
\n"Este es un gran problema. La atenci\u00f3n m\u00e9dica para las comunidades tribales nunca debe cerrarse porque no logramos aprobar un presupuesto; los desaf\u00edos y las emergencias de salud no esperan al Congreso\u201d. dijo el senador Merkley, cuyo Subcomit\u00e9 de Asignaciones Interiores supervisa miles de millones de d\u00f3lares en financiaci\u00f3n para servicios al territorio indio.<\/b> \u201cCuando me siento a redactar nuestro proyecto de ley de asignaciones anuales, una de mis principales prioridades es garantizar que el Congreso respete sus responsabilidades de confianza y tratados y brinde justicia a las tribus indias a trav\u00e9s del proceso presupuestario federal. Una forma fundamental de hacerlo es garantizar que el IHS est\u00e9 protegido de futuras fallas en las asignaciones y de la incertidumbre presupuestaria en a\u00f1os presupuestarios impredecibles. Esto brindar\u00e1 tranquilidad a los proveedores de atenci\u00f3n m\u00e9dica, ayudar\u00e1 con la contrataci\u00f3n y la retenci\u00f3n, ayudar\u00e1 a garantizar que IHS funcione como un sistema de atenci\u00f3n m\u00e9dica moderno y, lo m\u00e1s importante, ayudar\u00e1 a garantizar que la atenci\u00f3n m\u00e9dica para los pacientes nunca se detenga\u201d.<\/p>\n<\/blockquote>\n
Esta victoria hist\u00f3rica para Tribes se produce despu\u00e9s de que el Senador Merkley propusiera por primera vez asignaciones anticipadas para IHS en su proyecto de ley de asignaciones para el Interior, el Medio Ambiente y las Agencias Relacionadas del a\u00f1o fiscal 2022, la primera vez que se propuso una asignaci\u00f3n anticipada de IHS en un proyecto de ley de asignaciones.<\/p>\n
El IHS recibe la mayor parte de su financiaci\u00f3n a trav\u00e9s de asignaciones anuales, lo que en ocasiones ha complicado la prestaci\u00f3n de servicios de atenci\u00f3n m\u00e9dica a m\u00e1s de 2,5 millones de nativos americanos que dependen del IHS para su atenci\u00f3n m\u00e9dica. Las fallas en las asignaciones y las resoluciones continuas han obstaculizado la capacidad del IHS y el Comit\u00e9 de Asignaciones para planificar presupuestos para apoyar programas de salud cr\u00edticos con la continua incertidumbre de la financiaci\u00f3n en a\u00f1os futuros. Las asignaciones anticipadas son una soluci\u00f3n presupuestaria que prev\u00e9 la disponibilidad de nuevos fondos en el siguiente a\u00f1o fiscal para ayudar a brindar certeza durante al menos dos a\u00f1os fiscales y representar\u00e1 un cambio importante en la forma en que funciona el IHS. Los programas de atenci\u00f3n m\u00e9dica del Departamento de Asuntos de Veteranos se han financiado con asignaciones anticipadas desde el a\u00f1o fiscal 2010.<\/p>\n
En diciembre de 2018, las asignaciones para el IHS caducaron como parte del cierre gubernamental m\u00e1s largo en la historia de Estados Unidos. Durante el cierre de 35 d\u00edas, el IHS no pudo proporcionar fondos a organizaciones de salud ind\u00edgenas urbanas y operadas por tribus. Muchos no pudieron recurrir a los fondos de reserva o no ten\u00edan recursos alternativos para mantener las operaciones de atenci\u00f3n m\u00e9dica. Otro lapso en las asignaciones de duraci\u00f3n incomparable en el a\u00f1o fiscal 2019 hizo a\u00fan m\u00e1s dif\u00edcil para el IHS y las Tribus contratadas y las Organizaciones de Salud Ind\u00edgenas Urbanas mantener sus operaciones. En respuesta al cierre, el senador Merkley se uni\u00f3 a 14 senadores para presentar la Ley de Asignaciones Anticipadas para Programas Indios<\/i> en 2019, que finalmente no fue aprobada por el Congreso antes del cierre de sesi\u00f3n.<\/p>\n
Adem\u00e1s de los cierres gubernamentales, las resoluciones continuas han planteado una serie de desaf\u00edos operativos para IHS, Tribes y Organizaciones de Salud Ind\u00edgenas Urbanas. Es administrativamente oneroso proporcionar una continuidad total de la atenci\u00f3n m\u00e9dica en a\u00f1os presupuestarios impredecibles, lo que ha llevado a los \u00faltimos esfuerzos para lograr que esta propuesta se apruebe y se convierta en ley.<\/p>\n
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Washington, D.C. – Today, Oregon’s U.S. Senator Jeff Merkley, Chairman of the Senate Interior Appropriations Subcommittee, announced a big win for Indian Country: the inclusion of his proposal to provide advance funding for the Indian Health Service (IHS) in the final fiscal year 2023 omnibus bill—guaranteeing health care services through the agency never stop during a lapse in government appropriations. “This […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[24],"tags":[],"class_list":["post-1827","post","type-post","status-publish","format-standard","hentry","category-press-releases"],"acf":[],"yoast_head":"\n
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