I would encourage you to ask the others who are going to testify today about what consultation has been in the past.

I would also like to thank the staff for this Committee, who toured the health facilities on the Colville Reservation last year and heard directly from our staff about the challenges they face in providing care to our members.

the state of Indian health care in South Dakota had fallen to emergency levels.

This bill, while important, I want to be clear is just a first step.

I told you that the state of Indian health care in South Dakota had fallen to emergency levels.

We need to get help to these people that are relying on this agency for health care, and they are failing them dramatically.

I am working hard to produce legislative solutions to this problem.

H.R. 2662 addresses several long-standing issues with the Indian Health Service (IHS) and would benefit the Colville Tribes and other tribes in many ways.

We have tried to work with IHS in the past, and that has failed, and that is why we are pushing to have these reforms put in place.

Today I can report to you that some progress has been made, but it's not enough, and it's not happening fast enough.

I do want to point out that we have increased funding for Indian health services over many, many years.

This is something that I have heard over and over, dozens and dozens of times through the years, that IHS has ignored many of the protocols.

to amend the Indian Health Care Improvement Act to improve the recruitment and retention of employees in the Indian Health Service, restore accountability in the Indian Health Service, improve health services, and for other purposes

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