However, including Indian programs on the GAO High Risk list confirms what many in Indian Country have reported to this Committee; we must do better.

progress on closing GAO recommendations and service reports, with a renewed focus on improving quality of care, has not been enough to fix the accreditation issues at the Gallup Indian Medical Center.

I am committed to doing everything I can to address these issues head-on.

This news was particularly concerning for us to hear as many members of this Committee, including myself and Senator Cortez Masto, have repeatedly asked you at hearings about whether BIE is meeting student accountability reporting…

As this Committee is well aware, the Federal Government has trust and treaty obligations to provide vital services to American Indian and Alaska Native tribes.

IHS is taking a comprehensive and integrated approach towards creating an oversight capability at headquarters to improve the quality of care and patient safety.

We think it is critical that all Federal resources go where they need to be which is at these schools.

I know IHS faces an uphill battle when it comes to the age of its facilities.

Year after year, tribal communities report gaps in Federal programs.

I applaud IHS for the strides it has made since the first high risk hearing last May, but despite this progress, since then, two more federally-operated IHS facilities are reportedly at risk of losing their CMS accreditation. I am deeply…

They are very expansive claims, and I think a lot of us thought that the Libya opinion was about as aggressive and as expansive as one could be, and that was only topped last week with the one on Syria.

The traditional idea is that war at its base is an extension of politics.