Document Type



The Indian Health Service has held a series of Roundtable Conferences on topics of significance to the policy and planning in the IHS. The IHS has used Roundtable Conferences as a means to retrieve information and consensus from leaders and experts in a particular field. This Roundtable on Health Care Reform is the second IHS-sponsored Roundtable on this topic. This document contains information in the following sections: 1) legal history of Federal responsibility to provide care; 2) Indian health care delivery system; 3) health care reform and Indian health; and 4) analysis of Health Care Security Act proposal. This Briefing Book is provided to Roundtable participants to aid in their preparation for and reference during the conference. A final report will be issued by the Indian Health Service that will include the consensus statements developed by participants in this second Roundtable Conference on Health Care Reform.

Publication Date



Indian Health Service, Staff Office of Planning, Evaluation and Research, Rockville, MD 20857.