This report documents the activities of the Indian Health Service (IHS) pertaining to planning and negotiating compacts with tribes in the early stages of the Self-Governance Demonstration Project.This document is written primarily for those IHS employees who have been involved in Self-Governance (SG) negotiations from the Headquarters or Area levels. Topics covered in this report include: 1) Self-Governance Process; 2) Compacts and Annual Funding Agreements; 3) Policy Issues; 4) Residual Determination; 5) Baseline Measures, Reporting, and Evaluations; 6) Tribal Share Methodology; and 7) Property and Facilities. This report provides individuals knowledgeable about Self-Governance, with documentation to recapture and reexamine the IHS Self-Governance activities to date and to identify outstanding issues before the IHS prepares the first IHS Self-Governance report to Congress. It will serve as a reference tool as the IHS plans and negotiates with tribes for the 1995 compacts and funding agreements. It can also serve as a reference tool for those selected as permanent employees of the IHS Office of Tribal Self-Governance (OTSG). This report lists numerous tasks the IHS must undertake to resolve the issues outstanding for the 1994 compacts and to prepare for the 1995 negotiations. The recommendations include mostly procedural and policy matters but begin with the initial task of educating within the IHS to maintain employee morale and avoid dissemination of incorrect information. The IHS should use the demonstration phase of Self-Governance to resolve any outstanding issues because it is likely that Self-Governance will become a permanent way of doing business between the federal government and tribal government in the future.
Indian Health Service, Staff Office of Planning, Evaluation and Research, Rockville, MD 20857.
Kemper ER. Final report - Indian Health Service self-governance review through 1994 negotiations. Indian Health Service, Staff Office of Planning, Evaluation and Research, Rockville, MD 20857. 1994