HR3962 : Division D

So far, the contents of HR3962 have been absolutely insane. From the transition to the single payer system and federally funded abortions to the tight regulation of neighborhood obesity, restaurant menus, and vending machines, it’s been quite a ride.

This final section, Division D, pertains to Indian Health Care Improvement, but just wait until you see some of the items Nancy Pelosi and the gang feel will improve Indian health.

Section 3101 of HR3962 amends the Indian Health Care Improvement Act. In addition to numerous other sections, it also amends section 301, by stating,

Congress finds the following:

(1) The provision of sanitation facilities is primarily a health consideration and function.

(2) Indian people suffer an inordinately high incidence of disease, injury, and illness directly at attributable to the absence or inadequacy of sanitation facilities.

The bill states “sanitation facilities” several times in this section, and Congress reaffirms the primary responsibility and authority of the Service to provide the necessary sanitation facilities and services, yet they never really state which sanitation systems will be further regulated, and there is no mention about the authority of the local tribes that will be affected by this legislation. What if they have existing standards, infrastructure and systems? Shouldn’t they have some say about how these facilities will be serviced and monitored? Is clean drinking water part of the plan for these “sanitation facilities”?

In the previous post we saw the return of involuntary servitude and discrimination so it only makes sense that “Indian Health Care Improvement” would involve the taking of Indian land… again… right?

Notwithstanding any other provision of law, the Bureau of Indian Affairs and all other agencies and departments of the United States are authorized to transfer, at no cost, land and improvements to the Service for the provision of health care services. The Secretary is authorized to accept such land and improvements for such purposes.

Something tells me this isn’t going to go over well either. Health care services or not, they may take offense to the fact that the Secretary of Health and Human Services now has the right to take any land he/she wants as long as she justifies it in the name of improved health care.

This section continues to erode tribal sovereignty by assigning control of any and all grants and/or contracts between Tries and any health care, education, disease prevention, wild life preservation, land preservation, land purchases, and anything else covered by the Snyder Act.

Under authority of the Act of November 2, 1921 (25 U.S.C. 13) (commonly known as the ‘Snyder Act’), the Secretary, acting through the Service, shall enter into contracts with, or make grants to, urban Indian organizations to assist such organizations in the establishment and administration, within Urban Centers, of programs which meet the requirements set forth in this title. Subject to section 506, the Secretary, acting through the Service, shall include such conditions as the Secretary considers necessary to effect the purpose of this title in any contract into which the Secretary enters with, or in any grant the Secretary makes to, any urban Indian organization pursuant to this title.

For more information on this blatant encroachment of tribal sovereignty, make sure you read all of the pages from 1805 through 1877.

The bill authorizes the Secretary to decide what constitutes mental illness for the Indian community.

The purposes of this section are as follows:

(1) To authorize and direct the Secretary, acting through the Service, to develop a comprehensive behavioral health prevention and treatment program which emphasizes collaboration among alcohol and substance abuse, social services, and mental health programs.

(2) To provide information, direction, and guidance relating to mental illness and dysfunction and self-destructive behavior, including child abuse and family violence, to those Federal, tribal, State, and local agencies responsible for programs in Indian communities in areas of health care, education, social services, child and family welfare, alcohol and substance abuse, law enforcement, and judicial services.

and also provides for the conversion of existing hospital beds (for medical treatment) to be used in psychiatric wards as needed.

Mental Health Care Need Assessment- Not later than 1 year after the date of enactment of the Indian Health Care Improvement Act Amendments of 2009, the Secretary, acting through the Service, shall make an assessment of the need for inpatient mental health care among Indians and the availability and cost of inpatient mental health facilities which can meet such need. In making such assessment, the Secretary shall consider the possible conversion of existing, underused Service hospital beds into psychiatric units to meet such need.

Why would American Indians need more psychiatric beds anyway? Does the government know something we don’t or are they preparing for something bigger? When it comes to HR3962, it doesn’t get much bigger than this.

The bill makes reference to treatment programs specifically for women,

The Secretary, consistent with section 701, may make grants to Indian Tribes, Tribal Organizations, and urban Indian organizations to develop and implement a comprehensive behavioral health program of prevention, intervention, treatment, and relapse prevention services that specifically addresses the cultural, historical, social, and child care needs of Indian women, regardless of age.

funding for a Fetal Alcohol Disorder Task Force,

The Secretary shall establish a task force to be known as the Fetal Alcohol Disorder Task Force to advise the Secretary in carrying out subsection (b).

and the establishment of a Native American Health and Wellness Foundation.

As soon as practicable after the date of enactment of this title, the Secretary shall establish, under the laws of the District of Columbia and in accordance with this title, the Native American Health and Wellness Foundation.

And with that, I wrap up my quick summary of House Resolution 3962, Affordable Health Care for America Act.

Make sure you read the pertinent parts of this bill. It was a much tougher read than the previous bill, which I think was intentional on the part of Nancy Pelosi and the gang. Almost every provision of HR3962 makes an amendment to some other legislation or act which is already in place, so learning the true intention of many sections was quite painstaking.

I shudder to think what the final Senate version of the bill will look like, if we’re ever allowed to see it, and once the two are merged, it’s going to be completely ridiculous, I am sure.

That’s it for tonight, I’m going to sleep now.