Summary: S.1270 — 101st Congress (1989-1990)All Information (Except Text)

Bill summaries are authored by CRS.

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Passed House amended (10/22/1990)

Indian Health Care Amendments of 1990 - Title I: Mental Health Services - Amends the Indian Health Care Improvement Act to direct the Secretary of Health and Human Services (Secretary) to develop a National Plan for Indian Mental Health Services to include: (1) an assessment of the scope of the problem of mental illness and dysfunctional and self-destructive behavior, including child abuse and family violence, among Indian people; (2) an assessment of the existing and additional resources necessary to adequately support a program for the prevention and treatment of such illness and behavior; and (3) an estimate of the funding necessary to adequately support such program.

Requires the Secretary and the Secretary of the Interior to enter into a memorandum of agreement on how to implement such Plan.

Authorizes the Secretary to make grants to Indian tribes which adopt a resolution for the establishment of a Community Mental Health Plan to identify and coordinate available resources and programs to identify, prevent, or treat mental illness or dysfunctional and self-destructive behavior. Authorizes appropriations for FY 1991 and 1992.

Requires the Secretaries to compile a list of staff positions maintained by the Bureau of Indian Affairs and the Indian Health Service and similar positions maintained by Indian tribes the qualifications of which should include training relating to mental health problems. Authorizes appropriations for FY 1991 and 1992.

Directs the Secretary to develop a plan to increase the staff of the Service devoted to mental health care.

Authorizes appropriations to the Secretary for FY 1992 for recruitment and retention of mental health care personnel through bonuses, loan repayment, and postgraduate rotations.

Directs the Secretary to establish and maintain a Mental Health Technician program for the training and employment of Indians to provide community services as mental health technicians, including the utilization of traditional mental health care practices. Authorizes appropriations for FY 1992.

Authorizes appropriations for FY 1992 for the Secretary, acting through the Service, to conduct research on the incidence and prevalence of mental disorders among Indian populations on Indian reservations and in urban areas.

Requires the Secretary to assess: (1) the need for inpatient mental health care among Indian people; and (2) the availability and cost of inpatient mental health facilities which can meet such need.

Requires the Secretary to report annually to the Congress on the status of mental health programs for Indian people.

Authorizes appropriations for FY 1991 and 1992 for the Secretary to make grants to Indian tribes or inter-tribal consortia for 75 percent of the costs of planning, developing, and implementing programs to deliver mental health services to Indians.

Title II: Health Care Delivery - Directs the Secretary to enter into contracts with, or make grants to, Indian tribes or tribal organizations to carry out a Health Care Delivery Demonstration Project to test innovative health care delivery systems which can effectively and efficiently provide health facilities and services to Indians. Permits such projects to include the construction and renovation of hospitals and other health facilities.

Directs the Secretary to establish criteria for considering and approving applications. Authorizes the Secretary to provide for review panels to assist in such consideration.

Directs the Secretary to provide technical and other assistance to enable interested applicants to comply with this Act.

Requires the Secretary to report to Congress on the results of those projects. Authorizes appropriations for FY 1991 and 1992.

Title III: Urban Health Amendments - Amends the Indian Health Care Improvement Act to direct the Secretary of Health and Human Services, acting through the Indian Health Service, to provide to urban Indians through contracts with urban Indian health organizations: (1) health promotion and disease prevention services; (2) funding for immunization services; (3) child abuse (including sexual abuse) prevention services; and (4) mental health services. Authorizes appropriations for: (1) FY 1991 for the first two programs; and (2) FY 1991 and 1992 for the last two.

Requires the Secretary to report to the Congress on a survey assessment of facilities used by contractors. Authorizes appropriations for FY 1992 for the Secretary to fund minor renovations to facilities.

Directs the Secretary, through IHS, to report to the Congress on: (1) the health status of the urban Indians; (2) the services provided under this Act; and (3) areas of unmet need. Directs the Secretary and the Secretary of the Interior to report to the Congress on their assessment of the status of Indian child welfare in urban communities with recommendations on legislation to improve Indian child protection in such communities.

Establishes within the Office of Health Programs of IHS, as part of the Division of Clinical and Preventive Services, a Branch of Urban Health Programs.

Title IV: Miscellaneous - Amends the Indian Alcohol and Substance Abuse Prevention and Treatment Act of 1986 to provide for a residential youth treatment facility in Fairbanks, Alaska.