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115th Congress    }                                  {   Rept. 115-619
                        HOUSE OF REPRESENTATIVES
 2d Session       }                                  {          Part 1




 April 5, 2018.--Committed to the Committee of the Whole House on the 
              State of the Union and ordered to be printed


Mr. Bishop of Utah, from the Committee on Natural Resources, submitted 
                             the following

                              R E P O R T

                         [To accompany S. 825]

      [Including cost estimate of the Congressional Budget Office]

    The Committee on Natural Resources, to whom was referred 
the bill (S. 825) to provide for the conveyance of certain 
property to the Southeast Alaska Regional Health Consortium 
located in Sitka, Alaska, and for other purposes, having 
considered the same, report favorably thereon without amendment 
and recommend that the bill do pass.

                          PURPOSE OF THE BILL

    The purpose of S. 825 is to provide for the conveyance of 
certain property to the Southeast Alaska Regional Health 
Consortium located in Sitka, Alaska.


    The Southeast Alaska Regional Health Consortium (SEARHC) is 
a non-profit consortium comprised of 18 Southeast Alaska Native 
communities, and is among the oldest and most expansive 
tribally-maintained healthcare organizations in the country. 
The service area is more than 35,000 square miles across the 
State of Alaska, with 28 community health clinic sites and one 
hospital to serve Alaska Natives.
    Founded in 1975, SEARHC began by assuming management of the 
Community Health Aide Program for Natives in Alaska through a 
compact with the Indian Health Service (IHS) under Title V of 
Indian Self-Determination Education Assistance Act (25 U.S.C. 
5304 et seq.). In 1982, SEARHC took control of the IHS Juneau 
clinic, and in 1986 it assumed responsibility over the Mt. 
Edgecumbe Hospital in Sitka, Alaska.
    The Mt. Edgecumbe Hospital is a 25-bed critical access 
hospital that was constructed during the latter half of World 
War II. As a hospital that served almost 47,000 outpatients in 
2016, the 67-year-old facility is in poor condition and in need 
of upgrading to more adequately provide better healthcare 
    Mt. Edgecumbe Hospital is located on a 19.07-acre parcel of 
land owned by the Department of Health and Human Services, but 
SEARHC runs and operates the hospital and the grounds. Without 
full and clear title to the land, SEARHC cannot make necessary 
    Although IHS is not opposed to the transfer and can 
transfer the land through a quitclaim deed, Congressional 
action is necessary to facilitate the transfer through a 
warranty deed. Because a warranty deed provides the guarantee 
to clear and full title, SEARHC can more easily secure private 
equity funding to make necessary improvements to the hospital 
campus than it can with property conveyed by a quitclaim deed.

                            COMMITTEE ACTION

    S. 825 was introduced on April 4, 2017, by Senator Lisa 
Murkowski (R-AK). The Senate passed the bill by unanimous 
consent on November 29, 2017. In the House of Representatives, 
the bill was referred to the Committee on Natural Resources and 
additionally to the Committee on Energy and Commerce. On 
December 12, 2017, the Natural Resources Committee met to 
consider the bill. No amendments were offered, and the bill was 
ordered favorably reported to the House of Representatives by 
unanimous consent on December 13, 2017.


    Regarding clause 2(b)(1) of rule X and clause 3(c)(1) of 
rule XIII of the Rules of the House of Representatives, the 
Committee on Natural Resources' oversight findings and 
recommendations are reflected in the body of this report.


    1. Cost of Legislation and the Congressional Budget Act. 
With respect to the requirements of clause 3(c)(2) and (3) of 
rule XIII of the Rules of the House of Representatives and 
sections 308(a) and 402 of the Congressional Budget Act of 
1974, the Committee has received the following estimate for the 
bill from the Director of the Congressional Budget Office:

                                     U.S. Congress,
                               Congressional Budget Office,
                                  Washington, DC, January 29, 2018.
Hon. Rob Bishop,
Chairman, Committee on Natural Resources,
House of Representatives, Washington, DC.
    Dear Mr. Chairman: The Congressional Budget Office has 
prepared the enclosed cost estimate for S. 825, the Southeast 
Alaska Regional Health Consortium Land Transfer Act of 2017.
    If you wish further details on this estimate, we will be 
pleased to provide them. The CBO staff contact is Robert 
                                                Keith Hall,

S. 825--Southeast Alaska Regional Health Consortium Land Transfer Act 
        of 2017

    S. 825 would authorize the Secretary of Health and Human 
Services (HHS) to convey a parcel of land in Sitka, Alaska, to 
the Southeast Alaska Regional Health Consortium (SARHC). The 
conveyances would be made by a warranty deed, which is a type 
of deed that guarantees a clear title to the new owner of the 
    The Indian Self-Determination and Education Act (ISDEAA) 
allows tribal entities to assume responsibility for providing 
health care services funded by the Indian Health Service (IHS). 
The SARHC is a non-profit health care consortium that operates 
facilities under the ISDEAA in 20 communities throughout 
Southeast Alaska. According to IHS, SARHC currently does not 
pay rent or any other remuneration to IHS for the use of the 
land to be transferred. Consequently, CBO estimates that 
enacting S. 825 would not have a significant effect on the 
federal budget.
    CBO estimates that enacting S. 825 would not affect direct 
spending or revenues, therefore, pay-as-you-go procedures do 
not apply.
    CBO estimates that enacting the S. 825 would not increase 
net direct spending or on-budget deficits in any of the four 
consecutive 10-year periods beginning in 2028.
    S. 825 contains no intergovernmental or private-sector 
mandates as defined in the Unfunded Mandates Reform Act.
    The CBO staff contact for this estimate is Robert Stewart. 
The estimate was approved by Theresa Gullo, Assistant Director 
for Budget Analysis.
    2. General Performance Goals and Objectives. As required by 
clause 3(c)(4) of rule XIII, the general performance goal or 
objective of this bill is to provide for the conveyance of 
certain property to the Southeast Alaska Regional Health 
Consortium located in Sitka, Alaska.

                           EARMARK STATEMENT

    This bill does not contain any Congressional earmarks, 
limited tax benefits, or limited tariff benefits as defined 
under clause 9(e), 9(f), and 9(g) of rule XXI of the Rules of 
the House of Representatives.

                    COMPLIANCE WITH PUBLIC LAW 104-4

    This bill contains no unfunded mandates.

                       COMPLIANCE WITH H. RES. 5

    Directed Rule Making. This bill does not contain any 
directed rule makings.
    Duplication of Existing Programs. This bill does not 
establish or reauthorize a program of the federal government 
known to be duplicative of another program. Such program was 
not included in any report from the Government Accountability 
Office to Congress pursuant to section 21 of Public Law 111-139 
or identified in the most recent Catalog of Federal Domestic 
Assistance published pursuant to the Federal Program 
Information Act (Public Law 95-220, as amended by Public Law 
98-169) as relating to other programs.


    This bill is not intended to preempt any State, local or 
tribal law.

                        CHANGES IN EXISTING LAW

    If enacted, this bill would make no changes to existing