Performance Improvement 2004. Tribal self-governance demonstration feasibility study


The study considered the following: (1) The probable effects on specific programs and program beneficiaries of a Self-Governance demonstration project. (2) Statutory, regulatory, or other impediments to the implementation of such a demonstration project; (3) Strategies for implementing such a demonstration project; (4) Probable costs or savings associated with such a demonstration project; (5) methods to assure quality and accountability in such a demonstration project; and (6) other issues determined by the Secretary or in consultation with Indian tribes. In 1970, President Nixon, in a “Special Message to Congress on Indian Affairs,” laid the foundation of a new federal policy to promote tribal self- determination. Since then, the policy of the federal government has been to promote tribal self- determination. The purpose of the study is to determine the feasibility of a self-governance demonstration project for appropriate programs, services, functions, and activities of the Department of Health and Human Services. In conducting the study, the Secretary consulted with tribes, States, counties, municipalities, program beneficiaries, and interested public interest groups. Separate and direct recommendations from the tribes and other entities with respect to the conclusions of the Secretary regarding a self-governance demonstration project are included in the final report. The study determined that a demonstration would likely have a positive effect on programs and program beneficiaries, although some problems may exist. In addition, stakeholders do not oppose a tribal self-governance demonstration if concerns are addressed. Finally, statutory changes would be needed to include a number of HHS programs in a demonstration. The report recommends that the Secretary authorize the addition of up to six additional programs during the course of the demonstration project and that programs targeted for a demonstration project be specifically designated in authorizing legislation.

PIC ID: 7798
Agency Sponsor: ASPE-OPPS, Office of Planning and Policy Support
Federal Contact: Rock, Andrew, 202-260-0398
Performer: Office of the Assistant Secretary for Planning and Evaluation, Washington, DC

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