U. S. Department of Justice Office of Justice Programs 810 Seventh Street, N. W. Washington, D. C. 20531 Janet Reno

– Indian Health Care Improvement Act

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1976 Indian Health Care Improvement Act - In 1954 Congress transferred the badly ailing Indian Health Services out of the BIA and into the Public Health Service. Improvement of the amount and quality of medical services available to Native Americans was the reason behind the transfer, and to a degree it has worked. But, as with the BIA, the IHS has had its share of problems regarding waste, mismanagement, and fraud. The Indian Health Care Improvement Act, as amended, established two broad goals for the IHS. First, to raise the health status of American Indians and Alaska Natives to the highest possible level, and second, to encourage the maximum participation of Indians in the planning and management of IHS services. It was only recently that IHS began preventative programs that truly focused on at-risk health care.

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