Testimony from RADM Chris Buchanan on H.R. 1901, A Bill to Provide for the Conveyance of Certain Property to the Southeast Alaska Regional Health Consortium Located in Sitka, Alaska before House Committee on Natural Resources
RADM Chris Buchanan, R.E.H.S., M.P.H. Assistant Surgeon General, USPHS Acting Director, Indian Health Service U. S. Department of Health and Human Services
Chairman and Members of the Subcommittee:
Good afternoon, Chairman LaMalfa, Ranking Member Torres, and Members of the Committee. I am Chris Buchanan, an enrolled member of the Seminole Nation of Oklahoma and currently the Acting Director of the Indian Health Service (IHS). Prior to that I was the IHS Deputy Director, leading and overseeing IHS operations to ensure delivery of quality comprehensive health services. I am pleased to have the opportunity to provide a statement for the record to the House Committee on Natural Resources Subcommittee on Indian, Insular and Alaska Native Affairs on H.R. 1901, a bill to provide for the conveyance of certain property to the Southeast Alaska Regional Health Consortium located in Sitka, Alaska.
The IHS plays a unique role in the Department of Health and Human Services (HHS) because it was established to carry out the responsibilities, authorities, and functions of the United States to provide health care services to American Indians and Alaska Natives (AI/AN). The mission of the IHS, in partnership with American Indian and Alaska Native people, is to raise the physical, mental, social, and spiritual health of AI/ANs to the highest level. The IHS provides comprehensive health service delivery to approximately 2.2 million AI/ANs through
26 hospitals, 59 health centers, 32 health stations, and nine school health centers. Tribes also provide healthcare access through an additional 19 hospitals, 284 health centers, 163 Alaska Village Clinics, 79 health stations, and eight school health centers.
H.R. 1091 would provide for the conveyance by warranty deed of certain property located in Sitka, Alaska to the Southeast Alaska Regional Health Consortium.
Southeast Alaska Regional Health Consortium
The Southeast Alaska Regional Health Consortium (SEARHC) assumed responsibility for the provision of IHS-funded health care services in 1975 under the authority of the Indian Self-Determination and Education Assistance Act (ISDEAA). The Federal property described in H.R. 1901 is used in connection with health programs in Sitka, Alaska by the SEARHC. On November 17, 2016, SEARHC requested transfer of all Federal property located within the Mt. Edgecumbe Hospital campus, including land, buildings and appurtenances in Sitka, Alaska.
The IHS informed SEARHC of its intent to fulfill SEARHC’s request. In order to fulfill the request, the IHS further informed SEARHC of requirements that must be completed to execute the transfer including but not limited to: Phase I Environmental Site Assessment, environmental remediation of the property, HazMat survey of the buildings and historical consultation with the Alaska Department of Environmental Conservation (ADEC) and the Alaska State Historical Preservation Office (SHPO).
Due to on-going environmental remediation and consultation with ADEC and the Alaska SHPO, the parcels requested for transfer in H.R. 1901 are not currently ready to be transferred within 180 days as stipulated. However, it is anticipated that Lot 11B containing 10.68 acres identified by SEARHC for construction of a proposed health care facility may be ready for transfer by December 2017 at the earliest. If a warranty deed is executed under H.R. 1901 for these selected parcels, the IHS will continue to work with the SEARHC and the State of Alaska to complete environmental remediation on the remaining portion of land requiring remediation in accordance with the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (42 U.S.C. 9620(h)(3)). In addition, IHS will continue to work with the SHPO to fulfill its requirements under the National Historic Preservation Act (36 C.F.R. Part 800) for the transfer with an expected completion date of two years.
IHS supports the transfer as furthering the Government-to-Government relationship that exists with American Indian and Alaska Native tribal governments. It is important to emphasize that, as a normal practice, IHS does not transfer properties via the warranty deed mechanism.
We believe that reasons to use a warranty deed mechanism in future cases are limited. Traditionally, Alaska Tribes and Tribal Health Organizations (T/THO) have preferred to leave the title to facilities previously operated by the IHS with the Federal Government.
The majority of the health care facilities used by the Tribes in the other 35 States are located on tribally owned lands. This warranty deed transfer would be the sixth of its kind in Alaska. IHS recently issued five warranty deeds authorized by Congress to transfer parcels of land to the Maniilaq Association, Alaska Native Tribal Health Consortium, and Yukon Kuskokwim Health Corporation previously transferred through a quitclaim deed. On other numerous occasions, properties have been transferred to T/THOs through quitclaim deeds.
Although a warranty deed does not have a reversionary clause ensuring the property will continue to be used in support of Federal health programs, we think retrocession of IHS programs is unlikely. We can count only four retrocessions since the 1975 enactment of ISDEAA. Three were only small program components which have been re-assumed by the Tribes. None of these retrocessions were in the Alaska Area.
IHS believes there are technical issues with some of the bill’s language pertaining to environmental liability and the reversionary clause and would like the opportunity to work with the Committee to provide technical assistance on these matters.
Since 1975, SEARHC has managed the Mt. Edgecumbe Hospital Campus and provided excellent quality health care to approximately 13,000 IHS beneficiaries. Between now and the time SEARHC assumed management of the campus, the IHS did not undertake any activities that may have resulted in environmental contamination. However, the current language in H.R. 1901 will absolve SEARHC of any liability for environmental contamination during the period SEARHC controlled, occupied, and used the property. It does not include any provisions to absolve the agency of environmental liability during this period. This leaves the HHS responsible for contamination that may have been caused by SEARHC. The agency believes this could be rectified by including language to absolve the IHS of environmental liability subsequent to the time SEARHC controlled, occupied and used the property.
Mr. Chairman, this concludes my statement. Thank you.