Tribal Programs: Resource Constraints and Management Weaknesses Can Limit Federal Program Delivery to Tribes, Statement of Anna Maria Ortiz, Director, Natural Resources and Environment, Testimony Before the Subcommittee for Indigenous Peoples of the United States, House of Representatives [open pdf - 205KB]
From the Document: "As Congress affirmed in the Indian Trust Asset Reform Act, the United States has undertaken a unique trust responsibility to protect and support Indian tribes and Indians. Thus, federal agencies have many programs that provide services to tribes. However, in 2018, the U.S. Commission on Civil Rights found that, due to a variety of reasons--including historical discriminatory policies, insufficient resources, and inefficient federal program delivery--Native Americans continue to rank near the bottom of all Americans in terms of health, education, and employment. In February 2017 GAO [Government Accountability Office] designated federal management of programs that serve tribes in education, health care and energy as high risk. This designation is neither reflective of the performance of programs administered by tribes nor directed at tribal activities. This testimony, which is based on reports GAO issued from June 2015 through March 2019 primarily related to education, health care, and energy development, provides examples of (1) capacity and funding constraints and budget uncertainty and (2) management weaknesses that limit the effective delivery of federal programs for tribes and their members."
Government Accountability Office: http://www.gao.gov/