Congressional Budget Office Cost Estimate: H.R. 5221, Urban Indian Health Confer Act [open pdf - 153KB]
This is the Congressional Budget Office (CBO) Cost Estimate as ordered reported by the House Committee on Natural Resources on October 13, 2021. From the Document: "H.R. 5221 would require the Secretary of Health and Human Services (HHS) to ensure that the Indian Health Service (IHS) and other agencies within HHS confer with Urban Indian Health Programs (UIHPs), to the maximum extent practicable, on matters relating to carrying out the Indian Health Care Improvement Act and other provisions of law relating to Indian health care. UIHPs are health care organizations that are grantees of IHS but are not considered federal entities nor part of the IHS system. There are currently 41 UIHP clinics that provide primary care services to a mix of Indian and non-Indian patients. CBO estimates that enacting H.R. 5221 would not affect direct spending or revenues and would have an insignificant effect on spending subject to appropriation for IHS and other agencies' staff to confer with representatives of UIHPs as needed."
Congressional Budget Office: https://www.cbo.gov/