[Senate Hearing 118-416]
[From the U.S. Government Publishing Office]







                                                        S. Hrg. 118-416
 
            S. 2385, S. 2796, S. 2868, S. 3022, AND S. 3230

=======================================================================

                                HEARING

                               before the

                      COMMITTEE ON INDIAN AFFAIRS
                          UNITED STATES SENATE

                    ONE HUNDRED EIGHTEENTH CONGRESS

                             SECOND SESSION

                               __________

                            FEBRUARY 8, 2024

                               __________

         Printed for the use of the Committee on Indian Affairs
         
         
         
         
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                                ______
	 
	              U.S. GOVERNMENT PUBLISHING OFFICE 
  56-846PDF                  WASHINGTON : 2024
	  

         
         
         
         


                      COMMITTEE ON INDIAN AFFAIRS
                      
                      
                     
                      
                      
                      
                      
                      
                      

                     BRIAN SCHATZ, Hawaii, Chairman
                 LISA MURKOWSKI, Alaska, Vice Chairman
MARIA CANTWELL, Washington           JOHN HOEVEN, North Dakota
JON TESTER, Montana                  STEVE DAINES, Montana
CATHERINE CORTEZ MASTO, Nevada       MARKWAYNE MULLIN, Oklahoma
TINA SMITH, Minnesota                MIKE ROUNDS, South Dakota
BEN RAY LUJAN, New Mexico
       Jennifer Romero, Majority Staff Director and Chief Counsel
                  Amber Ebarb, Minority Staff Director
                            C O N T E N T S

                              ----------                              
                                                                   Page
Hearing held on February 8, 2024.................................     1
Statement of Senator Bennett.....................................    17
Statement of Senator Cortez Masto................................     2
Statement of Senator Fischer.....................................    27
Statement of Senator Mullin......................................    19
Statement of Senator Murkowski...................................     3
Statement of Senator Schatz......................................     1
Statement of Senator Smith.......................................     3

                               Witnesses

Egorin, Hon. Melanie Anne, Ph.D., Assistant Secretary for 
  Legislation, Health and Human Services.........................     4
    Prepared statement...........................................     6
Heart, Hon. Manuel, Chairman, Ute Mountain Ute Tribe.............    13
    Prepared statement...........................................    15
Isom-Clause, Kathryn, Deputy Assistant Secretary, Indian Affairs, 
  Department of the Interior.....................................    10
    Prepared statement...........................................    11
Kitcheyan, Hon. Victoria, Chairwoman, Winnebago Tribe of Nebraska    28
    Prepared statement...........................................    29
Lankford, Hon. Douglas, Chief, Miami Tribe of Oklahoma...........    20
    Prepared statement...........................................    21
Larsen, Hon. Robert L., President, Lower Sioux Indian Community..    31
    Prepared statement...........................................    32
Wilson, Angie, Executive Director, Reno Sparks Indian Colony 
  Tribal Health Center...........................................    33
    Prepared statement...........................................    35

                                Appendix

Letters, submitted for the record by:............................
    American Rivers; National Audubon Society; The Nature 
      Conservancy; Theodore Roosevelt Conservation Partnership; 
      Trout Unlimited; and Western Resource Advocates............    48
    Clean Water for All Coalition................................    50
    Hon. Joni K. Ernst, U.S. Senator.............................    48
    Hon. Charles E. Grassley, U.S. Senator.......................    49
    Dr. Buu Nygren, President, Navajo Nation.....................    49
    VesselTM............................................. 51
Response to written questions submitted by Hon. Brian Schatz to:
    Hon. Melanie Anne Egorin.....................................    53
    Hon. Manuel Heart............................................    55
Thatte, Kabir, Vice President, Policy and External Affairs, 
  DigDeep, prepared statement....................................    41
U.S. Department of Agriculture (USDA), prepared statement........    46


            S. 2385, S. 2796, S. 2868, S. 3022, AND S. 3230

                              ----------                              


                       THURSDAY, FEBRUARY 8, 2024


                                       U.S. Senate,
                               Committee on Indian Affairs,
                                                    Washington, DC.
    The Committee met, pursuant to notice, at 10:31 a.m. in 
room 628, Dirksen Senate Office Building, Hon. Brian Schatz, 
Chairman of the Committee, presiding.

            OPENING STATEMENT OF HON. BRIAN SCHATZ, 
                    U.S. SENATOR FROM HAWAII

    The Chairman. Good morning. During today's legislative 
hearing, we will consider five bills, S. 2385, Tribal Access to 
Clean Water Act of 2023; S. 2796, a Bill to Provide for the 
Equitable Settlement of Certain Indian Land Disputes Regarding 
Land in Illinois and for Other Purposes; S. 2868, a Bill to 
Accept the Request to Revoke the Charter of Incorporation of 
the Lower Sioux Indian Community of the State of Minnesota at 
the Request of That Community and for Other Purposes; S. 3022, 
the IHS Workforce Parity Act of 2023; and S. 3230, the 
Winnebago Land Transfer Act of 2023.
    S. 2385 was introduced by Senator Bennett and has eight 
cosponsors. The bill would expand access to funding provided 
through the Infrastructure Bill for clean water across Indian 
Country. Specifically, it authorizes the U.S. Department of 
Agriculture to make loans and grants for technical assistance, 
authorize additional funding for technical assistance to 
existing Indian Health Service water facilities programs, and 
authorize funding for the Bureau of Reclamation's existing 
Native American Technical Assistance Program.
    S. 2796 was introduced by Senator Mullin. This bill would 
waive any statute of limitation and grant the United States 
Court of Federal Claims jurisdiction to decide a land claim of 
the Miami Tribe of Oklahoma arising under its 1805 Treaty of 
Grouseland with the United States. The bill would also 
extinguish any and all other claims the tribe, its members, 
descendants or predecessors in interest have to lands in 
Illinois, and a clear title to those lands.
    S. 2868 was introduced by Senators Smith and Klobuchar. 
This bill would revoke, at the request of the Lower Sioux 
Indian Community, the tribe's corporate charter under Section 
17 of the Indian Reorganization Act.
    S. 3022 was introduced by Senator Cortez Masto and Senator 
Mullin. This bill would permit the Indian Health Service 
scholarship and loan repayment assistance recipients to fulfill 
service obligations through half-time clinic practice.
    S. 3230 was introduced by Senator Fisher and has three 
cosponsors. This bill would transfer approximately 1,585 acres 
of land currently administered by the United States Army Corps 
of Engineers to the Bureau of Indian Affairs to be held in 
trust for the Winnebago Tribe of Nebraska as part of the 
tribe's reservation. The bill would prohibit gaming activities 
on these lands under the Indian Gaming Regulatory Act.
    Before I turn to the Vice Chair for her opening statement, 
I would like to extend my welcome and thanks to our witnesses 
for joining us today. I look forward to your testimony and our 
discussion.
    For the audience's and panelists' information, I think 
there are seven hearings happening at the exact same time, and 
a Republican Caucus meeting, which I am sure is going smoothly.
    [Laughter.]
    The Chairman. Now I will recognize Senator Cortez Masto to 
introduce her witness. Senator Cortez Masto?

           STATEMENT OF HON. CATHERINE CORTEZ MASTO, 
                    U.S. SENATOR FROM NEVADA

    Senator Cortez Masto. Thank you, Chairman. I am so pleased 
to be introducing Angie Wilson. Angie serves as the Tribal 
Health Director for the Reno Sparks Indian Colony in Reno, 
Nevada. It is the largest tribal health clinic in my State, 
having served more than 6,000 American Indians and Alaska 
Natives.
    Ms. Wilson is an enrolled member of the Pit River Tribe of 
Northern California and a descendant of the Klamath Tribe of 
Southern Oregon. Ms. Wilson's career has spanned nearly three 
years in tribal health administration. Apart from her 
directorship, she serves several tribal delegations, including 
the National CMS Tribal Technical Advisory Group, the 
California Area IHS Tribal Advisory Committee, and the Pit 
River Tribal Health Service Board of Directors.
    Over her career, Ms. Wilson has directed multi-award 
winning tribal health clinics and has received recognition from 
the National Indian health Board for her significant work in 
advocacy to strengthen quality health care initiatives and 
sustainability methodologies for American Indian and Alaska 
Native communities.
    I welcome Angie to this Committee and the hearing today. 
Thank you, Mr. Chair.
    The Chairman. Thank you, Senator Cortez Masto.
    Senator Smith, are you ready to introduce your witness? I 
know you just sat down.
    Senator Smith. I think I am ready, Mr. Chair, thank you 
very much. It is one of those mornings.
    The Chairman. I understand. If you want me to stall for 30 
seconds, I will do so.
    [Laughter.]

                 STATEMENT OF HON. TINA SMITH, 
                  U.S. SENATOR FROM MINNESOTA

    Senator Smith. Good morning. I want to thank Chair Schatz 
and Vice Chair Murkowski for holding this hearing today and 
also for including my bill to revoke the corporate charter of 
the Lower Sioux Indian Community at the request of the tribe.
    I also want to welcome President Larsen, ``Deuce'' Larsen, 
of Lower Sioux to the Committee. Deuce has served on the 
council for over a decade and is a tremendous leader for the 
tribe. I am honored to call Deuce my friend as well as my 
colleague. And I am very grateful that he is with us today to 
discuss the importance of this bill to the Lower Sioux.
    Mr. Chair, you know that the Indian Reorganization Act of 
1934 set about a new era of Federal Indian policy, one that 
allowed for self-determination and government-to-government 
relationships between tribal nations and the Federal 
Government. It also created these paternalistic and burdensome 
corporate charters under which tribes would theoretically be 
able to conduct their business activities.
    For Lower Sioux, this corporate charter limits transactions 
that they can make to $1,000 without the direct consent of the 
Secretary of the Interior. So $1,000, or you have to go to the 
Secretary of the Interior. It limits lease terms, corporate 
income and prohibits the sale of land held by the corporation.
    So the charter is outdated, and Lower Sioux is asking 
Congress to revoke it, and that is the purpose for the bill 
that we have here.
    I am grateful for the opportunity to have a hearing on this 
bill, and I welcome Deuce to the Committee, and welcome to all 
our panelists here today. It is great to be with you. Thank 
you.
    The Chairman. Thank you, Senator Smith. We will now 
recognize the Vice Chair for her opening statement.

               STATEMENT OF HON. LISA MURKOWSKI, 
                    U.S. SENATOR FROM ALASKA

    Senator Murkowski. Thank you, Mr. Chairman. My apologies 
for being late. We are bouncing in between three different 
hearings and a caucus meeting this morning. So it is a busy 
day.
    Thank you, and welcome to our witnesses. I appreciate your 
being here and the contribution you will provide to the 
Committee. I am going to keep my comments brief, as I know 
members will be speaking about their bills.
    I am pleased; this is a good range of issues that we have 
before the Committee today. Everything from promoting tribal 
economic development to hiring and retaining doctors at IHS to 
restoring tribal lands and settling outstanding tribal land 
claims.
    We also have legislation aimed at expanding access to water 
in Indian Country. I would just like to make a couple of short 
comments, because I have raised it so often in this Committee 
about the significance, the importance, the responsibility to 
deliver clean, affordable water to our Native communities.
    IHS estimates that one in ten Native Americans lacks access 
to water or indoor plumbing. This is 2024. So to know that that 
statistic is still one that so many are living with is really 
very troubling.
    I come from a place where we have families that have to 
haul or barge in their water. In some cases, river water is the 
only option. And as clean as we might want to think that is, it 
doesn't meet the Federal water quality standards. But it is 
truly one of our great public health challenges in rural Alaska 
and so many parts of the Country as well.
    We have made some progress through the Bipartisan 
Infrastructure Law in clearing the backlog of water and 
sanitation projects at IHS. Communities that have waited for 
decades to get piped water and sewer are finally getting 
connected, that is great.
    We had a hearing in September on the trust responsibility 
of providing full water and sanitation needs for those in our 
Native communities. Again, a recognition that the need is great 
and there is so much more that remains to be done.
    It is not only the construction side of it, but it is also 
the operation and the maintenance. So the Federal investment 
that is made as we seek to meet our trust obligations is so 
important.
    We have launched a GAO study to examine the operation and 
maintenance issue in greater detail. But I think it is pretty 
clear that the Federal Government has to start working with 
tribes now to address O&M before costs begin to compound in the 
coming years. So there is a lot to be done in that space, and I 
think the opportunity we have with leadership that is before 
the Committee now to help us address some of these challenges, 
raise them to the level of the legislation that is being 
considered today and then move to improve outcomes is good.
    Thank you for the opportunity, Mr. Chairman.
    The Chairman. Thank you very much, Vice Chair Murkowski.
    Now we will introduce the remainder of our panel. I will 
start with the Honorable Melanie Anne Egorin, the Assistant 
Secretary for Legislation, Health and Human Services at Health 
and Human Services. Ms. Kathryn Isom-Clause, the Deputy 
Assistant Secretary of Indian Affairs at the Department of 
Interior.
    The Honorable Manuel Heart, the President of the Ute 
Mountain Tribe in Colorado, welcome. The Honorable Douglas 
Lankford, Chief of the Miami Tribe of Oklahoma, Miami, 
Oklahoma. Thank you. The Honorable Victoria Kitcheyan, the 
Chairwoman of the Winnebago Tribe of Nebraska, Winnebago. We 
appreciate your being here.
    I will remind all of our witnesses that we have your full 
written testimony. Please keep it within five minutes, so that 
we have time for questions.
    We will start with Ms. Egorin. Please proceed with your 
testimony.

         STATEMENT OF HON. MELANIE ANNE EGORIN, Ph.D., 
 ASSISTANT SECRETARY FOR LEGISLATION, HEALTH AND HUMAN SERVICES

    Ms. Egorin. Good afternoon, Chairman Schatz, Vice Chair 
Murkowski, and members of the Committee. Thank you for the 
opportunity to provide testimony on two important legislative 
proposals, and for your continued support of the Department of 
Health and Human Services' efforts to improve health and well-
being for American Indians and Alaska Natives.
    Your consideration today of Senator Cortez Masto's Indian 
Health Service Workforce Parity Act and Senator Bennett's 
Tribal Access to Clean Water Act underscores the commitment to 
improving the quality of life in Indian Country.
    I am Melanie Anne Egorin, the Assistant Secretary for 
Legislation at HHS. My office serves as the primary link 
between the Department and Congress, providing technical 
assistance on legislation, facilitating informational briefings 
related to Department programs, and supporting the 
implementation of legislation passed by Congress.
    The Department has been pleased to collaborate with 
Congress and this Committee to investigate the many challenges 
facing Indian Country. HHS remains committed to working with 
Congress to improve health for tribal and Native communities, 
including finding solutions related to clean water access and 
IHS workforce shortages.
    The IHS, as a rural health care provider, experiences 
difficulty recruiting and retaining health care professionals. 
In particular, recruiting physicians and other primary care 
clinicians has been especially challenging. There are over 
1,800 current vacancies at IHS. Staffing shortages are 
particularly prevalent in the behavioral and mental health 
fields, which has only exacerbated the substance use crisis and 
suicide crisis that tribes across the Country are facing in 
their communities.
    Workforce challenges and the impacts on care that come from 
them are one of the top concerns raised to the Department by 
tribes. My staff and I have heard first-hand on our visits to 
the Oglala Sioux Tribe on the Pine Ridge Reservation in South 
Dakota and the Blackfeet Tribe in Montana. The Blackfeet Tribe 
shared that workforce shortages of over 40 percent at their 
hospitals and clinics greatly impacts the accessibility and 
quality of health care in their rural community.
    These experiences have been echoed by other tribes across 
the Nation to IHS, particularly during tribal consultation.
    The IHS continues to support new strategies to develop 
workforce and leverage advanced practice providers and 
paraprofessionals to improve the access and quality of health 
care in tribal communities, and ultimately the Indian Health 
Services needs additional authorities and resources to build 
our workforce pathway.
    That is why the President's budget has included a number of 
proposals that have sought to make IHS more competitive with 
other Federal agencies in our hiring process and reduce 
systemic barriers to recruitment and retention. The IHS 
Workforce Parity Act would allow recipients of IHS scholarships 
and loan programs to fulfill their service obligations through 
half-time clinical practice. This bill is certainly aligned 
with the goals of IHS in many respects.
    The President's budget includes a similar proposal that 
permits both IHS scholarship and loan repayment recipients to 
fulfill service obligations through half-time clinical practice 
over an extended period of time. This would increase the 
ability of IHS to recruit and retain health care clinicians and 
to provide primary care health and specialty services.
    This is one of many proposals in the President's budget 
that are budget-neutral, small fixes that have major impacts in 
the efficacy and quality of IHS. Specifically, IHS also seeks 
tax exemption for their health professional scholarship and 
loan repayment programs. Exempting this program would allow IHS 
to support an additional 190 providers in a given year.
    The agency is seeking discretionary use of all Title 38 
Personnel flexibilities to help pay higher salaries and offer 
more flexible time off to providers, permanent authority to 
hire and pay experts and consultants that would combat future 
pandemics and emergencies, and unique health care challenges by 
providing additional high level resources to IHS unavailable in 
the current workforce.
    The agency is also seeking legislative authority to conduct 
mission-critical emergency hiring beyond 30-day appointments to 
fill key positions.
    I want to reiterate that the Biden-Harris Administration 
agrees that water is a sacred resource and must be protected. 
The Administration and HHS have worked hard to begin to address 
decades of chronic underinvestment in infrastructure with 
tribal and Native communities.
    The bipartisan efforts of Congress, including many 
champions in this room, have helped to ensure critical funds 
for clean drinking water and modern water and sanitation 
systems were included in the Infrastructure Investment and Jobs 
Act. We are committed to ensure that these historic funds are 
implemented successfully, and that the dollars reach Indian 
Country as quickly as possible.
    That being said, too many tribal families still do not have 
access to clean water and reliable wastewater infrastructure. 
The Tribal Access to Clean Water Act aims to help expand HHS' 
role in providing access to reliable and clean water on tribal 
lands. HHS is still currently reviewing the language and 
implications of this bill, but that said, the Department would 
like to continue to work with the bill's sponsors and Committee 
to ensure compatibility with existing sanitation facility 
authorities and determine the best way to serve non-eligible 
homes and commercial properties located within tribal 
communities.
    Thank you again for the opportunity to testify today. Thank 
you, Senators Cortez Masto and Bennett, who have led these 
legislative efforts to fix systemic challenges in Indian 
Country. We look forward to continuing our work with Congress 
on these bills.
    As always, HHS is committed to working closely with tribal 
communities and our external partners and understand the 
importance of working together to address the needs of American 
Indians and Alaska Natives.
    [The prepared statement of Ms. Egorin follows:]

   Prepared Statement of Hon. Melanie Anne Egorin, Ph.D., Assistant 
          Secretary for Legislation, Health and Human Services
    Good afternoon, Chairman Schatz, Vice Chair Murkowski, and Members 
of the Committee. Thank you for the opportunity to provide testimony on 
two important legislative proposals before your Committee, and for your 
continued support for Department of Health and Human Services (HHS or 
Department) efforts to improve the health and well-being of American 
Indians and Alaska Natives (AI/AN). Your consideration today of Senator 
Cortez Masto's IHS Workforce Parity Act of 2023, and Senator Bennet's 
Tribal Access to Clean Water Act of 2023 underscores that commitment to 
improving the quality of life in Indian Country.
    I am Melanie Anne Egorin, the Assistant Secretary for Legislation 
(ASL) at HHS. My office serves as the primary link between the 
Department and Congress. The Office of the ASL provides technical 
assistance on legislation to Members of Congress and their staff, 
facilitates informational briefings relating to Department programs to 
support policy development by Congress, and supports implementation of 
legislation passed by Congress.
    The Department has been pleased to collaborate with Congress and 
this Committee to investigate the many challenges facing Indian 
Country. We have been engaged specifically in recent months as the 
Committee has examined issues with water access in Native communities, 
and operational challenges such as workforce recruitment and retention, 
and the direct and secondary impacts that the Indian Health Service has 
faced in combatting the growing fentanyl crisis. As both IHS Director 
Roselyn Tso and Deputy Director Benjamin Smith have respectively 
testified to this committee, we remain committed to working with 
Congress to improve health for AI/AN communities including finding 
solutions to challenges related to clean water access and workforce 
shortages. We are deeply appreciative of the work of Senators Cortez 
Masto and Bennet to draft legislation that aims to tackle some of these 
urgent problems in Indian Country.
    The IHS, as a rural health care provider, experiences difficulty 
recruiting and retaining health care professionals. In particular, 
recruiting physicians and other primary care clinicians has been 
especially challenging. There are currently over 1,856 IHS vacancies 
for health care professionals including: physicians, dentists, nurses, 
pharmacists, physician assistants, and nurse practitioners. Staffing 
shortages are particularly prevalent in the behavioral and mental 
health fields, which has only exacerbated the concurrent substance use 
crisis and suicide crisis that tribes across the country are facing in 
their communities. AI/ANs overdose mortality rates and suicide rates 
remain the highest compared to other racial and ethnic groups.
    Workforce challenges--and the impacts on care that come with them--
are one of the top concerns raised to the Department by tribes. The IHS 
continues to support new strategies to develop the workforce and 
leverage advanced practice providers and paraprofessionals to improve 
the access to quality care in AI/AN communities. Ultimately, the Indian 
Health Service needs additional authorities and resources to build out 
their workforce pipeline. That is why the President's budget has 
included a number of proposals dating back to Fiscal Year 2019 that 
have sought to make the IHS more competitive with other federal 
agencies in their hiring process and reduce systemic barriers to 
recruitment and retention. HHS looks forward to working with Congress 
on policy solutions to this effect, several of which are outlined 
below.
    I want to also reiterate that the Biden-Harris Administration 
agrees that water is a sacred resource that must be protected. The 
Administration and HHS have worked hard to make good on decades of 
chronic underinvestment in infrastructure for AI/AN communities. The 
bipartisan efforts of Congress--including many champions in this room--
helped to ensure that critical funds for clean drinking water and 
modern wastewater and sanitation systems were included in the 
Infrastructure Investment and Jobs Act (IIJA). The Department of Health 
and Human Services and the IHS are grateful for this partnership with 
Congress, and our shared commitment to ensure that this historic 
funding is implemented successfully and that these dollars reach Indian 
Country as quickly as possible. That being said, too many tribal 
families still do not have access to clean water and reliable 
wastewater infrastructure.
S. 3022, IHS Workforce Parity Act of 2023
    The IHS Workforce Parity Act, would amend the Indian Health Care 
Improvement Act to allow recipients of the IHS scholarship and loan 
programs to fulfill their service obligations through half-time 
clinical practice.
    Under current law, the Indian Health Care Improvement Act requires 
recipients of IHS Health Professions Scholarships or loan repayments to 
provide clinical services on a full-time basis. The Public Health 
Service Act (PHSA) was amended by the Patient Protection and Affordable 
Care Act (ACA) to permit certain National Health Service Corps (NHSC) 
loan repayment and scholarship recipients to satisfy their service 
obligations through half-time clinical practice for double the amount 
of service time or, for NHSC loan repayment recipients, to accept half 
the loan repayment award amount in exchange for a two-year service 
obligation fulfilled on a half-time basis. The PHSA defines ``full-
time'' clinical practice as a minimum of 40 hours per week, for a 
minimum of 45 weeks per year. It also defines ``half-time'' as a 
minimum of 20 hours per week, for a minimum of 45 weeks per year.
    The Indian Health Care Improvement Act would permit both IHS Health 
Professions Scholarship and loan repayment recipients to fulfill 
service obligations through half-time clinical practice, under 
authority similar to that now available to the NHSC Loan Repayment 
Program (LRP) and Scholarship Program. Thus, if similar authority 
provided in section 331(i) of the PHSA were extended to IHS, IHS loan 
repayment and scholarship recipients would have more options and 
flexibility to satisfy their service obligations through half-time 
clinical work for double the amount of service time or to accept half 
the amount of loan repayment award in exchange for a two-year service 
obligation. This legislative change would create parity between IHS and 
the NHSC programs and enable IHS to make better use of these tools to 
recruit and retain key professionals in a highly competitive 
environment.
    S. 3022 as drafted attempts to model the language used in the NHSC 
demonstration language. It should be noted, however, that the NHSC 
language combines the two programs--Scholarship and LRP--in their 
language whereas S. 3022 separates Scholarship and LRP. Additionally, 
IHS is still examining how the text in S. 3022 might apply to the IHS 
Health Professions Scholarship, a tool that plays a significant role in 
the recruitment and retention of the health care professionals needed 
to fill workforce vacancies. Lastly, the NHSC language goes further in 
that the recipient has to agree to the conversion to full-time 
equivalents in determining damages if a breach occurs. IHS would like 
to work with the drafters of S. 3022 to ensure the language fits within 
the IHS Scholarship and Loan Repayment Program.
    The IHS Workforce Parity Act is certainly aligned with the goals of 
the IHS in many respects. The Fiscal Year (FY) 2024 President's Budget 
includes a similar proposal to permit both IHS scholarship and loan 
repayment recipients to fulfill service obligations through half-time 
clinical practice. The ability to provide scholarship and loan 
repayment awards for half-time clinical service would make these 
recruitment and retention tools more flexible and cost-effective, 
providing incentives for an additional pool of clinicians and other 
medical providers that otherwise may not consider a commitment to the 
IHS federal, tribal, and urban Indian sites. Having similar authority 
as the NHSC would increase the ability of the IHS to recruit and retain 
health care clinicians to provide primary health care and specialty 
services and otherwise support the IHS and HHS priorities.
    Additional half-time direct care employees could also reduce the 
number and cost of Purchased/Referred Care program referrals, 
especially at sites that do not need full-time specialty care services. 
There are also a number of smaller rural IHS sites where clinicians 
will be able to provide a minimum of half-time clinical services with 
the remainder of their time devoted to much needed administrative/
management responsibilities. This proposal will provide flexibility for 
providers who might not otherwise consider service in the IHS by 
allowing part-time practice in IHS to coincide with a part-time private 
practice, as well as part-time practice in the IHS combined with part-
time administrative duties within the IHS.
Human Resources Proposals
    As the IHS continues to prioritize recruitment and retention of 
providers in our system, we would encourage members of this Committee 
to review other proposals in the FY 2024 President's Budget that would 
better enable the IHS to attract top talent. Many of these proposals 
are budget neutral--small fixes that would have a major impact on the 
efficacy and quality of the IHS.
    For example, the IHS seeks a tax exemption for Indian Health 
Service Health Professions Scholarship and Loan Repayment Programs. 
Exempting the IHS Loan Repayment Program would allow the IHS to award 
an additional 190 loan repayment contracts in a given year. Thus, the 
IHS would be better able to increase the number of health care 
providers entering and remaining within the IHS to provide primary 
health care and specialty services.
    The agency is also seeking the discretionary use of all Title 38 
Personnel authorities that are currently available to the Veterans 
Health Administration to pay higher salaries and offer more flexible 
time off to their providers. Typically, the private sector can offer 
candidates better scheduling options and paid time off--particularly 
important benefits to providers who serve in remote and rural 
locations. The VHA has demonstrated the impact of these authorities on 
public sector's ability to hire for these critical roles, particularly 
in rural areas. As such, the IHS faces specific public sector 
competition in the area of annual leave accrual. Supervisors report 
anecdotally that the IHS has lost many candidates to the private sector 
and VHA due to this difference in accrual rates.
    The IHS also seeks permanent authority to hire and pay experts and 
consultants. Hiring experts and consultants is another tool IHS can use 
to strengthen its workforce and better serve the AI/AN population. 
These highly specialized individuals can bring added skills, knowledge, 
and expertise to meet mission-critical tasks. To combat future 
pandemics, emergencies, and unique health-care challenges, it would be 
beneficial to hire experts and consultants to provide additional high-
level resources to the IHS unavailable within the current workforce.
    Additionally, the IHS seeks legislative authority to conduct 
mission critical emergency hiring needs beyond 30-day appointments. 
Critical hiring occurs when an agency needs to fill positions to meet 
agency requirements brought on by natural disasters, emergencies, or 
threats. The IHS has previously used this hiring authority to fill 
positions in nursing, facility management, radiology, and many other 
critical areas to ensure the operation of IHS facilities and quality 
patient care. Lengthening emergency hire appointments from 30 to 60 
days would better enable the IHS to effectively provide services and 
staff health care facilities from both an operational and budgetary 
perspective. The effort to hire, onboard, and vet candidates through 
the pre-clearance and background investigation process is significant, 
reducing the benefit of this hiring tool.
S. 2385, Tribal Access to Clean Water Act of 2023
    The Tribal Access to Clean Water Act (S. 2385) aims to expand HHS' 
role in providing access to reliable, clean, and drinkable water on 
tribal lands. While this legislation has cross cutting implications for 
multiple federal agencies, I will focus on the provisions that pertain 
to HHS and IHS' Sanitation Facilities Construction Program.
    The IHS is required by statute to maintain an inventory of 
sanitation deficiencies for existing Indian homes and communities, to 
prioritize those deficiencies, and to annually report those 
deficiencies to Congress. Since 1989, the IHS has annually reported 
these needs to Congress in the form of projects, which are currently 
catalogued in the Sanitation Deficiency System (SDS). Projects are 
identified by the facilities to be provided, the cost of those 
facilities, and the number of homes to be served by the facilities. 
Funding for projects is distributed to the IHS Areas based on an 
allocation formula that takes into account the relative needs 
identified in each IHS Area's SDS inventory. The Sanitation Facilities 
Construction (SFC) program employs a cooperative approach for planning, 
designing, and constructing sanitation facilities serving American 
Indian and Alaska Native communities. Each project is initiated at the 
request of a Tribe or Tribal Organization, and coordination is 
maintained throughout project planning, design, and construction.
    IHS is currently still reviewing the language and implications of 
S.2385. The bill would amend current law related to the ``Indian homes, 
communities, and lands'' for which the Secretary has authority to 
construct, improve, extend, or otherwise provide and maintain essential 
sanitation facilities, to include community structures that are 
essential to the life of a AI/AN community. These community structures 
are further defined as facilities that provide indispensable 
educational, economic, and community services, such as schools, 
hospitals, nursing homes, teachers' homes, tribal offices, and post 
offices. The bill would also authorize funds to construct, improve, or 
maintain essential sanitation facilities, including domestic and 
community water supplies and facilities, drainage facilities, and 
sewage-disposal and waste-disposal facilities, for community 
structures. Finally, the Tribal Access to Clean Water Act would 
authorize the Secretary to provide financial assistance for the 
operation and maintenance of water facilities serving AI/AN 
communities. It includes language that would prioritize funding awards 
for the maintenance of water facilities in order of the facilities that 
are in the most need of assistance.
    I do want to highlight that this bill appears to be in conflict 
with the current IHS authority. Statute currently authorizes IHS to 
provide necessary water and sewer for ``Indian homes, communities, and 
lands'' Under existing law, the phrase Indian homes, communities, and 
lands is undefined. IHS has interpreted this authorization as being 
related to the provision of services to AI/AN and generally barring the 
use of SFC project funds for commercial establishments and facilities 
associated with non-Indians. IHS policy reflects this interpretation by 
requiring Indian communities to identify matching funds to be used in 
IHS-funded projects to cover the cost of these ineligible facilities. 
The draft legislation would provide a definition for ``Indian homes, 
communities, and lands'' that is inconsistent with the current IHS 
policy and potentially inconsistent with statutory mandates regarding 
the provision of services by IHS to non-Indians. This new definition 
could cause the IHS challenges in the orderly administration of the 
program in the form of final offers or Title I proposals seeking to 
compel allocations of IHS's appropriation in ways that depart from the 
current formula-based approach, which treats all Tribes equally, 
focuses only on IHS beneficiaries, and does not subsidize commercial 
establishments.
    The IHS would like to work with the bill sponsors and the Committee 
to determine how best to serve the non-eligible homes and commercial 
properties, including those listed in this bill, that are located 
within tribal Communities. The IHS would also like to continue to work 
with the drafters of S. 2385 to ensure compatibility with the IHS 
Sanitation Facilities Construction Program's existing authorities.
    Thank you again for the opportunity to testify today, and thanks to 
Senators Cortez Masto and Bennet, who have led these legislative 
efforts to fix systemic challenges in Indian Country. We look forward 
to continuing our work with Congress on these bills and as always, 
welcome the opportunity to provide technical assistance as requested by 
the Committee or its Members. HHS is committed to working closely with 
tribal communities and other external partners and understands the 
importance of working together to address the needs of American Indians 
and Alaska Natives.

    The Chairman. Thank you very much.
    Ms. Isom-Clause, please proceed.

 STATEMENT OF KATHRYN ISOM-CLAUSE, DEPUTY ASSISTANT SECRETARY, 
               INDIAN AFFAIRS, DEPARTMENT OF THE 
                            INTERIOR

    Ms. Isom-Clause. Thank you. Good morning, Chairman Schatz, 
Vice Chair Murkowski and members of the Committee. My name is 
Kathryn Isom-Clause. I am Taos Pueblo, and I am the Deputy 
Assistant Secretary for Policy and Economic Development for 
Indian Affairs at the Department of the Interior.
    Thank you for the opportunity to present testimony on four 
bills before the Committee today.
    The Biden Administration recognizes that water is essential 
for people to lead healthy, safe, and fulfilling lives on 
tribal lands. Water is among the most sacred and valuable 
resources for tribal nations.
    The Tribal Access to Clean Water Act of 2023 seeks to help 
fund water infrastructure projects in tribal communities by 
increasing funding, including $90 million over five years for 
the Bureau of Reclamation's Native American Affairs Technical 
Assistance Program, or TAP. TAP provides technical assistance 
to tribes to develop, manage, and protect their water and 
related resources.
    The program has supported a broad range of activities 
including water needs assessments, improved water management 
studies, water quality data collection and assessments, and 
water measurement studies.
    Work under TAP is carried out in different ways, sometimes 
by Reclamation under cooperative agreements, working 
relationships with tribes. Other times, tribes carry out the 
work themselves. Alternatively, Reclamation may provide 
training to enhance tribal members' knowledge and expertise in 
the use, protection, and development of water resources.
    The Department is committed to further developing this 
program in the coming years, including with the Fiscal Year 
2024 President's budget request of $23.5 million. We appreciate 
the interest and support of the sponsors of S. 2385 in TAP and 
as partners in efforts to address the longstanding water crises 
that continue to undermine public health and economic 
development in Indian Country.
    Next up is S. 2868. The Lower Sioux Indian Community is a 
federally recognized Indian tribe organized under a 
constitutional and bylaws adopted by the community's membership 
in 1936, pursuant to Section 16 of the Indian Reorganization 
Act, or IRA. In 1937, the community was issued and ratified a 
corporate charter pursuant to Section 17 of the IRA.
    In a November 2021 resolution, the community stated that it 
has not used the charter since ratification in 1937, and it 
serves no function. The IRA requires that any charter so issued 
shall not be revoked or surrendered except by act of Congress. 
S. 2868, at the request of the community, would revoke the 
charter.
    Consistent with the Administration's support for tribal 
self-determination and self-governance, the Department believes 
that the decision of whether to maintain or revoke such a 
charter shall ultimately be the community's, and therefore 
supports S. 2868.
    S. 2796 would confer jurisdiction to the United States 
Court of Federal Claims to hear, determine, and render judgment 
regarding the Miami Tribe of Oklahoma's land claims under the 
Treaty of Grouseland, and would remove legal or equitable 
defenses based on the passage of time, including the statute of 
the limitations.
    The jurisdiction conferred to the United States Court of 
Federal claims expires unless a claim is filed under paragraph 
(1) of S. 2796 by the tribe within one year of enactment of the 
legislation. The bill extinguishes all other claims to title of 
the Miami Tribe of Oklahoma or any member, descendant, or 
predecessor in interest to the Miami Tribe of Oklahoma to land 
in the State of Illinois.
    The Department needs to better understand the claims by the 
Miami Tribe of Oklahoma and the impacts of this legislation and 
any remedy sought by the tribe. The Department therefore takes 
no position on the legislation at this time.
    Finally, S. 3230. The Winnebago Reservation was established 
by the treaty of March 8th, 1865, in exchange for cession of 
the Winnebago Tribe's lands in the Dakota Territory. However, 
in the 1970s, the tracts identified in S. 3230 were acquired by 
the U.S. Army Corps of Engineers. S. 3230 would transfer the 
identified lands from the Army Corps of Engineers to the United 
States to be held in trust for the benefit of the Winnebago 
Tribe.
    The Department of the Interior supports S. 3230. This bill 
is in line with the Administration's commitment to honor treaty 
rights, respect tribal sovereignty and support the right of 
tribal governments to acquire land in trust in furtherance of 
their self-determination.
    Chairman Schatz, Vice Chair Murkowski, members of the 
Committee, thank you for the opportunity to provide the 
Department's views.
    [The prepared statement of Ms. Isom-Clause follows:]

Prepared Statement of Kathryn Isom-Clause, Deputy Assistant Secretary, 
               Indian Affairs, Department of the Interior
    Good morning, Chairman Schatz, Vice Chairman Murkowski, and members 
of the Committee. My name is Kathryn Isom-Clause and I am the Deputy 
Assistant Secretary for Policy and Economic Development for Indian 
Affairs at the Department of the Interior (Department). Thank you for 
the opportunity to present testimony on S. 2385, Tribal Access to Clean 
Water Act of 2023; S. 2868, A bill to accept the request to revoke the 
charter of incorporation of the Lower Sioux Indian Community in the 
State of Minnesota at the request of that Community, and for other 
purposes; S.2796, A bill to provide for the equitable settlement of 
certain Indian land disputes regarding land in Illinois, and for other 
purposes; and S. 3230, Winnebago Land Transfer Act.
S. 2385, Tribal Access to Clean Water Act of 2023
    The Biden Administration recognizes that water is essential for 
people to lead healthy, safe, and fulfilling lives on Tribal lands. 
Water is among the most sacred and valuable resources for Tribal 
nations. The Administration further recognizes that long-standing water 
crises continue to undermine public health and economic development in 
Indian Country.
    The Tribal Access to Clean Water Act of 2023 seeks to help fund 
water infrastructure projects in Tribal communities and provide clean 
water to Native American households who currently lack access by 
increasing funding through the Indian Health Service, Bureau of 
Reclamation (BOR), and the United States Department of Agriculture. The 
bill provides $90 million over five years for the BOR's Native American 
Affairs Technical Assistance Program (TAP).
    TAP provides technical assistance to Indian Tribes to develop, 
manage, and protect their water and related resources. The program has 
supported a broad range of activities in each year since its inception 
in the early 1990s. Such activities have included water needs 
assessments, improved water management studies, water quality data 
collection and assessments, and water measurement studies. In FY 2022 
and FY 2023, TAP received approximately $8 million in each fiscal year, 
which was a significant increase from the $3-5 million received 
annually from FY 2018 to FY 2021.
    Work under TAP is carried out in different ways. Sometimes the work 
is performed by the BOR under cooperative working relationships with 
Indian Tribes, which provide the Tribes with opportunities to benefit 
from BOR's technical expertise and resources. Other times, the work is 
carried out by Indian Tribes. Alternatively, assistance may be provided 
in the form of training to enhance Tribal members' knowledge and 
expertise in the use, protection, and development of water resources. 
Work may also be carried out in partnership with other governmental or 
non-governmental entities, thereby enabling assistance provided to 
Tribes with greater efficiency.
    The Department is committed to further developing this program in 
the coming years, including with the FY 2024 President's budget request 
of $23.5 million. We appreciate the interest and support of the 
sponsors of S. 2385 in TAP.
S. 2868, A bill to accept the request to revoke the charter of 
        incorporation of the Lower Sioux Indian Community in the State 
        of Minnesota at the request of that Community, and for other 
        purposes
    The Lower Sioux Indian Community (Community) is a federally 
recognized Indian Tribe organized under a Constitution and Bylaws 
adopted by the Communities membership on May 16, 1936, pursuant to 
Section 16 of the Indian Reorganization Act (IRA) under which it 
organizes its businesses. On July 17, 1937, the Community was issued 
and ratified a corporate charter (Charter) pursuant to Section 17 of 
the IRA. The IRA requires that, ``Any charter so issued shall not be 
revoked or surrendered except by Act of Congress,'' (25 U.S.C.  5124). 
S. 2868, at the request of the Community, would revoke the Charter.
    In a November 2021 resolution, the Community stated that it has not 
used the Charter since ratification in 1937 and it serves no function. 
The Department, consistent with the Administration's support for Tribal 
self-determination and self-governance, believes that the decision 
whether to maintain or revoke such a charter ultimately should be the 
Community's and therefore supports S. 2868.
S. 2796, A bill to provide for the equitable settlement of certain 
        Indian land disputes regarding land in Illinois, and for other 
        purposes
    S. 2796 would confer jurisdiction to the United States Court of 
Federal Claims to hear, determine, and render judgment regarding the 
Miami Tribe of Oklahoma's land claims under the Treaty of Grouseland (7 
Stat. 91), signed August 21, 1805, and would remove legal or equitable 
defenses based on the passage of time, including the statute of 
limitations. The jurisdiction conferred to the United States Court of 
Federal Claims expires unless a claim is filed under paragraph (1) of 
S. 2796 by the Miami Tribe of Oklahoma within one year of enactment of 
this legislation. The bill extinguishes all other claims to title of 
the Miami Tribe of Oklahoma, or any member, descendant, or predecessor 
in interest to the Miami Tribe of Oklahoma to land in the State of 
Illinois.
    The Department needs to better understand the claims by the Miami 
Tribe of Oklahoma and the impacts of this legislation on those claims 
and any remedy sought by the Tribe. The Department therefore takes no 
position on the legislation at this time.
S. 3230, Winnebago Land Transfer Act
    S. 3230, the Winnebago Land Transfer Act of 2023, would transfer 
administrative jurisdiction of certain federal lands from the Army 
Corps of Engineers to the Bureau of Indian Affairs, to take such lands 
into trust for the Winnebago Tribe of Nebraska (Winnebago Tribe). S. 
3230 would apply to lands on the east side of the Missouri River, 
located within Woodbury County and Monona County, Iowa-specifically, a 
portion of Tract No. 119, all of Tract 210, and all of Tract 113. Lands 
placed into trust by this legislation will not be eligible for Class II 
and III gaming under the Indian Gaming Regulatory Act (25 U.S.C. 2701 
et seq.).
    The Winnebago Reservation was established by the Treaty of March 8, 
1865, in exchange for cession of the Winnebago Tribe's lands in the 
Dakota Territory. The Treaty of 1865 designated that the Winnebago 
Reservation would be set apart for the occupation and future home of 
the Winnebago Indians, forever. However, in the 1970s, the tracts 
identified in S. 3230 were acquired by the U.S. Army Corps of Engineers 
through an erroneous condemnation action and eminent domain. S. 3230 
would rightfully restore the Winnebago Reservation boundaries, insofar 
as the tracts identified are concerned, and would be in keeping with 
the United States' promise to the Winnebago Tribe in the Treaty of 
March 8, 1865.
    The Department of the Interior supports S. 3230. This bill is in 
line with the Administration's commitment to honor treaty rights, 
respect Tribal sovereignty, and support the right of Tribal governments 
to acquire land in trust in furtherance of their self-determination.
Conclusion
    Chairman Schatz, Vice Chairman Murkowski, and Members of the 
Committee, thank you for the opportunity to provide the Department's 
views.

    The Chairman. Thank you very much.
    Chairman Heart, welcome, and please proceed with your 
testimony.

  STATEMENT OF HON. MANUEL HEART, CHAIRMAN, UTE MOUNTAIN UTE 
                             TRIBE

    Mr. Heart. Thank you, Chairman Schatz. On behalf of the Ute 
Mountain Ute Tribe, thank you for the opportunity to provide 
testimony on S. 2385, the Tribal Access to Clean Water Act of 
2023.
    One of the most significant issues facing the tribe today 
is access to reliable, clean drinking water. Without reliable, 
clean drinking water, the Ute Mountain Ute people cannot 
sustain their sovereign right to self-sufficiency and to self-
government. The funding made available through the Tribal 
Access to Clean Water Act of 2023 is crucial to ensuring the 
tribe has access to reliable, clean drinking water and is a 
necessary first step to meeting the United States treaty 
obligation and trust responsibility to Ute Mountain Ute people.
    Despite our tribe's contemporary success in developing 
irrigation systems and award-winning farming operations, it is 
still the case, 101 years after making these comments, that the 
Ute Mountain Ute people remain without Federal support for 
adequate supply of water. I am here today to remind the United 
States of its obligations once again to the Ute Mountain Ute 
people, and to collect on the promise made long ago to Chief 
Ignacio and all the Ute Mountain Utes.
    The Ute Mountain Utes' sovereign lands are in the States of 
Colorado, New Mexico, and Utah, magnifying the issues of access 
to clean water three-fold. The tribe faces unique issues 
related to access of a reliable clean water source of drinking 
water on its reservation lands in each of those States.
    I would like to address two of the States' access to clean 
water, in Utah and in Colorado. Although the three negotiations 
and settlements claims for its Federal reserve rights in 
Colorado in 2000, the tribe remains unable to access critical 
water resources due to lack of water infrastructure, 24 years 
later.
    As you may know, the Colorado Ute Settlement Act of 2000 
guaranteed the Ute people 16,525 acre-feet of water from the 
Animas-La Plata project, ALP, at Lake Nighthorse. However, year 
after year, the tribe has been unable to access its water due 
to the lack of water infrastructure connecting the ALP project 
to the tribe's reservation lands.
    Although the tribe has spent significant time and resources 
to develop access to its water and ALP, the tribe cannot do 
without financial assistance from the Federal Government. The 
funding that would be able to be available as part of Senate 
Bill 2385 both for technical assistance and for the 
development, use and control of water and the installation of 
essential community facilities and necessary related equipment 
is crucial for the advancement for the Federal Government's 
treaty obligation and trust responsibility to the Ute Mountain 
Ute people.
    Today, we have 16,000 acre-feet of water that we have no 
access to and that we have no infrastructure in place. We are 
not even compensated for it. Yet it sits there decade after 
decade.
    Access to clean water in Utah. Access to reliable clean 
drinking water is a concern for all the tribe's lands, but 
perhaps none more so than in Utah. As previously mentioned, the 
tribe has non-contiguous reservation lands in southeastern 
Utah, separate from its reservation lands in southwestern 
Colorado and New Mexico.
    White Mesa is the primary tribal community in the Utah 
portion of the tribe's lands. The tribe and individual tribal 
citizens also hold trust along the lands along the west and 
east of White Mesa along Cottonwood Canyon. The current source 
of water for the majority of the use for the White Mesa 
Community is a deep-water aquifer.
    The White Mesa Uranium Mill is located approximately 2.5 
miles north of the White Mesa Tribal Community. It is the only 
conventional uranium mill still in operation in the United 
States. The tribe and its tribal citizens are very concerned 
about the potential for the mill to infiltrate and contaminate 
the aquifer relied upon by the tribe for its water supply.
    The tribe has spent significant funds to build a water 
treatment and testing facility in White Mesa. However, the 
tribal community is afraid of drinking contaminated water and 
no one will consume it.
    Presently, the tribe is in discussion with the State 
engineer of Utah in settling the tribe's water rights in White 
Mesa. Water quality issues will be a key piece of those 
discussions and to ensure access to clean drinking water is 
part of those negotiations. A Federal presence in those 
discussions, including the EPA, is critical to ensure access to 
clean water for White Mesa and all the Ute Mountain Ute tribal 
communities.
    In addition to resources devoted to settling the tribe's 
water fights, access to technical assistance, funding under 
Senate Bill 2385 would help ensure unique issues at White Mesa 
are adequately addressed. We have concerns and we are asking 
for an epidemiology study from the IHS for the Albuquerque 
Region Area, and also with the State of Utah.
    Thank you for your consideration of this testimony. We look 
forward to continuing to work with you to enact legislation to 
support tribal access to reliable, clean drinking water on the 
Ute Mountain Ute Reservation lands in Utah, Colorado, and New 
Mexico.
    [The prepared statement of Mr. Heart follows:]

  Prepared Statement of Hon. Manuel Heart, Chairman, Ute Mountain Ute 
                                 Tribe
Introduction
    Access to clean water is a basic human right. It is essential for 
people to live with dignity and foundational for human health, growing 
economies, and a basic level of existence for communities. It is 
unacceptable that in the 21st Century, many Native Americans must 
travel for miles to collect water that is safe for drinking and 
everyday use. An estimated 48 percent of households on Indian 
reservations do not have access to reliable water sources, clean 
drinking water, or adequate sanitation. \1\
---------------------------------------------------------------------------
    \1\ House Committee on Natural Resources, Democratic Staff, Water 
Delayed is Water Denied: How Congress has Blocked Access to Water for 
Native Families (Oct. 2016), https://democrats-
naturalresources.house.gov/water-delayed-is-water-denied.
---------------------------------------------------------------------------
    Household water security is defined as ``the safe and reliable 
access to sufficient quantity and quality of water for household 
consumption, production, and cleanliness.'' \2\ ``In the United States, 
potable water infrastructure is broadly assumed to be `universal' in 
its coverage, to the point where the U.S. Census Bureau has recently 
considered dropping its plumbing question from the [American Community 
Survey] questionnaire.'' \3\ However, despite public perception, 
``universalized water infrastructure remains an incomplete promise for 
different populations in different places across the nation[.]'' \4\
---------------------------------------------------------------------------
    \2\ Shiloh Deitz & Katie Meehan, Plumbing Poverty: Mapping Hot 
Spots of Racial and Geographic Inequality in U.S. Household Water 
Insecurity, 109 Annals Am. Ass'n Geographers 1 (2019) [hereinafter 
Plumbing Poverty].
    \3\ Id. at 1, 7 (2019).
    \4\ Id. at 8.
---------------------------------------------------------------------------
    Native American households are more likely to lack adequate water 
services than any other group in the United States. Existing water 
infrastructure on reservations continues to deteriorate and inadequate 
water quality remains pervasive across Indian Country. According to the 
U.S. Water Alliance, Native households are 19 times more likely than 
white households to lack indoor plumbing. \5\ This is not a random 
disparity--the lack of access to clean and safe drinking water in 
Tribal communities reflects historical and persisting racial 
inequities.
---------------------------------------------------------------------------
    \5\ DigDeep-US Water Alliance, Closing the Water Access Gap in the 
United States (2019), https://www.digdeep.org/close-the-water-gap.
---------------------------------------------------------------------------
    The United States government has long promised all Native American 
Tribes a ``permanent homeland,'' a livable reservation,'' and a home 
``conducive to the health and prosperity of the Indians.'' But these 
promises are broken when our people do not have clean water to drink or 
for cooking and personal hygiene. A permanent, livable, and prosperous 
homeland cannot exist without this minimum requirement of life--access 
to an adequate and healthful supply of drinking water.
    In our White Mesa Ute Community, groundwater for the community 
supply is of poor quality. We have a treatment system that removes 
current contaminants. Operations are challenging and the future is 
uncertain. Two miles up the road we have a uranium mill that has 
thousands of acre feet of toxic radioactive waste stored there forever. 
The license requires that the reclamation plan be safe for 1000 years. 
Tribe has been here tens of thousands of years and this industry has 
existed less than 100 years. We simply do not know if the mill will 
affect the drinking water aquifer in 100 years or 300 or 1000.
    In the 2000's the Tribe petitioned the Environmental Protection 
Agency to designate the drinking water aquifer as a sole-source 
aquifer. The petition was denied, probably because of the uranium mill 
and the multitude of federal decisions it would influence. However, if 
the N aquifer is not a sole-source, where do we get another source of 
water? There is not enough surface water--the City of Blanding told us 
that. Either designate it as a sole source or inform us of another 
source.
    In our Towaoc community, the water line from the Dolores Project 
was installed over 30 years ago. It is ductile iron and subject to 
breaks due to the shifting and saline geology. We have a few breaks 
each year causing temporary water conservation measures and quality 
issues. Each repair costs us over $50,000 and sometimes hundreds of 
thousands. We have replaced a two mile section and we are poised to 
replace another section in the next year, but there is still over 15 
miles of pipeline to replace to get clean water to our community. 
Ongoing housing expansion, repair and replacement are a constant driver 
for funding for drinking water and wastewater infrastructure in Towaoc.
    Thanks to the sponsors of Tribal Clean Water legislation in the 
117th Congress, funding for safe drinking water systems for Tribal 
communities received a significant boost from the Bipartisan 
Infrastructure Law and the Inflation Reduction Act. While 
groundbreaking and long overdue, the funding now available for 
construction and repair of domestic water systems in Indian country is 
not a complete solution. The Tribal Access to Clean Water Act, S. 2385, 
is intended to fill some of the remaining gaps and ensure that the 
benefit of the investments in Tribal water infrastructure made in the 
previous legislation are fully realized. The various components of the 
Act and the needs that have prompted this legislation are explained 
below.

        Technical Assistance. Many, if not most, Tribes lack a 
        dedicated water resource staff, program, or department. 
        Identifying and successfully applying for the various forms of 
        federal funding available is an arduous and time-consuming 
        task. Most Tribes do not have a qualified grant writer or 
        sufficient staff to handle the research and application 
        process. In addition, many Tribes require new or rehabilitated 
        infrastructure to allow access to clean drinking water, but do 
        not currently have ``shovel ready'' projects that can take 
        advantage of construction funding provided in the BIL and IRA. 
        Technical assistance is needed to allow Tribes to plan and 
        design the systems necessary to remedy the longstanding problem 
        of lack of access to clean drinking water, and to successfully 
        apply for available funding.
        The Act would authorize the U.S. Department of Agriculture to 
        make rural development grants and loans for technical 
        assistance, in addition to the existing authorization for 
        construction purposes. It would also authorize additional 
        funding to USDA, the Bureau of Reclamation, and the Indian 
        Health Service for technical assistance to Tribes. This funding 
        could also assist Tribes in developing the managerial, 
        financial, and regulatory capacity necessary for a fully 
        functional and self-sustaining utility, a foundation for 
        ensuring that Tribal water systems will continue to operate as 
        intended into the future.
        Making projects ``shovel ready'' can be cumbersome and 
        expensive. To get a project for a water infrastructure project 
        to that point many tasks need unique expertise and require 
        investment by the project proponent: engineering, community 
        planning, surveys for resources, comprehensive NEPA writing and 
        execution, identification of cost-share resources, and other 
        components specific to a project. Providing opportunity for 
        technical assistance grants to assist in getting projects there 
        can be extremely important to tribes in this situation.

        Community Facilities. IHS construction funding is not currently 
        available to connect essential community facilities, like 
        schools and clinics, to centralized water and sanitation. While 
        IHS's existing authorization allows for provision of water 
        service to ``Indian homes, communities, and lands,'' IHS has 
        self-limited its deployment of construction funding to projects 
        and connections for individual homes. That self-imposed 
        constraint has resulted in schools, teacher dormitories, 
        nursing homes, Tribal government buildings, and other essential 
        community structures without connection to basic water service. 
        The Act would direct IHS to include community facilities in its 
        overall deployment of construction funding. This inclusion is 
        absolutely necessary to support a basic level of Tribal 
        economic development.
        We support the Indian Health Service improving its policies to 
        better assist the Tribe with community facility connections.

        Operation and Maintenance. The ongoing operation and 
        maintenance of water and sanitation infrastructure is a 
        difficult burden in Indian country. Tribes cannot rely on the 
        same types and volumes of revenue streams to support operation 
        and maintenance of water systems as most municipal water 
        providers. For example, Tribes cannot impose and collect 
        property taxes on Tribal land (as the land is owned by the U.S. 
        Government) which many providers rely on to finance new water 
        infrastructure and significant capital improvements. In 
        addition, the economic character of the customer base is 
        generally less able to sustain the kinds of routine O&M costs 
        than the average American water customer. Finally, the remote 
        and rural nature of many Tribal reservations results in higher 
        routine O&M expenditure because of longer distribution lies, 
        greater pumping requirements, and higher costs of repair. 
        Initial and temporary O&M assistance helps to ensure that the 
        benefits of any investment in infrastructure are fully 
        realized.
        In recognition of these unique challenges, the IHS has been 
        authorized since the 1950s to provide operation and maintenance 
        assistance for Tribal water and sanitation facilities when 
        necessary to avoid health hazard or to protect the Federal 
        investment in sanitation facilities. \6\ To date, however, 
        Congress has never appropriated funding to IHS to carry out 
        this authorization. The Act would remedy this longstanding 
        deficiency.
---------------------------------------------------------------------------
    \6\ The Indian Sanitation Facilities Act authorizes the Surgeon 
General ``to construct, improve, extend, or otherwise provide and 
maintain by contract or otherwise, essential sanitation facilities[.]'' 
Pub. L. No. 86-121, 73 Stat. 267 (1959) (codified at 42 U.S.C.  
2004a(a)). Pursuant to the Indian Health Care Improvement Act, the 
Secretary is authorized to provide ``(A) Financial assistance to Indian 
Tribes and communities in the establishment, training, and equipping of 
utility organizations to operate and maintain Indian sanitation 
facilities; (B) Ongoing technical assistance and training in the 
management of utility organizations which operate and maintain 
sanitation facilities; (C) Operation and maintenance assistance for, 
and emergency repairs to, Tribal sanitation facilities when necessary 
to avoid health hazard or to protect the Federal investment in 
sanitation facilities'' as well as ``financial assistance to Indian 
Tribes and communities in an amount equal to the costs of operating, 
managing, and maintaining the facilities provided[.]'' Pub. L. No. 94-
437 (1976) (codified at 25U.S.C.   1632(b)(2), (e)(1)).
---------------------------------------------------------------------------
        The Tribe is challenged with consistent drinking water and 
        wastewater operations and operators. Staff turnover is 
        prevalent and competitive salary opportunities are not usually 
        available. Obtaining a certification at the appropriate level 
        to be an operator is a career level accomplishment, taking 
        years of experience in addition to successful course and 
        testing completion. Knowing the systems requiring operation is 
        paramount and most are different. With a limited amount of STEM 
        guided career paths in the Tribal population, the chances of 
        having a Tribal Member get the education and experience to be 
        an operator is low. To keep an employee with these 
        qualifications by virtue of salary alone in untenable. The 
        combination of these makes it tough to keep operators.
        In our smaller Utah community, we have a treatment system, but 
        we do not have a certified operator. This law could help the 
        Tribe to maintain and operate the water system in White Mesa.
        We support the Indian Health Service assisting with the 
        maintenance and operations as needed and most-especially with 
        training and hands-on learning about water and wastewater 
        systems and the certification required for them.
Conclusion
    The Ute Mountain Ute Tribe supports passage of the Tribal Access to 
Clean Water Act, S. 2385, recognizing the critical importance of access 
to reliable, clean drinking water for Native Americans. In addition, 
the Tribe supports Senate Resolution 355 affirming the responsibility 
of the Federal Government to ensure such water access and calling on 
the Executive Branch to employ a ``whole of government'' approach to 
ensure access to reliable, clean drinking water to households on Indian 
reservations, in Alaska Native villages, and in Native Hawaiian 
communities.
    Failure to provide basic water service cannot be reconciled with 
the general trust responsibility of providing a permanent homeland to 
Tribes and promoting the survival and welfare of their communities. 
``Ensuring access to water and sanitation for all people is not simply 
a question of water resources, technology and infrastructure, but also 
of setting priorities, tackling poverty and inequality, addressing 
societal power imbalances, and above all, political will.'' \7\
---------------------------------------------------------------------------
    \7\ U.N., Outcome of the International Experts' Meeting on the 
Right to Water, Paris, France, July 7-8, 2009, at 2.
---------------------------------------------------------------------------
    Thank you for the opportunity to testify on water access barriers 
encountered by the Ute Mountain Ute Tribe and by Tribal communities in 
general. The Tribe urges the passage of S. 2385 and Senate Resolution 
355.

    The Chairman. Thank you very much.
    Before we move on, if Senator Bennett is ready, I am going 
to defer to Senator Bennett so that it makes sense that we do 
States adjacent to each other. Then I will recognize Senator 
Mullin for his witness and Senator Fisher for hers.
    Without further ado, Senator Bennett.

               STATEMENT OF HON. MICHAEL BENNET, 
                   U.S. SENATOR FROM COLORADO

    Senator Bennett. Thank you, Mr. Chairman. That is very kind 
of you. I know the schedule is moving around here, and I am 
very glad I had the opportunity to be here for Chairman Heart's 
testimony. I am deeply, deeply grateful that he is here today.
    He has served on the Ute Mountain Council since 1995, he 
has been chairman for 14 years. His leadership has meant a lot 
not just to the Ute Mountain Ute but to all of Colorado, and to 
the west, in the work he has done on water and public lands. It 
has been incredibly important.
    He has done it all while he has been a cattle rancher at 
the same time, so I just want to say, I have had the benefit of 
his leadership and today the Country has the benefit of his 
leadership.
    Today only half of households on Native American 
reservations have clean water or adequate sanitation. I know 
the chairman knows these issues well. Tribal households are 
nearly 20 times more likely than White households to lack 
indoor plumbing. Chairman Heart has told me that it is 
customary in the White Mesa Community to bring bottled water as 
a greeting gift, because water contamination remains a profound 
challenge.
    Mr. Chair, the status quo is completely unacceptable to me, 
and it should be unacceptable to every member of the United 
States Senate. No family in this Country should have to raise 
their children without clean water. No member of a tribe should 
have to accept circumstances none of us would accept for our 
own family. This hardship is particularly egregious, because it 
is a direct consequence of the Federal Government's failure to 
honor promises and treaties made to tribes across this land.
    I think that if any of us faced the challenges that the 
tribal leaders are facing today and that their membership is 
facing today when it comes to clean water for their families 
and for their kids, none of us would stay here in Washington, 
D.C. We would all go home to make sure that that clean water 
was being provided. That is why this leadership is here today.
    A few years ago, we took big steps forward to secure clean 
water for tribes in the Bipartisan Infrastructure Law, 
including by providing the Indian Health Service with $3.5 
billion for their sanitation deficiency list, and the Bureau of 
Reclamation with $1 billion for rural water supply projects.
    But the Ute Mountain Ute Tribe and other tribes have 
struggled to access this funding, because their projects 
require planning and other preconstruction work before being 
considered shovel-ready by the Government.
    The Tribal Access to Clean Water Act addresses these 
challenges by authorizing critical technical assistance at the 
Indian Health Service, Department of Agriculture, and the 
Bureau of Reclamation for tribes to receive support for project 
planning and design and take full advantage of Bipartisan Law 
Funding. This bill would help the Ute Mountain Ute Tribe 
replace 15 miles of 30-year old iron water lines which service 
the growing Towaoc Community, which regularly break.
    This bill is broadly supported across Native communities, 
and I have brought letters of support from more than 20 members 
of the Clean Water for All Coalition, including the Navajo 
Nation, National Congress of American Indians, Vessel, and Dig 
Deep. I would ask unanimous consent, Mr. Chairman, that we 
enter these into the record.
    The Chairman. Without objection, so ordered.
    Senator Bennett. Mr. Chair, thank you. Just to close, when 
the Federal Government established reservations for Native 
American tribes, it promised a permanent and livable homeland 
for those it had displaced from their ancestral lands. When 
access to clean and safe water, a human right, is being denied, 
this promise clearly has been betrayed, this promise clearly 
has been denied.
    With this bill, we have an opportunity to ensure more 
Native communities have access to clean water, the same way 
every Senator does and every Senator's family does. I welcome 
the Committee's feedback on how to improve this legislation so 
we can ensure Native Hawaiians and Alaska Natives and tribes 
across the Country can access Bipartisan Infrastructure Law 
funds to guarantee reliable access to clean water.
    I hope that once you have had the opportunity to look at 
this bill, it will earn a strong bipartisan vote from this 
Committee. I thank you all for your leadership, and for giving 
me the opportunity to be here today.
    The Chairman. Thank you very much, Senator Bennett.
    Senator Mullin?

              STATEMENT OF HON. MARKWAYNE MULLIN, 
                   U.S. SENATOR FROM OKLAHOMA

    Senator Mullin. Thank you, Mr. Chairman. I do apologize 
about coming in late, and I apologize for having to leave too, 
because as Mr. Bennett referred to, our schedules are changing 
a lot right now today. All is kind of up in the air.
    I do want to say real quickly though, thank you for having 
this hearing today on Senate Bill 2032, IHS Workforce. All of 
us that live, like I do, in Indian Country or work for Indian 
Country understands that is a huge need. I have mentioned it 
multiple times. I grew up without insurance because we had 
Indian Health Services, which is, Tahlequah Hospital for 
Cherokee Nation was the health care place.
    So the workforce need is real and it is in dire straits. So 
I appreciate your hearing that.
    Also, Senate Bill 2796, which is the Miami Illinois Land 
Claims Settlement Act, which is what I have worked with my good 
friend, I say really good friend, I mean that, because when we 
first met, Chief, you had a full head of hair and you were 
built like a warrior.
    [Laughter.]
    Senator Mullin. That is quite the opposite now, sir, but 
you are working on it. I get that. But Chief Lankford and I go 
way back. The only thing I have on him is, and you guys can't 
really judge him on this, I do, but he went to school in 
Missouri. But I understand where the Miami Tribe is, it is 
right on the line. So it is close enough that we will accept 
him.
    Just to give you kind of a little background, Chief 
Lankford, he has served the Miami Tribe since 2008, both as 
second chief and chief, since 2013. Chief Lankford directs the 
tribe's government affairs at the Federal, State and 
intertribal levels. He is responsible for management and 
oversight of the multi-million dollar budget for various 
Federal grants and tribal entities.
    Sadly, as I said before, he went to school in Missouri. But 
I think we all claim he is from Oklahoma now. And you have 
worked tirelessly up in Ottawa County for not just your tribe, 
but for the people that live in and around your reservation. It 
doesn't go without notice. It is a bragging point for me to see 
how you interact with everybody that lives and interacts inside 
your reservation.
    As I had mentioned before, he is a very good friend of 
mine. That is why I can joke and make fun of him, and I am sure 
I will have that one coming back at some point.
    Just to kind of give you a brief overlay of the Miami-
Illinois land claim settlement bill, this has no cost at all 
related to it. It is actually, if you take a look at it, it 
makes perfect sense, but you and I have been fighting this for 
years. I offered this bill up in the House, I think the first 
time was in 2014. And now we are here in the Senate. I really 
hope we take a hard look at this and get this behind us. It is 
sad when you see something that makes sense and really should 
have no pushback, it takes years to make it right, especially 
inside Indian Country.
    So, Chairman, for allowing this to go this far so far, I 
just want to tell you how much I truly, truly appreciate it. I 
will speak for the chief, too, I know he really appreciates it, 
too. Thank you for this time.
    The Chairman. Thank you very much, Senator Mullin.
    Chief Lankford, please proceed with your testimony.

   STATEMENT OF HON. DOUGLAS LANKFORD, CHIEF, MIAMI TRIBE OF 
                            OKLAHOMA

    Mr. Lankford. Thank you. Aya akima eecipoonkwia weenswiaani 
niila myaamia. I am Chief Doug Lankford of the Miami Tribe of 
Oklahoma. I want to thank the Committee today for the 
opportunity to testify in support of S. 2796.
    This bill resolves the tribe's land claim in east central 
Illinois by doing two things. First, it gives the United States 
Court of Federal Claims the authority to decide whether the 
United States took land protected by the 1805 Treaty of 
Grouseland without paying the tribe. And second, it 
extinguishes the tribe's claim to those lands which forever 
eliminates the cloud on title for the current landowners.
    For seven years, we have worked to make this bill law. In 
that time, we have only encountered one question: why now? In 
short, because time does not sit still. Our claims were not 
resolved during the ICC. And due to past litigation, there is a 
cloud on title for the landowners of 2.6 million acres in east 
central Illinois.
    The only way to clear cloud on title is for Congress to 
extinguish our land claim. And all we are asking in exchange 
for 2.6 million acres of ancestral homeland, is an opportunity 
to be heard in court. We are not asking for an outcome; we are 
asking for a chance to seek justice.
    You might ask, how did this come about? Although the Miami 
Tribe's seat of government is in northeastern Oklahoma, the 
tribe was forcibly removed from its ancestral homelands in 
Indiana, Illinois, and Ohio. In 1805, the Miami Tribe signed 
the Treaty of Grouseland. By Article IV of that treaty, the 
United States agreed that it would not take additional lands in 
the watershed without permission and consent of the tribe.
    Between 1805 and 1840, the Miamis entered into several 
treaties, ceding most of its homeland. However, 2.6 million 
acres located in the watershed, today east central Illinois, 
were never ceded to the United States. Despite lacking title, 
the United States sold the reserve land to non-Indian settlers, 
giving rise to the Miami claim and creating a cloud on title on 
these lands.
    S. 2796 represents a commonsense, mutually beneficial 
resolution to this problem. It is based on the legislation 
introduced by the Illinois delegation in 2001, H.R. 791, and S. 
533. That legislation was widely supported as a commonsense 
approach, and so is our bill.
    S. 2796, which enjoyed bipartisan support throughout its 
life, would extinguish the tribe's land claim, resolving the 
cloud on title, and grant the tribe one year to bring its case 
before the United States Court of Federal Claims. To be clear, 
the passage of this legislation extinguishes the Miami land 
claim and the cloud on title is clear, regardless of the 
tribe's outcome in litigating its claim before the court.
    When the tribe asked Congressman Don Young to cosponsor the 
bill years ago, he looked me in the eye and said, so the 
landowners get resolved, the tribe still has to prove its case, 
are you sure that is what you want? I said, yes, sir, it is. He 
said, fair enough.
    Congressman Young was a straight shooter and a tireless 
advocate for Indian Country. He understood the common sense of 
the bill right away.
    The tribe has worked closely and diligently with the 
Congressional leadership and local leaders from Illinois, 
especially those in the affected treaty area. And the Illinois 
Farm Bureau supports this legislation.
    Finally, please note this bill is not a land claim 
settlement bill or an appropriation bill. If the tribe prevails 
in court, its judgment would be paid from the Federal judgment 
fund. Also, this bill does not decide the merits or defenses 
and does not declare any winners except the landowners in east 
central Illinois.
    Mihsi neewe. Thank you, Mr. Chairman and Committee members 
for your time and the opportunity to testify in support of this 
bill. I have to say a special thank you to Senator Mullin for 
his many years of advocating for this bill. I also want to 
thank Senator Durbin for the time and attention he has given to 
this matter.
    I am happy to answer any questions the Committee may have.
    [The prepared statement of Mr. Lankford follows:]

  Prepared Statement of Hon. Douglas Lankford, Chief, Miami Tribe of 
                                Oklahoma
    Aya akima eecipoonkwia weenswiaani niila myaamia. My name is Chief 
Douglas Lankford of the Miami Tribe of Oklahoma. I want to thank the 
Subcommittee for this opportunity to testify in support of S. 2796, a 
Bill that would permanently resolve the Tribe's treaty-based land claim 
to the Wabash River Watershed in east-central Illinois and permanently 
resolve the cloud it creates on title held by landowners in east 
central Illinois.
    The Bill accomplishes this by doing two things:

        1) First, it gives the United States Court of Federal Claims 
        (CFC) the authority to decide whether the United States took 
        lands protected by the 1805 Treaty of Grouse land (Reserved 
        Lands) without paying the Tribe; and

        2) Second, it extinguishes the Tribe's claim to those lands, 
        which forever eliminates the cloud on title for landowners.

Background
    The Miami Tribe of Oklahoma is a federally recognized Indian tribe. 
Our ancestral homelands are located south of the Great Lakes, in what 
are now the states of Indiana, Illinois, and Ohio. In 1846, the Tribe 
was removed from its homelands to what is now the state of Kansas and, 
in 1867 was again removed from Kansas to the Indian Territory, now the 
State of Oklahoma. Our seat of government is located in Ottawa County 
in Northeast Oklahoma.
    In 1805, the Miami Tribe and its historical constituents Eel River 
Band and Wea signed the Treaty of Grouseland with the United States. 
\1\ By Article IV ofthat Treaty the United States recognized the three 
Bands as ``joint owners of all the country on the Wabash and its 
waters, above the Vincennes tract, and which has not been ceded to the 
United States, by this or any former treaty'' \2\ and further agreed 
that ``they [ the United States] do farther engage that they will not 
purchase any part of the said country without the consent of each of 
the said Tribes.'' \3\ Thereafter, the United States never negotiated 
with the Tribe for the cession of the Reserved Land, nor paid the Tribe 
for that land. Yet, over time, the United States transferred the 
Reserved Lands to non-Indians.
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    \1\ Treaty of Grouseland, August 21, 1805, 7 Stat. 91. Appendix 2.
    \2\ Id. at art. IV.
    \3\ Id. at art. IV.
---------------------------------------------------------------------------
    The Miami Tribe of Oklahoma is the sole contemporary tribal body 
politic with a treaty title claim under Article IV of the Treaty of 
Grouseland. As explained below, the Eel River Miami have been a part of 
the federally recognized Miami Tribe of Oklahoma for over a century. 
The Wea, now a part of the Peoria Tribe, \4\ ceded all their interests 
in lands in Indiana, Ohio and Illinois, including their 1/3 interest in 
the Reserved Land, through treaty in 1818. \5\
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    \4\ Peoria Tribe of Indians of Oklahoma v. United States, Docket 
314-D, 22 Ind. Cl. Comm. 469,478 (1970) (citing Peoria Tribe of Indians 
of Oki. v. United States, 4 Ind. Cl. Comm. 233 (1956), rev'd on other 
grounds, 390 U.S. 468, 88 S. Ct. 1137, 20 L. Ed. 2d 39 (1968)).
    \5\ Article 1, Treaty with the Wea, 7 October 2, 1818, Stat. 186.
---------------------------------------------------------------------------
    The Miami Indian confederacy consisted of major group of people 
located in the Native diaspora that existed just south of the central 
Great Lakes when the French arrived in the territory in the 1620s. The 
core bands of the Miami confederacy, that consistently intermarried and 
forged a clear alliance as a tribe, were the Miami Proper, the Eel 
River Miami, and the Wea.
    Throughout the Eighteenth Century, the Miami Confederacy came into 
increasing contact with fur traders at trading posts established 
throughout the region. In 1801, the federal government sent a 
territorial governor, William Henry Harrison, to administer the region 
occupied by the Miami Confederacy. The encroachment of non-Indians on 
Indian lands generated tensions and made clear the need for the United 
States to negotiate Indian treaties and purchase land. From 1802 to 
1804, Harrison negotiated a series of land cession treaties with 
various tribes, \6\ including a series of 1804 treaties that cleared a 
path for non-Indian occupation along the north bank of the Ohio all the 
way to the Mississippi River. \7\ The Miami disputed many of the 
agreements, arguing that they had rightful claim to large swaths of the 
lands ceded by other tribes.
---------------------------------------------------------------------------
    \6\ See Treaty with the Delawares, Etc., June 7, 1803, 7 Stat. 74; 
Treaty with the Eel River, Etc, Aug. 7, 1803, 7 Stat. 77.
    \7\ See Treaty with the Delawares, Aug. 18, 1804, 7 Stat. 81; 
Treaty with the Piankeshaw, Aug. 27, 1804, 7 Stat. 83.
---------------------------------------------------------------------------
    The mess caused by Harrison's approach and the resulting 1802-1804 
treaties set the stage for the Treaty of Grouseland. On August 21, 
1805, the three Miami bands ceded a small strip of land in present-day 
southern Indiana. In exchange for this land cession, the Miami demanded 
and received acknowledgement by the United States of the Tribe's 
ownership of the vast regions of the Wabash River watershed, including 
the Reserved Land in present-day Illinois. \8\ Because of Harrison's 
past practice of attempting to negotiate cessions from more 
``cooperative'' tribes regardless of their title to the land evidenced 
in the 1802-1804 treaties, the Miami, Eel River, and Wea insisted on 
the recognition of their joint ownership, each with an undivided 
interest in the whole, \9\ such that the United States could ``not 
purchase any part of the said country without the consent of each of 
the said [three] tribes.'' \10\
---------------------------------------------------------------------------
    \8\ Treaty of Grouseland, Aug. 21, 1805, 7 Stat. 91. Appendix 2.
    \9\ Id. at art. IV.
    \10\ Id. ( emphasis added).
---------------------------------------------------------------------------
    Article IV's recognition of lands vested in the Miami, Eel River, 
and Weas established treaty also known as recognized title to the lands 
on the Wabash and its waters above the Vincennes, including the area in 
Illinois that is the subject of the Bill \11\ ``Treaty'' or 
``Recognized Title'' exists where Congress has by treaty or statute 
conferred or acknowledged a tribal right to permanently occupy and use 
land. Indians then have a right or title to that land, which has been 
variously referred to in court decisions as ``treaty title,'' 
``reservation title,'' ``recognized title,'' and ``acknowledged 
title.'' \12\ Tribal rights under treaty title, including usufructuary 
rights, may only be abrogated or limited by clear Congressional 
expression, \13\ and neither title nor use rights may be abrogated or 
extinguished by implication. \14\ Following the Grouselnd Treaty, the 
United States was thereafter required to secure lands reserved by 
Article IV by Treaty containing a clear expression, and to provide 
compensation to the Tribe as required by the Fifth Amendment of the 
United States Constitution if that title was subsequently taken. \15\ 
The Tribe's treaty recognized title is in contrast to ``original Indian 
title,'' which is based solely on aboriginal occupancy and use, \16\ 
and which can be taken by the United States without compensation 
because it-unlike treaty recognized title--does not constitute 
``property'' within the meaning of the Fifth Amendment. \17\
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    \11\ United States v. Kickapoo Tribe of Kansas, 174 Ct. CL 550, 554 
(Ct. CL 1966) (holding that Article IV of the Treaty of Grouseland 
``plainly recognizes title to and ownership of the designated lands'').
    \12\ US. v. Kiowa, Comanche, and Apache Tribes of Indians, 479 F.2d 
1369, 1374 (Ct. CL 1973).
    \13\ Minnesota v. Mille Lacs Band of Chippewa, 526 U.S. 172, 202-
203 (1999).
    \14\ United States v. Santa Fe Pacific Railroad, 314 U.S. 339,358 
(1941).
    \15\ United States v. Sioux Nation, 448 U.S. 371, 408 (1980) 
(explaining that Congressional power over tribal lands ``does not 
extend so far as to enable the Government to give the tribal lands to 
others, or to appropriate them to its own purposes, without rendering, 
or assuming an obligation to render, just compensation'') (internal 
quotation marks omitted); Tee Hit-Ton v. United States, 348 U.S. 272, 
277-78 (1955) (explaining that although Congress has no constitutional 
obligation to compensate tribes for the taking of land held under 
original Indian title, `` [ w ]here the Congress by treaty or other 
agreement has declared that thereafter Indians were to hold the lands 
permanently, compensation must be paid for subsequent taking'').
    \16\ Tee Hit-Ton, 348 U.S. at 279.
    \17\ Id. at 285 (stating that ``the taking by the United States of 
unrecognized Indian title is not compensable under the Fifth 
Amendment'').
---------------------------------------------------------------------------
    Between 1805 and 1840, the Tribe's lands came under ever increasing 
pressure from white settlers \18\ and the federal government, and the 
Tribe ultimately ceded most of its lands reserved under the Treaty of 
Grouseland through a series of subsequent treaties. See Figure 1. \19\ 
However, as depicted in Figure 1, \20\ the Tribe remained in possession 
of treaty title to a significant remaining tract of the Article IV. The 
United States never sought to acquire, and the Tribe never sold the 
remaining Article IV Reserved Land. Several reasons likely explain 
this, most notably that, during this period, the remaining lands were 
wet and not suitable for the farmers who were encouraged to enter and 
cultivate the land. Ironically, the lack of value attributed to the 
land by non-Indians was precisely the value of the land to the Tribe, 
because it was rich with plants, medicine, fish, and furbearing 
animals.
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    \18\ The transformation in the non-Indian population between 1790 
and 1840 in this region was stunning. In 1790 the population of the 
United States was 3,929,000 and in 1800 it was 5,297,000. The earliest 
population figures for the Northwest Territory were compiled in 1800, 
reflecting 45,365 residents of Indiana, 5,641 in Indiana, and no 
reported population in Illinois, it being considered fully Indian 
country. Pottawatomie et al v. United States, Consolidated Dockets, 43 
Ind. Cl. Comm. 687, 724 (1978). By 1840 the numbers were 686,866 in 
Indiana, 1, 519,467 in Ohio, and 476,183 in Illinois. Returns of the 
6th Census, United States Census Bureau (1841).
    \19\ Treaty of September 30, 1809, 7 Stat. 13; Treaty of September 
30, 1809, 7 Stat. 115; Treaty of October 6, 1818, 7 Stat. 189; Treaty 
of October 23, 1826, 7 Stat. 300; Treaty of February 11, 1828, 7 Stat. 
309; October 23, 1834, 7 Stat. 458,463; Treaty of November 6, 1838, 7 
Stat. 569; Treaty of November 28, 1840, 7 Stat. 582. Many of these were 
signed under coercion, and the last was signed in 1840 shortly before 
the Tribe was forcibly removed by the United States to Kansas in 1846.
    \20\ Additional depictions of the Article IV Reserved Land are 
found at Appendix 3.
---------------------------------------------------------------------------
    Despite its lack of title, in 1821 the United States, through the 
Illinois Land Office, began selling parcels of land within the Tribe's 
unceded territory to white settlers until settlers fully occupied the 
area with United States land patents in hand. The United States did not 
seek or obtain consent of the Miami before making these sales in 
violation of Article IV of the Treaty of Grouseland, and the United 
States has never compensated the Tribe for the taking.
    Because it had not acquired title from the Tribe, the United States 
did not transfer good title to the land it sold, and its actions give 
rise for a claim for a treaty taking from the Tribe, which has created 
a cloud on title to the Reserved Lands, affecting some 2.6 million 
acres of east central Illinois. Through no fault of their own, and 
despite having worked the land for generations, the landowners in the 
Reserved Land have a cloud on their title.
    Pressure on the Tribe's people and lands accelerated in the 
following decades and, following the Treaty of 1840, \21\ and after 
resisting removal for nearly 6 years, the Tribe was forcibly removed 
from its homeland in 1846 to a reservation in Kansas, by river boat, 
rail, and by foot. Just 20 years later, the Tribe was again forcibly 
removed from Kansas to the Indian Territory, following the Treaty of 
1867--where it purchased an undivided one-half interest in a 
reservation set aside for the shared use of the Miami and the 
Confederated Peoria Tribes. See Figure 2 .
---------------------------------------------------------------------------
    \21\ Treaty with the Miami, Nov. 28, 1840 (7 Stat. 582).
---------------------------------------------------------------------------
    Against all odds, despite two brutal removals in a 20-year span, 
and the application of federal laws and policies intended to bring an 
end to the Tribe, the Miami Tribe has survived and flourished.
The Need for Legislation
    In 2000 the Tribe initiated a claim to title, \22\ making a matter 
of public record the cloud that the Treaty itself created on title to 
the Reserved Land. That litigation remains unresolved. In 2001, the 
Illinois delegation introduced H.R. 791 (JohnsonIL) (Appendix 4) and S. 
533 (Durbin-IL) (Appendix 5) that proposed a different approach. The 
bills garnered strong bipartisan support from members of the Committee 
on Resources. Specifically, Congressman Phelps stated:
---------------------------------------------------------------------------
    \22\ Miami Tribe of Oklahoma v. Walden, et al., Case No. 4:00-cv-
041420-JPG (S.D. Ill.) (filed on June 2, 2000).

        I am in support of Congressman Johnson's legislation, H.R. 791, 
        and I commend him for his leadership on this issue, which will 
        place this issue's accountability where it belongs, with the 
        Federal Government. This is not a question of who is right and 
        who is wrong, the Miami Tribe or the landowners. This is a 
        question of who is going to take responsibility. \23\
---------------------------------------------------------------------------
    \23\ Legislative Hearing on HR. 521 and HR. 791 Before the 
Committee on Resources, U.S. House of Representatives, 107th Cong. 7 
(2002), available at: https://www.govinfo.gov/content/pkg/CHRG-
107hhrg79494/pdf/CHRG107hhrg79494.pdf (prepared statement of 
Congressman David Phelps) (emphasis added).

    Many others echoed Congressman Phelps' support, acknowledging that 
the Tribe should be given the opportunity to right serious historic 
wrongs, the responsibility for which, if proven, would fall on the 
United States and not the landowners of Illinois. For example, 
Congressman Timothy Johnson, the sponsor of H.R. 791, clarified that 
the legislation ``enjoyed widespread support'' and expressed that, 
while H.R. 791 did not render a judgment on the merits of the Tribe's 
claim, ``there is no question there have certainly been examples 
throughout history of wrongs committed on Native Americans.'' \24\ 
Similarly, Speaker Dennis Hastert referred to H.R. 791 as ``commonsense 
legislation'' and stressed that judgement on the merits of the Tribe's 
claim based on the Treaty of Grouseland ``can and should be made by 
experts.'' \25\ Likewise, Congressman John Shimkus, whose district 
later came to include the Reserved Lands, described H.R. 791 as 
``straightforward and fair to both sides.'' \26\
---------------------------------------------------------------------------
    \24\ Jd. at 3 (testimony of Congressman Timothy V. Johnson).
    \25\ Id. at 79 (prepared statement of Congressman J. Dennis 
Hastert, Speaker of the U.S. House of Representatives).
    \26\ Id. at 5 (prepared statement of Congressman John Shimkus).
---------------------------------------------------------------------------
    While that legislation did not become law, failing because of the 
sheer breadth of what it proposed, the Tribe found the approach of the 
legislation to be reasonable and sensible and it began work toward 
fashioning legislation limited just to Miami's rights that (1) would 
not repeat the kind of dispossession on the farmers of Illinois that 
the Tribe endured throughout the 19th Century; and (2) would direct its 
request for redress to the party responsible for the wrongful 
conveyance of its Treaty protected land--the United States. Using H.R. 
791 and S. 533 as its template, the Tribe introduced H.R. 183, 396 and 
6063 in the 115th, 116th, and 117th Congresses, respectively.
    The Tribe then spent time in the affected district and in 
Springfield to discuss the proposal to determine whether those affected 
by the dispute would support the resolution. And with that support, 
presented the legislation to the Illinois delegation and it was 
ultimately introduced by then Congressman Markwayne Mullin as H.R. 183. 
The Bill ultimately became H.R. 396 (Mullin--OK), and H.R. 6063 
(McCollum--MN), each iteration enjoyed broad bipartisan support, and 
H.R. 396 and H.R. 6063 were heard by the House Indigenous Peoples' 
Subcommittee but wee not passed because of circumstances beyond the 
Tribe's control, including a government shutdown, COVID-19 shutdown, 
and other unprecedented events. It is now time for this broadly 
supported, common sense Bill to become law.
    S. 2796 extinguishes the cloud on title created by the Tribe's land 
claim in exchange for a one-year window for the Tribe to bring its 
claim for a treaty taking before the CFC. Extinguishment of the claim 
and the cloud on title does not depend on the Tribe's success in that 
litigation. The claim is extinguished, and title cleared regardless of 
the result of CFC litigation.
    The Tribe has worked closely and diligently with the Congressional 
Leadership from Illinois, with local leaders from Illinois, especially 
those in the affected treaty area, and with the Illinois Farm Bureau 
\27\ to develop a Bill that will resolve, once and for all, this claim 
and its effect on title.
---------------------------------------------------------------------------
    \27\ Appendix 1.
---------------------------------------------------------------------------
S. 2796 is uncommon Among Jurisdictional Bills Because of its Mutuality
    While Congress has passed numerous jurisdictional bills over the 
prior decades \28\ the Bill is unique because of its mutuality, which 
provides Congressional relief to the current and historic landowners at 
the same time.
---------------------------------------------------------------------------
    \28\ A summary of jurisdictional legislation over the past 50 years 
is attached at Appendix 6.
---------------------------------------------------------------------------
S. 2796 Does not Seek and Appropriation and its CBO Score is ``0''
    Finally, it is important to note that S. 2796 is not a land claim 
settlement bill, and it does not authorize any payment to the Tribe. 
All it does is allow the Tribe the opportunity to present its case--it 
gives the Tribe access to its day in court. The claim must be filed 
exclusively against the United States and only for money damages. The 
authority of the CFC to award monetary awards granted by the United 
States Court of Claims exists in 31 U.S.C  1304 (a)(3).
    The Tribe is responsible for proving its case. If it fails in this 
effort, the statutory extinguishment of the cloud on title remains 
effective. If the Tribe succeeds in its case, and damages are awarded 
by the Court, liability for the claim is limited to the United States 
and Federal law provides that a final judgment rendered by the United 
States Court of Federal Claims against the United States is paid out of 
``the Judgment Fund.'' \29\ The Judgment Fund is a permanent, unlimited 
appropriation which is available to pay judicial and administratively 
ordered monetary awards against the United States. \30\ In fact, the 
Judgment Fund was specifically created by Congress in 1956 to alleviate 
the need for individual congressional appropriations for each claim 
against the United States. \31\
---------------------------------------------------------------------------
    \29\ 31 U.S.C.  1304(a) provides in relevant part: ``Necessary 
amounts are appropriated to pay final judgments, awards, compromise 
settlements, and interests and costs specified in the judgment or 
otherwise authorized by law when ( 1) payment is not otherwise provided 
for; (2) payment is certified by the Secretary of the Treasury; and (3) 
the judgment, award or settlement is payable under section 2414, 2517, 
2672, or 2677 of Title 28.''
    \30\ 31 C.F.R Part 256.1. See also The Judgment Fund: History, 
Administration and Common Usage, Congressional Research Service, March 
7, 2013, available at: https://fas.org/sgp/crs/misc/R42835.pdf
    \31\ Id. at 2.
---------------------------------------------------------------------------
    The Judgment Fund may only be accessed if certain statutory 
conditions are met. \32\ The Treasury Department's Bureau of Fiscal 
Services certifies payment from the Judgment Fund if the award or 
settlement is final, it is monetary, the requirements of 31 U.S.C  
1304(a)(3) are met, and payment may not be made from another source of 
funds. The Judgment Fund ``requires no further Congressional action and 
does not expire at the close of any fiscal year.'' \33\ Since 1956, 
most judgments have been paid from the Judgment Fund. \34\
---------------------------------------------------------------------------
    \32\ 31 C.F.R. 256.1.
    \33\ Id. at 5.
    \34\ Principles of General Appropriations Law, 3d. Edition, Volume 
II, pp. 14-31.
---------------------------------------------------------------------------
    So, if the Tribe is successful and gets a judgement, Congress does 
not have to appropriate new money to pay it, \35\ and the CBO score for 
this Bill is therefore ``0,'' and the payment of any award would 
obviously not be an ``earmark.''
---------------------------------------------------------------------------
    \35\ Principles of General Appropriations Law, 3d. Edition, Volume 
II, pp. 14-29.
---------------------------------------------------------------------------
Conclusion
    S. 2796 is simple and fair. It addresses both the current and 
historic landowners' needs. The current landowners' title is cleared, 
and the people of the Miami Tribe get their day in court.
    Mihsi neewe. Thank you, Mr. Chairman, and to the Committee members 
for their time and the opportunity to testify in support of the Bill 
and a special thank you to Congressman Mullin for his leadership and 
assistance on this Bill.
    I am happy to answer any questions that the Committee may have.

    Attachments *
---------------------------------------------------------------------------
    * All other figures and Appendix documents have been retained in 
the Committee files.

    It is also important for the Committee to note that S. 2796 does 
not set new precedent or plow new ground. Rather, it is based on the 
language of past Acts of Congress that provided precisely the relief 
proposed in S. 2796. Yes, the Congress has done this before. Four 
statutes passed by Congress after the ICC's jurisdiction closed, 
provide access for Tribes to assert treaty takings claims to the Court 
of Federal Claims. Pub Law 97-385, 96 Stat. 1944 (Cherokee Nation), Pub 
L. 96-405, 94 Stat. 1713 (Blackfeet and Gros Ventre Tribes); Pub. L 96-
404, 94 Stat. 1711 (Three Affiliated Tribes); and Pub L 96-251, 94 
Stat. 372 (Cow Creek Band) (Attached as Appendices 1, 2, 3, and 4 
respectively). Like S. 2796, these laws authorize the Court of Federal 
Claims to ``hear, determine, and render judgment on'' the Tribes' 
claims filed within a fixed window of time from the date of the Act. 
Like S 2796, the Blackfeet, Cherokee, and Three Affiliated Tribes had a 
window of one year from the date of the Act. Cow Creek was given a 
five-year window. And like S. 2796, the Acts provide access 
notwithstanding the ICC jurisdictional statute of limitations or other 
defenses based on ``lapse of time, ``statutes of limitations, or 
defense of res judicata or collateral estoppel, or any other provision 
of law.''
    In fact, the jurisdictional language found in the 2001 legislation 
(HR. 791 and S. 533) mirrored the language of these Acts. S 2796 was, 
in turn, based on the 2001 legislation and these Acts. So, the goal and 
precise language of S. 2796 is based on language that Congress shaped 
and passed several times. The only difference between S. 2796 and the 
earlier Acts is that those Acts did not provide the mutual benefit that 
S 2796 does. Those Acts granted access to the CFC without any waiver of 
land claim or resolution of clouded title. Here, the Tribe agrees to 
the statutory extinguishment of its land claim in exchange and that 
clears title to land in Illinois.
                                 ______
                                 
Joint statement of the Miami Tribe of Oklahoma and Illinois Farm Bureau 
               on H.R. 5831 and S. 2796--October 4, 2023
    Illinois Farm Bureau members and landowners in eastern Illinois may 
remember efforts about two decades ago by the Miami Tribe to lay claim 
to hundreds of thousands of acres of Illinois farmland under the 1805 
Treaty of Grouseland. In recent years, the Miami's representatives 
approached Illinois Farm Bureau to write federal legislation that would 
resolve the tribe's two century-old claim in a way that forever holds 
private landowners harmless.
    Under H.R. 5831, sponsored by Oklahoma Republican Tom Cole, and S. 
2796, sponsored by Oklahoma Republican Markwayne Mullin, Congress would 
remove any cloud on title resulting from the Miami Tribe of Oklahoma's 
claim to 2.6 million acres of eastern Illinois farmland. Under the 
bill's provisions, the Tribe waives all claims to the land under any 
possible legal theory against Illinois landowners but may argue its 
claim against the United States before the United States Court of 
Federal Claims. If the Tribe prevailed in its claim against the federal 
government, the Court of Claims could provide only monetary damages.
    ''We are pleased to work with the Miami on this legislation. While 
IFB takes no position on the Tribe's monetary claims, we support 
passage of H.R. 5831 and S. 2796,'' said Illinois Farm Bureau President 
Richard Guebert, Jr.
    ''The Tribe is focused on a solution to the Grouseland Treaty claim 
that is fair to Illinois farmers. The IFB has been exceptional to work 
with toward this end,'' said Miami of Oklahoma Chief Doug Lankford.

    The Chairman. Thank you very much, Chief.
    By the way, for any member, any staff, any testifier, I 
take pronunciation very seriously, because I come from Hawaii, 
and also because my last name is Schatz. So we try very hard to 
get it right. So please help us with phonetics and whispering 
in my ear. I do consider it a serious sign of respect when you 
get it right. Accidental in this case, disrespect when you get 
it wrong.
    Senator Mullin. Did you just say Schatz?
    The Chairman. Yes, Schatz, Schartz, whatever you want.
    Senator Mullin. That is a lot easier. I can pronounce that.
    [Laughter.]
    The Chairman. Senator Fisher?

                STATEMENT OF HON. DEB FISCHER, 
                   U.S. SENATOR FROM NEBRASKA

    Senator Fischer. Thank you, Chairman Schatz. It is great to 
be back before this Committee again.
    Today it is my honor to introduce the Chairwoman of the 
Winnebago Tribe of Nebraska, Victoria Kitcheyan, to testify in 
support of the Winnebago Land Transfer Act. I am grateful that 
the bill passed the House of Representatives just this week. I 
am hopeful that we can soon follow here in the Senate.
    Chairwoman Kitcheyan has been serving in her current role 
for the Winnebago Tribe since 2020. But for years before her 
election as chairwoman, she dedicated herself to the welfare 
and prosperity of her tribe.
    Chairwoman Kitcheyan was first elected to the Winnebago 
Tribal Council nearly a decade ago. She is the former 
chairwoman of the National Indian Health Board, and she has 
served on the Board's Medicare, Medicaid, and Health Reform 
Policy Committee. She has also served on the Secretary's Tribal 
Advisory Committee at the Department of Health and Human 
Services.
    Chairwoman Kitcheyan has demonstrate unwavering devotion to 
her tribe and a comprehensive understanding of the issues they 
face. There is no more knowledgeable or committed individual 
who could testify here today.
    My colleagues and I introduced the Winnebago Land Transfer 
Act last year to respond to the trials this tribe has faced 
over decades, trials imposed, sadly, by our own government. The 
Winnebago Tribe endured forced removal from their homeland in 
the mid-1800s. They settled in the Winnebago Indian Reservation 
in Nebraska in 1865.
    The Government promised the Winnebago Tribe that land in my 
home State. They promised it forever. But in 1970, the U.S. 
Army Corps of Engineers condemned approximately 1,600 acres of 
the tribe's reservation land for a proposed recreation project, 
a project that was never started.
    What ensued was over half a century of legal battles 
between the Winnebago Tribe and the U.S. Government, battles 
that never brought this matter to a just resolution. Our bill 
would restore the tribe's rightful land, transferring the 
outstanding tracts of land back from the Army Corps. The Corps 
no longer objects to returning the land, but this legislation 
is needed to actually get it transferred to the tribe.
    I am optimistic that we can continue raising bipartisan, 
bicameral support for this bill, and that we can send it to the 
President's desk. Thank you, Madam Chairwoman, for being here 
today. It is an honor to have you. And thank you, Chairman 
Schatz.
    The Chairman. Senator Smith and Chairman Larsen, with your 
indulgence, we are going to try to keep the member with the 
relevant testifier together, just so we are not confusing 
ourselves.
    Chairwoman Kitcheyan, please proceed with your testimony.

  STATEMENT OF HON. VICTORIA KITCHEYAN, CHAIRWOMAN, WINNEBAGO 
                       TRIBE OF NEBRASKA

    Ms. Kitcheyan. Good morning, Chairman Schatz, Vice Chair 
Murkowski, and members of the Committee. My name is Victoria 
Kitcheyan and I have the honor of serving as the chairwoman of 
the Winnebago Tribe of Nebraska. Thank you for holding this 
hearing on S. 3230, the Winnebago Land Transfer Act.
    I would like to begin by expressing my heartfelt gratitude 
toward Senators Fischer, Ricketts, Grassley, and Ernst for 
their leadership in championing this bill. Senator Fischer, it 
has been my honor to work with you, and the kind introduction 
was so nice. The sheer determination that you have shown in 
helping us get this legislation passed, and the elders at home 
told us of a lady out east that was going to help us. The 
leadership that you have demonstrated, our delegation believes 
that you are that lady. So thank you for being an answer to 
pray for the Winnebago people.
    Honorable members of the Committee, you have my written 
testimony. I want to use this time to tell you about the 
historic and meaningful week our delegation has had. On Monday, 
the Winnebago delegation was in the gallery when the House 
passed our bill by a voice vote. It was an emotional experience 
to hear the tribe's name in the introduction of that bill. And 
it was a milestone and an historic moment in the tribe's work.
    On Tuesday, we were able to visit the archives and look at 
our 11 treaties, among them the 1865 Treaty that established 
our reservation and that that would be our home forever. 
Getting to have this humbling experience, to see the markings 
of the warriors, Chief Little Priest, Chief Whirling Thunder, 
and the bravery and the respect and the diplomacy that they 
exhibited in establishing the government-to-government 
relationship.
    It was that bravery and that respect that carries over to 
our tribal council, and our responsibility to uphold those 
treaties. That exercise was significant in creating that space 
for change. The ancestors were with us.
    That afternoon, we went to the Smithsonian's Cultural 
Resource Center, and were able to view our relatives' items 
that they left behind. It was by no coincidence that our 
delegations represented families in the clans that were there 
that day. Being in the presence and getting to look at the 
beauty and take in the spirit of those items was powerful.
    It was the designs and the materials used in those 
materials that are still in our families and our community 
today and are celebrated as a remembrance of who were are. It 
was this intrinsic tie to the land in our everyday life and our 
culture, and it also demonstrates the depth of our relationship 
with Man'una's creation. The ancestors are with us.
    Yesterday, we had an amazing visit with Senator Fischer and 
many other of the Committee staff. We were able to discuss this 
bill and talk about how important this was to the tribe. And 
here we are today amongst this distinguished body and 
recognizing the work that has been brought before you and what 
strong advocates you are for Indian Country.
    I share these moments because I want you to know how 
meaningful this has been to us and the significance of 
returning this land. Our Winnebago delegation is here, carrying 
the work forward of others, most notably the late Louis LaRose 
[phrase in Native tongue], who was the chairman in the 1970s. 
He served over a span of 50 years. He was the chairman when 
this land was taken. It was my honor to get to sit at the table 
with him. Sadly, he passed the day after the Senate introduced 
our bill.
    So we are here to continue Louis' work. We are here to 
finish this on behalf of the people. Once this land is 
restored, we plan to keep this land in conservation. Our 
wildlife and parks department has the capacity and resources to 
manage this land for recreation and conservation activities. 
The tribe has no intention of making any changes to those 
conservation efforts by the Army Corps or the Iowa DNR.
    In conclusion, I want to share some teachings of the 
Winnebago people. The elders tell us it is really simple. They 
say, love one another, take care of one another, be good to one 
another. So I want to ask this Committee to be good to the 
Winnebago people. Our people say, [phrase in Native tongue], 
stand arm in arm. I say [phrase in Native tongue] to this 
Committee and ask you to stand arm in arm with the Winnebago 
people and pass S. 3230.
    [Phrase in Native tongue.]
    [The prepared statement of Ms. Kitcheyan follows:]

 Prepared Statement of Hon. Victoria Kitcheyan, Chairwoman, Winnebago 
                           Tribe of Nebraska
Introduction
    Good morning Chairman Schatz, Vice Chairman Murkowski, and Members 
of the Senate Committee on Indian Affairs. My name is Victoria 
Kitcheyan, and I have the honor of serving as the Chairwoman of the 
Winnebago Tribe of Nebraska (``Tribe'' or ``Winnebago''). Thank you for 
holding this hearing on S. 3230, the Winnebago Land Transfer Act, which 
would restore a portion of our homelands that were illegally taken from 
the Tribe decades ago.
I. Background on the Winnebago Tribe
    In the mid-1800s, the Winnebago people were forcibly removed by the 
United States Army from Wisconsin to Minnesota, Iowa, South Dakota, and 
finally in 1865 to the Winnebago Indian Reservation in Nebraska and 
Iowa. Our treaty promised that land was ``set apart for the occupation 
and future home of the Winnebago Indians, forever..'' Today, the 
Winnebago people make our home on a reservation along the hills and 
banks of the Missouri River in Northeastern Nebraska and Northwestern 
Iowa.
II. Need for Legislation
    Over 150 years after my ancestors made their marks on our 1865 
Treaty, I am here fighting to ensure that the federal government lives 
up to the obligations it made in that agreement. I am carrying forward 
the work of Winnebago leaders that came before me, including the late 
Louis LaRose, who served on the Winnebago Tribal Council intermittently 
for the past 50 years.
    Louis was elected to the Tribal Council at the age of 26, then 
became chairman at just 28 years old. It was during his time as 
chairman in the early 1970s when the U.S. Army Corps of Engineers 
(``Army Corps'') improperly and illegally condemned approximately 1,600 
acres of our reservation in Iowa and Nebraska for a proposed recreation 
project, a project that never came to fruition.
    The Army Corps filed two condemnation proceedings against the 
Tribe, one in Iowa and one in Nebraska. As trustee, the U.S. should 
have defended the Tribe as part of its trust responsibility for our 
land. However, because the Army Corps itself is a federal entity, the 
U.S. could not defend the Tribe's interests. Therefore, the Tribe had 
to defend its own interests in multiple lawsuits, in multiple states, 
in multiple courts, and on extremely short notice with limited 
resources. Louie would share a story about the Tribe having only one 
day to get a lawyer to defend our lands.
    The Tribe initially lost in both the U.S. District Court of 
Nebraska and U.S. District Court for the Northern District of Iowa, 
Western Division. However, when the Tribe appealed to the federal Court 
of Appeals, we prevailed in our lawsuit in Nebraska. The Appeals Court 
found that the Army Corps did not have Congressional authorization to 
condemn our reservation lands.
    We also appealed the Iowa case to the federal Court of Appeals. 
After years of litigation and appeals, the Eighth Circuit Court of 
Appeals found that the condemnation was illegal, but the Court did not 
have the authority to order the Army Corps to return the land to the 
Tribe because of res judicata, the matter was already decided.
    The Tribe has exhausted its remedies in the court system, and we've 
been unable to obtain redress from the Army Corps, nor the Department 
of the Interior. So, the Winnebago Tribe is here today to urge Congress 
to return those lands to the Tribe by enacting the Winnebago Land 
Transfer Act.
III. BILL OVERVIEW
    The Winnebago Land Transfer Act is a testament to the Winnebago 
peoples' persistence, determination, and commitment to being a good 
neighbor. Our approach led to the introduction of bicameral, bipartisan 
legislation that is supported by our entire Congressional delegation, 
the Department of the Interior, as well as many stakeholders.
    The bill would transfer approximately 1,600 acres of the Tribe's 
former reservation lands from the Army Corps back to the Department of 
the Interior to be held in trust for the Tribe. The land being returned 
to the Tribe is mostly woodland and marsh along the Iowa side of the 
Missouri River that is primarily used for recreational hunting and 
fishing. For the Winnebago people, we also have a strong cultural 
connection to this land as it contains many of our traditional 
medicines.
    The lands that are the subject of the bill are currently maintained 
by the Iowa Department of Natural Resources (DNR) who supports this 
legislation. In fact, the latest renewal agreement of the license 
between the Iowa DNR and the Army Corps includes a provision that 
anticipates the return of the land to the Winnebago Tribe.
    Once restored to the Tribe, the Winnebago Wildlife and Parks 
Department (``Department'') would be responsible for managing this 
land. Our Department has the experience and resources to regulate 
recreational and conservation activities and ensure laws and 
regulations are enforced, as well as a strong commitment to improve the 
overall management of these lands. It currently oversees hunting and 
fishing on 10,000 acres of woodland on the Nebraska side of the 
Missouri River, where hunters from all over the country come to hunt.
    The Tribe has no intention of making any major changes to the 
conservation measures in place now by the Army Corps and the Iowa DNR. 
Further, those hunting and fishing on the land will only have to pay a 
fee to the Tribe, not both the Tribe and the Iowa DNR. Our Department's 
website will provide information on fees and regulations and offers an 
online process to obtain hunting and fishing licenses.
IV. Support for Legislation
    The Winnebago people have waited for more than 50 years to have the 
lands that were wrongfully seized by the Army Corps returned to the 
Tribe. The Tribe is very thankful to have so many champions of that 
effort here in Congress. We greatly appreciate Senator Fischer, Senator 
Grassley, Senator Ricketts, and Senator Ernst introducing and 
championing the Winnebago Land Transfer Act in the Senate.
    Earlier this week, the House of Representatives approved the 
Winnebago Land Transfer Act. This historic moment would not have been 
possible without the strong support of Representative Randy Feenstra, 
our congressman on the Iowa side of our reservation where these lands 
are located; Representative Sharice Davids, a member of our sister 
tribe, the Ho-Chunk Nation; Representative Mike Flood; Representative 
Zach Nunn; Representative Adrian Smith; Representative Mariannette 
Miller-Meeks; Representative Don Bacon; and Representative Ashley 
Hinson.
Conclusion
    Our late Chairman Louis LaRose fought tirelessly to see these lands 
returned to the Winnebago people throughout his distinguished career, a 
career that included many significant achievements, initiatives, and 
movements on behalf of our people, and on behalf of Indian Country. 
Sadly, he passed away the day after the Winnebago Land Transfer Act was 
introduced in the Senate. Louis started the work which led to the 
development of the bill, and now the Tribal Council is determined to 
help send this legislation to the President's desk in his name and 
honor.
    The Winnebago Tribe urges the Committee and full Senate to approve 
the Winnebago Land Transfer Act. Through the enactment of this 
legislation, the United States would correct an injustice and ensure 
that our Tribe's homelands are protected, respected, and preserved. 
Thank you again for the opportunity to testify on S. 3230, the 
Winnebago Land Transfer Act.

    The Chairman. Thank you very much, Chairwoman.
    Now the Honorable Robert Larsen, President of the Lower 
Sioux Indian Community in Minnesota.

  STATEMENT OF HON. ROBERT L. LARSEN, PRESIDENT, LOWER SIOUX 
                        INDIAN COMMUNITY

    Mr. Larsen. [Greeting in Native tongue.] Hello, my 
relatives. [Phrase in Native tongue.] In English, Robert 
Larsen, or Deuce. [Phrase in Native tongue.] I introduce myself 
with my Dakota name and my English name. I am the President at 
Lower Sioux; I have that great honor to serve them.
    And I just want to say thank you to Chair Schatz, Vice 
Chair Murkowski, and the Committee for the opportunity to 
present testimony in support of Senate Bill 2868, to Accept the 
Request to Revoke the Charter of the Incorporation of the Lower 
Sioux Indian Community in the State of Minnesota.
    The charter was never requested by the community, and the 
community has never used it. It is a paternalistic document 
that limits the community's ability to manage its own economic 
affairs without Department of Interior approval. The charter is 
laced with restrictions from a long-ago era that do not work 
today, and it serves no function for the community.
    The community voted to adopt and organize under its 
constitution and bylaws, and it has always operated its 
economic activities as a government, rather than a Federal 
corporation.
    The community has full constitutional authority to manage 
the business affairs of the community and to adopt tribal law 
governing the organization and operation of corporate entities, 
and it has done so. It can further organize corporate entities 
under community law which would be better equipped to fulfill 
the goals of the community to keep up with the changes in the 
marketplace and at the pace of business.
    Also, the community has passed its own limited liability 
company ordinance, which allows the community and individuals 
to organize as tribal companies and eliminates Federal 
involvement in corporate affairs.
    Senate Bill 2868 is based on a well-worn path as many IRA 
organized tribes that were issued charters have abandoned them 
by the same legislative method, including the Minnesota 
Chippewa Tribe, the Perry Island Indian Community, Stockbridge 
Muncie Community of Mohican Indians, and the Miami Tribe of 
Oklahoma. The community believes that abandoning the Federal 
corporate charter is an effective and important statement that 
it is self-governing, sovereign, and is capable of operating 
economic activities of the community without the Department of 
Interior's assistance.
    I appreciate your support for Senate Bill 2868, which 
revokes the community's charter. [Phrase in Native tongue], and 
thank you.
    [The prepared statement of Mr. Larsen follows:]

  Prepared Statement of Hon. Robert L. Larsen, President, Lower Sioux 
                            Indian Community
    Thank you, Chairman Schatz, Vice Chair Murkowski, members of the 
Committee--My name is Robert ``Deuce'' Larsen, and I have the privilege 
of serving as President of the Lower Sioux Indian Community in the 
State of Minnesota.
    I want to thank the Committee for the opportunity to present 
testimony in support of Senate Bill 2868--to accept the request to 
revoke the charter of incorporation of the Lower Sioux Indian Community 
in the State of Minnesota.
    The Lower Sioux Indian Community in the State of Minnesota (the 
Community) has requested assistance in revoking its antiquated federal 
Corporate Charter pursuant to the provisions of the Indian 
Reorganization Act of June 18, 1934 (IRA). These charters were issued 
over 80 years ago to tribes organized under the IRA. Nearly uniformly, 
tribes have not operated under these charters because they are 
cumbersome and ineffective for dealing with Tribal resources, and many 
tribes have seen their charters revoked by simple legislative action by 
Congress as required by the charters themselves.
    One of the purported purposes of the IRA was to provide a means by 
which tribes could function in mainstream business. Section 17 of the 
IRA established federal corporate charters as a means for tribes to 
facilitate business transactions. A Section 17 corporation provides the 
framework by which a tribe can segregate tribal business assets and 
liabilities from the assets and liability of tribal governmental 
assets.
    A vast majority of federal charters went unused or were quickly 
abandoned due to the charters' restrictive requirements for Secretary 
of the Interior approval, unrealistic temporal and financial 
limitations, and failures to update the charters' provisions. Instead, 
tribes often chose to operate their enterprises through their authority 
as sovereign government entities--rather than engage their federal 
corporate charters.
    A number of tribes of have requested and gained Congressional 
repeal of their individual federal corporate charters. By their own 
terms, most federal corporate charters restrict the revocation or 
surrender of the charter by requiring ``an act of Congress.'' \1\
---------------------------------------------------------------------------
    \1\T3ASee U.S. Dep't of Interior, Corporate Charter of the 
Lower Sioux Indian Community in Minnesota (July 17, 1937) at  10; 
Dep't of Interior, Corporate Charter of the Minnesota Chippewa Tribe of 
the Consolidated Chippewa Agency (Nov.13, 1937) at  10; U.S. Dep't of 
Interior, Corporate Charter of the Stockbridge Munsee Community of 
Wisconsin (May 21, 1938) at  10, U.S. Dep't of Interior, Corporate 
Charter of the Miami Tribe of Oklahoma (June 1, 1940) at  8.
---------------------------------------------------------------------------
    In 1996, Congress accepted the Minnesota Chippewa Tribe's surrender 
of their ``Corporate Charter of the Minnesota Chippewa of the 
Consolidated Chippewa Agency.'' \2\
---------------------------------------------------------------------------
    \2\ Technical Corrections to Laws Relating to Native Americans, 
Pub. L. No. 104-109, 110 Stat. 763 (1996).
---------------------------------------------------------------------------
    Later that same year, the Prairie Island Indian Community 
(``Prairie Island'') made a similar request of Congress. \3\ 
Considering a bill sponsored by Congressman Gil Gutkneckt (R-MN), the 
House Committee on Resources (``Committee'') noted that Prairie Island 
considered the federal Corporate Charter to be ``outdated, ineffective 
and cumbersome,'' and the tribe did not engage the corporate authority, 
operating its businesses enterprises pursuant to its tribal 
constitutional authority instead. \4\ The Committee further noted that 
``revocation of charters of incorporation issued to tribes is a common 
practice by Congress.'' \5\ The House passed the bill and, in the 
Senate, Senator John McCain (R-AZ) spoke in favor of revoking the 
Prairie Island Corporate Charter due to its ineffectiveness, pointing 
out that a number of the Prairie Island charter's provisions were 
``particularly paternalistic and inappropriate for effective management 
of tribal resources.'' \6\ On October 9, 1996, P.L. 104-261 officially 
revoked Prairie Island's federal Corporate Charter. \7\
---------------------------------------------------------------------------
    \3\ See H.R. REP. No. 104-584 (1996).
    \4\  142 CONG. REC. H5388-04 (May 22, 1996).
    \5\ Id. (referring to Public Law 104-109, wherein Congress approved 
the Minnesota Chippewa Tribe's request for revocation).
    \6\ 142 CONG. REC. S11-53-01 (Sept. 19, 1996).
    \7\ Pub. L. No. 104-261, 110 Stat. 3176 (1996).
---------------------------------------------------------------------------
    In 2000, the Stockbridge Munsee Community of Mohican Indians 
(``Stockbridge Munsee Community'') also pursued Congressional action in 
order to repeal the tribe's federal Corporate Charter. \8\ The 
Stockbridge Munsee Community requested that Congress revoke its federal 
Corporate Charter because it was ``outdated'' and ``never used.'' \9\ 
In the House, Mr. James Hanson (R-Utah) pointed to the charter's 
``unrealistic'' limitations on the tribe's corporate powers and urged 
that the Corporate Charter be revoked in order to facilitate the 
tribe's economic development. On June 20, 2000, Congress passed P.L. 
106-216, accepting the Stockbridge Munsee Community's surrender of its 
charter of incorporation. \10\
---------------------------------------------------------------------------
    \8\ See U.S. Dep't of Interior, Corporate Charter of the 
Stockbridge Munsee Community of Wisconsin (May 21, 1938).
    \9\ 145 CONG. REC. H12131-01 (Nov. 17, 1999).
    \10\ Pub. L. No. 106-216, 114 Stat. 343 (2000).
---------------------------------------------------------------------------
    In 2014, the Miami Tribe of Oklahoma requested Congressional 
revocation of their Corporate Charter. \11\ The Miami Tribe noted that 
their charter was ``archaic,'' ``unnecessary,'' and ``a relic of a 
bygone, more paternalistic time in federal Indian policy.'' \12\ 
Representative Markwayne Mullin (R-OK), speaking in support of the 
Tribe's request at the House of Representatives, noted that the Miami 
Tribe created ``not just jobs at a casino, but manufacturing jobs, jobs 
that help our national defense. Yet they are hindered constantly by the 
effect that they can't simply do the work without asking Congress' 
permission'' \13\ Congress passed P.L. 114-28 on July 6, 2015, 
accepting surrender of and revoking the Miami Tribe's charter. \14\
---------------------------------------------------------------------------
    \11\ See U.S. Dep't of Interior, Corporate Charter of the Miami 
Tribe of Oklahoma (June 1, 1940).
    \12\ Testimony of Douglas G. Lankford before the House Natural 
Resources Committee Subcommittee on Indian and Alaska Native Affairs 
(March 27, 2014).
    \13\ 161 CONG. REC. H3588 (June 1, 2015).
    \14\ Pub. L. No. 114-28, 129 Stat. 420 (2015).
---------------------------------------------------------------------------
    The Community's Corporate Charter is comparable to the charters 
issued to the Minnesota Chippewa Tribe, Prairie Island Indian 
Community, the Stockbridge Munsee Community, and the Miami Tribe of 
Oklahoma. The charter's language provides similar corporate powers to 
the Community. For example, the Community's charter provides that the 
corporation may borrow money, but not in excess of $1000 without 
express approval by the Secretary of the Interior. \15\ The Community's 
charter limits the corporate entity to the assignment of future 
corporate income to a period of three years, limits lease terms to 10 
years, and prohibits any sale of land held by the corporation. Also, 
the corporation's powers are heavily limited by Secretarial approval 
requirements.
---------------------------------------------------------------------------
    \15\ Id. at  5(d). Comparatively, the Minnesota Chippewa Tribe and 
Stockbridge Munsee charters each authorized independent borrowing up to 
$5,000, and the Prairie Island charter authorized up to $1000. The 
Miami Tribe of Oklahoma's Charter authorized borrowing up to $150.
---------------------------------------------------------------------------
    The Community has full constitutional authority to manage the 
business affairs of the Community and to adopt tribal law governing the 
organization and operation of corporate entities, and it has done so. 
It can further organize corporate entities under Community law, which 
would be better equipped to fulfill the goals of the Community and to 
keep up with changes in the marketplace and at the pace of business.
    It is for these reasons that I ask for support of Senate Bill 2868. 
Pidamaya-do.

    The Chairman. Thank you very much. Now we will introduce 
our final testifier, Ms. Angie Wilson, the Executive Director 
of the Reno Sparks Indian Colony Tribal Health Center. Please 
proceed with your testimony online.

  STATEMENT OF ANGIE WILSON, EXECUTIVE DIRECTOR, RENO SPARKS 
               INDIAN COLONY TRIBAL HEALTH CENTER

    Ms. Wilson. [Greeting in Native tongue]. Greetings and good 
morning to everyone.
    Before I begin, I would like to acknowledge all of the 
tribal leaders in the room and their powerful testimony on 
behalf of your tribal communities. It is beautiful to hear.
    Chairman Schatz, Vice Chair Murkowski and members of the 
Senate Committee on Indian Affairs, I want to thank you for 
inviting me to speak with you all today. My name is Angie 
Wilson, and I serve as the Executive Director for the Reno 
Sparks Tribal Health Center for the Reno Sparks Indian Colony 
here in northern Nevada. I am a citizen of the Pit River Tribe 
of Northern California and a Klamath/Modoc descendant of the 
Klamath Tribe of Southern Oregon. It is an honor to be here 
today.
    First, I would like to express my sincere gratitude for the 
opportunity to testify before the Senate Committee on Indian 
Affairs in support of the bipartisan bill to expand the Indian 
Health Service Loan Repayment Program to part-time healthcare 
professionals. I would like to thank our United States Senator, 
Catherine Cortez Masto, and United States Senator Markwayne 
Mullin from Oklahoma on their collaboration to propose this 
bipartisan bill. Sepk'eec'a, thank you for your dedication to 
this effort.
    It should be no surprise to any one of us here today, in 
our respective positions as United States Senators, health 
policy experts, or tribal health advocates, that health care 
for our Indian people lags that of other Americans, despite the 
legal obligation of the United States to provide health care to 
American Indians and Alaska Natives as a trust responsibility. 
As evidenced in well documented health disparities, the health 
outcomes for our Indian people should be the report card for 
how well the trust responsibility is being upheld.
    In addition to decades-long underfunding, there are 
additional barriers that further compound inadequate access to 
care for our Indian people. One key factor in many of our 
Indian health and tribal and urban Indian programs is the 
shortage of health care personnel.
    This is especially true for our rural and frontier based 
reservations. As detailed in the effort on this bipartisan 
bill, the Indian Health Service holds a provider vacancy at 
over 25 percent. While that number may seem staggering to some, 
the reality is that the vacancy rates are much higher in our 
tribal clinics and especially severe in our rural and frontier 
based tribal communities.
    I work closely with our Nevada Tribal Health Directors. 
Here we have 17 counties, 3 being rural and 11 of those are 
frontier, with a vacancy rate as high as 50 percent in some of 
our tribal clinics.
    The impacts of such vacancies results in our most 
vulnerable clinics utilizing locum tenens at such a high cost, 
it almost feels impossible for us to get ahead of this 
situation. In addition, the ability of our tribes to engage 
with the Indian Health Services to buy back a provider is left 
unresolved as the vacancy rates with the IHS leave little to no 
fruitful opportunity to fulfill the staffing needs at the local 
tribal level.
    Our Indian people continue to die at higher rates than 
other Americans in many categories of preventable illness, 
including chronic liver disease and cirrhosis, diabetes and 
chronic lower respiratory diseases. This month, my extended 
family has lost the sixth person to cirrhosis, all of which 
were under 34 years old, while an additional young family 
member is struggling to endure dialysis while waiting for a 
kidney transplant.
    It is important that we look at this issue through the eyes 
of our patients, including but not limited to our members with 
chronic health conditions, elders with geriatric health care 
needs, and the overwhelming need for behavioral health services 
within our tribal communities. Having a regular and reliable 
relationship with a health care provider is strongly associated 
with more use of preventive care, greater satisfaction with 
care, lower health care costs and better health outcomes. This 
is especially true for our elder populations and reduced risk 
of preventable hospitalizations.
    The Reno Sparks Tribal Health Center currently employs 
recipients of the IHS Loan Repayment Program. This bill would 
help to support our efforts to extend loan repayment options to 
part-time employees, allowing improved opportunities for 
staffing to better meet the needs in our tribal health care 
delivery systems.
    Currently, this allowance would improve our opportunities 
to offer part-time employment for expanded access to health 
care providers such as psychiatric nurse practitioners and 
practitioners in women's health, pediatrics, psychologists and 
physical therapists. This allows our clinics to better utilize 
our space to schedule various providers throughout the week 
while also extending services through our mobile medical, 
dental, and behavioral health units to the extended tribal 
community.
    On behalf of the Reno Sparks Indian Colony and our Tribal 
Health Center, we are in full support of this important bill, 
and further advocate that loan repayment funds should be exempt 
from Federal income and employment taxes, in alignment with 
loan repayment programs of the National Health Services Corps.
    In closing, I just want to express my gratitude to the 
entire Senate Committee for your continued work in Indian 
Country and urge you, the importance of upholding the Federal 
trust responsibility to our Indian people, because their lives 
depend on it. [Phrase in Native tongue.] Thank you for having 
me.
    [The prepared statement of Ms. Wilson follows:]

  Prepared Statement of Angie Wilson, Executive Director, Reno Sparks 
                   Indian Colony Tribal Health Center
    Chairman Schatz, Vice Chair Murkowski, and Members of the Senate 
Committee on Indian Affairs, thank you for inviting me to speak with 
you all today. My name is Angie Wilson and I serve as the Executive 
Director of the Reno Sparks Tribal Health Center for the Reno Sparks 
Indian Colony. I am a citizen of the Pit River Tribe of Northern 
California and a Klamath/Modoc descendant of the Klamath Tribes of 
Southern Oregon.
    First, I would like to express my sincere gratitude for the 
opportunity to testify before the Senate Committee on Indian Affairs in 
support of the bipartisan bill to expand the Indian Health Service Loan 
Repayment Program to part-time healthcare professionals. I am proud of 
t he work of our U.S. Senator Catherine Cortez-Masto (NV) and her 
ongoing dedication to assisting our tribes with key initiatives. In 
addition, to U.S. Senator Markwayne Mullins (OK) and fellow tribal 
member of the Cherokee Nation. The collaboration to propose this 
bipartisan bill is an outstanding example of leadership in action. 
Sepk'eec'a (thank you) for your dedication to this effort.
    It should be no surprise to any one of us here today, in our 
respective positions as United States Senators, Health Policy Experts, 
or Tribal Health Advocates, that health care for our Indian people lags 
that of other Americans, despite the legal obligation of the United 
States to provide health care to American Indians and Alaskan Natives 
as a trust responsibility. As evidenced in well documented health 
disparities, the health outcomes for our Indian people should be the 
report card for how well the Trust Responsibility is being upheld.
    In addition to decades-long underfunding, t here are additional 
barriers that further compound inadequate access to care for our Indian 
people. One key factor in many of our Indian Health and Tribal Health 
Clinics, is the shortage of healthcare personnel. This is especially 
true for our rural and frontier based Tribal reservations. As detailed 
in the effort on this bipartisan bill, the IHS holds a provider vacancy 
rate at over 25 percent. While that number may seem staggering, the 
reality is that the vacancy rates are much higher in our tribal clinics 
and especially severe in our rural and frontier based tribal 
communities. I work closely with our Nevada Tribal Health Directors, 
with 17 counties in our state, 3 being rural and 11 frontier, the 
vacancy rate is as high as 50 percent in some tribal clinics.
    The impact of such vacancies result in our most vulnerable tribal 
clinics utilizing locum tenens at such a high cost, it feels impossible 
for tribal clinics to get ahead of this situation. In addition, the 
ability of our tribes to engage with the Indian Health Services to buy 
back a provider is left unresolved as the vacancy rates with the IHS, 
leave little to no fruitful opportunity to fulfill the staffing needs 
at the local tribal level.
    Our Indian people continue to die at higher rates than other 
Americans in many categories of preventable illness, including chronic 
liver disease and cirrhosis, diabetes and chronic lower respiratory 
diseases. This month, my extended family has lost the sixth person to 
cirrhosis, all of which were under 34 years old, while an additional 
young family member is struggling to endure dialysis while waiting for 
a kidney transplant. It is imperative that we look at this issue 
through the eyes of our patients including, but not limited to, our 
members with chronic health conditions, elders with geriatric 
healthcare needs, and the overwhelming need for behavioral health 
services within our tribal communities. Having a regular and reliable 
relationship with a healthcare provider is strongly associated with 
more use of preventive care, greater satisfaction with care, lower 
healthcare costs and better health outcomes. This is especially true 
for our elder populations and reduced risk of preventable 
hospitalizations.
    The Reno Sparks Tribal Health Center currently employs recipients 
of the IHS Loan Repayment Program. This bill would support our efforts 
to extend loan repayment options to part-time employees, allowing 
improved opportunities for staffing to better meet the needs in our 
tribal healthcare delivery systems. Currently, this allowance would 
improve our opportunities to offer part-time employment for expanded 
access to healthcare providers such as Psychiatric Nurse Practitioners, 
and practitioners in Women's Health, Pediatrics, Psychologists and 
Physical Therapist etc. . . This allows our clinics to better utilize 
limited space to schedule various providers throughout the week while 
also extending services through our mobile medical, dental and 
behavioral health units to the extended tribal community.
    As such, on behalf of the Reno Sparks Indian Colony Tribal Health 
Center, we are in full support of this important bill and further 
advocate loan repayment funds to be exempt from federal income and 
employment taxes, in alignment with the loan repayment programs of the 
National Health Services Corps.

    The Chairman. Thank you very much.
    Senator Cortez Masto?
    Senator Cortez Masto. Thank you. I want to thank the 
Chairman and Ranking Member for holding this hearing on several 
important pieces of legislation that have a positive impact on 
Indian Country.
    I also thank them for pulling up the IHS Workforce Parity 
Act. It is a piece of legislation that Senator Mullin and I 
have worked on together, after talking with our tribes, and 
understanding that too many tribal members can't access the 
health care they need because of a dire doctor shortage in 
Indian Country. So we need to make it easier, as we have heard 
today from our incredible panelists.
    That is why this legislation would allow health care 
providers working part-time to access IHS scholarship and loan 
repayment programs. You have heard why this is so important.
    Let me start with Ms. Wilson. Angie, thank you again for 
participating virtually here. Thank you for explaining really 
the workforce shortages in Indian Country, what you are 
actually seeing on the ground and the impact it is having to so 
many members of our tribal community.
    Can you also talk about particularly in our rural health 
care areas, quite often because there is a limited amount of 
health care workers, when we do get them in Indian Country or 
rural areas, they are actually wearing different hats. They 
don't just wear one hat. There are different things they are 
doing, because that flexibility is important. Whether it is 
full-time or part-time, the clinical hour requirements really 
increase staff time for our capacity.
    Why is this bill that important? Angie, let me start with 
you. Please address the flexibility piece of it and the many 
hats that somebody, even working part-time, will have that 
benefits Indian Country.
    Ms. Wilson. I think that if you are, especially in our 
State, we are a primarily rural State. Access to health care 
providers is somewhat challenging for us. I would say 
especially when we look at things like behavioral health, there 
have been oftentimes where we get one psychiatrist, that one 
tribe may find that all of us see if we can do a contract with 
that person, even for just one day or just to meet the need in 
our tribal clinics.
    So it is somewhat in a dire situation where people wear 
multiple hats, it diminishes the amount of time that we really 
get with our patients. When we look at the health disparities 
of American Indians and Alaska Natives, there is really no time 
for that. We need help on the ground. We have infant mortality 
rates that are off the charts compared to non-Hispanic Whites, 
mothers who are almost three times less likely to receive late 
or no prenatal care. We don't have access to some of the urgent 
care needs that we have in our community.
    So by being able to pass a bill that would allow the 
flexibility of onboarding part-timers, and giving them, 
extending them benefits for loan repayment, it really helps us 
in our clinics to be able to strategize access to care in a 
more convenient way for our patients and be able to allow us to 
schedule them appropriately to be able to utilize their skills 
for what we need them there for.
    Senator Cortez Masto. Thank you.
    Let me jump to Assistant Secretary Ms. Egorin, is that 
right?
    Ms. Egorin. It is Egorin.
    Senator Cortez Masto. Thank you very much. Ms. Egorin, 
thank you for the support of this piece of legislation, the 
Workforce Parity Act. Can you talk a little bit about how it 
would help build the workforce pipeline in Indian Country?
    Ms. Egorin. Yes, thank you for that question, Senator. I 
want to thank Senator Smith, she actually met with the 
Secretary when he was out in the district and talked about 
these issue, and the need for support and increased capacity in 
our tribal health care workforce.
    This bill would allow the flexibility you were just talking 
about, whether that is being able to recruit health care 
providers who want to serve tribal communities, but also have 
family or other obligations, to be able to split their time, or 
true rural communities that may not have full capacity, may not 
need somebody 40 hours a week, to be able to utilize their 
clinical time as well as administrative time or other time to 
serve that community.
    So it builds capacity. We have seen that it builds the 
ability to recruit people and retain people, which is a 
critical need.
    Senator Cortez Masto. Thank you. Thank you to all the 
panelists. Thank you to every one of you. The advocacy and what 
we hear from you is so important as we look to passing this 
legislation and doing right by Indian Country. Thank you.
    The Chairman. Senator Smith?
    Senator Smith. Thank you so much, Chair Schatz.
    President Larsen, welcome again. I am so glad to be with 
you. Could you just explain to us, we think about these IRA 
corporate charters, I think sometimes it is hard for people to 
understand the real world implications for what these charters 
mean and how they end up constraining the Lower Sioux.
    Could you tell us a little bit more? How does it make life 
more difficult exactly?
    Mr. Larsen. Thank you, Senator Smith. I apologize, I forgot 
to thank you personally for championing this.
    Senator Smith. You did earlier this morning, so it is okay.
    [Laughter.]
    Mr. Larsen. The charter was not written with sovereignty in 
mind, tribal sovereignty. It is actually an impediment to 
tribal sovereignty. The language that is restrictive and 
paternalistic, such as the contracts cannot be made for more 
than three years at a time. If we want to borrow money over 
$1,000, we have to get approval from the Federal Government.
    So when we go to banks, they don't want to deal with that. 
They don't want to work with us, looking at that as a 
possibility.
    Also, it has potential for exorbitant and egregious legal 
fees. So revoking the charter is to us a step toward self-
governance.
    Senator Smith. It seems, even though you sort of put it to 
the side, you are not required to use it, it still constrains, 
for example, how banks might think about what you are working 
on.
    Mr. Larsen. Correct.
    Senator Smith. Of course, symbolically, it is a sign of, we 
both used the word paternalistic in our discussion of it. So I 
am thinking about, there are so many great things that you all 
are doing. As you know, I am very interested in the work that 
you are doing around building houses made out of hemp. I wonder 
if you just might share a little bit about that project, in 
mind like how this revocation of the corporate charter would 
help to do that work more efficiently and effectively.
    Mr. Larsen. Certainly. Senator, I thank you for bringing up 
that effort, the effort that we have to bring our citizens a 
safer, healthier and more energy efficient home that could 
potentially last for generations. All the while it cleans the 
carbon out of the air. And while it is standing and lasting for 
generations, as I said, it continues to clean the carbon out of 
the air.
    We are currently building a hemp campus which will house 
our processing equipment. We are getting funding for that. 
People did look at that possibility. They said, well, what 
about this, and we had to take more time to explain that the 
governance that we have does not use the corporate charter. It 
is in people's minds. So if we could get rid of that, I think 
it would speed up the process for the things we are trying to 
do in the future.
    Senator Smith. Right. Thank you so much.
    I want to just take the opportunity, Chief Lankford, while 
we have both of you on the panel, I wonder if you would tell us 
a little bit about how the work that you all did with the 
revocation of your corporate charter and what that has meant 
for the Miami Tribe.
    Mr. Lankford. Senator, I have to take a moment and thank 
you for your efforts to help this Nation, as I want to thank 
Senator Mullin, then Congressman Mullin, for his help. Yes, 
everything he is saying, it is really hard for tribes at times. 
We have enough trouble with banks, being a sovereign nation. We 
actually lost a bank, they got in there, they saw the corporate 
charter, and were like what's this, and they just panicked.
    So it is a real hindrance, it is an archaic thing. I have 
to thank you for helping tribes to remove that impediment that 
should have never been there in the first place. Mihsi neewe.
    Senator Smith. Thank you so much. Thank you, Mr. Chair.
    The Chairman. Thank you very much.
    I have one question for the Assistant Secretary Egorin. It 
is no secret that getting providers to serve in Indian Country 
and Alaska, particularly in rural areas, is a tremendous 
challenge. So I support giving more flexibility to IHS to 
recruit and retain providers.
    What are HHS and HRSA doing to improve provider recruitment 
and retention in Native Hawaiian health care systems, which 
face similar challenges?
    Ms. Egorin. Thank you, Senator, for being able to talk 
about the work that HRSA is doing to oversee the Native 
Hawaiian Health Scholarship Program, which provides 
scholarships for 300 Hawaiians in primary and behavioral health 
disciplines. So it is working to expand the health workforce 
for Native Hawaiians. Those who have served, the majority 
continue to serve, once they go through this training, continue 
to serve medically high need areas in the populations within 
Hawaii. So it shows that the investments in having people serve 
in communities have people stay in communities.
    The Chairman. Thanks very much.
    Could the tools proposed in S. 3022 be applicable to the 
Native Hawaiian health care systems?
    Ms. Egorin. Senator, if it is okay with you, I would 
actually like to make sure that I go back to HRSA and get the 
correct information and have a technical conversation with your 
staff.
    The Chairman. Okay. Thank you very much.
    If there are no more questions for our witnesses, members 
may also submit follow-up questions for the record. The hearing 
record will be open for two weeks. I want to thank all the 
witnesses for their time and their testimony. I know how hard 
it is to get to Washington, and I really appreciate all these 
tribal leaders and also Administration officials for making the 
journey, and also the testifier online as well.
    This hearing is adjourned.
    [Whereupon, at 11:40 a.m., the hearing was adjourned.]

                            A P P E N D I X

Prepared Statement of Kabir Thatte, Vice President, Policy and External 
                            Affairs, DigDeep
    The United States has a hidden water crisis: over 2.2 million 
people across America lack running water or proper sanitation. This is 
the water access gap, where people are forced to ration their water 
supplies, families must haul water from distant sources, and children 
cannot play in their wastewater-flooded yards.
    The water access gap disproportionately impacts Tribal communities; 
Native American households are 19 times more likely to live without 
water than white households. An estimated one in 10 Native Americans 
lack access to safe drinking water or sanitation \1\ and an estimated 
48 percent of households on Native American reservations face this 
issue. \2\ For so many, accessing clean water is a costly, daily 
struggle that negatively impacts their mental and physical health and 
takes time away from school and work.
---------------------------------------------------------------------------
    \1\ Lakhani, Nina. ``Tribes Without Clean Water Demand an End to 
Decades of US Government Neglect.'' The Guardian, 28 Apr. 2021, 
www.theguardian.com/us-news/2021/apr/28/indigenous-americans-drinking-
water-navajo-nation.
    \2\ Water Delayed is Water Denied.'' Democratic staff of the House 
Committee on Natural Resources, 2016, https://
democratsnaturalresources.house.gov/imo/media/doc/
House%20Water%20Report_FINAL.pdf.
---------------------------------------------------------------------------
    Roughly 30 percent of people on the Navajo Nation are forced to 
purchase bottled water, haul water long distances, or use contaminated 
water to meet their basic needs. Across Alaska, thawing permafrost and 
sinking land routinely threaten infrastructure in Alaska Native 
communities, fundamentally changing where people can live, and how they 
can access water. In Montana, many Tribal wells are contaminated, 
causing greater rates of chronic diseases. \3\ At the height of the 
COVID-19 pandemic, the rate of COVID-19 cases for Native Americans and 
Alaska Natives was 3.5 times higher than the rest of the nation, as 
water access is fundamental to basic hygiene and disease and virus 
prevention. \4\
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    \3\ ``Reviving Traditional Aps alooke Water Sources.'' High Country 
News, www.hcn.org/issues/53.8/north-water-reviving-
traditionalapsaalooke-water-sources.
    \4\ ``The COVID-19 Outbreak in the Navajo Nation NMAI Magazine.'' 
NMAI Magazine, www.americanindianmagazine.org/story/the-covid-19-
outbreak-in-the-navajo-nation.
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    We live in the richest country on the planet, yet over 25 percent 
of Native Americans live in poverty. \5\ For each year that we allow 
the water access gap to persist, households lose nearly $16,000 per 
year, often more than their net annual income. \6\ Without sustained 
access to water, families will continue to be stuck in a cycle of 
poverty, as they are forced to make unreasonable choices for water 
allocation and household spending. Without basic access to clean water, 
it is impossible for a person to live in dignity.
---------------------------------------------------------------------------
    \5\ Tec, Dedrick Asante-Muhammad Esha Kamra, Connor Sanchez, Kathy 
Ramirez and Rogelio. ``Racial Wealth Snapshot: Native Americans; 
NCRC.'' NCRC, 7 Apr. 2022, ncrc.org/racial-wealth-snapshot-native-
americans.
    \6\ ``Draining--DIGDEEP.'' DIGDEEP, digdeep.org/draining.
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    New influxes of federal funding, including the Bipartisan 
Infrastructure Law (BIL) have been key in addressing infrastructure 
issues, but not deficits. Accelerated funding in the last few years was 
not intended to close the water access gap. Additionally, specific 
programs that are aimed at providing new infrastructure investments--
such as Section 50208, the Decentralized Wastewater Grant Program--have 
not yet received any funding. Congress needs to develop more targeted 
programs to address remaining infrastructure and access needs, or the 
gap will remain open and continue to widen. As we celebrate new 
victories on replacing crumbling and contaminated infrastructure 
nationwide, we must recognize that progress is uneven.
    Four key elements continue to prevent effective access and 
sanitation for Tribal communities: (1) Technical assistance is urgently 
needed for Tribes to plan and design necessary systems to address the 
lack of access to clean drinking water and bring those plans to a 
``shovel ready'' stage in order to utilize available construction 
funding. (2) Tribes need support to develop the technical, managerial, 
and financial (TMF) capacity necessary to develop fully functional and 
self-sustaining utilities. (3) Construction funding is not currently 
available to connect essential community facilities, like schools and 
clinics, to centralized water and sanitation, which negatively impacts 
Tribal economic development. (4) Tribes cannot rely on the same types 
and volumes of revenue streams to support operation and maintenance 
(O&M) of water systems; new initial and temporary O&M assistance is 
sorely needed.
The Water Access Gap

   At least 2.2 million people across the U.S. have no regular 
        access to running water or flush toilets. \7\
---------------------------------------------------------------------------
    \7\ ''Close the Water Access Gap.'' DIGDEEP, www.digdeep.org/close-
the-water-gap. Accessed 18 Sept. 2023.

   Native American households are 19 times more likely to live 
---------------------------------------------------------------------------
        without water than white households.

   Black and Latino households are twice as likely to lack 
        running water and flush toilets than white households.

   44 million Americans are served by water systems that have 
        had a recent health-based Safe Drinking Water Act violation.

   Water insecurity is growing nationwide.

    A recent study by DigDeep, Draining: the Economic Impact of 
America's Hidden Water Crisis, finds that the U.S. economy loses a 
staggering $8.58 billion every year in decreased household earnings, 
higher healthcare costs, lost tax revenues, and labor market 
disruptions because of the water access gap. In the context of Tribal 
sovereign lands: considering the number of households without piped 
water on the Navajo Reservation, water insecurity may cost the Navajo 
Nation and the broader U.S. economy as much as $152.5 million each 
year. \8\ The federal government must intervene to close the water 
access gap in order to rectify historic imbalances related to water 
quality, infrastructure and funding, address the racial access and 
Tribal access gaps, and ensure that the basic standard of living 
enjoyed by most Americans is available to all.
---------------------------------------------------------------------------
    \8\ Supreme Court of the United States. Department of the Interior 
v. Navajo Nation. 20 March 2023. https://www.supremecourt.gov/
DocketPDF/21/21-1484/254361/
20230208163233914_DigDeep%20UTRF%20Amicus%20Brief%20-%20final.pdf
---------------------------------------------------------------------------
    The water access gap has rippling effects on our economy, health, 
labor market, and justice for disaffected communities. Past investments 
in water infrastructure excluded many Tribal Nations, communities of 
color, immigrant communities, low-income communities, and rural areas.
    Funding in the Bipartisan Infrastructure Law is a much-needed 
start, but it will not close the water access gap on its own. Congress 
needs to develop more targeted programs to address remaining 
infrastructure and access needs or the gap will remain open and may 
continue to widen. Federal investment will benefit regions in dire 
need--often places facing decline, fiscal shortfalls, and loss of 
financial opportunities--allowing them to reinvest in their broader 
communities and local economies.
Effects On Tribal Communities
    As documented above, the water access gap has significant effects 
across the United States, with Tribal communities taking a 
disproportionate impact. Across many intersecting spaces in water and 
sanitation, Native American communities are often left with significant 
disadvantages.
    Infrastructure Gaps: For many Tribal Nations, a lack of investment 
in infrastructure has had significant consequences on the ability for 
households to access safe and reliable water. Decades of disinvestment 
or lack of investment is a lead driver of infrastructure disrepair. As 
an example, Alaska has the highest proportion of the U.S. population 
that lacks access to adequate water infrastructure. There are more than 
30 unserved communities where 45 percent or more homes are not served 
by piped, septic tanks and wells, or covered haul systems. These 
unserved communities are largely located in rural areas that house 
mostly American Indian/Alaska Native populations. \9\
---------------------------------------------------------------------------
    \9\ Spearing, Lauryn A., et al. ``What Impacts Water Services in 
Rural Alaska? Identifying Vulnerabilities at the Intersection of 
Technical, Natural, Human, and Financial Systems.'' Journal of Cleaner 
Production, vol. 379, Elsevier BV, Dec. 2022, p. 134596. https://
doi.org/10.1016/j.jclepro.2022.134596.
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    Such gaps in service lead to extreme water conservation and water 
quality issues, exacerbating existing health disparities in Native 
communities.
    Polluted and Unsafe Water Sources: Contaminated water sources on 
Tribal lands continue to be a major concern for public health and 
adequate access. On the Crow Reservation in Montana, local water 
sources are contaminated with feces, heavy metals, nitrates, and E. 
coli. \10\ Crow members, along with health researchers, have identified 
a connection between uranium contamination and diabetes, a growing 
health crisis on the Reservation. \11\ In New Mexico, around the San 
Juan Basin (the state's largest oil and gas region), there are an 
estimated 40,000 wells, thousands of which are likely neglected, 
abandoned, or orphaned. ``Orphaned'' oil and gas wells leak methane 
into the air and groundwater that pose serious public health risks to 
rural, Tribal, and communities of color. It is estimated that 1,700 
wells are orphaned and abandoned on state and private land. \12\
---------------------------------------------------------------------------
    \10\ Bienkowski, Brian. ``Part 1: Tainted Water Imperils Health, 
Traditions for Montana Tribe.'' EHN, 8 July 2020, www.ehn.org/
part_1_tainted_water_imperils_health_traditions_for_montana_tribe-
2497203331.html.
    \11\ Martin, Christine, et al. ``Our Relationship to Water and 
Experience of Water Insecurity Among Aps alooke (Crow Indian) People, 
Montana.'' International Journal of Environmental Research and Public 
Health, vol. 18, no. 2, Jan. 2021, p. 582. https://doi.org/10.3390/
ijerph18020582.
    \12\ Gilbert, Samuel. ``To Understand the Orphan Well Problem in 
NM, Someone's Going to Have to Count Them.'' Source New Mexico, May 
2022, sourcenm.com/2022/05/31/to-understand-the-orphan-well-problem-in-
nm-someones-going-to-have-to-count-them.
---------------------------------------------------------------------------
    Weather Impacts and Reduced Water Sources: Climate change has also 
ravaged water supplies and changed the nature of how people collect it. 
There is a unique threat to Indigenous communities: contamination of 
water supplies are rampant on Tribal lands, traditional water sources 
are depleting or run dry, and issues such as drought and wildfires 
continue to threaten Native communities. For example, rising 
temperatures and declining rainfall have made groundwater the principal 
drinking water source, as surface water on Navajo Nation is estimated 
to have decreased by 98 percent of the twentieth century. \13\ Limited 
water resources in Hawaii are disproportionately used by the tourist 
industry (i.e., water resources are diverted to hotels), which, in 
conjunction with the recent wildfires devastating Maui, will directly 
impact permanent residents, including Native Hawaiians.
---------------------------------------------------------------------------
    \13\ ``Navajo Women Struggle to Preserve Traditions as Climate 
Change.'' The World From PRX, 25 May 2018, theworld.org/stories/2018-
05-25/navajo-women-struggle-preserve-traditions-climate-change-
intensifies.
---------------------------------------------------------------------------
    Insufficient Data: Additionally, data continues to result in less 
attention and infrastructure investment for Native American homes. It 
is well documented that survey data has repeatedly undercounted Native 
Americans, particularly the U.S. Census. \14\ Insufficient data has 
inevitably led to diminished investment in water access for Indigenous 
communities; for other fundamental issues, including housing grants and 
other federal assistance, undercounting communities severely reduces 
funding allocations for Tribal governments. \15\ The few entities 
having better data collection and analysis (i.e., the Indian Health 
Services' Sanitation Facilities Deficiency List), \16\ however, have 
been able to justify and obtain higher funding levels.
---------------------------------------------------------------------------
    \14\ ``The US Government Has Always Undercounted Native Americans. 
But COVID-19 Could Make the 2020 Census a Disaster.'' Mother Jones, 
www.motherjones.com/politics/2020/06/census-coronavirus-native-
americans.
    \15\ Udall, Senators Press for Accurate 2020 Census Count for 
Native Communities the United States Senate Committee on Indian 
Affairs. www.indian.senate.gov/news/press-release/udall-senators-press-
accurate-2020-census-count-native-communities.
    \16\ https://www.ihs.gov/sites/dsfc/themes/responsive2017/
display_objects/documents/FY_2021_Appendix_Project_Listing.pdf
---------------------------------------------------------------------------
Barriers To Accessing Government Funding
    Tribal, rural, disadvantaged, and low-income communities have the 
greatest need for financial assistance to bridge a historical gap in 
water and wastewater services. Larger, more populated communities 
around the nation enjoy the benefit of having a working tap and flush 
toilet, components of a standard of living everyday Americans have come 
to rely on. These municipalities have a documented greater likelihood 
of accessing Clean Water SRFs (CWSRFs), primarily due to more 
substantive resources, as well as a risk that state agencies may not 
allocate funds equitably between larger communities and more 
disadvantaged communities. \17\ Comparatively smaller communities face 
challenges in accessing SRFs for a variety of reasons.
---------------------------------------------------------------------------
    \17\ Environmental Policy Innovation Center. ``New Report: Small 
Towns and Communities of Color Less Likely to Receive Funding for Clean 
Water Infrastructure--Environmental Policy Innovation Center.'' 
Environmental Policy Innovation Center, 1 May 2023, 
www.policyinnovation.org/blog/fairer-funding-stream.
---------------------------------------------------------------------------
    Native American communities and other communities of color--which 
face much higher rates of water insecurity--often bear the greatest 
burden of inequitable access to clean water infrastructure and have the 
most pressing need for CWSRF resources. \18\ These communities have 
faced the greatest level of discrimination in terms of government 
investment and attention historically, and these issues persist today.
---------------------------------------------------------------------------
    \18\ Ibid.
---------------------------------------------------------------------------
    Smaller communities also face significant hurdles in receiving 
much-needed funds due to resource constraints. While funding sources 
like SRFs may have intention to tackle inequalities, without adequate 
technical assistance, education, or capacity, there remains a wide 
accessibility gap for disadvantaged communities.
    These barriers are accentuated in a few key areas across rural, 
disadvantaged, low-income, or Tribal communities:
    Eligible Applicants for Funding are Overburdened: Directors and 
operators of water and wastewater service districts in rural and 
disadvantaged communities are often stretched thin due to 
understaffing, older and more time-intensive technology, increased 
maintenance due to aging infrastructure, and high turnover rates. This 
dearth in capacity can make the SRF application process intimidatingly 
complex and time-consuming for eligible applicants. In some cases, the 
person(s) most likely to initiate or drive action on community 
infrastructure projects may not be the same person(s) eligible to apply 
for and navigate the SRF application. In other cases, awareness of 
existing grants and loans may be limited, a particular challenge in 
areas lacking quick and reliable Internet connection or a high level of 
technological literacy, as much of this work is conducted online.
    Inadequate Technical Expertise: Rural and disadvantaged communities 
encounter a series of systemic barriers and may lack technical 
expertise to implement innovative solutions (for example, alternative 
decentralized water and wastewater systems) according to EPA standards. 
\19\
---------------------------------------------------------------------------
    \19\ ''DWIC--DIGDEEP.'' DIGDEEP, www.digdeep.org/dwic.
---------------------------------------------------------------------------
    Traditional wastewater solutions are often an unsustainable, narrow 
approach to solve a complex set of community concerns. In addition, 
many small systems lack certified operators, engineers, and/or plumbing 
and pipefitting professionals, creating high barriers to entry.
    Limited Funding for Operations and Maintenance: First-time systems' 
funding is a critical need, albeit limited in its current state. Small, 
disadvantaged communities cannot use Drinking Water SRFs (DWSRFs) \20\ 
or CWRSFs for much-needed operations and maintenance work. \21\ 
Sustainability is a difficult factor for smaller communities to 
implement if there are no consistent funds to ensure that local water 
and wastewater systems do not face risks of failing or shutting off. 
Tribes cannot rely on the same types and volumes of revenue streams to 
support O&M of water systems.
---------------------------------------------------------------------------
    \20\ Association of State Drinking Water Administrator. ``State 
Drinking Water Program Challenges and Best Practices: Small and 
Disadvantaged Water System Funding and Assistance.'' PDF. https://
www.asdwa.org/wp-content/uploads/2022/08/ASDWA-White-Paper-Small-and-
Disadvantaged-Water-System-Funding-and-Assistance-FINAL-080822.pdf
    \21\ ``Overview of Clean Water State Revolving Fund Eligibilities.: 
U.S. EPA.May 2016. PDF. https://www.epa.gov/sites/default/files/2016-
07/documents/overview_of_cwsrf_eligibilities_may_2016.pdf
---------------------------------------------------------------------------
    Loans as Barriers: For communities that face significant economic 
burdens, or are low-income or facing poverty, loans are not adequate 
measures to provide water and wastewater access. Some households are 
unable to pay upfront costs, or to repay low-interest loans offered by 
funding programs, practically barring them from accessing much-needed 
support. Other communities and utilities have shared with DigDeep that 
their fear of inability to fulfill repayment obligations prevents them 
from seeking out loans. Additionally, declining rural populations and 
rate payer bases make loans even more challenging for small utilities.
    Inequality and Inconsistency Across State-Administered Funds: 
Eligibility requirements for state-level funding (e.g., SRFs) can vary 
considerably from state to state. Thus, there are more application 
barriers for disadvantaged communities in states with stricter 
eligibility requirements. This also puts an onerous burden on entities 
(like Tribal nations) that cross state lines. \22\ It also makes it 
difficult to disperse technical assistance resources between states. 
States also have full authority to determine what ``disadvantaged'' 
means--with some focusing on population sizes or other factors at the 
exclusion of at-risk communities. \23\
---------------------------------------------------------------------------
    \22\ Ibid.
    \23\ Murakami, Kery. ``States Differ Over What's a `Disadvantaged' 
Community.'' Route Fifty, 5 May 2023, www.routefifty. com/
infrastructure/2023/05/clean-water-funding-isnt-helping-cities-
disadvantaged-populations/386035.
---------------------------------------------------------------------------
Solutions
    Closing the water access gap will create health, happiness, and 
economic prosperity in Tribal communities. However, we cannot 
effectively close this gap without an accurate understanding of every 
household facing water insecurity. The U.S. needs better data to 
understand the full scope of economic and health-related impacts of the 
water access gap. We need more actionable data--for example, 
information showing the location and nature of infrastructure 
deficits--to help government, the private sector, and nonprofits 
prioritize and plan infrastructure projects more effectively. Without 
this data, it is impossible to measure the effectiveness of costly 
interventions such as the recent Bipartisan Infrastructure Law.
    A lack of flexible, targeted federal funding is one of the key 
barriers to solving this problem once and for all. As discussed below, 
especially for low-income communities facing the most acute challenges 
regarding running water and sanitation, federal funding flexible enough 
to support the work of nonprofits would make an enormous difference. 
New technology is making it possible to build decentralized systems 
that, once installed, are affordable to operate and maintain. 
Decentralized systems have the potential to provide water and 
sanitation access to thousands of communities--and dedicated operation 
and maintenance will ensure sustained access for years to come.
    Greater investment into long-term O&M infrastructure will be 
critical to ensuring sustained water access forever. \24\ When a water 
system falls into disrepair, more people are susceptible to falling 
into the water access gap. Investments do not go far enough, as many 
rural and Tribal communities may not be able to access O&M investments 
effectively. \25\ Targeted investments in operations and maintenance 
are key solutions to preventing problems. Replenishing the fledgling 
workforce in maintaining water systems will be instrumental in ensuring 
people do not lose access to water and sanitation over time.
---------------------------------------------------------------------------
    \24\ https://www.epa.gov/sites/default/files/2015-07/documents/
meeting-the-access-goal-strategies-for-increasing-access-to-safe-
drinking-waterand-wastewater-treatment-american-indian-alaska-native-
villages.pdf
    \25\ ''Draining--DIGDEEP.'' DIGDEEP, digdeep.org/draining.
---------------------------------------------------------------------------
    Several key solutions include:
    Eliminate Barriers to Government Funds: Apply agency resources to 
identify inefficiencies, eliminate burdensome steps in application and 
implementation, and reduce upfront costs of application for the largest 
programs (e.g., CWSRF and USDA-RD programs) to improve workflows for 
funding access. Additionally, eligibility and application criteria 
should be made more consistent across states. Accessing government 
funds to create first-time water systems should not be a barrier to 
complete plumbing, and Native communities must be treated equitably 
when considered for federal funding.
    Expand Existing Technical Assistance Efforts: Ongoing technical 
assistance efforts are incredible mechanisms for ensuring communities 
are well-equipped to handle additional capacity burdens. TA programs, 
such as the EPA Technical Assistance for Rural, Small, and Tribal 
Wastewater Systems program, should be better funded and expanded 
significantly to help support communities lacking the ability to apply 
for and execute project funding and assistance programs. Increased 
funding for TA programs, including those existing under the Indian 
Health Service or the Bureau of Reclamation's current Native American 
Affairs Technical Assistance Program, will rapidly improve outcomes for 
Tribal communities.
    Diversify Funding for New Technologies and Training: Some parts of 
the U.S. are simply not a good fit for traditional utility services. 
Many Native households are decentralized, particularly in Alaska, on 
the Navajo Nation, and across reservations. In many of these contexts, 
navigating topography can be too challenging, or simple setup and 
installation are too expensive. The federal government must expand 
funding for communities to apply decentralized technology, and support 
efforts like workforce development that are crucial for O&M, and the 
long-term success of these systems, as installing the technology 
without local technical expertise to sustain it will lead to disrepair 
and underuse. Further, authorizing federal agencies to make grants for 
technical and financial assistance for training will go far in bridging 
the skills gap that continues to grow.
    Expand Grants, Not Loans: For impacted communities, repayment of 
loans may be cumbersome, as many of these communities are already 
economically disadvantaged. Grants are key to ensuring that other 
economic burdens are not placed on households in these communities. 
Disadvantaged communities should not have to face additional financial 
burdens by repaying water and sanitation projects, particularly with 
the likelihood of new increased costs for households in the form of 
water bills.
    Provide Guides to Access Funds: Funding programs and technical 
assistance are important investments, and additional, publicly-
available, user-friendly resources will aid disadvantaged communities 
even further. This includes guides for best practices, as well as 
strategies for states and recipients to best utilize funding sources 
like CWSRFs.
Closing
    Everyone deserves a human right to water and sanitation. For far 
too long, Native Americans have faced disproportionate levels of water 
insecurity, poverty, and health disparities. For too many Tribal 
families, water has become a privilege and not a right; the richest 
democracy in the world has more to prove by eliminating this water 
access gap, once and for all. Ensuring this basic human right will 
empower Tribal communities and unlock positive change for generations 
to come.
                                 ______
                                 
    Prepared Statement of the U.S. Department of Agriculture (USDA)
    Chairman Schatz, Vice Chairman Murkowski, and Members of the 
Committee, thank you for the opportunity to present the views of the 
U.S. Department of Agriculture (USDA) on S. 2385, the ``Tribal Access 
to Clean Water Act of 2023.'' The objective of the bill is to provide 
access to reliable, clean, and drinkable water on Tribal lands.
    This bill proposes extending the provisions of 306C (Water and 
Waste Disposal Loans and Grants) and 306D (Water Systems for Rural and 
Native Villages in Alaska) of the Consolidated Farm and Rural 
Development Act (7 U.S.C. 1926c, 1926d) and providing authorization for 
additional funds. USDA supports the goals of this bill and would like 
to work with the Committee and bill sponsors to address the concerns 
identified in this testimony and to implement any changes to the 
programs effectively and efficiently. The Agency is committed to 
working with our partners to achieve these goals.
Section 4(a)--Extension of Authority for Grants and Loans
    This section of the bill allows eligible entities, as defined in 
subsection (c) of this section, to access grants and loans for not only 
existing purposes, but also for technical assistance.
    USDA supports the need to provide additional technical assistance 
for these awards, particularly for underserved communities. Currently, 
under sections 306C and 306D of the Consolidated Farm and Rural 
Development Act (7 U.S.C. 1926c, 1926d), there are set asides for 
Tribal, Colonias, and Rural Alaska Village Grant programs, and yet only 
the Rural Alaska Village program in section 306D has a technical 
assistance component. Of the Technical Assistance and Training Grants 
program (7 U.S.C. 1926(a)(14)) funding received, recent appropriations 
have carried a requirement to award at least $800,000 in funding to 
support a nationwide Tribal Organization in providing technical 
assistance for rural water systems. However, this program is annually 
oversubscribed.
    USDA has long supported efforts to increase access to technical 
assistance and build capacity to plan and develop projects. Projects 
and entities receiving technical assistance are more likely to submit a 
competitive and successful application for funding and allows USDA to 
make awards in areas and to entities that may not have accessed USDA 
resources in the past.
    USDA strongly supports this change and would like to work with bill 
sponsors and the Committee to build out a robust technical assistance 
program.
Section 4(b)--Authorization of Appropriations
    This section of the bill would allow for additional authorizations 
for the program awards and technical assistance, up to $100,000,000 and 
$30,000,000 respectively. These amounts would be an increase of funding 
and would allow for USDA to effectively make awards to existing and 
newly eligible entities. USDA strongly supports this new language.
    USDA is concerned, however, because in the draft House 
Appropriations Budget for FY24, the proposed funding for the 306C and 
306D programs have been dramatically cut, down to $30 million from the 
FY23 enacted amount of $70 million--a decrease of about 57 percent. 
While additional authorizations are welcomed, USDA would also encourage 
funding these programs at the Administration's requested level of $87 
million, but at the very least straight lining the enacted level of $70 
million. The improvements provided by the bill go hand in hand with 
full funding for the program.
    USDA would like to work with the bill sponsors, the Committee, and 
appropriators to identify the right funding levels and support needed 
for these programs to be successful.
Section 4(c)--Eligible Entities
    This section would expand the definition of eligible entities able 
to access the 306C and 306D programs to include tribal nations, Native 
Hawaiians, and Alaska Native Corporations (ANCs).
    USDA supports expanding the definition of eligible entities in 
order to better serve more communities in need of access to clean water 
and waste disposal resources. USDA also suggests that in order to be as 
inclusive as possible, the bill sponsors and Committee also consider 
additional changes that would make eligibility for tribal nations, 
Native Hawaiians, and ANCs easier. These would include excluding 
certain requirements of 306C(a)(2)(A), which are already waived through 
306C(a)(2)(B) for colonias. USDA's Water and Environmental Programs 
(WEP) has conducted outreach and listening sessions with tribes and 
other eligible entities as part of the Agency's revisions to 
implementing regulations at 7 CFR 1777. During this outreach, 
participants and potential applicants consistently voiced concerns 
about the eligibility requirements related to the per capita and 
unemployment requirements found at 306C(a)(2)(A). These requirements 
substantially limit the ability of tribal nations, Native Hawaiians, 
and ANCs to access WEP programs authorized through 306C, including the 
Tribal set-asides grants.
(2) Certain areas targeted
    (A) In general--Loans and grants under paragraph (1) shall be made 
only if the loan or grant funds will be used primarily to provide water 
or waste services, or both, to residents of a county--

        (i) the per capita income of the residents of which is not more 
        than 70 percent of the national average per capita income, as 
        determined by the Department of Commerce; and

        (ii) the unemployment rate of the residents of which is not 
        less than 125 percent of the national average unemployment 
        rate, as determined by the Bureau of Labor Statistics

    Additionally, USDA does not currently have a WEP program 
specifically targeting Hawaiian Homelands. USDA looks forward to 
working with the Committee to make sure that Native Hawaiians and their 
communities are served.
    USDA would like to work with the bill sponsors and the Committee to 
determine how best to serve the most with these programs.
Section 4(d)--No Matching Contribution
    This section would eliminate the need for a matching contribution 
(306D(b)) from the eligible entity in order to access these resources. 
USDA strongly supports this change and looks forward to working with 
the bill sponsors, the Committee, and eligible entities in implementing 
this change.
Section 4(e)--Priority for Funding
    This section would require the Secretary of Agriculture to 
prioritize eligible entities in the same manner as individuals who 
reside in colonias and to eliminate the requirement that eligible 
entities demonstrate an inability to finance the project themselves or 
through a commercial lender. USDA supports this section and looks 
forward to working with the Committee to ensure that the eligibility 
criteria match Congress' intent, particularly with respect to ANCs and 
Native Hawaiian Communities.
Section 4(f)--Interagency Collaboration
    This section would require the Secretary of Agriculture to consult 
with the Director of the Indian Health Services on agency 
collaboration, project prioritization, and staffing needs to ensure the 
amounts appropriated under subsection (b) of the bill are used in the 
most effective manner to promote access to water and sanitation.
    USDA supports this change as it formalizes coordination already 
being undertaken between USDA, the Indian Health Service, and funding 
partners serving these communities.
Conclusion
    USDA supports the goals of this bill and would like the opportunity 
to work with the Committee and bill sponsors to address the issues we 
have identified.
                                 ______
                                 
                                           February 6, 2024
Hon. Brian Schatz, Chairman;
Hon. Lisa Murkowski, Vice Chairman,
Senate Committee on Indian Affairs,
Washington, DC.

Dear Chairman Schatz and Vice Chairman Murkowski,

    I write today in strong support of the Winnebago Land Transfer Act 
of 2023. I thank you for bringing this important piece of legislation 
before the Senate Committee on Indian Affairs.
    The Winnebago Tribe of Nebraska (Tribe) and it's 5,000 tribal 
members reside on a reservation along the Missouri River in 
northeastern Nebraska and northwestern Iowa. Originally, the Winnebago 
people called present-day Wisconsin home, but in the mid-1800s, they 
were moved by the U.S. Army to Minnesota, Iowa, South Dakota, and 
finally to the Winnebago Reservation, as recognized today. Through the 
Treaty of 1865, the U.S. government promised this land as ``. . . set 
apart for the occupation and future home of the Winnebago Indians, 
forever. . . .''
    In the 1970s, the United States Army Corps of Engineers (USACE) 
condemned tracts of the Winnebago Reservation on both sides of the 
Missouri River through the use of eminent domain to implement flood 
mitigation and recreational projects. With subsequent litigation and 
appeals, the courts ultimately ruled in favor of the Tribe and stated 
that the USACE had illegally taken the land. However, the land on the 
eastern side of the river could not be returned to the Winnebago people 
because of a doctrine known as ``res judicata.'' Congressional action 
is the only option afforded to the Tribe to reclaim their 1,600 acres 
from the USACE.
    As a way to remedy the situation, I helped introduce the Winnebago 
Land Transfer Act of 2023, alongside Senators Deb Fischer, Chuck 
Grassley, and Pete Ricketts. This legislation would transfer 
administrative jurisdiction of the land from the USACE to the Bureau of 
Indian Affairs to hold in trust for the Winnebago Tribe of Nebraska. 
This common-sense measure simply corrects a wrong and returns the 1,600 
acres of marsh, which the USACE never had the authority to condemn 
nearly 50 years ago.
    Under your continued leadership and commitment to the Alaska 
Natives, Native Hawaiians, and American Indians, I ask the Senate 
Committee on Indian Affairs to quickly pass the Winnebago Land Transfer 
Act of 2023. Thank you for your consideration and action.

        Sincerely,
                           Hon. Joni K. Ernst, U.S. Senator
                                 ______
                                 
                                          February 22, 2024
Hon. Brian Schatz, Chairman;
Hon. Lisa Murkowski, Vice Chairman,
Senate Committee on Indian Affairs,
Washington, DC.

Dear Chairman Schatz and Vice Chairman Murkowski,

    On behalf of our organizations' millions of members and supporters, 
we write to express our support for the Tribal Access to Clean Water 
Act of 2023, and thank you, and your hard-working staff, for holding a 
legislative hearing on the bill on February 8, 2024.
    Our organizations have a long history of supporting Colorado River 
restoration, bird and wildlife habitat conservation, and diverse 
stakeholder engagement. The Colorado River is one of the American 
West's national treasures. It is a foundation for the West's economy, 
supporting five million acres of irrigated farmland that deliver 
produce nationwide, and providing drinking water for over 40 million 
people, including under-served Tribal and rural communities. The 
Colorado River is also an essential part of the cultural fabric for 30 
federally-recognized Tribal Nations that call the Basin home. The 
river, though, is in crisis. Reservoirs in the Colorado River Basin are 
at historic lows after more than twenty years of drought and climate-
related changes. Resulting diminished stream flows pose increasingly 
serious challenges for cities, farms, wildlife, and recreation. Last 
year's wet winter brought a short reprieve but did not address the 
long-term aridification of the region.
    Funding programs and projects that help address historic western 
drought conditions will support Tribes, communities, and agriculture, 
as well as fish and wildlife. The Infrastructure Investment and Jobs 
Act (IIJA) and Inflation Reduction Act (IRA) provided significant 
investments for addressing western water infrastructure challenges, 
including addressing decades of underinvestment in Tribal water and 
wastewater systems. While IIJA and IRA are an important step forward, 
Tribes often lack capacity and resources to navigate, apply for, and 
administer the complex array of available federal programs. Grant 
writing assistance, engineering evaluation and design of water 
infrastructure systems, and training of certified operators are all 
critical for ensuring that the infrastructure funding is utilized 
expeditiously and appropriately. Securing sufficient cash funding or 
collateral for meeting federal match requirements is also a significant 
barrier to Tribes in accessing certain federal funding opportunities.
    S. 2385, the Tribal Access to Clean Water Act of 2023, makes 
significant strides in addressing the barriers Tribes must navigate in 
terms of accessing federal funding for much needed water and wastewater 
infrastructure improvements. We look forward to continuing to work with 
you on removing such barriers and creating more equitable access to 
federal programs.
    We appreciate the Committee's consideration of this bill and 
encourage its advancement to support clean water for Tribes. Thank you 
again for your leadership.

        Sincerely,
                                            American Rivers
                                   National Audubon Society
                                     The Nature Conservancy
                Theodore Roosevelt Conservation Partnership
                                            Trout Unlimited
                                 Western Resource Advocates
                                 ______
                                 
                                           February 7, 2024
Hon. Brian Schatz, Chairman;
Hon. Lisa Murkowski, Vice Chairman,
Senate Committee on Indian Affairs,
Washington, DC.

Dear Chairman Schatz and Vice Chairman Murkowski,

    I am pleased to be a co-sponsor of S. 3230, the Winnebago Land 
Transfer Act of 2023. About 150 years ago, the Winnebago Reservation 
was created by treaty. However, in the 1970s, the Army Corps of 
Engineers condemned a portion of the reservation along the Missouri 
River. After years of legal fights, the Eighth Circuit Court of Appeals 
ruled that the taking was unlawful, returning the Tribe's land on the 
Nebraska side of the river. Unfortunately, the land on the Iowa side 
was never returned because the Tribe did not preserve its right to 
appeal the case. The same arguments apply on both sides of the river, 
and the courts have made clear that the Army Corps did not have the 
authority to condemn this land.
    Earlier this week, the House version of this bill, H.R. 1240, 
easily passed the House of Representatives. After many years of 
waiting, it is now time to right this wrong. I would like to thank you 
for holding this hearing and for engaging in thoughtful discussion on 
this important topic.

        Sincerely,
                     Hon. Charles E. Grassley, U.S. Senator
                                 ______
                                 
                                          The Navajo Nation
                                                   January 31, 2024
Hon. Brian Schatz, Chairman;
Hon. Lisa Murkowski, Vice Chairman,
Senate Committee on Indian Affairs,
Washington, DC.

Dear Chairman Schatz and Vice Chairman Murkowski,

    I am writing to express strong support for the Tribal Access to 
Clean Water Act, S. 2385 and H.R. 4746, which will provide technical 
assistance, capacity, and resources to address the inequity in access 
to clean water for Tribes.
    Access to clean water is a basic human right. Clean water is 
foundational for human health, growing economies, and a minimum level 
of support for communities. However, an estimated 48 percent of Native 
American households do not have clean water or adequate sanitation. 
Indeed, Native American homes are 19 times more likely than white 
households to lack indoor plumbing. Such water inequity is particularly 
egregious in light of the federal treaty and trust responsibility to 
ensure Tribes have a viable, permanent homeland. Water is a necessity 
for any homeland.
    Funding for safe drinking water systems for Tribal communities 
received a significant boost from the Infrastructure Investment and 
Jobs Act and the Inflation Reduction Act. While groundbreaking and long 
overdue, the funding now available for construction and repair of 
Tribal water systems is not a complete solution. Technical assistance 
is needed to allow Tribes to plan and design the systems necessary to 
access clean drinking water and bring those plans to the ``shovel 
ready'' stage where they can take advantage of the newly available 
construction funding.
    While the Navajo Nation is blessed to have created a multi-purpose 
utility in 1959, many Tribes need support to develop the managerial, 
financial, and regulatory capacity required for a fully functional and 
self-sustaining utility. Importantly, because Tribes, including the 
Navajo Nation, cannot currently rely on the same types and volumes of 
revenue streams to support operation and maintenance (O&M) of water 
systems, O&M assistance helps to ensure that the benefits of the 
historic investment in infrastructure are fully realized and allows the 
customer to put their income to other uses, such as food, education, 
and childcare.
    The Tribal Access to Clean Water Act of 2023 would address these 
gaps and advance the federal government's treaty and trust obligations 
to provide clean and accessible water for Native communities. I 
strongly support swift passage of The Tribal Access to Clean Water Act.

        Sincerely,
                   Dr. Buu Nygren, President, Navajo Nation
                                 ______
                                 
                              Clean Water for All Coalition
                                                    August 29, 2023
Hon. Brian Schatz, Chairman;
Hon. Lisa Murkowski, Vice Chairman,
Senate Committee on Indian Affairs,
Washington, DC.

Dear Chairman Schatz and Vice Chairman Murkowski,

    On behalf of the Clean Water for All Coalition, we are writing to 
express our strong support for the Tribal Access to Clean Water Act, S. 
2385 and H.R. 4746, which will provide badly needed technical 
assistance, capacity, and resources to address the inequity in access 
to clean water for Tribes.
    Access to clean water is a basic human right. Clean water is 
foundational for human health, growing economies, and a minimum level 
of support for communities. However, 48 percent of households on Native 
American reservations do not have clean water or adequate sanitation. 
Native American homes are 19 times more likely than white households to 
lack indoor plumbing.
    Funding for safe drinking water systems for Tribal communities 
received a significant boost from the Infrastructure Investment and 
Jobs Act and the Inflation Reduction Act. While groundbreaking and long 
overdue, the funding now available for construction and repair of 
domestic water systems in Indian country is not a complete solution. 
Technical assistance is needed to allow Tribes to plan and design the 
systems necessary to access clean drinking water and bring those plans 
to the ``shovel ready'' stage where they can take advantage of the 
newly available construction funding. In addition, Tribes need support 
to develop the managerial, financial, and regulatory capacity required 
for a fully functional and self-sustaining utility. Finally, because 
Tribes cannot rely on the same types and volumes of revenue streams to 
support operation and maintenance (O&M) of water systems, O&M 
assistance helps to ensure that the benefits of the historic investment 
in infrastructure are fully realized.
    The Tribal Access to Clean Water Act of 2023 would address these 
gaps and advance the Federal Government's treaty and trust obligations 
to provide clean and accessible water for Native communities. We 
strongly support swift passage of The Tribal Access to Clean Water Act.

        Sincerely,

           Heather Tanana, Initiative Lead, Universal Access to Clean 
        Water
           Cindy Lowry, Executive Director, Alabama Rivers Alliance
           Colton Fagundes, Policy Director, American Sustainable 
        Business Network
           Harriet Festing, Executive Director, Anthropocene Alliance
           Beth K. Stewart, Executive Director, Cahaba River Society
           Tracy Kolian, Health Policy Consultant, Children's 
        Environmental Health Network
           Sean Jackson, National Water Campaigns Organizer, Clean 
        Water Action
           Julian Gonzalez, Senior Legislative Counsel, Earthjustice
           Ann Mesnikoff, Federal Legislative Director, Environmental 
        Law & Policy Center
           Val Schull, Water Equity and Ocean Program Director, Green 
        Latinos
           Alicia Vasta, Water Program Director, Iowa Environmental 
        Council
           Laura Gregory, Watershed Program Director, Kentucky 
        Waterways Alliance
           Lizzy Duncan, Government Affairs Representative, Healthy 
        Communities League of Conservation Voters
           Cynthia Robertson, Executive Director, Micah Six Eight 
        Mission
           Wendy Weaver, Executive Director, Montana Freshwater 
        Partners
           Garrit Voggesser, National Director, Tribal Partnerships, 
        National Wildlife Federation
           Rebecca Hammer, Deputy Director of Federal Water Policy, 
        Natural Resources Defense Council
           Sylvia Orduno, Managing Director, People's Water Board 
        Coalition
           April Ingle, Advocacy Director, River Network
           Elaine Packard, Chair, Sierra Club's National Grassroots 
        Network Water Sentinels Team
           Jessica Dandridge, Executive Director, The Water 
        Collaborative of Greater New Orleans
           Alex Funk, Director of Water Resources; Senior Counsel, 
        Theodore Roosevelt Conservation Partnership
           Sara Porterfield, Western Water Policy Advisor, Trout 
        Unlimited
           Tahlia Bear, Indigenous Peoples Engagement Manager, Western 
        Resource Advocates
            Debra Buffkin, Executive Director, Winyah Rivers Alliance
                                 ______
                                 
                                                     Vessel
                                                   February 2, 2024
Hon. Brian Schatz, Chairman;
Hon. Lisa Murkowski, Vice Chairman,
Senate Committee on Indian Affairs,
Washington, DC.

Dear Chairman Schatz and Vice Chairman Murkowski,

    VesselTM, America's Domestic WASH Collective, writes in 
strong support of the Tribal Access to Clean Water Act of 2023 (S. 2385 
and H.R. 4746). These bills, before both the House and Senate, provide 
a necessary vehicle for ensuring the government meets its trust 
obligation to provide clean and accessible water for Tribal 
communities. While funding allocated through the Bipartisan 
Infrastructure Law and Inflation Reduction Act have provided much 
needed support for Tribal water systems, gaps in critical areas, 
particularly technical assistance and operations and maintenance (O&M), 
still remain. S. 2385 and H.R. 4746 seek to address these gaps through 
the availability of dedicated funds.
    VesselTM is a collective of U.S. WASH organizations 
fighting for universal access to water and sanitation in the U.S. Over 
2 million people are forced to live in the water access gap--where 
families and children across America are without access to running 
water or a working toilet at home--a number that is disproportionately 
made up of Native Americans. This water access gap has a significant 
impact on our economy, causing a $8.6 billion loss each year. \1\ 
VesselTM brings together organizations across the private, 
nonprofit, academic, utility, and philanthropic sectors to find 
solutions to the crisis in our own backyards. The collective actively 
coordinates policy advocacy efforts to remove barriers to WASH access 
and improve government funding and regulation.
---------------------------------------------------------------------------
    \1\ ``Draining--DIGDEEP.'' DIGDEEP, www.digdeep.org/draining.
---------------------------------------------------------------------------
    Water is a human right. Yet for so many people nationwide--
particularly Native Americans--this basic standard is out-of-reach. For 
Tribal communities across the United States, reliable access to basic 
services has long been a problem. An estimated 48 percent of households 
on Native American reservations do not have clean water or adequate 
sanitation. \2\ DigDeep and the US Water Alliance, two members of the 
VesselTM collective, have reported that Native American 
households are 19 times more likely than white households to lack 
indoor plumbing, a statistic referenced by many government leaders and 
agencies as an ongoing national issue. \3\, \4\, \5\, \6\ This 
inequality was particularly acute during the COVID-19 pandemic, as 
access to basic hygiene became a matter of life and death. \7\
---------------------------------------------------------------------------
    \2\ ``Fact Sheet: Tribal Access to Clean Water Act of 2023'' 
Universal Access to Clean Water for Tribal Communities, 2024, https://
tribalcleanwater.org/wp-content/uploads/2024/01/Fact-Sheet-Tribal-
Clean-Water-legislation-2024-01.pdf
    \3\ ``Close the Water Access Gap.'' DIGDEEP, www.digdeep.org/close-
the-water-gap.
    \4\ ``Addressing Water and Wastewater Challenges in Tribal 
Nations.'' Office of Community Service, Administration of Children and 
Families, 2022, https://www.acf.hhs.gov/blog/2022/08/addressing-water-
and-wastewater-challenges-tribal-nations.
    \5\ ``Padilla Leads Hearing on Improving Access to Clean Drinking 
Water and Wastewater Infrastructure in Tribal Communities.'' Alex 
Padilla U.S. Senator for California, 2023, https://
www.padilla.senate.gov/newsroom/press-releases/padilla-leads-hearing-
on-improving-access-to-clean-drinking-water-and-wastewater-
infrastructure-in-tribal-communities/.
    \6\ ``U.S. National Statement at the United Nations 2023 Water 
Conference.'' Secretary Deb Haaland, U.S. Secretary of the Interior, 
2023, https://usun.usmission.gov/u-s-national-statement-at-the-united-
nations-2023-water-conference/.
    \7\ ``Strengthening the Nation-to-Nation Relationship with Tribes 
to Secure a Sustainable Water Future.'' United States Environmental 
Protection Agency, 2021, https://www.epa.gov/system/files/documents/
2021-10/2021-ow-tribal-action-plan_508_0.pdf.
---------------------------------------------------------------------------
    Historically, past investments in water infrastructure excluded 
many Tribal Nations, communities of color, immigrant communities, low-
income communities, and rural areas. This lack of investment has had 
significant economic impacts on Tribal communities. Nationwide, each 
year that the water access gap remains open, the U.S. economy loses a 
staggering $8.58 billion, or an average $15,800 per impacted household 
per year. \8\ These losses take the form of water hauling costs and 
water purchasing costs when reliable, potable water is unavailable--a 
common occurance on many Tribal lands. Many individuals also incur 
medical costs from exposure to unsafe water, or water related 
stressors. In some impacted Tribal communities, these costs outweigh 
average household incomes. Overtime, these costs hamper economic growth 
for Tribes, and divert important resources and funding away from other 
needed community investments.
---------------------------------------------------------------------------
    \8\ ``Draining--DIGDEEP.'' DIGDEEP, www.digdeep.org/draining.
---------------------------------------------------------------------------
    Several of our member organizations routinely work with Native 
American and Alaska Native communities to ensure a high standard of 
public health and safety are provided through drinking water and 
sanitation solutions. This work has shown that the federal government 
is a critical partner in delivering these services, and ensuring that 
disconnected communities are both counted and supported.
    Our collective expertise--working hand-in-hand with communities 
facing disparate water insecurity issues--validate the critical need 
for technical assistance and provisions for O&M. While many nonprofit 
organizations are currently working to help bridge these gaps, they are 
unable to provide the level of funding needed to meet the volume of 
demand.
    Technical assistance is an effective method of building the 
capacity of Tribes. Before many Tribal communities can take advantage 
of funding opportunities, they must first have knowledge of said 
funding, as well as the capacity and expertise to apply. The Tribal 
Access to Clean Water Act of 2023 will authorize new grants and loans 
specifically for technical assistance, and increase available funding 
from the U.S. Department of Agriculture, Indian Health Service (IHS), 
and Bureau of Reclamation over the next five years. This increase in 
funding will help move infrastructure improvement plans to a ``shovel 
ready'' stage, thereby expediting delivery, and helping develop much-
needed managerial, financial, and regulatory capacities crucial for 
long-term sustainability.
    Unlike traditional utilities, Tribes across the U.S. do not have 
access to the same revenue streams used for upkeep and system 
maintenance. Unfortunately, this leaves little support for O&M, a key 
component to realizing many of the investments designated in the 
Bipartisan Infrastructure Law and Inflation Reduction Act. Initial 
funding for building systems is an incredible boon; however, without 
long-term sustainability considerations from the beginning, systems 
will inevitably fail. O&M should be factored into federal funding 
allocation. To that end, the Tribal Access to Clean Water Act of 2023 
authorizes increased funding for O&M assistance through IHS over the 
next five years.
    In addition, many Tribes in the U.S. today are disproportionately 
affected by climate change, including drought and extreme weather 
events. Tribal and Indigenous people, for example, are more likely to 
live in areas with land lost to inundation, requiring communities to 
move, adapt, and repair systems at a higher rate than they would 
otherwise. \9\ O&M for current water and sanitation infrastructure, as 
well as the ability to learn about and utilize new technologies that 
meet the needs of these communities, will enhance their resilience in 
the face of climate change.
---------------------------------------------------------------------------
    \9\ ``Climate Change Impacts to Water and Sanitation in Frontline 
Communities in the United States (working document), Water, Sanitation, 
and Climate Change in the US Series, Part 1''. Pacific Institute, 2023, 
https://pacinst.org/publication/climate-change-impacts-was-2023/.
---------------------------------------------------------------------------
    Reliable water and sanitation delivery provide indispensable 
educational, economic, and community services. Without these essential 
services, we continue to put the health and well-being of Tribal 
communities at risk. Therefore, VesselTM strongly supports 
the swift passage of The Tribal Access to Clean Water Act.
    Everyone deserves a human right to water and sanitation. For far 
too long, Native Americans have faced disproportionate levels of water 
insecurity, poverty, and health disparities. For too many Tribal 
families, water has become a privilege and not a right; the richest 
democracy in the world has a duty to eliminate this water access gap, 
once and for all. Providing this basic human right will unlock change 
for Tribal communities for generations to come. This starts with 
ensuring equitable and reliable access to government funding and 
technical assistance, as outlined in both S. 2385 and H.R. 4746.

        Sincerely,

        The VesselTM Collective

        DigDeep
        Center for Indigenous Health
        Community Engineering Corps
        GreenLatinos
        International Association of Plumbers and Mechanical Officials
        Moonshot Missions
        The Center for Water Security and Cooperation
        US Water Alliance
        Water For People
                                 ______
                                 
    Response to Written Questions Submitted by Hon. Brian Schatz to 
                        Hon. Melanie Anne Egorin
    Question 1. Last year this Committee heard testimony about capacity 
needs within Tribal communities for water infrastructure deployment and 
maintenance. We heard that Tribes need more resources--whether through 
finding and applying for grants or through building technical expertise 
to care for existing systems. How would the Indian Health Service (IHS) 
use funds directed at providing technical assistance to build Tribal 
capacity under S. 2385?
    Answer. If S. 2385 became law, the Secretary would be authorized to 
develop a new program to utilize the funds for ``the operation and 
maintenance of water facilities serving Native communities''. This 
program could be designed to ensure the funds would support the better 
and timelier documentation of the operational challenges resulting from 
failing infrastructure and earlier identification of solutions to 
address these challenges. This earlier problem recognition could lead 
to capital infrastructure solutions (e.g., interventions) that are less 
expensive over the long run. Additionally, the funds could help ensure 
the infrastructure built is operated in a way that comply with 
regulations intended to protect public health and the environment for 
tribal communities. However, the time provided in the bill for IHS to 
develop such a program is severely limited. The current draft of the 
bill would authorize $100,000,000 each fiscal year, likely starting in 
the first fiscal year of the authorization. It would be extremely 
difficult for the IHS to develop a methodology in collaboration with 
tribes and to hire the necessary staff to implement that methodology. A 
preferred approach would be to include language that provides time and 
funding for IHS to develop the methodology and hire the additional 
staff needed to support implementation.

    Question 2. Under current law, the IHS is authorized to provide 
water and sanitation services to ``Indian homes, communities, and 
lands.'' 42 U.S.C. 2004a. Our understanding is that current IHS 
interpretation requires matching funds to provide such services to 
community structures such as schools, hospitals, nursing homes, post 
offices--basically, public facilities that Tribal members use, 
frequently on a daily basis, and are essential components of community 
life. Tribes have frequently stated that they are unable to provide 
those matching funds, and as a result, these community facilities don't 
get connected to clean water service. This is particularly true in 
Alaska. \1\ Please explain the purpose behind the IHS cost matching 
policy referenced above.
---------------------------------------------------------------------------
    \1\ Testimony of Valerie Nurr'araaluk Davidson, Senate Indian 
Affairs Committee, March 24, 2021, available at https://
www.indian.senate.gov/wp-content/uploads/
Testimony%20of%20VDavidson%20ANTHC%20before%20SCIA%203-24-2021.pdf.
---------------------------------------------------------------------------
    Answer. Section 7 of the Act of August 5, 1954 (42 U.S.C. 2004a) 
and section 302 of the Indian Health Care Improvement Act (25 U.S.C. 
1632(b)), authorize IHS to provide necessary water and sewer for 
``Indian homes, communities, and lands[.]'' Under existing law, the 
phrase ``Indian homes, communities, and lands'' is undefined. IHS has 
interpreted this authorization, in conjunction with statutory 
restrictions, as being related to the provision of services to American 
Indians/Alaska Natives (AI/AN) and barring the use of Sanitation 
Facilities Construction (SFC) project funds for commercial 
establishments (generally) and facilities associated with non-Indians. 
IHS policy reflects this interpretation by requiring Indian communities 
(or others) to identify matching funds to be used in IHS-funded 
projects to cover the cost of these ineligible facilities. These funds 
are considered contributions to cover the pro-rata portion of the 
project cost associated with serving ineligible users as described in 
the Sanitation Deficiency System Guide. In many cases, including in 
projects serving Alaska Native Villages, over the past five years the 
ineligible costs averaged roughly 21 percent of the total project cost. 
The current policy does not require a matching amount for costs 
associated with serving eligible homes. However, current policy does 
require the non-Indian home establishments contribute to the project to 
cover their portion of the project costs (i.e. ineligible costs).

    Question 2a. In light of the funding provided in the Bipartisan 
Infrastructure Law for IHS Sanitation Facilities Construction Program 
to address historical underfunding, is the IHS' current policy still 
needed?
    Answer. Yes, the Bipartisan Infrastructure Law was based on the 
eligible costs as reported to the Congress at the end of fiscal year 
2021. The report to the Congress does not include costs associated with 
serving commercial, industrial, or agricultural establishments 
including office buildings, nursing homes, health clinics, schools, 
hospitals, and hospital quarters, which are considered as ineligible 
costs and are not funded with SFC appropriated funds. These non-Indian 
homes can be included in a project if they pay their own cost. As of 
December 31, 2021, there were 1,513 projects, totaling $3.4 billion in 
eligible costs and $735 million in ineligible costs. As of December 31, 
2022, there were 1,369 projects, totaling $4.4 billion in eligible 
costs, and $1.1 billion in ineligible costs. As of December 1, 2023, 
there are 1,346 projects, totaling $4.7 billion in eligible costs, and 
$1.1 billion in ineligible costs. The Bipartisan Infrastructure Law 
does not provide sufficient funding to address the current eligible 
costs let alone the ineligible cost portion of the Sanitation 
Deficiency System projects reported to the Congress.

    Question 3. Your written testimony states that HHS has interpreted 
the existing statutory term ``Indian homes, communities, and lands'' to 
bar the use of IHS funding for ``commercial establishments and 
facilities associated with non-Indians,'' and expresses concern that S. 
2385 ``is inconsistent with the current IHS policy and potentially 
inconsistent with statutory mandates regarding the provision of 
services by IHS to non-Indians.'' The essential community structures 
described in the legislation include schools, hospitals, nursing homes, 
teachers' homes, Tribal offices, and post offices, not commercial 
enterprises. Could this be clarified in the legislation by, for 
example, specifically excluding ``commercial establishments'' and 
allowing for some incidental benefits to a small number of non-Indian 
residents?
    Answer. The proposed change would still conflict with IHS policy, 
as IHS has interpreted the funding authorized under section 7 of the 
Act of August 5, 1954 (42 U.S.C. 2004a) and section 302 of the Indian 
Health Care Improvement Act (25 U.S.C. 1632(b)) as intending to provide 
sanitation facilities for tribal homes. Under IHS policy other non-
tribal homes and buildings served by the project are required to 
provide funding to support the pro-rata cost of the service. There may 
be funding available from other sources depending on the structure. For 
example, as explained in the Criteria for the Sanitation Facilities 
Construction Program, June 1999, Chapter 4, page 3, Health Care 
Facilities Construction (HCFC) funds are for the construction of new 
hospitals, health centers, staff quarters, and additional space to 
existing facilities. The cost to serve these types of facilities with 
sanitation infrastructure would be taken from the HCFC account.

    Question 4. In addition to the Native Hawaiian Health Scholarship 
program, what else is the Department of Health and Human Services (HHS) 
and the Health Resources and Services Administration (HRSA) doing to 
improve recruitment and retention of medical providers to serve in 
Native Hawaiian Health Care Systems?
    Answer. In addition to the Native Hawaiian Health Scholarship 
program, HHS, through HRSA, administers the Native Hawaiian Health Care 
Program. This program improves the health of Native Hawaiians by making 
health education, health promotion, and disease prevention services 
available through a combination of outreach, referral, and linkage 
mechanisms, and provided medical and enabling services to over 6,800 
people in 2022. Supporting the recruitment and placement of Native 
Hawaiian Health Scholarship recipients is a key activity in the Native 
Hawaiian Health Care Systems.
    HRSA also supports the Native Hawaiian Center of Excellence at the 
University of Hawai`i, which provides individualized premedical 
advising, workshops, and Medical College Admission Test preparation 
resources to Native Hawaiian Students. The Center of Excellence has a 
mentoring and academic support program for current Native Hawaiian 
medical students.
    Furthermore, HRSA's Area Health Education Centers (AHEC) Program 
develops and enhances education and training networks within 
communities, academic institutions, and community-based organizations. 
The Hawai`i/Pacific Basin AHEC has formal partnerships with a variety 
of organizations across the state, including Papa Ola Lokahi and the 
Waimanalo Community Health Center, to collaborate on planning health 
workforce assessments across the region and assist with placing health 
professions students in rural areas of Hawaii. These partnerships focus 
on promoting the Native Hawaiian Health Scholarship Program and 
providing continuing education.

    Question 4a. Could the tools proposed in S. 3022 be applied to the 
Native Hawaiian Health Care Systems? How?
    Answer. In regards to HRSA's Native Hawaiian Health Care Systems 
Program, Native Hawaiian Health Centers receive funding (through the 
HRSA Health Center Program appropriation) to provide medical and 
enabling services to Native Hawaiians. Native Hawaiian Health Centers 
improve the health status of Native Hawaiians by providing access to 
health education, health promotion, and disease prevention services. 
Services provided include nutrition programs, screening and control of 
hypertension and diabetes, immunizations, and basic primary care 
services. The proposed bill seeks to allow Indian Health Service 
scholarship and loan recipients to fulfill service obligations through 
half-time clinical practice. HHS is committed to strengthening the 
health workforce and connecting skilled health care providers to 
communities in need. HHS would be happy to take another look at this 
legislation with a focus on Native Hawaiian Health Care Systems if the 
Committee would like to request additional technical assistance.
                                 ______
                                 
    Response to Written Questions Submitted by Hon. Brian Schatz to 
                           Hon. Manuel Heart
    Question 1. How can the funds and programs proposed in S. 2385 
supplement existing resources and address community need? Can you 
provide a couple of specific examples?
    Answer. Our White Mesa Ute Community in Utah is adjacent to the 
only remaining operating uranium mill in the United States. Stored at 
the mill are thousands of acre feet of toxic radioactive waste that are 
anticipated to be there forever. The White Mesa Community depends on 
groundwater resources buried deep in the Navajo aquifer for its 
municipal (domestic) needs. The groundwater for the community supply is 
of poor quality. The Ute Mountain Ute Tribe has long expressed concern 
that the uranium mill operations (in particular, documented management 
practices that have allowed continued contamination of surface 
resources, groundwater resources, and surface water resources) pose 
serious threats to the health of the surrounding land and waters, to 
the natural and cultural resources within and around the White Mesa 
community, and to the health and welfare of its Tribal members and 
their future generations. Members of the Tribe have experienced an 
alarming increase in health problems in recent years, including 
increased levels of cancer.
    The additional funding for technical assistance that would be 
authorized under S. 2385 for USDA, IHS, and the Bureau of Reclamation 
could provide the Tribe with the necessary help to assess necessary and 
appropriate upgrades for the White Mesa water treatment system. Such an 
assessment could determine whether current supplies are contaminated 
and provide recommendations for upgrades that will remove existing 
contaminants and guard against future contamination. Such technical 
assistance funding could also allow the Tribe to commission design and 
engineering plans for any recommended upgrade. The funding for the USDA 
rural development grant and loan program could help the Tribe bring its 
existing treatment system up to current practice standards. Currently, 
Federal funding for water system technical assistance and upgrades is 
severely limited, and none has been made available to the Tribe for 
this purpose.
    In our Towaoc Community in Colorado, the primary water line that 
supplies water from the Bureau of Reclamation Dolores Project to 600 
residences is more than 30 years old. The line is ductile iron and is 
vulnerable to breaks due to the shifting and saline geology and a lack 
of adequate cathodic protection. The Tribe experiences multiple such 
breaks every year, which cause temporary interruption of water 
deliveries to the Community and exacerbate the potential for water 
quality contamination. Each repair of the ductile iron line costs the 
Tribe $50,000 +/-.
    The Tribe has replaced 2.7 miles of ductile iron pipe with 16-18" 
HDPE (High Density Polyethylene Pipe) which requires no cathodic 
protection and has a useful life of 100 years. There are another 19 
miles of ductile iron pipe that needs to be replaced. The Tribally-
owned WCA Construction, LLC is recognized for expertise in HDPE pipe 
installation. The 2.7 miles of HDPE pipe has been installed with 
funding from USDA at the rate of one mile per year. At that rate, it 
will take another 19 years to replace the entire line, with a high 
probability of increases in costly, contaminating and service 
interrupting breaks.
    The Tribe is preparing an application for the USDA funding that 
would be provided by S. 2385 if it is enacted to plan and design 
replacement of the entire remaining 19 miles of pipe to be followed by 
an application for construction funding. If construction funding is 
available, the entire pipeline could be replaced by WCA Construction, 
LLC in 3 years, including installation of isolation valves and SCADA 
improvements. The result would be a problem free domestic pipeline to 
the Towaoc community with a life of 100 years.
    There is currently no Federal funding available to assist with 
operation and maintenance of water systems on Tribal reservations. As 
the above description of the ductile iron pipe illustrates, lack of 
ability to maintain an appropriate level of O&M makes the entire system 
more vulnerable. Lack of O&M assistance means that costs of repair and 
replacement will compound in coming years. S. 2385 would authorize and 
direct IHS to provide funding for O&M assistance to needy Tribes.
    In addition to equipment and facility challenges, the Tribe has 
considerable difficulty recruiting and retaining qualified facility 
operators. Staff turnover is prevalent and competitive salary 
opportunities are not usually available. Obtaining a certification at 
the appropriate level requires years of experience in addition to 
successful course and testing completion. With a limited amount of STEM 
guided career paths in the Tribal population, the chances of having a 
Tribal member get the education and experience to be an operator is 
low. To keep an employee with these qualifications by virtue of salary 
alone is not possible. The combination of these makes it tough to keep 
operators.
    In our smaller Utah community, we have a treatment system, but we 
do not have a certified operator. S. 2385 and its authorization of O&M 
assistance funding could help the Tribe to operate and maintain the 
water system in White Mesa.