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planning and implementation of programs responsive to the true needs of their communities”, and noted that the potential of IHS not covering contract costs of outside programs would result in "a penalty on tribes for opting in favor of greater self-determination". Additionally, Roberts noted that the covering of costs was necessary to prevent a funding gap between the tribes and the federal government, stating that "if IHS does not cover those costs to support a tribe's expenditure of program income, the tribe would have to divert some program income to pay such costs, or it would have to pay them out of its own pocket Either way, the tribe would face a systemic funding shortfall relative to IHS—a penalty for pursuing self-determination".
318:
IHS and create a budgetary shortfall resulting in cuts to other vital IHS-provided programs, as the total IHS funding stood at $ 8 billion while contract support cost prior to such an expansion in reimbursement stood at roughly $ 1 billion. In contrasting the Tribe's arguments that the reimbursements were natural expectations for the IHS, Flynn contended that "What the tribes are arguing here is that also obligates IHS to subsidize the tribes' expenditures of funds that they don't receive from IHS under the contract. but rather collect from third parties as supplemental revenue. Statutory text and context refute that theory, which would upend how the statute has been administered for thirty-five years".
31:
245:
to run their own healthcare programs that the IHS would have otherwise managed on its own. If this option is chosen by a tribe, the IHS provides the tribe with the same amount of money to run these programs as the IHS would have spent if it were to be administered by the IHS itself. Additionally, the
317:
represented the U.S. government, arguing that the use of reimbursement as described by the tribes was incongruent with prior allocation under the law. In addition, Flynn noted that applying 3rd party payments under IHS reimbursement jurisdiction could take funds from tribes working directly with the
309:
and ensuring that adequate resources are available for health care in chronically-underserved communities". Additionally, Unikowsky emphasized that the nature of the IHS harmonized with the purpose of the legislation, noting that "Such costs are recoverable if they're incurred in connection with the
262:
filed separate suits alleging the IHS did not reimburse costs incurred in collecting income from third-party revenue streams. The Tribes contended that the IHS must, in addition to reimbursing the costs of typical IHS programs, also reimburse the tribes for the costs incurred when spending the money
381:
has interpreted the relevant statutory provisions to require tribes to pay those overhead costs out of the third-party income And
Congress has never overturned that consistent Executive Branch practice". In addition, Kavanaugh commented that reimbursement by the IHS, had it been included, should
352:
affirmed the argument by the tribes that 3rd party revenue streams were subject to reimbursement by the IHS. In his opinion, Roberts contended that the arguments of the government were inconsistent with the text and purpose of the ISDA as the ISDA was intended to provide an "effective voice in the
304:
Oral arguments were heard on March 25, 2024, with the Tribes represented by Adam
Unikowsky, who represented the Northern Arapaho Tribe, and Sidley Austin, who represented the San Carlos Apache tribe. Unikowsky argued that the costs and reimbursements of the third-party revenue streams were in line
377:. In his opinion, Kavanaugh countered the majority's reading of the ISDA, stipulating that the law did "not support the Court's decision" and that the decision was at odds with a long-standing understanding of payment, stating "For the past 30 years, the
456:
254:, and private insurers. The overhead and administrative costs that the Tribe must pay to run these services, known as "contract support costs", and which the IHS avoids, are therefore reimbursed by the IHS. Two tribes, the
1078:
284:
229:
case which determined that the federal government must provide additional funding to cover some third-party administrative costs incurred by Native
American tribes that operate their own health-care programs.
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238:
212:
672:
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dismissed the claims for reimbursement of third-party-revenue-funded portions of Native healthcare of the respective Tribes, resulting in the Tribes appeal. Following the appeal, the
79:
287:
that determined the IHS was not required to provide reimbursement thus generating a circuit split. Following this, the U.S. Government appealed the consolidated cases to the
890:
305:
with the goal of the tribes providing and managing their own health care, stating that "Ruling in the tribe's favor would further the purposes of the ISDA by promoting
1083:
641:
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110:
must pay "contract support costs” not only to support IHS-funded activities, but also to support the tribe's expenditure of income collected from third parties.
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264:
280:
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1068:
484:
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have been specified via further deliberations of
Congress, noting that "The extra federal money that the Court today green-lights does not come free".
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457:"In Narrow Victory for Tribal Nations, US Supreme Court Requires Federal Government to Reimburse Tribal Nations for Healthcare Administration Costs"
836:
531:
1063:
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808:
310:
operation of the federal program function, service or activity pursuant to the contract. The disputed costs in this case meet that description”.
780:
726:
461:
698:
455:
Babbitt, Christopher; Beaudreau, Tommy; Lamb, Kevin; Powell, Laura; Riley-Swanbeck, Britany; Volchok, Daniel; Waxman, Seth (June 12, 2024).
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1002:
613:
314:
428:
327:
288:
35:
400:
974:
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issued respective reversals of the district courts in favor of the Tribes. These rulings contrasted that of a 2021 ruling by the
752:
809:"Supreme Court rules in favor of two Native American tribes in dispute with federal government over insurance billing fees"
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226:
512:
247:
979:
563:
378:
63:
349:
242:
177:
107:
74:
918:
673:"SCOTUS hears arguments about a case involving federal health funding for the Northern Arapaho Tribe"
405:
895:
1031:"Supreme Court sides with Native American tribes in health care funding dispute with government"
241:(ISDA) provides Native Tribes the option to enter into a "self-determination contract" with the
94:
374:
169:
267:, IHS, and the United States, regarding the healthcare costs for the years of 2011–2013. The
558:
366:
362:
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133:
865:"Supreme Court Decides in Favor of Tribal Nations in Becerra v. San Carlos Apache Tribe"
753:"Trump's first Supreme Court appointee has once again broken from the conservative pack"
785:
532:"Justices take up Native health care funding cases and a dispute over sentencing guide"
489:
1057:
1007:
813:
703:
618:
483:
Azkalny, Abdullah; Lokensgard, Steve; Peterson, Josh; Taticchi, Mark (June 6, 2024).
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from private insurers on their healthcare programs. The Tribes subsequently sued the
757:
642:"US must pay more of Native American tribes' healthcare costs, Supreme Court rules"
590:
370:
345:
330:
157:
141:
125:
54:
Becerra, Secretary of Health and Human
Services, et al. v. San Carlos Apache Tribe
947:"Supreme Court Ruling Supports Tribal Healthcare Funding and Self-Determination"
837:"Supreme Court rules U.S. must pay more for Native American tribes' health care"
341:
153:
841:
536:
399:
Blodger, Ian; Huebner, Brock; Leano, Jessica; Wells, Steven (June 6, 2024).
923:
585:
251:
975:"Supreme Court sides with tribes in federal healthcare funding dispute"
951:
646:
727:"Tribes, feds spar before Supreme Court over who pays for health care"
1035:
433:
863:
Heckman, Carol; Myrtle, Kathryn; Rossetti, Michael (June 10, 2024).
1003:"Supreme Court Rules For Tribes Aiming to Recoup Health Costs (1)"
699:"Supreme Court Struggles With Tribal Health Care Funding Case (1)"
30:
614:"Supreme Court to Resolve Split Over Tribal Health Care Funds"
429:"Justices Will Hear Dispute Over Native Health Care Payments"
945:
1079:
United States Court of
Appeals for the Ninth Circuit cases
891:"Supreme Court Backs Tribes in Healthcare Funding Dispute"
485:"Supreme Court Decides Becerra v. San Carlos Apache Tribe"
239:
The Indian Self-Determination and
Education Assistance Act
513:"Supreme Court decision a win for Tribal health finances"
1074:
United States
Supreme Court cases of the Roberts Court
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Tribe may collect money from outside programs such as
213:
Indian Self-Determination and
Education Assistance Act
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Roberts, joined by Sotomayor, Kagan, Gorsuch, Jackson
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Strawbridge Robinson, Kimberly (November 20, 2023).
781:"Supreme Court Gets It Right on Tribal Health Care"
206:
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100:
90:
69:
59:
49:
42:
23:
697:Strawbridge Robinson, Kimberly (March 25, 2024).
365:wrote the dissenting opinion joined by Justices
1001:Strawbridge Robinson, Kimberly (June 6, 2024).
8:
919:"Supreme Court Hits Biden Admin With a Bill"
265:U.S. Department of Health and Human Services
666:
664:
202:Kavanaugh, joined by Thomas, Alito, Barrett
20:
401:"The Supreme Court Update - June 6, 2024"
391:
1084:United States Native American case law
18:2024 United States Supreme Court case
7:
1029:Whitehurst, Lindsay (June 6, 2024).
586:"Becerra v. San Carlos Apache Tribe"
559:"Becerra v. San Carlos Apache Tribe"
427:Owens, Crystal (November 20, 2023).
671:Haberman, Hannah (March 27, 2024).
222:Becerra v. San Carlos Apache Tribe
36:Supreme Court of the United States
24:Becerra v. San Carlos Apache Tribe
14:
1069:United States Supreme Court cases
807:Chappie, Brianna (June 6, 2024).
640:Pierson, Brendan (June 6, 2024).
85:143 S.Ct. 1804, 216 L. Ed. 2d 540
917:Fung, Katherine (June 6, 2023).
779:Carter, Stephen (June 7, 2024).
725:McKinney, Ian (March 26, 2024).
29:
751:Dallas, Kelsey (June 6, 2024).
530:Howe, Amy (November 20, 2023).
1064:2024 in United States case law
973:Deese, Kaelan (June 6, 2024).
889:Rickert, Levi (June 6, 2023).
281:Tenth Circuit Court of Appeals
1:
511:Morse, Susan (June 6, 2024).
225:, 602 U.S. ___ (2024), was a
227:United States Supreme Court
1100:
835:Howe, Amy (June 6, 2024).
326:Writing for the Majority,
313:Caroline A. Flynn of the
307:tribal self-determination
273:District Court of Wyoming
269:District Court of Arizona
211:
119:
105:
28:
980:The Washington Examiner
517:Healthcare Finance News
256:San Carlos Apache Tribe
564:The Federalist Society
260:Northern Arapaho tribe
315:Department of Justice
285:D.C. Court of Appeals
243:Indian Health Service
178:Ketanji Brown Jackson
43:Argued March 25, 2024
677:Wyoming Public Media
406:Dorsey & Whitney
45:Decided June 6, 2024
896:Native News Online
869:Lippes Mathias LLP
130:Associate Justices
218:
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170:Amy Coney Barrett
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363:Brett Kavanaugh
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166:Brett Kavanaugh
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146:Sonia Sotomayor
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134:Clarence Thomas
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1040:. Retrieved
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758:Deseret News
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404:
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360:
333:, joined by
331:John Roberts
325:
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207:Laws applied
173:
161:
158:Neil Gorsuch
149:
142:Samuel Alito
137:
126:John Roberts
78:
53:
15:
731:Indianz.Com
154:Elena Kagan
1058:Categories
842:SCOTUSblog
537:SCOTUSblog
462:WilmerHale
386:References
234:Background
60:Docket no.
786:Bloomberg
338:Sotomayor
70:Citations
1042:June 14,
1014:June 14,
986:June 14,
958:June 14,
930:June 14,
924:Newsweek
902:June 14,
874:June 14,
848:June 14,
820:June 19,
792:June 14,
764:June 14,
736:June 14,
710:June 14,
682:June 14,
653:June 14,
625:July 11,
597:June 14,
570:June 14,
543:June 14,
496:June 14,
468:June 18,
440:June 14,
412:June 18,
361:Justice
335:Justices
322:Majority
258:and the
252:Medicaid
248:Medicare
191:Majority
91:Argument
952:Reuters
647:Reuters
375:Barrett
357:Dissent
350:Jackson
346:Gorsuch
199:Dissent
101:Holding
1036:The AP
434:Law360
373:, and
367:Thomas
348:, and
176:
174:·
172:
164:
162:·
160:
152:
150:·
148:
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138:·
136:
64:23–250
371:Alito
342:Kagan
77:___ (
1044:2024
1016:2024
988:2024
960:2024
932:2024
904:2024
876:2024
850:2024
822:2024
794:2024
766:2024
738:2024
712:2024
684:2024
655:2024
627:2024
599:2024
591:Oyez
572:2024
545:2024
498:2024
470:2024
442:2024
414:2024
279:and
271:and
106:The
80:more
75:U.S.
73:602
108:IHS
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