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Tribal leaders cite hospital turnarounds and press Congress for funding certainty, technical assistance

House Natural Resources Committee, Subcommittee on Indian and Insular Affairs · December 12, 2025
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Summary

Witnesses from Cherokee Nation, Spokane and Winnebago described hospital and clinic turnarounds after assuming 638 authority and urged Congress to ensure funding stability (advanced or mandatory appropriations), more technical assistance for small tribes, and better area-office support.

Tribal leaders who testified before the House subcommittee highlighted concrete examples where assuming authority under the Indian Self-Determination and Education Assistance Act improved care and urged Congress to secure funding and technical supports to replicate those outcomes.

Cherokee Nation Principal Chief Chuck Hoskin Jr. said 638 ‘‘has been transformational,’’ describing how Cherokee Nation assumed operations of the Claremore facility and ‘‘immediately invested $11,000,000 to take that…

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