Supreme Court sides with Native American tribes in health care funding dispute with government

– The Supreme Court sided with Native American tribes Thursday in a dispute with the federal government over the cost of health care when tribes run programs in their own communities.

Paying those costs for all tribes that run their own health care programs could total between $800 million and $2 billion per year, the agency said. Health care spending per person by the IHS is just one-third of federal spending in the rest of the country, the Northern Arapaho Tribe in Wyoming said in court documents. Native American tribal populations have an average life expectancy of about 65 years, nearly 11 years less than the U.S. as a whole.

The tribes, though, had to do the billing themselves. That cost the San Carlos Apache Tribe nearly $3 million in overhead over three years and the Northern Arapaho Tribe $1.5 million over a two-year period, they said. Two lower courts agreed with the tribes.

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