WASHINGTON — 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.
The Department of Health and Human Services had argued it isn't responsible for the overhead costs associated with billing insurance companies, Medicare and Medicaid.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.
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