Urban Indian Health Programs (UIHP) provide culturally competent, non-duplicative health services to more than 150,000 people annually and are critical to the Indian health care delivery system. The 36 clinics and programs across the United States are a critical safety net for Indian people living in urban centers. Todays Urban Indians are descendants of those tribal people who were relocated in the 1950s as part of the federal relocation program established by the Bureau of Indian Affairs. Congress has consistently acknowledged the government's trust responsibility extends to American Indians and Alaska Natives (AI/AN) living in urban settings. A Senate report relating to the Indian Health Care Amendments of 1987 noted: The responsibility for the provision of health care, arising from treaties and laws in exchange for the cession of millions of acres of Indian land does not end at the borders of an Indian reservation. We thank all of our supporters for recognizing that:
•UIHPs overcome cultural barriers
•UIHPs save costs and improve medical care by getting Urban Indians to seek medical attention earlier
•UIHPs reduce costs to other parts of the Indian Health Service by reducing their patient load
•UIHPs are a key provider to many uninsured urban Indians who may not go elsewhere for health care services
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