H.R. 443 would authorize the Secretary of Health and Human Services to convey a parcel of land in Anchorage, Alaska, to the Alaska Native Tribal Health Consortium (ANTHC). The conveyance would be made by a warranty deed, which is a type of deed that guarantees a clear title to the new owner of the property.
The Indian Self-Determination and Education Act (ISDEAA) allows tribal entities to assume responsibility for providing health care services funded by the Indian Health Service (IHS). The ANTHC is a nonprofit health care and social services corporation that operates facilities under the ISDEAA in communities throughout Alaska. According to IHS, the ANTHC currently does not pay rent or any other remuneration to IHS for the use of the land to be transferred. Consequently, CBO estimates that enacting H.R. 443 would not affect direct spending or revenues and would have an insignificant effect on spending subject to appropriation for IHS staff to facilitate the land transfer.