H.R. 3620 would authorize the Secretary of Health and Human Services to convey a parcel of land in Anchorage, Alaska, without charge, to the Southcentral Foundation (SCF). The SCF is a nonprofit health care organization that operates facilities under the Indian Self-Determination and Education Assistance Act (ISDEAA) in Anchorage and surrounding villages. The conveyance would be made by a warranty deed, which guarantees a clear title to the property’s new owner. The ISDEAA allows tribal entities to assume responsibility for providing health care services funded by the Indian Health Service (IHS).
According to IHS, SCF currently does not pay rent or provide any other remuneration to IHS for the use of the land to be transferred. Consequently, CBO estimates that enacting H.R. 3620 would not affect direct spending or revenues over the 2026-2035 period. CBO also estimates that implementing the bill would increase IHS’s administrative costs for the land transfer by less than $500,000 over the 2026-2030 period. Any related spending would be subject to appropriation.
The CBO staff contact for this estimate is Robert Stewart. The estimate was reviewed by Chad Chirico, Director of Budget Analysis.