NATIVE NEWS ONLINE – In the case, the court ruled tribes are entitled to reimbursement for indirect costs incurred in providing services, regardless of whether those services were paid for by the Indian Health Service (IHS) or other sources. The majority opinion, written by Chief Justice John Roberts, found that the 1975 Indian Self-Determination and Education Assistance Act (ISDA) requires IHS to pay the contract support costs that a tribe incurs when it collects and spends program income—revenue from third-party payers like Medicare, Medicaid, and private insurers—to further the functions, services, activities, and programs transferred to it from IHS in a self-determination contract.
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