{"database": "press", "table": "releases", "rows": [["https://www.murkowski.senate.gov/press/release/us-senators-smith-murkowski-introduce-bipartisan_legislation-to-help-tribes-combat-covid-19-other-public-health-crises", "U.S. Senators Smith, Murkowski Introduce Bipartisan  Legislation to Help Tribes Combat COVID-19, Other Public Health Crises", "2020-09-11", "2020", "2020-09", "Republican", "House", "AK", "Lisa Murkowski", "M001153", "www.murkowski.senate.gov", null, null, "legacy", "09.11.20\n\t\t\t U.S. Senators Smith, Murkowski Introduce Bipartisan  Legislation to Help Tribes Combat COVID-19, Other Public Health Crises \n\t\t\t\n\t\t\tToday U.S. Senators Tina Smith (D-Minn.) and LisaMurkowski(R-Alaska) introduced bipartisan legislation to help Tribesaccess public health data andaddresshealthdisparitiesthat hit American Indian and Alaska Native (AI/AN) communities especially hard. TheTribal Health Data Improvement Actwould strengthendata sharingbetween Tribes,Tribal Epidemiology Centers andtheCenters for Disease Controland Prevention(CDC)so Tribes can moreeffectively address public health challenges.\r\nTribes andTribal Epidemiology Centersare routinely denied access to important health data systems, despite having clearance to do so.Accessing federal and state public health data is critical for engaging in preventative public health work and combatting current health crises. Structural barriers to accessing datahave been especiallyproblematicduring COVID-19,which has disproportionately hurt AI/AN communities.This bill clarifies that Tribes and Tribal Epidemiology Centers, as public health authorities, should be granted access to the data they request.\r\nAI/AN communitiesalsoface stark health disparities across multiple health conditions including diabetes, cancer, liver disease and kidney disease. But theseinequitiesareunderestimated due to inaccuratedataat the state and federal level, which toooften misclassifiesor undercountsAI/AN individuals.This bill would address this problem by directing federal and state public health authorities to identify best practices for the collection of health data on race and ethnicity.\r\nWe need to respond to the deep institutional inequalities that are harming the health of Indigenous people, especially during COVID-19,said Senator Smith.TribesandTribal Epidemiology Centers should be able toaccess to public health data. And we need to fix and prevent futurehealth data errors aboutAmerican Indian and Alaska Native (AI/AN)individuals.My bipartisan bill is an opportunity for Congress to help Tribes improve public healthincommunities across the country.\r\nAmerican Indian and Alaska Native communities face stark health disparities. In addition to these alarming health inequities, high rates of misclassification and undersampling of these populations are far too common in our public health data systems at the Federal, State, and local levels. As we navigate COVID-19, we know that Tribes have faced significant challenges in accessing CDC data to carry out their responsibilities to their members,said Senator Murkowski.The changes made by this legislation will go a long way in improving the quality and accuracy of Tribal health care data, including amending a statute that has posed many challenges to the Alaska Native Tribal Epidemiology Center's ability to access life-saving data from the CDC. I'm proud to join Senator Smith in leading this important legislation.\r\nI'd like to thank Senator Murkowski for introducing this important bill that will allow improved availability of, and access to, quality health-related data for Alaska Native and American Indian tribes and those organizations that serve our Native communities throughout the state of Alaska. Good data is critical to informed decision-making. The current pandemic has shed light on the current data access challenges and this amendment to the Public Health Service Act serves to make explicit the public health authority of tribes and tribal organizations to access data. In addition, this bill will help to improve the data quality and accuracy for birth and death records, as well as for health care and public health surveillance systems by addressing misclassification and under-sampling for Alaska Native and American Indian people. Better data, improved access and use of this data will mean better information for reporting and decision-making, said Andy Teuber, Chairman and President, Alaska Native Tribal Health Consortium.\r\nThe National Indian Health Board (NIHB) strongly supports the Tribal Health Data Improvement Act. Nationwide, there is a paucity of accurate and reflective public health data concerning American Indians and Alaska Natives (AI/ANs) stemming from high rates of misclassification and undersampling of AI/ANs in state and local disease surveillance systems. The COVID-19 pandemic, and its disproportionate impact on Indian Country, has shed an urgent light on these long-standing challenges and deficiencies in AI/AN public health data. This bill would break down barriers in Tribes' and Tribal Epidemiology Centers' access to federal public health data, which is important in controlling COVID-19 in hard-hit Tribal communities. It would also fund Tribal governments and Tribal organizations to work with state and local health agencies and require that they improve their data systems to accurately capture birth and death rates for AI/ANs, which has posed an issue long before COVID-19 but became even more evident as our Tribal members are succumbing to the virus. NIHB urges immediate action to pass this critical legislation, said Stacy A. Bohlen, Chief Executive Officer of the National Indian Health Board.\r\nSpecifically, theTribal Health Data Improvement Actwould:\r\n \r\nRequire the Department of Health and Human Services to give direct access to public health data to Tribes, the Indian Health Service, and Tribal Epidemiology Centers\r\nRequire the Centers for Disease Control and Prevention (CDC) to develop guidance for States and local health agencies to improve the quality and accuracy of birth and death record data for American Indians/Alaska Natives\r\nRequire the CDC to enter into cooperative agreements with Tribes, Tribal organizations, urban Indian organizations, and Tribal Epidemiology Centers to address misclassification and undersampling of American Indians/Alaska Natives on birth/death records and in health care/public health surveillance systems\r\nEncourage states to enter into data sharing agreements with Tribes and Tribal Epidemiology Centers to improve access to public health data\r\n \r\nIn addition to Sens. Smith andMurkowski, the legislation is supported by Sens. Jon Tester (D-Mont.),Steve Daines (D-Mont.), Elizabeth Warren (D-Mass.) and Kevin Cramer (N.D.)\r\nTheTribal Health Data Improvement Actis endorsed by the National Indian Health Board (NIHB), National Council of Urban Indian Health (NCUIH) and Seattle Indian Health Board.\r\nYou can read a summary of the bill here.\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\n\t\t\n\t\t\n\t\n    \n    \n\t\n\t\n    \n\t\n\t\n\t\n\t\t\n\t\n    \n\t\n     \n\t\n \n\t\n    \n    \n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\t Related Issues:\n\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t         \n\t\t\t\t\t     \n\t\t\t\t\t\n\t\t\t\t\tAlaska Natives & Rural Alaska\n\t\t\t\t\n\t\t\t \n\t\t\n\t\t  \n\t\t\n\t\n\t  \n\n\t\n\t\n\t\n\t\n\t \n\t\t\n\t\t\tPrint\n\t\t\n\t\t\n\t\t\t\n\t\t\tEmail\n\t\t\n\t\t\n\t\t\t\n\t\t\t\t\n\t\t\t\n\t\t\n\t\t\n\t\t\n\t\t\t\n\t\t\t\tTweet", 1, "2026-03-30T12:14:52Z", "2026-03-30T12:14:52Z"]], "columns": ["url", "title", "date", "year", "month", "party", "chamber", "state", "member_name", "bioguide_id", "domain", "scraper", "source", "date_source", "text", "has_text", "collected_at", "updated_at"], "primary_keys": ["url"], "primary_key_values": ["https://www.murkowski.senate.gov/press/release/us-senators-smith-murkowski-introduce-bipartisan_legislation-to-help-tribes-combat-covid-19-other-public-health-crises"], "units": {}, "query_ms": 1.4335699379444122, "source": "dwillis/congress-press", "source_url": "https://github.com/dwillis/congress-press", "license": "MIT", "license_url": "https://github.com/dwillis/congress-press/blob/main/LICENSE"}