200. Indian Alcohol and Substance Abuse Prevention and Treatment Act of 1986, October 27, 1986
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312 special form of regulatory relief—an exemption from some of the normal state regulations controlling gambling. Tribes may find that they could gain from providing other forms of regulatory relief—from Federal as well as state rules—in exchange for the employment and income benefits realized. Preferential contracting is another potentially important means of promoting economic development on reservations. Under such contracting mechanisms Indian owned firms may be able to receive contracts without going through the normal requirements for competitive bidding and other provisions of regulations that control the government procurement process. . . . Federal assistance to Indians in obtaining loans and capital is another important and traditional government role. The lack of Indian financial institutions, the frequent reluctance of nonIndian financial institutions to loan to Indians, and the financing problems created by trust status and sovereign immunity , all tend to create a need for Federal assistance in obtaining investment capital. The final key function for the Federal government is the provision of technical assistance. The Federal government may provide such assistance directly, or may provide funding to obtain it by contract. II. Recommendations of the Task Force [Forty-two detailed recommendations under the following headings] Indian Enterprise Zones. . . . Preference Contracting. . . . Financing of Investments. . . . The Trust Role, Technical Assistance and Contracting. . . . BIA Organization for Economic Development . . . . Economic Statistics and Other Items. . . . [Report of the Task Force on Indian Economic Development, July 1986 (Washington: Government Printing Office, 1986), 3–25 passim .] 200. Indian Alcohol and Substance Abuse Prevention and Treatment Act of 1986 October 27, 1986 One of the most serious problems facing Indian people in the late twentieth century has been alcohol and substance abuse. As part of the lengthy (193 pages) Anti-Drug Abuse Act of 1986, this subtitle concerns Indians and Alaska Natives. An Act to strengthen Federal efforts to encourage foreign cooperation in eradicating illicit drug crops and in halting international drug traffic, to improve enforcement of Federal drug laws and enhance interdiction of illicit drug shipments, to provide strong Federal leadership in establishing effective drug abuse prevention and education programs, to expand Federal support for drug abuse treatment and rehabilitation efforts, and for other purposes. . . . . TITLE IV—DEMAND REDUCTION . . . . Subtitle C—Indians and Alaska Natives sec. 4201. short title. This subtitle may be cited as the “Indian Alcohol and Substance Abuse Prevention and Treatment Act of 1986.” PART I—GENERAL PROVISIONS sec. 4202. findings The Congress finds and declares that— (1) the Federal Government has a historical relationship and unique legal and moral responsibility to Indian tribes and their members, (2) included in this responsibility is the treaty, statutory, and historical obligation to assist the Indian tribes in meeting the health and social needs of their members, (3) alcoholism and alcohol and substance abuse is the most severe health and social problem facing Indian tribes and people today and nothing is more costly to Indian people than the consequences of alcohol and substance abuse measured in physical, mental, social, and economic terms, (4) alcohol and substance abuse is the 313 leading generic risk factor among Indians, and Indians die from alcoholism at over 4 times the age-adjusted rates for the United States population and alcohol and substance misuse results in a rate of years of potential life lost nearly 5 times that of the United States, (5) 4 of the top 10 causes of death among Indians are alcohol and drug related injuries (18 percent of all deaths), chronic liver disease and cirrhosis (5 percent ), suicide (3 percent), and homicide (3 percent), (6) primarily because deaths from unintentional injuries and violence occur disproportionately among young people, the age-specific death rate for Indians is approximately double the United States rate for the 15 to 45 age group, (7) Indians between the ages of 15 and 24 years of age are more than 2 times as likely to commit suicide as the general population and approximately 80 percent of those suicides are alcohol-related, (8) Indians between the ages of 15 and 24 years of age are twice as likely as the general population to die in automobile accidents, 75 percent of which are alcohol-related, (9) the Indian Health Service, which is charged with treatment and rehabilitation efforts, has directed only 1 percent of its budget for alcohol and substance abuse problems, (10) the Bureau of Indian Affairs, which has responsibility for programs in education, social services, law enforcement , and other areas, has assumed little responsibility for coordinating its various efforts to...


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