Wednesday, January 22, 2025
34.4 F
Pawhuska
HomeCommunityCongress passes amendments to Health Benefit Fund to counteract fraud

Congress passes amendments to Health Benefit Fund to counteract fraud

Photo caption: Congresswoman Shannon Edwards at the podium, speaking on behalf of her bill ONCA 18-70, which was passed unanimously. Screenshot of Osage Nation Video

Reports of Osages spending their Health Benefit Fund on car stereos, groceries, vacations, hotel rooms and other non-health related expenses prompted the Sixth Osage Nation Congress to act.

During the Congressional Hun-Kah Session, the Sixth Osage Nation Congress voted unanimously to approve ONCA 18-70 (Edwards), a bill that amends the Health Benefit Fund and places penalties on those who misuse the health benefit and requires encoded cards be issued to restrict the purchases to health-related items only. Principal Chief Geoffrey Standing Bear signed the bill into law on April 25.

“In the late summer of 2018, the Osage News alerted the Chief that execution of the new law had resulted in a more serious problem – namely fraud. It seemed through investigation, the News had learned that members were purchasing, and charges were being accepted, for items outside those approved medical expenses. 

“At some point during the current Session, the Assistant Principal Chief and the Attorney General formally reported in Executive Session the extent of the problem to the Congress. They proposed no immediate solution, but the Administration did suggest that the Congress reinsert language back into the law requiring that any debit card associated with the benefit be encoded,” said Edwards during the Hun-Kah Session on April 23.

In late 2018, the News learned that Osage citizens could use their health benefit cards to purchase non-health related items by choosing the “credit” option at the point of purchase instead of choosing “debit.”

Changes to the Health Benefit include:

–       Encoded cards to track expenses and restrict purchases to approved health-related items only.

–       Every plan shall provide for a means of tracking account fund balances and describe how the enrolled member accesses the information.

Congressman Archie Mason, who was the Congressional Health and Social Services committee chair at the time of the bill’s passage said the bill was still a work in progress and he hoped the Congress members who sit on the next health committee will take up the work they had begun.

The Nation currently offers a $500 Health Benefit card to all tribal members, and a $1,000 Health Benefit card to all tribal members over the age of 65. The Health Benefit Fund also includes funds for Medigap coverage (Plan F) and a prescription drug benefit (Plan D) for Osages over the age of 65.

Before the Congress voted on the passage of ONCA 18-70, Edwards in her closing remarks had a message for those who have been misusing the benefit card.

“I simply want to note that this bill has penalties associated with misuse of the benefit and to put people on notice that, the Nation is investigating and the minimum, those who misuse the card for sportswear, sports gear, makeup, presents, hotel rooms and those who are co-mingling their benefit with others will upon conviction of fraud have this benefit suspended, or permanently withdrawn,” she said.


By

Shannon Shaw Duty


Original Publish Date: 2019-05-03 00:00:00

Author

Get the Osage News by email!

We don’t spam! Read our privacy policy for more info.

Shannon Shaw Duty
Shannon Shaw Dutyhttps://osagenews.org

Title: Editor
Email: sshaw20@gmail.com
Twitter: @dutyshaw
Topic Expertise: Columnist, Culture, Community
Languages spoken: English, Osage (intermediate), Spanish (beginner)

Shannon Shaw Duty, Osage from the Grayhorse District, is the editor of the award-winning Osage News, the official independent media of the Osage Nation. She is a graduate of the University of Oklahoma with a bachelor’s degree in Journalism and a master’s degree in Legal Studies with an emphasis in Indigenous Peoples Law. She currently sits on the Freedom of Information Committee for the Society of Professional Journalists. She has served as a board member for LION Publishers, as Vice President for the Pawhuska Public Schools Board of Education, on the Board of Directors for the Native American Journalists Association (now Indigenous Journalists Association) and served as a board member and Chairwoman for the Pawhuska Johnson O’Malley Parent Committee. She is a Chips Quinn Scholar, a former instructor for the Freedom Forum’s Native American Journalism Career Conference and the Freedom Forum’s American Indian Journalism Institute. She is a former reporter for The Santa Fe New Mexican. She is a 2012 recipient of the Native American 40 Under 40 from the National Center for American Indian Enterprise Development. In 2014 she helped lead the Osage News to receive NAJA's Elias Boudinot Free Press Award. The Osage News won Best Newspaper from the SPJ-Oklahoma Chapter in their division 2018-2022. Her award-winning work has been published in Indian Country Today, The Washington Post, the Center for Public Integrity, NPR, the Associated Press, Tulsa World and others. She currently resides in Pawhuska, Okla., with her husband and together they share six children, two dogs and two cats.

RELATED ARTICLES

In Case You Missed it...

Upcoming Events