NPAIHB Legislative & Policy  Update
Thursday, March 28, 2019 

March 29
12:00PM PT: IHS DSTAC March Call
Conference Call: 866-758-5378; Passcode: 8190280#

March 31-April 4
Tribal Self-Governance Consultation Conference
Acme, MI

April 3
11:00AM PT: NIHB MMPC Monthly Meeting
Conference Call: 1-866-866-2244; Passcode: 594865

12:00PM PT: HHS Tribal Budget Consultation Planning Call
Conference Call: 866-617-3597; Passcode: 3464707

April 4
12:30PM PT: IHS April All Tribal and Urban Indian Organization Leaders Call
Conference Call: 800-857-5577; Passcode:  6703929 
Webinar: ; Password: ihs123

April 10
CMS TTAG Meeting Call

April 17
Tribal Leader Diabetes Committee Monthly Meeting Call

April 18
HHS Budget Testimony Due

April 23-24
HHS Annual Tribal Budget Consultation (ATBC) National Budget Formulation
Washington, DC

April 24-25
Tribal Self-Governance Advisory Committee Meeting
Washington, DC

April 26
IHS Information Systems Advisory Committee Semi-Annual Meeting
Rockville, MD

April 30
10:00AM PT: U.S. Commission on Civil Rights Broken Promises Report Webinar
HHS  Request for Comments on the Pain Management Best Practices Inter-Agency Task Force Draft Report on Pain Management Best Practices  (Comments Due 4/1)
12/31 Federal Register Notice
Requests input on pain management best practices, gaps or inconsistencies, and propose updates to best practices and recommendations for pain management, including chronic and acute pain.

IHS DTLL- Tribal consultation on short-term and long-term options for meeting ISDEAA 105(l) requirements (Comments Due 4/26)
3/12 Issued
Seeks input on short-term and long-term options to fund 105(l) lease cost agreements. For FY 2019, IHS believes the best option is to reprogram a portion of the inflation increases.

HHS Office of the National Coordinator (ONC) 21st Century Cures Act interoperability, information blocking, and the ONC health IT certification program  (Comments Due 5/3)
3/4 Federal Register Notice
Proposes for the adoption of standardized application programming interfaces (APIs) to allow patients to securely and easily access electronic health information.

CMS Medicaid and Medicare programs interoperability and patient access proposed rule (Comments Due 5/3)
3/4 Federal Register Notice
Proposes patient access through Application Programming Interfaces (APIs) by ensuring access and use of healthcare data to patients. Makes patient claims and other health information available to patients through third-party applications and developers.

White House announces Task Force on protecting Native American children in the Indian Health Service system
3/26 Issued
Announces that the Task Force will be comprised of experts from several agencies and is charged with investigating the institutional and systematic breakdown that failed to prevent a predatory pediatrician from sexually assaulting Native children as a doctor at IHS. 
IHS Congressional Justification for FY 2020
3/25 Released
Provides additional details in support of President Trump's budget proposal priorities.

CMS issues new guidance on state implementation of Home and Community Based Services regulation
3/22 Issued
Provides updated guidance to State Medicaid Directors on the 2014 Home and Community Based Services (HCBS) regulation, which impacts older adults and adults with disabilities eligible for Medicaid. 

HHS releases additional $487 million to states, territories to expand access to effective opioid treatment; 2019 SOR grants will total $1.4 billion
3/20 Announcement
Announces release of an additional $487 million to supplement first-year funding through the State Opioid Response (SOR) grant program

CMS strengthens monitoring and evaluation expectations for Medicaid 1115 demonstration waivers (encourages states to weave in work requirements)
3/14 Release
Announces release of new tools and guidance for states to provide regular reporting on monitoring metrics and methods for 1115 demonstration waiver implementation.

President Trump releases FY 2020 Budget Request to Congress
3/11 Release
Proposes FY 2020 funding cuts to HHS by 12%, including major cuts to Medicare and Medicaid. Proposes to fund IHS at $5.945 billion in FY 2020 ($140 million over the FY 2019 enacted amount); eliminates funding for Health Education program and would cut CHR funding by $39 million; and recommends $20 million for the CHAP program.

Need for Congressional Members to sign-on to the House and Senate Bipartisan Letters to Support Reauthorization of SDP and SDPI ( LEGISLATIVE ACTION ALERT)
3/4 Letter
Requests tribes to submit letters to Congressional members who have not signed-on to the House and Senate SDP letters to reauthorize the SDPI program before it expires in September.

Rep. Bonnie Watson-Coleman (D-NJ) introduces PrEP Assistance Program Act (H.R.1643) 
3/8 Introduced
Establishes a grant program under HHS to provide grants to tribes, states, and territories for pre-exposure prophylaxis (PrEP) programs 


3/27 Judge blocks Trump Medicaid work requirements in Arkansas, Kentucky
3/26 Trump administration abandons the Indian Health Care Improvement Act in court case

3/26 Democrats pivot hard to health care after Trump moves to strike down Affordable Care Act

3/26 VA seeks more funding to complete community care consolidation
3/22 Idaho advances bill to scale back voter-approved Medicaid expansion

3/18 New Idaho Medicaid expansion 'sideboard' bill introduced

3/13 HHS hints at cutting 'onerous' substance abuse record rules (42 CFR Part 2)

For more information
  Laura Platero, Director of Government Affairs/Health Policy 
Sarah Sullivan, Health Policy Analyst
(503) 228-4185