NPAIHB Legislative & Policy Update
Wednesday, April 21, 2021
IMPORTANT DATES
Apr 20 - 22, 2021
NPAIHB Quarterly Board Meeting

Apr 22, 2021
NPAIHB Tribal Caucus re Veterans Administration Elimination of Co-Pays for Covered American Indian/Alaska Native Veterans
3 p.m. -  4 p.m.
 
Apr 27 - 29, 2021
National Indian Health Board, National Tribal Public Health Summit
Free Listening Sessions During Summit 
For these sessions register for Consultation/No-Cost Institutes Only
April 27, 9 11 a.m., Indian Health Service
April 28, 10:45 a.m. -12:45 p.m., Centers for Disease Control and Prevention
April 29, 9 -11 a.m., Indian Health Service Behavioral Health
 
Apr 28, 2021
Veterans Administration Tribal Consultation on the Elimination of Co-Pays for Covered American Indian/Alaska Native Veterans
10am -12pm | ADOBE CONNECT
Call 800-767-1750, extension 52908.
 
Apr 30, 2021
White House COVID-19 Health Equity Task Force
11 a.m. 2 p.m. INFORMATION
ACTION ALERTS
Veterans Affairs (VA) Consultation on Co-Pays for American Indian/Alaska Native VeteransThe VA issued a Dear Tribal Leader Letter on Mar 29, 2021, calling for consultation on recent legislation that prohibits the VA from collecting co-pays from covered AI/AN veterans.
LEGISLATIVE UPDATES
NPAIHB Joins 29 Regional and National Tribal Organizations in Proposing Infrastructure Investments in Indian Country. Letter sent to Senate and House Congressional leadership on April 13, 2021. Request includes several healthcare infrastructure proposals on health care facilities construction, public health infrastructure, tribal health workforce development, and unfunded provisions of the Indian Health Care Improvement Act. 
 
NPAIHB Submits Testimony to House Appropriations Subcommittee on Interior, Environment, and Related Agencies Public Witness Hearing - FY 2022.Testimony was submitted on April 16, 2021 and makes asks specific to Northwest Tribes' priorities, including full funding for IHS, advanced appropriations, mandatory funding for 105(l) leases and contract support costs, mental health and substance abuse, electronic health records, Community Health Aide Expansion and more.    

Legislative Tracker: An on-going list of legislation introduced in the 117th Congress.
ADMINISTRATIVE AND REGULATORY UPDATES
Biden Administration Resumes White House Council on Native American Affairs.  A Department of Interior Press Release on Apr 15, 2021 announced that Secretary of Interior Deb Haaland and Domestic Policy Advisor Susan Rice will reconvene the White House Council on Native American Affairs.  Secretary Haaland will chair this Council. This Council was formed in 2013, and has not met regularly since 2016.
 
Health and Human Services (HHS) launches Data Sharing Platform. The HHS Data Protect platform was announced in an Apr 12, 2021 Dear Tribal Leader Letter. This data platform holds over 2.5 billion data points complied from multiple sources. It is intended to inform policy makers so they can improve decision-making. If you are interested in obtaining access to HHS Protect, please review the Account Activation and Deactivation Process, and contact Dean Sayer at dean.seyler@ihs.gov.
 
HHS Releases Summary of Tribal Consultations on Tribal Consultation At a recent Tribal Advisory Committee meeting, HHS shared the written summary of recommendations received during the March 2021 consultations on tribal consultation.
 
Indian Health Service Dear Tribal Leader Letter re Allocation of American Rescue Plan Act Funds to Indian Country. As you may recall, tribal consultation was held mid-March regarding the $6 billion in funding for the Indian Health Service under the American Rescue Plan Act (ARPA). On Apr 16, 2021, the IHS announced allocation decisions for $4.3 billion of the funding. Tribal Health Programs will receive one-time, non-recurring funds through modifications to existing agreements. Urban Indian Organizations (UIOs) will receive one-time, non-recurring funds through existing contracts. Decisions related to the remaining $1.7 billion dollars will be shared in the near future.
  • $2 billion for Lost Reimbursements
    • 1.92 billion to IHS/Tribal health programs
      • Allocation based on existing distribution methodologies for increases to Hospitals and Health Clinics, Dental Health, Alcohol and Substance Abuse, Mental Health funding amounts.
      • Contract Support Costs (CSC) do not apply
    • $80 million to UIOs to replace lost 3rd party reimbursements
  • $500 million for Additional Health Care Services, including Purchased/Referred Care
    • $480 million to IHS/Tribal health programs for increases to Hospitals and Clinics and Purchased/Referred Care
    • $20 million to UIOs for additional health care services
  • $84 million to UIOs for maintaining operations
  • $140 million for information technology, telehealth infrastructure and electronic health record modernization
    • $67 million to IHS/Tribal health programs (CSC eligible)
    • $3 million to UIOs
    • $70 million to IHS for Electronic Health Record Modernization 
  • $600 million for COVID-19 vaccination related activities
    • $526 million to IHS/Tribal programs (CSC eligible)
    • $24 million to UIOs
    • $50 million to maintain systems improvements due to IHS role in vaccination distribution
  • $1 billion to detect, diagnose, trace, monitor, and mitigate COVID-19
    • $960 million to IHS/Tribal health programs (CSC eligible)
  • $40 million to UIOs
HIPAA Privacy Policy Notice of Proposed Rulemaking Please join us for a discussion on the Notice of Proposed Rulemaking that impacts HIPAA Privacy rules.
CMS Payment Sequestration Suspended The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the sequestration payment reduction percentage of 2% applied to all Medicare Fee-for-Service (FFS) claims from May 1 through December 31, 2020.  The Consolidated Appropriations Act, 2021, extended the suspension period to March 31, 2021. An Act to Prevent Across-the-Board Direct Spending Cuts, and for Other Purposes, signed into law on April 14, 2021, extends the suspension period to December 31, 2021.
Medicare Administrative Contractors will:
  • Release any previously held claims with dates of service on or after April 1
  • Reprocess any claims paid with the reduction applied
NPAIHB Regulations and DTLL Tracker. An on-going list of federal agency actions and Dear Tribal Leader Letters.
For more information
 Laura Platero, Executive Director
Veronica Smith, Health Policy Consultant | Lisa L. Griggs, Executive and Program Ops Assistant | Candice Jimenez, Health Policy Specialist | Liz Coronado, Health Policy Specialist
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