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Northwest Portland Area Indian Health Board

Legislative and Policy Update

Monday, May 9, 2022

Important Dates

May 9, 2022 (9:00 AM Pacific)

National Tribal Public Health Summit: Indian Health Service Listening Session

Meeting Link


May 10, 2022 (10:00 AM Pacific)

National Tribal Public Health Summit: CDC Listening Session

Meeting Link


May 10, 2022 (12:00 PM Pacific)

National Tribal Public Health Summit: Behavioral Health Listening Session

Meeting Link


May 11, 2022

Outside Witness Testimony FY23 Due – Senate Subcommittee on Labor, Health and Human Services, Education and Related Agencies, Committee on Appropriations


May 11-13, 2022 (Tulalip, WA)

Northwest Tribal Public Health Emergency Preparedness Training & Conference


May 11, 2022 (10:00 AM Pacific)

NPAIHB and IHS Facilities Mini Webinar 3: Health Care Facility

Meeting Link

May 13, 2022 (10:00 AM Pacific)

Oregon Health Authority Tribal Monthly Meeting


May 15-19, 2022 (See agenda; Lummi Nation)

Affiliated Tribes of Northwest Indians (ATNI) Mid-Year Convention


May 18, 2022 (8:00 AM Pacific)

Idaho Tribal Quarterly Meeting


May 18, 2022 (9:00 AM Pacific)

Washington Tribal Centric Behavioral Health Advisory Board-988 Subcommittee


May 18, 2022 (1:30 PM Pacific)

Governor’s Tribal Leaders Social Service Council Biannual Meeting (Washington)


May 19, 2022 (12:00 PM Pacific)

DSTAC Monthly Call


May 19, 2022 (2:00 PM Pacific)

NPAIHB and Idaho Tribes Medicaid Meeting


May 20, 2022 (8:00 AM Pacific)

Idaho Tribes and State Public Health Partnerships Meeting


May 20, 2022 (10:00 AM Pacific)

Oregon Tribes and NARA Weekly Meeting

Visit our FHACT Tracker

Federal Health Agency and Congress Tracker (FHACT)) An ongoing list of Dear Tribal Leader Letters, Federal agency actions, and legislation introduced in the 117th Congress related to health.

COVID-19 Funding Tracker

An ongoing tracker of COVID-19 direct and set-aside funding for Tribes. Updated as of Aug. 2, 2021.

Legislative Updates

IHS Contract Support Costs Amendment Act, H.R. 7455. Introduced by Rep. Tom Cole (OK) to make technical amendments to the Indian Self-Determination and Education Assistance Act to overturn Cook Inlet and clarify that costs associated with activities IHS normally carries out in direct service are eligible for CSC.  

Appropriation Updates

IHS Releases FY 2023 Budget Details. President Biden is requesting mandatory funding for the IHS in the amount of $9.1 billion that would grow over 10 years until $36.7 billion in FY 2032. The budget increase proposes a number of grant programs and initiatives and new IHS divisions including Division of Telehealth, Division of GME, National Business Improvement Center, and expanding Division of Quality. 


Senate LHHE Appropriations Subcommittee Testimony. Testimony on FY 2023 Labor, Health and Human Services, Education and Related Agencies is due to the Senate LHHE Appropriations Subcommittee on May 11, 2022


Senate Interior Appropriations Subcommittee Testimony. Testimony on FY 2023 IHS Budget is due to the Senate Interior Appropriations Subcommittee on Jun. 10, 2022. 

Tribal Consultation Updates

HHS Annual Tribal Budget Consultation. HHS hosted virtual tribal consultation on the President’s FY 2024 budget request on Apr. 6-7, 2022Written testimony is due May 8, 2022 to


Office of Management and Budget (OMB) Tribal Consultation on President’s FY 2023 Budget. OMB released a Dear Tribal Leader Letter announcing tribal consultation on the FY 2023 Budget request to be held on May 23, 2022 at 11 AM Pacific. 


HHS Region 10 Tribal Consultation Save the Date. HHS Region 10 will be hosting tribal consultation on Aug. 22-24, 2022. More details will be released soon on location and logistics of the consultation.

Administrative and Regulatory Updates

HHS Final Strategic PlanHHS releases the Final Strategic Plan for FY 2022-2026 that incorporates Tribal Leaders comments. The Plan responds to recommendations from Tribes for the Department to strengthen and support for Tribal inclusion and reflect the unique needs of Tribes. 


Affordable Care Act Family Glitch Proposed Rule. The Treasury and IRS released a proposed rule to allow family members of workers who are offered affordable self-only coverage but is unaffordable family coverage to qualify for premium tax credits for ACA coverage. This is expected to extend coverage to an additional 200,000 uninsured individuals.

  • Written comments are due Jun. 6, 2022 on the Federal Register Portal.


CMS Rural Health Strategy Refresh All Tribes Listening Session. CMS is hosting a public, virtual listening session on May 17, 2022 at 11 AM Pacific to receive feedback from Tribal Leaders on their Rural Health Strategy. The current strategy was developed in 2018 and focuses on: applying a rural lens to CMS programs and policies, improving access to care through provider engagement and support, advancing telehealth and telemedicine, empowering patients in rural communities to make decisions about their healthcare, and leveraging partnerships to achieve the goals of the CMS Rural Health Strategy.


2021 Small Ambulatory Program (SAP). IHS is accepting applications for the SAP through Jul. 1, 2022. If you have any questions, please contact CDR Omobogie Amadasu, P.E., Program Manager, Division of Facilities Planning and Construction by phone at (301) 443-4751 or email at


U.S. Government Accountability Office (GAO) forming its first ever Tribal Advisory Committee. GAO is now seeking nominations as it begins building membership in the new group. The Council will help guide GAO’s future work on vital and emerging issues affecting Tribal Nations, their citizens, and Indigenous people more broadly. Among other things, this may include informing GAO of emerging topics of interest or concern, helping identify relevant stakeholders to ensure GAO work includes a diverse range of tribal and indigenous perspectives, and providing advice to GAO on its processes for working with Tribes.

  • Nomination materials should be submitted to by May 20, 2022.
  • Required nomination materials vary based on the position the nominee is seeking to fill on the Council; learn more on the GAO office page, here.


U.S. Department of Housing and Urban Development (HUD) seeking nominations for Tribal Intergovernmental Advisory Committee (TIAC). HUD is moving forward with the next step in establishing a TIAC and has published a Federal Register notice that formally establishes the committee. HUD is requesting nominations for Tribal representatives to serve on the TIAC.

  • To receive consideration, nominations must be submitted electronically through and refer to docket number FR-6289-N-02.
  • Nominations are due on or before: May 31, 2022.

VA Pilot Program on Graduate Medical Education and Residency; Extension of Comment Period. On February 4, 2022, VA issued a proposed rule to revise its medical regulations to establish a new pilot program related to graduate medical education and residency, as required by section 403 of the VA Maintaining Internal Systems and Strengthening Integrated Outside Network Act of 2018 (Pub. L. 115-182, hereinafter referred to as the MISSION Act). See 87 FR 6456. The proposed rule established parameters by which VA would determine those covered facilities in which residents would be placed under the pilot program, such as certain consideration factors to determine whether there is a clinical need for providers in areas where residents would be placed. VA further proposed to prioritize placement of residents under the pilot program in Indian Health Service facilities, Indian tribal or tribal organization facilities, certain underserved VA facilities, or other covered facilities.

  • In addition, VA proposed parameters to pay resident stipends and benefits and certain startup costs of new residency programs if residents are placed in such programs under the pilot program.
  • Comments must be submitted through and can be accessed via the Federal Register Notice on or before July 5, 2022.

For more information:

Laura Platero, Executive Director 

Liz Coronado, Senior Policy Advisor

Candice Jimenez, Health Policy Specialist

Northwest Portland Area Indian Health Board | Website