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Northwest Portland Area Indian Health Board

Legislative and Policy Update

Thursday, November 3, 2022

Health News & Notes

Hot off the press! NPAIHB has published its newest addition to the quarterly Health News & Notes series. Addressing Chronic Disease in Indian Country - the October publication is filled with content on Enhanced data collection systems; Diabetes; cancer research; and more!

Take a look inside!

Important Dates

Oct. 30 – Nov. 4, 2022 

National Congress of American Indians (NCAI) — Sacramento, CA 


Nov. 3, 2022 (8:00 AM Pacific) 

Portland Area FY25 IHS Budget Formulation Meeting — Portland, OR (hybrid) 

Zoom Link 


Nov. 3, 2022 (11:00 AM Pacific) 

NIH TAC Meeting with the All of Us Research Program 

Zoom Link 


Nov. 3, 2022 (12:00 PM Pacific) 

IHS November All Tribal and Urban Indian Organization Leaders Call 

Zoom Link 


Nov. 7, 2022 (10:00 AM Pacific) 

FDA Tribal Consultation on Proposed Rules: Institutional Review Boards (IRBs); Cooperative Research and Protection of Human Subjects and IRBs 

Zoom Registration Link 


Nov. 7-8, 2022  

IHS Tribal Self Governance Advisory Committee — Washington, D.C. 


Nov. 8, 2022 (9:00 AM Pacific) 

USDA Tribal Consultation on FDPIR, WIC, CNP and SNAP Rule Revisions 

Zoom Registration Link 


Nov. 8, 2022 

Election Day 


Nov. 8–10, 2022 

Veterans Affairs Advisory Committee on Tribal and Indian Affairs — hybrid 

Zoom Registration Link 


Nov. 9, 2022 

Supreme Court hears the Brackeen v. Haaland Indian Child Welfare Act Case 

Partner ToolkitProtect ICWA DC Event Registration Link (SCOTUS)


Nov. 14, 2022 

Veterans Day 


Nov. 14, 2022 

Congress Reconvenes; Recesses for Thanksgiving Nov. 21-27th & Reconvenes Nov. 28 


Nov. 15-17, 2022  

SAMHSA Tribal Technical Advisory Committee Meeting — Viejas, CA (hybrid) 


Nov. 17, 2022 (12:00 PM Pacific) 

IHS DSTAC November Monthly Call  


Nov. 17, 2022 (3:00 PM Pacific) 

HHS Region 10 Quarterly Tribal Call 

Zoom Registration Link 


Nov. 22, 2022 (9:30 AM Pacific) 

CHAP Tribal Advisory Group (TAG) Meeting 


Nov. 29, 2022 (12:00 PM Pacific) 

Center for Indigenous Innovation and Health Equity Tribal Advisory Committee 

Zoom Registration Link 


Nov. 30 – Dec. 1, 2022 

White House Tribal Summit 

Tribal Leader Registration 


Dec. 1, 2022 (12:00 PM Pacific) 

IHS December All Tribal and Urban Indian Organizational Leaders Call 


Dec. 6-7, 2022 

Tribal Leaders Diabetes Committee (TLDC) Quarterly Meeting — Phoenix, AZ 


Dec. 12, 2022 

IHS National TAC on Behavioral Health Meeting

Zoom Registration 


Dec. 15, 2022 (12:00 PM Pacific) 

IHS DSTAC December Monthly Call  


Dec. 16, 2022 

FY23 Continuing Appropriations Resolution expires 


Jan. 3, 2023 

118th Congress convenes 

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

Continuing Appropriations and Ukraine Supplemental Appropriations Act (H.R. 6833. As previously noted, Congress passed a stopgap funding bill to prevent a government shutdown on Oct. 1, 2022. This bill maintains federal funding through Dec. 16, 2022 with a number of notable increases. This includes an additional $17.9 million for the Indian Health Service for the operations and costs of staffing new facilities in FY 2022 and 2023; $63 million to SAMHSA for the 988 Suicide and Crisis Lifeline; and $1 billion for the Low-Income Home Energy Assistance Program (LIHEAP). 

  • Update: With FY 2023 funding for federal programs being maintained under the continuing appropriations resolution (“C.R.”) through Dec. 16th, appropriators are currently working on another “omnibus” package that will include all 12 FY 2023 appropriations bills.

Tribal Consultation Updates

VHA and IHS hosted a Tribal consultation on the expansion of VA’s IHS/Tribal Health Program Reimbursement Agreement Program to include PRC and contracted travel. Written comments deadline extended to Nov. 1, 2022 to   


USDA initiating tribal consultation on five proposed rule revisions to food and nutrition services. USDA Secretary Vilsack in convening consultation to receive information and provide feedback on five proposed rule revisions in the Food Distribution Program on Indian Reservations (FDPIR), Special Supplemental Nutrition Assistance Program for Women, Infants, and Children (WIC), Child Nutrition Programs (CNP), and Supplemental Nutrition Assistance Program (SNAP).

CDC, IHS and National Highway Traffic Safety Administration (NHTSA) to hold listening session on Tribal Alcohol-Impaired Driving Prevention Initiative. CDC, IHS and NHTSA would like to learn from American Indian and Alaska Native tribes, tribal leaders and tribal organizations about ways to reduce alcohol-impaired driving. They would like to hear from tribal leaders and others working in tribal transportation safety or who have been impacted by alcohol-impaired driving.


Administration for Children and Families (ACF) hosts Annual Tribal Consultation. ACF hosted its Annual Tribal Consultation on Oct. 31 in conjunction with the NCAI Annual Convention in Sacramento, California. ACF seeks Tribal leader input on ACF programs and services impacting the economic and social well-being of Tribal families, children, individuals, and communities. Written comments due by Nov. 30, 2022 to

  • You can find the Dear Tribal Leader Letter, here.

IHS and Veterans Health Administration (VHA) Tribal Consultation. VHA and IHS hosted an in-person consultation on the Draft Annual Operational Plan for fiscal year (FY) 2022 for the VHA-IHS Memorandum of Understanding (MOU) on Sep. 27 at the NIHB Conference in Washington, DC. Written comments are due Nov. 30, 2022 to and with subject line: Draft Annual Operational Plan.


Census Bureau to conducted two Tribal Consultations on Detailed Demographic and Housing Characteristics. The U.S. Census Bureau conducted two tribal consultations on the Detailed Demographic and Housing Characteristics File A (DHC-A) and Detailed Demographic and Housing Characteristics File B (Detailed DHC-B). The first tribal consultation took place on Oct. 18 in Anchorage, AK. The second tribal consultation took place on Oct. 31 in Sacramento, CA. The deadline date for input is Nov. 30, 2022.

Tribal Consultation on draft HHS Tribal Consultation Policy. HHS is opening a 60-day comment period to the updated HHS Tribal Consultation Policy. Comments and recommendations are due Jan. 6, 2023 to Once HHS received all comments, they will reconvene the STAC Workgroup to review the comments. In addition, the updated Policy will go through an internal HHS clearance process. Secretary Becerra’s goal is to have an updated Policy signed in early 2023.

Administrative and Regulatory Updates

White House Announced 2022 White House Tribal Nations Summit on November 30th and December 1st, 2022. The summit will take place at the Department of the Interior in Washington, D.C. Additional details are forthcoming. Please register for the 2022 White House Tribal Nations Summit by Nov. 14th, 2022. Due to limited capacity, the White House can only accommodate one governmental representative per Tribe.


IHS Takes Steps Towards Becoming a Trauma-Informed Care Organization. In May 2020, IHS released the Chapter 37 Trauma-Informed Care policy in the Indian Health Manual. In Sep. 2022, the policy was updated to reflect training requirements and guidance that will support IHS efforts toward becoming a trauma-informed organization that is patient-focused and driven, recovery oriented, integrates cultural humility, and provides trauma-informed services. The Trauma-Informed Care policy requires all IHS employees, including contractors, and volunteers to complete training annually on the impact of trauma, including historical trauma, on American Indian and Alaska Native people. Over the past year, IHS has formed a multidisciplinary workgroup to understand agency readiness and identify resources that will support implementation. 


IHS Awards New Cooperative Agreements for Ending the HIV and HCV Epidemics in Indian Country. On Sep. 27, IHS announced $1.2 million in three-year cooperative agreements to seven tribes, tribal organizations, and urban Indian organizations to support work toward eliminating HIV and hepatitis C in Indian Country. This announcement stems from several tribal consultations in 2021 to seek feedback on priorities necessary to implement and build the initiative for maximum success.


Biden-Harris Administration Announces Lower Premiums for Medicare Advantage and Prescription Drug Plans in 2023, CMS Releases Key Information. On Sep. 29, the Administration announced that people with Medicare will see lower premiums for Medicare Advantage and Medicare Part D prescription drug plans in 2023. Additionally, because of the Inflation Reduction Act, people with Medicare prescription drug coverage will have improved and more affordable benefits, including a $35 cost-sharing limit on a month’s supply of each covered insulin product, as well as adult vaccines that are recommended by the Advisory Committee on Immunization Practices (ACIP) at no additional cost. Medicare Open Enrollment runs from Oct. 15 to Dec. 7, 2022. Ahead of the upcoming Medicare Open Enrollment period, CMS is releasing key information, including 2023 premiums and deductibles for Medicare Advantage and Medicare Part D prescription drug plans, to help Medicare enrollees determine the best coverage for their needs.


CMS Approves OR 1115 Waiver. CMS approved a new demonstration titled, “Oregon Health Plan (OHP)” (Project Number 11-W-00415/10) in accordance with section 1115(a) of the Social Security Act (the Act) in a 9/28/22 letter from CMS Administrator Brooks-LaSure.

This approval is effective as of October 1, 2022, through September 30, 2027. Tribal Concepts in the 1115 waiver will be addressed separately from the main waiver application.


CMS Proposes Rule to Streamline Eligibility and Enrollment Processes. This CMS rulemaking proposes changes to simplify the processes for eligible individuals to enroll and retain eligibility in Medicaid, the Children's Health Insurance Program (CHIP), and the Basic Health Program. We will schedule a brief NPAIHB Tribal Caucus in October to gather feedback on the proposed rule from Tribal leaders and health directors. Comments are due Nov. 7.


HHS Office on Women’s Health Seeks Women’s Health Champions. The HHS Office on Women's Health (OWH) invites organizations to apply to become a Women's Health Champion during National Women's Blood Pressure Awareness Week (NWBPAW), National Eating Disorder Awareness Week (NEDAW), National Women and Girls' HIV/AIDS Awareness Day (NWGHAAD), National Women's Health Week (NWHW), and/or other OWH observances. Any organization may apply to become a Women's Health Champion. The selected Women's Health Champions may be recognized for their commitment and their work toward achieving the goals of the observance(s). Letters of interest are currently being accepted and will be reviewed periodically.


NIH Accepting Nominations for its Tribal Advisory Committee (TAC). NIH is seeking nominations of qualified elected Tribal officials or designated Tribal representative to serve on its TAC with 4 National At-Large Seats. The TAC provides recommendations on the development of NIH policies, programs, and priorities, including research. Nominations can be submitted via PDF to and by Nov. 4.

NPAIHB Receives FY 2022 SAMHSA Tribal Opioid Response (TOR) Grant. The NPAIHB was recently awarded a fifth iteration of the SAMHSA TOR grant ($6.75M), referred to as ‘TOR5’. With these funds 27 tribes will continue to address the opioid crisis by expanding access to culturally appropriate prevention, treatment, and recovery activities. The purpose of the TOR program is to assist in addressing the overdose crisis in Tribal communities by increasing access to FDA-approved medications for the treatment of opioid use disorder (MOUD), and supporting the continuum of prevention, harm reduction, treatment, and recovery support services for opioid use disorder (OUD) and co-occurring substance use disorders.

  • Learn more about FY ’22 Individual TOR Grant Awardees, here.


SAMHSA Announces ‘988 Tribal Response’ Cooperative Agreements. HHS released new data that shows that over the first month of the transition to the 988 Suicide and Crisis Lifeline (988 Lifeline) there has been a 45% increase in overall volume and a substantial improvement in answer rates and wait times compared to August 2021. To build on this progress, SAMHSA announced a new $35 million grant opportunity to better support 988 Lifeline services in tribal communities. This funding will result in more trained crisis counselors being able to connect with even more people in need. The deadline to apply is Nov. 8, 2022.


Call for Nominations for Treasury Secretary Appointment to Treasury Tribal Advisory Committee. The Treasury Tribal Advisory Committee (TTAC) was established pursuant to the Tribal General Welfare Exclusion Act of 2014 to advise the Secretary of the Treasury on matters related to the taxation of Indians, training and education for Internal Revenue Service (IRS) field agents who administer and enforce internal revenue laws with respect to Indian tribes, and training and technical assistance for tribal financial officers. One vacancy exists on the TTAC. Applications for appointment by the Secretary to the TTAC or the names and qualifications of individuals you would recommend for appointment to the TTAC by the Secretary are due Nov. 17.

For more information:

Laura Platero, Executive Director 

Liz Coronado, Senior Policy Advisor

Candice Jimenez, Health Policy Specialist

Northwest Portland Area Indian Health Board | Website