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Northwest Portland Area Indian Health Board

Legislative and Policy Update

Thursday, September 14, 2022

Important Dates

Sep. 13-14, 2022

TLDC Meeting — San Diego, CA (hybrid)

Sep. 13-15, 2022

HRSA Advisory Committee on Infant and Maternal Mortality Meeting  (hybrid)

Registration Link

Sep. 14, 2022 (9:00 AM Pacific)

NPAIHB Delegates Project Presentation Series on Policy

Zoom Link

Sep. 14-16, 2022

HRSA Region 10 Health Equity Conference — Tacoma, WA (hybrid)

Registration Link

Sep. 14, 2022 (11:30 AM Pacific)

TTAG Conference Call

Sep. 14-15, 2022

FAAB Meeting—Alaska (hybrid)

Sep. 15, 2022 (12:00 PM Pacific)

DSTAC Monthly Call

Sep. 19, 2022 (12:00 PM Pacific)

MMPC Monthly Meeting

Sep. 18-22, 2022

ATNI Annual Convention — Tulalip Tribes

Registration Link

Sep. 20-21, 2022

IHS PRC Workgroup Meeting — Albuquerque, NM (hybrid)

Sep. 20-21, 2022 (10:00 AM Pacific)

IHS NTAC on Behavioral Health Q3 Meeting

Zoom Link

Sep. 22, 2022 (11:00 AM Pacific)

CDC/ATSDR Tribal Advisory Committee Meeting

Zoom Link

Sep. 26-28, 2022

NIHB National Tribal Health Conference — Washington D.C.

Registration Link

Sep. 28, 2022 (11:00 AM Pacific)

NIH Tribal Advisory Committee Monthly Meeting

Zoom Link

Sep. 30, 2022 (12:00 PM Pacific)

ISAC Monthly Meeting

Sep. 30, 2022 (12:00 PM Pacific)

NPAIHB Dancing in the Square: American Indian Day Celebration — Portland, OR

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.

Tribal Consultation Updates

HHS Region 10 Tribal Consultation Dear Tribal Leader Letter. HHS Region 10 hosted tribal consultation last month in Portland, OR. The written testimony deadline is extended to Sep. 16, 2022, to

HHS Tribal Consultation on Nondiscrimination in Health Programs and Activities. The Office of Civil Rights hosted a tribal consultation on a notice of proposed rulemaking on implementing Section 1557 of the Affordable Care Act related to Nondiscrimination in Health Programs and Activities.  

  • Written comments are due Oct. 3, 2022 

OMB Tribal Consultation on FY 2024 President’s Budget. OMB held a virtual consultation this week to seek tribal input on the development of the President’s FY 2024 Budget. Numerous Portland Area Tribal leaders voiced their concerns, recommendations, and requests on the call, including support for advance appropriations, fully funding Purchased/Referred Care, reimbursement of health IT modernization efforts of the Portland Area Tribes, and direct funding for tribal public health infrastructure. Written comments are due Oct. 14, 2022, to    

DOJ and DOI Listening Sessions on Castro-Huerta. The Department of Justice and Department of Interior are hosting joint listening sessions on Sep. 26 & 27, 2022 at 12 PM Pacific to discuss the impact of the recent Supreme Court decision in Oklahoma v. Castro-Huerta.  

IHS and Veterans Health Administration (VHA) Initiate Tribal Consultation on the first-ever Draft Annual Operational Plan for fiscal year (FY) 2022 for the VHA-IHS Memorandum of Understanding (MOU). Tribal input will assist in making improvements to operational activities, initiatives, and metrics that align with the mutual goals and objectives of the MOU. Written comments are due Oct. 30, 2022. VHA and IHS will host a Tribal consultation on Sep. 27, 2022, at 12 pm Eastern during the National Tribal Health Conference in Washington D.C. 

Administrative and Regulatory Updates

White House OMB Announces New Tribal Advisor Position. During the Office of Management and Budget (OMB) Tribal Consultation this week, OMB Director Shalanda Young announced that OMB is creating the first ever Tribal Advisor position in the OMB Office of the Director. This announcement comes after many years of Tribal Leader advocacy for the creation of such a position. In the coming weeks, OMB will bring on the first person to hold the position, Elizabeth “Liz” Carr. Ms. Carr is a member of the Sault Ste. Marie Tribe of Chippewa Indians and currently serves as the Senior Advisor to the Acting Director of Indian Health Service.

Chief Lynn Malerba, Mohegan Tribe is sworn in as the first Native American U.S. Treasurer this week. In June, she was appointed by President Biden to serve as the U.S. Treasurer who will also oversee the Office of Tribal and Native Affairs in the Treasury Department. 

HHS Declares Monkeypox Public Health Emergency. On Aug. 4, 2022, HHS Secretary Becerra declared the ongoing spread of the monkeypox virus a public health emergency. IHS has received a limited initial allocation of Monkeypox medical countermeasures, including the JYNNEOS vaccine and oral medication TPOXX. IHS and Tribal health facilities may request these countermeasures through the IHS National Supply Service Center by submitting an IHS-413 form to and The vaccine started shipping on Aug. 15, 2022.  

IHS Portland Area Office Allocates Funding for Regional Referral Specialty Center. IHS has allocated $500,000 from the available funding to complete the planning work necessary to proceed with the project. There are two options for completing the project planning work: 1) either a Portland Area Tribe or Tribal Organization supported by all Portland Area Tribes completes the work under a 638 Agreement or Construction Contract; or 2) IHS completes the work under a federal acquisition contract. IHS will proceed with a federal acquisition if it does not receive a fully supported intent to contract from a Tribe or Tribal Organization by Sep. 30, 2022.

IHS Update on Bivalent COVID-19 Booster Vaccines. Everyone age 12 years and older are now eligible for bivalent boosters that target both the original COVID-19 virus and Omicron variants. In order to receive the booster, you must have completed the primary vaccination series and it has been at least two months since your last COVID-19 vaccine dose.  

IHS Special Diabetes Program for Indians (SDPI) FY 2023 Grant Application Now Open. The Notice of Funding Opportunity announcement for FY 2023 SDPI grants has been posted and is open to all eligible applicants, including Tribes that have not previously been awarded an SDPI grant. The deadline to apply is Oct. 7, 2022, for SDPI FY 2023 funding.  

HRSA Advisory Committee on Infant and Maternal Mortality. The Advisory Committee on Infant and Maternal Mortality (ACIMM) will be conducting a meeting at the Shakopee Mdewakanton Sioux Community in Prior Lake, MN on Sep. 13-15, 2022. TheACIMM would like to hear directly from tribal communities on improving the birth outcomes of AI/AN mothers and infants. More information to attend the meeting in person or virtually will be coming soon.  


HRSA Provider Relief Funds Reporting Portal Open for Period 3.  

Just a reminder that the PRF Reporting Portal opened on July 1, 2022, and will remain open through Sep. 30, 2022, for Reporting Period 3.   

Payments Received Period

Deadline to Use Funds

Reporting Time Period

Period 1

4/10/2020 – 6/30/2020


7/1/2021 to 9/30/2021*

Period 2

7/1/2020 – 12/31/2020


1/1/2022 to 3/31/2022

Period 3

1/1/2021 – 6/30/2021


7/1/2022 to 9/30/2022

Period 4

7/1/2021 – 12/31/2021


1/1/2023 to 3/31/2023

*Grace period ended on Nov. 30, 2021.

Litigation Updates

The Ninth Circuit Hears Arguments Regarding Denial of Medicaid Funding for DHAT Services. Washington law allows dental health aide therapists (DHATs) to provide services within the boundaries of a Tribal reservation to persons who are members of a federally recognized Tribe or otherwise eligible for services under IHS criteria. On Sep. 1, 2022, a Ninth Circuit three-judge panel considered an appeal by the Washington State Health Care Authority and the Swinomish Indian Tribal Community seeking to reverse a 2018 Centers for Medicare & Medicaid Services (CMS) decision to deny a Washington State Plan Amendment that authorized Medicaid reimbursement for DHAT services. The State and Swinomish Petitioners argued that the CMS decision is contrary to law because it misinterprets the Medicaid free-choice provision, ignores long-standing Indian health and self-determination statutes, and disregards the federal government’s trust and treaty obligations toward American Indian and Alaska Native people.  

NPAIHB Joins the Tribal Amicus Brief in Support of the Indian Child Welfare Act (ICWA). The Supreme Court will be hearing oral arguments for Brackeen v. Haaland on Nov. 9, 2022. This case involves challenges to ICWA, which have the potential to dismantle this long-standing law and affect the well-being of children, families, and tribes who are currently protected by it. 

For more information:

Laura Platero, Executive Director 

Liz Coronado, Senior Policy Advisor

Candice Jimenez, Health Policy Specialist

Northwest Portland Area Indian Health Board | Website