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Northwest Portland Area Indian Health Board

Legislative and Policy Update

Tuesday, March 29, 2022

Important Dates

Mar. 30-31, 2022

STAC Tribal Consultation Workgroup Meeting

Denver, CO

Mar. 30, 2022 (11:00 AM Pacific)

CDC/ATSDR Tribal Advisory Committee (TAC) Conference Call

Mar. 31, 2022 (11:00 AM Pacific)

NIH Tribal Consultation on Helping to End Addiction Long-Term (HEAL) Initiative

Zoom Link

Apr. 4, 2022 (10:00 AM Pacific)

NPAIHB Facilities Mini Webinar 2: Health Care Facility Construction Funding

Zoom Link

Apr. 4, 2022 (12:30 PM Pacific)

CMS Portland Area Virtual Training: Division of Tribal Affairs

Registration Link

Apr. 5, 2022 (12:30 PM Pacific)

CMS Portland Area Virtual Training: Marketplace

Registration Link


Apr. 6, 2022 (12:30 PM Pacific)

CMS Portland Area Virtual Training: Social Security & Medicare Benefits 101

Registration Link

Apr. 6-7, 2022

HHS Annual Tribal Budget Consultation on FY 2024 - virtual

Registration Link

Apr. 7, 2022 (12:00 PM Pacific)

IHS April All Tribal & Urban Indian Organization Leaders Call


Apr. 11, 2022 (12:30 PM Pacific)

CMS Portland Area Virtual Training: Northwest Portland Area Indian Health Board

Registration Link

Apr. 12, 2022 (12:00 PM Pacific)

MMPC Monthly Meeting


Apr. 12, 2022 (12:30 PM Pacific)

CMS Portland Area Virtual Training: VA Programs and Benefits

Registration Link


Apr. 13, 2022 (11:30 AM Pacific)

TTAG Monthly Conference Call


Apr. 13, 2022 (12:30 PM Pacific)

CMS Portland Area Virtual Training: Sexual Orientation & Gender Identity (SOGI)

Registration Link


Apr. 14, 2022 (11:00 AM Pacific)

IHS Director’s Advisory Workgroup on Tribal Consultation

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.

Appropriation Updates

President Biden Requests Mandatory Appropriations for the Indian Health Service (IHS) in FY 2023. Yesterday, President Biden released his Budget in Brief for FY 2023. This budget proposal includes $9.3 billion for IHS in mandatory funding in FY 2023 that will grow to $36.7 billion by FY 2032.


FY 2023 Community Project Funding and Congressionally Directed Spending Requests. Senators Wyden, Merkley, and Murray and House Representative Kilmer are now accepting requests for congressionally directed spending for FY 2023. Requests for Rep. Kilmer and Sens. Wyden and Merkley are due Apr. 1, 2022 and requests for Sen. Murray are due Apr. 5, 2022. There are two health-related accounts available for project requests: HHS HRSA Health Facilities Construction and Equipment and HHS SAMHSA to generally support mental health and substance abuse services. Contact Liz Coronado at for assistance. 

Tribal Consultation Updates

Veterans Affairs Tribal Representation Expansion Project (T. REP). The VA held tribal last week to focus on the Tribal communities that are underserved in terms of representation and gather input on claims representation in those communities.


NIH Announces Tribal Consultation on Helping to End Addiction Long-Term (HEAL) Initiative. NIH will be hosting a two-hour virtual consultation on Mar. 31, 2022 at 11 AM Pacific to discuss research needs to address the opioid crisis, including chronic pain and addiction. Written testimony may be submitted to Dr. David Wilson, Director of the NIH Tribal Health Research Office at before May 1, 2022.


SAMHSA 42 CFR Part 2: Confidentiality of Substance Use Disorder Patient Records. The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) and the Substance Abuse Mental Health Services Administration (SAMHSA) hosted a virtual Tribal Consultation on Confidentiality of Substance Use Disorder (SUD) Patient Records, 42 CFR part 2 (Part 2) on Mar. 10.


IHS Health IT Modernization Tribal Consultation. IHS hosted tribal consultation earlier this month to provide an update on the acquisition process to replace the Resource and Patient Management System and opportunities to participate in focus groups for subject matter experts. 


U.S. Department of Justice Tribal Consultation on Supporting Public Safety for Tribal Communities. The DOJ hosted government-to-government consultation last week to discuss efforts to address high rates of violent crime in Native communities, including those reflected in missing and murdered indigenous persons (MMIP). The Deputy Attorney General released a memorandum in establishing a Steering Committee to address the crisis of MMIP.


White House Office of Science and Technology Policy (OSTP) announces Tribal Consultation on Indigenous Traditional Ecological Knowledge (ITEK) and Federal Decision Making via Dear Tribal Leader Letter on March 4. Previously, the WH had released a memorandum that recognizes Indigenous Traditional Ecological Knowledge (ITEK)—a form of Indigenous Knowledge as one of the many important bodies of knowledge that contributes to the scientific, technical, social, and economic advancements of the U.S. and to our collective understanding of the natural world. The WH is now developing guidance on inclusion of ITEK in Federal decision making and policy processes for release later this year via consultation and listening sessions, as follows:

  • Tribal Consultation I: Apr. 5, 2022 at 12:30 PM – 2:30 PM Pacific (Registration)
  • Public Listening Session: Apr. 8, 2022 at 12:00 PM – 2:00 PM Pacific (Registration)
  • Tribal Consultation II: Apr. 29, 2022 at 12:00 PM – 2:00 PM Pacific (Registration)
  •  Written public comments can be sent to by May 5, 2022

Administrative and Regulatory Updates

HHS Annual Tribal Budget Consultation. HHS will be hosting a virtual tribal consultation on the President’s FY 2024 budget request on April 6-7, 2022. Written testimony will be accepted until May 8, 2022 to


Indian Health Service (IHS) Announces Funding Allocation of FY 2021 $10 million for Addressing Alzheimer’s Disease and Ending HIV. IHS will provide $2.6 million through cooperative agreements for Tribal health programs, Urban Indian Organizations, and Direct service programs to address Alzheimer’s disease within Tribal communities. IHS will also allocate $2.48 million to Tribes, Tribal Organizations, and Urban Indian Organizations to address diagnosis and prevention activities or treatment activities for HIV/HCV and sexually transmitted infections through cooperative agreements.


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 


CMS Portland Area ITU Virtual Trainings. CMS is hosting training programs for the Portland Area ITU on programs and benefits available through Medicare, Medicaid and the Health Insurance Marketplace from April 4- April 15. 

HRSA Provider Relief Fund UpdatesProvider Relief Fund reporting deadline for Period 2 is Mar. 31, 2022. See chart below on payment period reporting deadlines.

Payments Received Period

Deadline to Use Funds

Reporting Time Period

Period 1

4/10/2020 - 6/30/2020



Period 2

7/1/2020 - 12/31/2020


1/1/2022 - 3/31/2022

Period 3

1/1/2021 - 6/30/2021


7/1/2022 - 9/30/2022

Period 4

1/1/2021 - 12/31/2021


1/1/2023 - 3/31/2023


SAMHSA Announces Fiscal Year 2022 Grants. SAMHSA has announced grant funding opportunities through its Notice of Funding Opportunities (NOFO) website, here. Each NOFO contains the information you need to apply for a grant, including for the Garrett Lee Smith State/Tribal Youth Suicide Prevention and Early Intervention Program, here.

  • Application deadlines begin on Apr. 4, 2022, such as for the Services Grant Program for Residential Treatment for Pregnant and Postpartum Women, while others are open through May 17, 2022. Please review application due dates and timelines.                                  
  • SAMHSA, working with tribes, IHS, and National Indian Health Board developed the first collaborative National Tribal Behavioral Health Agenda (TBHA). Tribal applicants are encouraged to briefly cite the applicable TBHA foundational element(s), priority(ies), and strategies that are addressed by their grant application. 

For more information:

Laura Platero, Executive Director

Lisa L. Griggs, Executive and Program Ops Assistant  

Candice Jimenez, Health Policy Specialist 

Liz Coronado, Health Policy Specialist

Northwest Portland Area Indian Health Board | Website