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Northwest Portland Area Indian Health Board
Legislative and Policy Update
May 2, 2023
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May 1-5, 2023
2023 National Indian Health Board (NIHB) National Tribal Health Conference
— Anchorage, AK
May 4, 2023 (12:00 PM PST)
IHS May Tribal and Urban Indian Organizations Call
May 7-11, 2023
Affiliated Tribes of Northwest Indians Midyear Convention
— Coeur d’Alene Casino
Registration Link
May 9-11, 2023
Portland Area Facilities Advisory Committee Meeting
— Portland, OR; Hybrid
May 9, 2023 (12:00 PM PST)
MMPC Monthly Meeting
May 10, 2023 (9:00 AM PST)
VA Health Subcommittee Meeting
— Virtual
May 10, 2023 (10:30 AM PST)
IHS Tribal Consultation on Health IT Modernization Resources
Registration Link
May 10, 2023 (11:30 AM PST)
CMS TTAG Conference Call
— Virtual
May 11, 2023 (9:00 AM PST)
ACF/IHS/SAMHSA Interagency Webinar on Children’s Behavioral Health: Best Practices in Tribal Communities — Early Childhood and School-based Programs
May 12, 2023 (9:00 AM PST)
ACF/IHS/SAMHSA Interagency Webinar on Children’s Behavioral Health: Best Practices in Tribal Communities — Whole Family and Workforce Programs
May 15, 2023 (2:00 PM PST)
Tribal Health Director Learning Collaborative
May 17, 2023 (11:00 AM PST)
HHS Office of Civil Rights Tribal Consultation re Reproductive Health
Registration Link
May 17, 2023 (12:00 PM PST)
CMS All Tribes Webinar on Medicare Inflation Rebates and Negotiations
Registration Link
May 23, 2023 (1:30 PM PST)
Region 10 Conversation on Equity: Addressing the Maternal Health Crisis
Registration Link
May 24, 2023 (11:00 AM PST)
CMS All Tribes Webinar Re-envisioning Quality Improvement Through a Community-Centered Lens
Registration Link
May 26, 2023 (11:00 AM PST)
ISAC Monthly Meeting
Jun 2, 2023 (11:00 AM PST)
OMB Virtual Tribal Consultation on IHS Mandatory Funding Proposal
Registration Link
Jun 4-9, 2023
NCAI Mid-Year Conference
— Prior Lake, MN
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Legislation & Appropriation Updates | |
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Special Diabetes Program for Indians (SDPI) Reauthorization Act of 2023, H.R. 2547, introduced by Rep. Tom Cole (R-OK-04) and Rep. Raul Ruiz (D-CA-36). This bill would reauthorize SDPI at $150 million annually for 5 five fiscal years. SDPI Congressional member sign-on letters are available. Urge your representative to join the letter!
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To view the Congressional sign-on letter for the Senate, click here.
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To view the Congressional sign-on letter for the House, click here.
Assistant Secretary for Indian Health within HHS, H.R. 2535 reintroduced in the 118th Congress by Rep. Stanton (D-AZ) and Rep. Joyce (R-OH). This bill would elevate the current position of the Director of the Indian Health Service to Assistant Secretary for Indian Health within HHS. This bill was referred to the House Committee on Natural Resources and then to the Committee on Energy and Commerce.
House Passes “Limit, Save, Grow Act of 2023” 217 to 215 is a debt limit and spending reductions package. This Act returns discretionary spending to FY 2022 levels, including the Indian Health Service, which would be a $327 million cut; expand work requirements for Medicaid, SNAP, and TANF; rescind unused COVID relief funds; and other policy-related cuts.
President Biden Releases Budget Request for FY 2024. The Biden Administration’s proposed FY 2024 includes $8.1 billion for the Indian Health Service (IHS) and $250 million in mandatory funding for Special Diabetes Program for Indians (SDPI). The Administration also proposes mandatory funding for all IHS accounts starting in 2025 that would grow automatically each year based on inflation, key operational needs, and existing backlogs in health care services and facilities infrastructure. IHS program increases in the budget request for FY 2024 include +$181 million for PRC, + $37 million for mental health, +$42 million for alcohol and substance abuse, and + $20 million for CHAP.
- The President’s Budget Request also includes the reauthorization of SDPI at $250 million in FY 2024, $260 million in FY 2025, and $270 million in FY 2026.
Senate Appropriations Subcommittee on Interior, Environment, and Related Agencies releases outside witness testimony instructions for FY 2024 appropriations. The Indian Health Service budget is within the jurisdiction of the Interior Subcommittee. Testimony is due May 24, 2023.
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Tribal Consultation, Listening Session & Written Comment Updates | |
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Indian Health Service (IHS) Health IT Modernization Tribal Consultation. IHS is hosting the second consultation out of four sessions on May 10 at 10:30 AM PT. This session will focus on resources, including funding for health IT modernization. NPAIHB will host a Northwest Caucus soon to prepare written comments.
Health and Human Services (HHS) Office of Civil Rights (OCR) Tribal Consultation. HHS OCR is hosting tribal consultation on May 17 at 11 AM PT to receive input from Tribes on a proposed rulemaking prohibiting the disclosure or use of protected health information for limited purposes when obtaining, providing, or facilitating reproductive healthcare.
Office of Management and Budget (OMB) Tribal Consultation on the President’s Mandatory Funding Proposal for the IHS. OMB will conduct a virtual tribal consultation on the President's mandatory funding proposal for the IHS on Jun. 2, 2023, at 11 AM PT.
Administration for Children and Families (ACF) Tribal Consultation on Child Support Issues. The ACF Office of Child Support Enforcement hosted a consultation with Tribes last week on programmatic, regulatory, and legislative priorities. ACF invites input on discussion questions posed in the Dear Tribal Leader Letter.
Administration for Community Living (ACL) Tribal Consultation and Listening Session. ACL will be hosted a hybrid tribal consultation and listening session on long-term services and supports, providing home and community-based services, transportation access, and Title VI funding and services to tribal elders.
HHS Annual Tribal Budget Consultation. Last month, HHS hosted the Annual Tribal Budget Consultation for Tribes to share their views and priorities with HHS officials on national health and human services funding priorities and make recommendations on HHS's FY 2025 budget request.
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Administrative and Regulatory Updates | |
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White House Releases Inflation Reduction Act Guidebook for Tribes. You can view the “Guidebook to the Inflation Reduction Act’s Clean Energy and Climate Investments in Indian Country” HERE.
HHS Secretary Xavier Becerra Issues 90-Day Notice of the End of the COVID-19 Public Health Emergency (PHE). On Feb. 9th, Secretary Becerra announced that the COVID-19 PHE declaration will end on May 11, 2023. He explains that the decision was reached based on current trends regarding COVID-19 in the United States, including a 92% decrease in daily reported cases, an 80% decline in deaths, and a nearly 80% decrease in new hospitalizations compared to data from January 2022. HHS will continue to prioritize addressing COVID-19 as it transitions from current flexibilities enabled by the PHE.
IHS Website for Sanitation Facilities Construction Projects. IHS Division of Sanitation Facilities Construction Projects launched a new website that includes the status of all sanitation facilities projects funded with the Bipartisan Infrastructure Law.
$2.5 Million for Produce Prescription Programs in Indian Country. A new funding opportunity is available through the IHS to develop and produce prescription programs in Tribal communities. Applications are due June 8, 2023.
CDC Launches a New Tribal Public Health Data Site. The CDC has launched an online Tribal Public Health Data site to assist tribal partners and others with information and tools related to tribal data. The site guides accessing CDC tribal data; information on tribal data issues, tools, technical assistance, and training; and tribal data-related resources from public health partners. This site will continue growing as CDC further engages with tribes and tribal organizations to provide the most needed data-related information.
National Indian Health Board Report Released - Health Equity in Indian Country: Rethinking how CMS Approaches Health Equity for American Indian and Alaska Native People.
Medicare Prescription Drug Inflation Rebate Program. CMS announces lower coinsurance for individuals with Medicare Part B coverage for 27 prescription drugs that will go into effect on Apr. 1, 2023. The list of Part B drugs this rebate applies to is available HERE. CMS will host an All Tribes webinar on this new Medicare Prescription Drug Inflation Rebate Program and Medicare Drug Price Negotiation Program on May 17 at 12 PM PT. Registration link for All Tribes Webinar available here.
CMS Issues State Health Official Letter Discussing 'Unwinding'. CMS released State Health Official (SHO) letter outlining new requirements in the Consolidated Appropriations Act, 2023, that impact state activities for the Medicaid and CHIP programs to unwind from the COVID-19 public health emergency. As of April 1, 2023, states are no longer required to maintain continuous Medicaid enrollment to receive the temporary FMAP increase.
CMS Announces First Health Equity Conference. The Centers for Medicare & Medicaid Services (CMS) is hosting an inaugural CMS Health Equity Conference, to be held Jun. 7-8, 2023, at Howard University. The Conference has met in-person capacity, but registration for virtual participation is available. Conference attendees will have the opportunity to hear from CMS's leadership on recent developments and updates on CMS programs, up-to-date research on health equity, discuss promising practices
and innovative solutions, and collaborate on community engagement efforts.
SAMHSA Announces Removal of DATA Waiver Requirement to Prescribe Buprenorphine. Clinicians can now prescribe medications for the treatment of opioid use disorder without submitting a Notice of Intent (Waiver) to SAMHSA.
VA Releases Final Rule on Co-Payment Exemption for Indian Veterans.
The VA released the final rule to implement co-payment exemptions for Indian and urban Indian veterans for hospital care or medical services received on or after January 5, 2022.
VA Publishes Brochure on Resources for Native American Veterans Experiencing Homelessness. The new brochure was developed as part of the multi-agency Native American Veteran Homelessness Initiative with the IHS that seeks to increase access to care and services for Native veterans experiencing or at risk of homelessness. The brochure includes 24/7 confidential counselor telephone lines and an overview of the services available through the VA. These include housing, healthcare, case management, employment, and legal support programs.
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Tribal Health-related Funding Opportunities | |
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SAMHSA Planning and Developing Infrastructure to Promote the Mental Health of Children, Youth, and Families in AI/AN Communities (Circles of Care). This program aims to provide tribes and tribal organizations with tools and resources to plan and design a family-driven, community-based, and culturally and linguistically competent care system. There is an anticipated award amount of up to $350,000 per year.
SAMHSA Cooperative Agreements to Implement Zero Suicide in Health Systems. The Zero Suicide program implements a seven-part intervention and prevention model to reduce suicide ideation, suicide attempts, and deaths due to suicide. Awardees engage the seven elements (lead, train, identify, engage, treat, transition, and improve) in ways that best connect with adults in their community. The program also incorporates health equity principles as further tools to address suicide and suicide ideation. Applications are due by May 8 with full eligibility and program requirements set forth in SAMHSA's Grant Announcement.
HRSA Maternal and Child Health Bureau Funding Opportunities. A suite of HRSA grants currently exists that focus on providing resources to improve maternal health outcomes. Tribes and Tribal organizations are eligible to apply for the following:
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The Alliance for Innovation on Maternal (AIM) Health Capacity to implement patient safety protocols and expand the implementation and quality of maternal serving programs. A separate AIM Technical Assistance grant is available to support facilities participating in the program. Both applications close on May 9.
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The Integrated Maternal Health Services initiative fosters the development and demonstration of integrated health services models to improve maternal health outcomes through increased access to comprehensive, quality care. Data health infrastructure is a component of this grant. Applications are due by May 24.
SAMHSA Tribal Behavioral Health (Native Connections) Grant. The purpose of this program is to prevent and reduce suicidal behavior and substance use/misuse, reduce the impact of trauma, and promote mental health among American Indian/Alaska Native (AI/AN) youth, up to and including age 24, by building a healthy network of systems, services, and partnerships that impact youth. The length of the project is up to 5 years, and an anticipated award amount of $250,000.
HHS Announces $2.5 Million for Produce Prescription Programs in Indian Country. The U.S. Department of Health and Human Services, through the Indian Health Service agency, is announcing the availability of $2.5 million in funding to support the development of produce prescription programs in Native communities. Produce prescription programs help individuals and families experiencing food insecurity and/or diet‑related health problems more easily obtain fresh fruits and vegetables by receiving a prescription from a health care provider. Eligible applicants include tribes, tribal organizations, and urban Indian healthcare organizations.
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Applications are due by Jun. 8, 2023. Approximately 4 to 7 awards will be issued under this program announcement for a performance period of five years.
IHS Releases 2023 Request for Applications on Addressing Dementia in Indian Country: Models of Clinical Care and Support. The Program Award aims to 1) improve recognition, diagnosis, assessment, and care management for persons living with dementia (PLWD) and 2) improve care and access to dementia caregiver services and support for Tribes receiving primary health care services from IHS Direct Services.
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Applications are due Jun. 12, 2023, with the anticipated project start date of Aug 1, 2023.
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Learn more about the opportunities here: https://www.ihs.gov/alzheimers/
ACF Children’s Bureau State-Tribal Partnerships to Implement Best Practices in Indian Child Welfare. This Notice of Funding Opportunity will support nine demonstration sites that promote coordinated efforts among State courts, child welfare agencies, and Tribes to develop and implement best practices related to AI/AN child placements. All three entities must participate in the five-year grant. Partnerships should collaborate on culturally appropriate practices, preventing maltreatment, and improving safety, permanency, and well-being. This can include Indian child welfare codes, legal processes, case management, in-home preservation services, systems changes, and the development of pilot models to test. Applications are due by Jun. 13.
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Northwest Portland Area Indian Health Board | Website | | | | |
