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Northwest Portland Area Indian Health Board

Legislative and Policy Update

Tuesday, October 18, 2022

Important Dates

Oct. 18-20, 2022

NPAIHB Quarterly Board Meeting & 50th Anniversary — 

(CTUIR) Pendleton, OR


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

HHS Tribal Consultation on Tribal Data Sharing Policy

Registration Link (Zoom)


Oct. 20, 2022 (9:00 AM Pacific)

DSTAC 1st Quarter FY 2023 Meeting


Oct. 20, 2022 (12:00 PM Pacific)

IHS FY 2025 National Tribal Budget Formulation Process and Area Instructions

Registration Link (Zoom)


Oct. 26, 2022 (11:00 AM Pacific)

NIH Tribal Advisory Committee Monthly Meeting

Zoom Link


Oct. 26, 2022 (11:00 AM Pacific)

CMS All Tribes Consultation Webinar on Overview of Streamlining Medicaid Eligibility and Enrollment Notice of Proposed Rulemaking

Registration Link (Zoom)


Oct. 27, 2022 (11:00 AM Pacific)

CDC/ATSDR Tribal Advisory Committee Monthly Meeting


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

ISAC Monthly 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

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).  

Tribal Consultation Updates

HHS Tribal Consultation on Data Sharing Policy. HHS is initiating Tribal Consultation to seek input on developing an HHS Tribal Data Sharing Policy per Sep. 28 Dear Tribal Leader Letter. HHS acknowledges and respects the importance of tribal sovereignty in the collection, management, and the use of tribal data. Virtual consultation will take place on Oct. 19, 2022 at 12:00 PM Pacific.


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 Oct. 21, 2022 to both and

Health Resources and Services Administration (HRSA) Annual Tribal Consultation. HRSA hosted an in-person consultation during the NIHB’s 2022 National Tribal Health Conference. The focus of this consultation was on physician recruitment, retention, and provider burnout in Indian Country. Written testimony is due Oct. 28, 2022 to


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   


Census Bureau to Conduct Two Tribal Consultations on Detailed Demographic and Housing Characteristics. The U.S. Census Bureau will conduct 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 will take place on Oct. 18 from 12 PM to 2 PM Pacific in Anchorage, AK. The second tribal consultation will be on Oct. 31, from 8:30 AM to 10 AM Pacific in Sacramento, CA. Any questions or topics to be considered in the tribal consultation meetings must be received in writing via email by Monday, Oct. 10, 2022. The deadline date for input is Nov. 30, 2022.

Administrative and Regulatory Updates

U.S. Department of Justice Asserts Intergovernmental Immunity Position, Indicates Willingness to Defend IHS Abortion Services Providers. Biden Administration officials recently announced that the U.S. Department of Justice (DOJ) would defend Indian Health Service (IHS) medical professionals for performing abortion services in accordance with federal law if states attempt to prosecute providers for violations of state abortion laws. The statements came a week after DOJ told the press that it would represent U.S. Department of Veterans Affairs (VA) medical workers in Alabama if they were penalized for following VA’s new abortion guidance. Biden Administration officials have taken the position that they believe IHS officials, like VA officials, are shielded from state law abortion restrictions by the doctrine of intergovernmental immunity.

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, 2022.


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.


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 Oct. 25, 2022.


GAO Makes First Appointments to Newly Created Tribal Advisory Council. On Sep. 15, the U.S. Government Accountability Office (GAO) announced the first appointments to GAO’s newly established Tribal Advisory Council, which will provide the congressional watchdog with insights and recommendations on matters affecting Tribal Nations and their citizens.


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, 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