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Northwest Portland Area Indian Health Board

Legislative and Policy Update

Wednesday, June 29, 2022

Important Dates

Jul. 4, 2022

NPAIHB Holiday

 

Jul. 7, 2022 (9:00 AM Pacific)

SAMHSA Tribal Technical Advisory Committee (TTAC) Meeting-virtual

 

Jul. 7, 2022 (10:00 AM Pacific)

HHS STAC Tribal Consultation Policy Workgroup

 

Jul. 12-15, 2022

NIHB 3rd Quarter Meeting

 

Jul. 18-21, 2022

NPAIHB THD & QBM—Portland, OR

 

Jul. 20-21, 2022

Improving PRC Workgroup Meeting—Denver, CO

 

Jul. 21, 2022 (12:00 PM Pacific)

DSTAC Monthly Meeting

 

Jul. 26, 2022

MMPC Meeting

 

Jul. 27-28, 2022

TTAG Meeting—virtual

 

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

CDC TAC Meeting—virtual

 

Jul. 31-Aug. 4, 2022

Self-Governance Communication and Education Tribal Consortium Annual Conference—Burlingame, CA

Registration

 

Aug. 3-4, 2022

24th Bi-Annual CDC/ATSDR Tribal Advisory Committee Meeting—Tahlequah, OK

Registration

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

House Interior and Environment Appropriations Subcommittee Approved FY 2023 Appropriations Bill. This week the House Interior Appropriations Subcommittee released their committee report with the detailed proposed budget for IHS for FY 2023. The proposed budget includes $8.1 billion for IHS, an additional $1.5 billion above FY 2022 enacted level but $1.2 billion less than the President’s Budget Request. Notable increases over FY 2022 enacted level include: + $112 million for PRC, +$10 million for Tribal Epi Centers, +$47 million for Hep C and HIV, + $8 million for mental health, + $6 million for alcohol and substance abuse, + $20 million for national expansion of CHAP, and + $23 million for sanitation facilities. The Interior Appropriations bill for FY 2023 is expected to be considered by the full House Committee on Appropriations on Jun. 29, 2022.


Last week NPAIHB Chairman Nickolaus Lewis, Councilman Nate Tyler, Councilman Anthony Hillaire, Executive Director Laura Platero, and Policy Specialist Candice Jimenez advocated on the Hill for Northwest health priorities.

Hill Visit Update (Washington, D.C.) – NW Tribal leaders and NPAIHB staff met with ID, OR and WA Representatives, Senators and their staff on a variety of priority areas from June 21-23, which included the following topics:

  • Full Funding, Advanced Appropriations and budget requests for IHS
  • H.R. 7455 – IHS Contract Support Cost Amendment Act (link)
  • House Interior Appropriations and CHAP Funding for FY 2023
  • Update on Portland Area Regional Specialty Referral Center
  • Substance abuse and mental health services incl. recent H.R. 7666 MH legislation
  • On CMS: Making permanent telehealth reimbursement and at OMB Encounter Rate
  • On CDC: HIV & Hepatitis C funding opportunities and GWHIC funding increase
  • On HRSA: Addressing provider shortages and needs incl. Increased tribal set-aside for loan forgiveness program, support CHAP program expansion and provider relief funds

Tribal Consultation Updates

FEMA Tribal Consultation on Preparedness Grant Programs. FEMA hosted tribal consultation last week to discuss the Emergency Management Performance Grant and the Tribal Homeland Security Grant Program.

  • Written comments are due Jul. 22, 2022 to gpd-comms@fema.dhs.gov
  • For more details on the consultation, please visit the FEMA webpage HERE.

 

HHS and USDA Joint Consultation on Hunger, Nutrition, and Health. HHS and USDA held consultation on Jun. 28, 2022 to seek input on the development and implementation of a national strategy on hunger, nutrition, and health.

  • Written comments are due Jul. 15, 2022 to consultation@hhs.gov 
  • Framing paper and Five Pillars for Tribal Consultation: Link


White House Council on Native American Affairs Consultation on Native Language Initiatives. The White House Council on Native American Affairs Education Committee has announced a consultation on Jun. 29, 2022 at 12:30pm PT to seek input and feedback on Native Language initiatives.

 

NIH Consultation on Maternal Health Initiative. The NIH has announced a consultation on Jun. 30, 2022 at 11am PT to seek input on their IMPROVE Initiative Maternal Health Research Centers of Excellence, which works to improve maternal health including reducing preventable causes of maternal death.


IHS Demonstration Authority Tribal Consultation. IHS have announced a consultation on how to evaluate health care facility construction demonstration project proposals. There is no live consultation scheduled.

Written comments are due Aug. 5, 2022 to consultation@his.gov with the subject line “Demonstration Authority Tribal Consultation”

 

HHS Region 10 Tribal Consultation Dear Tribal Leader Letter. HHS Region 10 will be hosting tribal consultation on Aug. 22-24, 2022. Both in-person and virtual attendance will be available. Consultation will be held in Portland, OR at Embassy Suites by Hilton Portland. More details will be released soon on the logistics of the consultation. One on one meetings will be held Aug. 22.

Administrative and Regulatory Updates

Biden Administration Nominations

The Biden Administration has announced their intent to appoint Marilynn Malerba as Treasurer of the United States. Malerba, who is Chief of the Mohegan Tribe, will be the first Native American to hold the position of Treasurer. In addition to her current appointment of Chief of the Mohegan Tribe, Malerba currently holds a position as member of the Treasury Tribal Advisory Committee and has previously served as Chairwoman of the Mohegan Tribal Council and as Executive Director of Health and Human Services for the Mohegan Tribe. The announcement from the Biden Administration can be found here.

The Biden Administration has announced their intent to appoint Marilynn Malerba as Treasurer of the United States. Malerba, who is Chief of the Mohegan Tribe, will be the first Native American to hold the position of Treasurer. In addition to her current appointment of Chief of the Mohegan Tribe, Malerba currently holds a position as member of the Treasury Tribal Advisory Committee and has previously served as Chairwoman of the Mohegan Tribal Council and as Executive Director of Health and Human Services for the Mohegan Tribe. The announcement from the Biden Administration can be found here.

Secretary Becerra Invokes Defense Production Act to Address Infant Formula Shortage – Learn more via May 22, 2022 HHS Press Release and access resources below.

 

HHS Launches New Maternal Mental Health Hotline. Health Resources and Services Administration (HRSA) announced the launch of the Maternal Mental Health Hotline, a new, confidential, toll-free hotline for expecting and new moms experiencing mental health challenges. Hotline is the latest move of the Biden-Harris Administration to strengthen both maternal health and mental health.

  • Hotline access (call or text): 1-833-9-HELP4MOMS
  • The Maternal Mental Health Hotline is not intended as an emergency response line and individuals in behavioral health crisis should continue to contact the National Suicide Prevention Lifeline at 800-273-8255 and via 988 beginning Jul. 16, 2022.

 

CMS Releases Updated Preparedness and Response Toolkit. On Jun. 23, 2022, CMS released an updated Preparedness and Response Toolkit for State Medicaid and CHIP Agencies in the Event of a Public Health Emergency or Disaster. More information on the updated Toolkit can be found at the website linked here.

 

FDA and CDC Expand COVID-19 Vaccine for Children 6 Months – 5 Years of Age. On June 17, 2022, the FDA has announced that COVID-19 Vaccines from Moderna and Pfizer-BioNTech are now available to be administered to children as young as 6 Months. The Moderna vaccine will be administered to children 6 months to 5 years as a 2-dose series, issued one month apart. Some immunocompromised children may also be eligible for a third dose. The Pfizer-BioNTech vaccine will be administered in a 3-dose series. In children 6 months to 4 years, the vaccine will be given with a gap of at least 3 weeks between the first two administrations, and the third dose administered at least 8 weeks after the second dose.


Portland Area Regional Specialty Center Update. IHS has announced plans to construct a new regional referral specialty care center in the Portland Area IHS. IHS will be using their demonstration project authority, as well as funds from the US Department of Health and Human Services Nonrecurring Expenses Fund to build the facility. This has been a longstanding request of the Northwest Tribes and NPAIHB will be facilitating future discussion on this facility.


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 omobogie.amadasu@ihs.gov. 

 

VA Pilot Program on Graduate Medical Education and Residency; Extension of Comment Period. On Feb. 4, 2022, VA issued a proposed rule to revise its medical regulations to establish a new pilot program related to graduate medical education and residency. The proposed rule established parameters for VA to determine covered facilities in which residents would be placed under the pilot program. VA will prioritize placement of residents under the pilot program in Indian Health Service facilities, Indian tribal or tribal organization facilities, certain underserved VA facilities, or other covered facilities.

  • In addition, VA proposed parameters to pay resident stipends and benefits and certain startup costs of new residency programs if residents are placed in such programs under the pilot program.
  • Comments must be submitted through www.regulations.gov and can be accessed via the Federal Register Notice on or before Jul. 5, 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