Northwest Portland Area Indian Health Board

Legislative and Policy Update

October 23, 2024

Important Dates

October 25, 2024 

ISAC Monthly Meeting 

 

October 27-November 1, 2024 

NCAI 81st Annual Convention 

Las Vegas, NV 

 

November 5, 2024 

CHAP TAG Meeting 

Anchorage, AK 

 

November 5, 2024 

MMPC Meeting 

Zoom 

 

November 6-7, 2024 

TTAG Meeting 

Washington, DC 

 

November 18-19, 2024

Traditional Medicine Summit

Washington, DC


November 18-20, 2024 

HHS STAC Meeting 

Washington, DC 

 

November 20, 2024 

DSTAC 1st Quarter Meeting 

Washington, DC 

 

December 2, 2024 

NIHB 4th Quarter Board Meeting 

Virtual 

 

December 3-4, 2024 

TLDC Meeting 

Tucson, AZ 

 

December 4, 2024 

HRSA Tribal Advisory Council Meeting 

Location: TBD 

 

December 16-17, 2024 

IHS TSGAC Meeting 

Washington, DC 

 

December 27, 2024 

ISAC Monthly Meeting 

Administrative and Legislative Updates

Update: FY2025 Appropriations for the Indian Health Service: The Indian Health Service received advance appropriations in the Consolidated Appropriations Act 2024 (Public Law 118-42). Advance appropriations mean that the IHS is able to maintain continuity of operations with increased funding stability for the Indian Health System. IHS will begin distributing FY 2025 advance appropriations to IHS programs, Tribal Health Programs, and Urban Indian Organizations. Read the full DTLL here. 

 

CMS Approved four state section 1115 demonstration amendments that allow Medicaid and Children’s Health Insurance Program (CHIP) coverage of traditional healthcare practices provided by Indian Health Service (IHS) facilities, Tribal facilities, and Urban Indian Organizations. The approval will apply to IHS facilities, Tribal facilities, and Urban Indian Organizations in California, New Mexico, and Oregon, and will apply to only IHS and Tribal facilities in Arizona. 

 

2023 SAMHSA National Survey on Drug Use and Health Results: SAMHSA’s annual report for 2023 has been released and provides statistical information on self-reported substance use and mental health of the U.S. civilian, noninstitutionalized population 12 or older. The 2023 release includes two infographics highlighting overall findings as well as findings by race and ethnicity. A copy of the full report along with detailed tables, methodology information, and important indicators broken out by race and ethnicity is available here. 

 

The Government Accountability Office (GAO) issued a new report on Behavioral Health on behavioral health availability under Medicare and Medicare Advantage (MA) programs. The GAO reports findings on what beneficiaries pay out of pocket, and oversight by the Centers for Medicare & Medicaid Services of cost-sharing in MA plans for behavioral health services.


Tribal Consultations, Listening Sessions & Written Comments

HHS Final Rule on Catastrophic Health Emergency Fun (CHEF): The final rule announced via Dear Tribal Leader Letter, will be effective October 29, 60 days after the date of publication in the Federal Registrar. IHS is hosting virtual training sessions on the new requirement on October 22 at 11:00 AM PST.

 

IHS Invites Updates for Identified Healthcare Facility Needs: Tribal leaders are invited to identify renovation and expansion needs for inclusion in the 2026 IHS and Tribal Health Care Facilities’ Needs Assessment Report to Congress. The report is compiled every five (5) years in close collaboration with the Facilities Appropriation Advisory Board (FAAB) and Facilities Needs Assessment Workgroup. It is not a funding request nor a priority system but an estimate of needs for planning-level use. An informational session on the report will take place on October 24 at 11:30 AM PST. Contributions are to be received no later than December 31, 2024.

 

ACF Early Childhood Development Virtual Listening Session ACF, through the Office of Early Childhood Development, is gathering input on the Tribal Integrated Early Education Services (TIEES) legislative proposal. It would give Tribes more flexibility to integrate early childhood funding streams into a single coordinated, culturally grounded, and tribally driven program. The listening session will be on October 24 at 12:30 PST.

 

HHS Tribal Data Access Policy and HHS Tribal Epidemiology Center Data Access Policy. DHSS announced on September 4, two (2) new policies on data access. One policy would be for Tribes, and one for Tribal Epidemiology Centers (TECs) in response to the input received from Tribal leaders and internal HHS working groups. HHS also announced the creation of the Tribal Data Homepage website that provides a central location for Tribal data resources and the two new revised policies. 

  • The Tribal Data Access policy can be found Here
  • The TEC Data Access policy can be found Here
  • DTLL is available here

 

Comments Due for HHS Tribal Data Access Policy and HHS TEC Data Access Policy is October 31, 2024. Please submit comments on each SEPARATELY.  

Subject line: HHS Tribal Data Access Policy.  

Subject Line: HHS TEC Data Access Policy.  

Email: consultation@hhs.gov  

 

IHS HIT Modernization. On January 18, 2024, the Indian Health Service (IHS) issued a Dear Tribal Leader letter, announcing a series of four Tribal and Urban Consultation sessions set to take place throughout the HIT Modernization 2024 calendar. The first session, slated for February 8th, will provide an overview of the Enterprise Collaboration Group. During this session, the IHS requests feedback on system configuration and change management. Written comments are due 30 days following each session by email to consultation@ihs.gov,SUBJECT LINE: Health IT Modernization. 

 

Site Readiness and Training (hybrid event) 

Date: November 7, 2024 

Time: 10:30 a.m. - 12:00 PM PST 

Registration

 

SAMHSA Tribal Consultation on its Tribal Consultation Policy SAMHSA is seeking input from Tribal leaders to modernize its Tribal Consultation Policy. SAMHSA will also align the policy with the reorganization of the agency under the 21st Century Cures Act and the updated HHS Tribal Consultation Policy. Virtual Consultation will be on November 6, 2024, 12:00 PM – 1:30 PM PST & again on December 5, 2024, 10:00 AM – 11:30 AM PST.

 

HUD/IHS Housing-related Infrastructure for Tribal Communities The U.S. Department of Housing and Urban Development (HUD) and the U.S. Department of Health and Human Services, Indian Health Service (IHS), are seeking your feedback and recommendations on how HUD and IHS programs can better address the housing-related water and sewer infrastructure needs of Tribal communities. HUD and IHS are seeking your input on how Federal resources for affordable housing and water and sewer infrastructure can best be delivered to Tribal communities, including comments on the funding prohibition. Comments are due: on November 9, 2024 via email: consultation@hud.gov and consultation@ihs.gov with the subject line: HUD/IHS Housing-related Infrastructure for Tribal Communities.

 

HRSA Tribal Consultation on the Uniform Data System Modernization Initiative (UDS+): HRSA is conducting a virtual consultation on the UDS+. The virtual Tribal Consultation will take place on November 13 from 12:00 – 3:00 PM PST. The Zoom link to join is https://hrsa-gov.zoomgov.com/j/1603643393. HRSA encourages all Tribal leaders to participate in this timely discussion to help ensure valuable input representing American Indians and Alaska Natives. Those unable to attend are encouraged to send written comments to tribalconsultation@hrsa.gov by December 13. 

 

IHS FY 2025 Joint Venture Construction Program (JVCP):IHS recently announced the opening of a new solicitation for the JVCP. Section 818 of the Indian Health Care Improvement Act authorizes the IHS to establish joint venture projects under which Tribes or Tribal organizations would acquire, construct, or renovate a healthcare facility and lease it to the IHS, at no cost, for a period of 20 years. The facility may be an inpatient or outpatient facility. Phase I applications are due December 22.

For more information:

Laura Platero, Executive Director 

Candice Jimenez, Chief of Staff

Rebecca Descombes, Health Policy Assistant

Northwest Portland Area Indian Health Board | Website