NPAIHB Legislative and Policy Update

Wednesday, September 8, 2021

Important Dates

Sep 8-9, 2021

ISAC Semi-Annual Meeting

Sep 9, 2021 (11:00 AM Pacific)

Tribal Telehealth Information Listening Session

Registration Link

Sep 14, 2021 (10:00 AM Pacific)

TLDC Meeting

Sep 14-16, 2021

2021 Virtual Broadcast Tribal Self-Governance Conference

Registration Link

Sep 16, 2021 (12:00 PM Pacific)

DSTAC Monthly Call

Sep 16, 2021 (3:00 PM Pacific)

HHS Region 10 Quarterly Tribal Call 

WebEx Link 


Sep 21-23, 2021  

2021 AI/AN Health Summit 

Registration Link 


Sep 22, 2021 (10:00 AM Pacific)


Sep 22, 2021 (2:00 PM Pacific)

IHS Tribal Consultation on Designating AZ as a PRDCA

Zoom Link

Sep 27-30, 2021

ATNI Fall Annual Convention Virtual 

Registration Link 

Sep 28, 2021

IHS Tribal Consultation on Designating AZ as a PRDCA

Zoom Link

Sep 29, 2021

CDC/ATSDR TAC Subcommittee 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. 

Administrative and Regulatory Updates

HHS Tribal Telehealth Information Listening Session. On Sep. 9, 2021 from 11:00-12:00 pm Pacific, subject matter experts across the federal government, including HRSA, SAMHSA, CMS, IHS, FCC, USDA, and DOC will be hosting an information session to share resources for tribes.   


HHS Announces New Office under OASH – ‘Office of Climate Change and Health Equity’ (OCCHE). The establishment of OCCHE is in response to President Biden’s Executive Order Tackling the Climate Crisis at Home and Abroad. The mission of this Office is to protect vulnerable communities from the impacts of pollution and climate-driven disasters.   


Indian Health Service (IHS) Tribal Consultation on Designating Arizona as a Purchased/Referred Care Delivery Area (PRCDA). On Aug. 20, 2021, IHS announced tribal consultation on the multi-year feasibility study results for designation the entire state of Arizona as a Purchased/Referred Care Delivery Area.  

  • Virtual Tribal Consultation Session One — Sep. 22, 2021 2-3 pm Pacific 
  • Zoom Link 
  • Virtual Tribal Consultation Session Two — Sep. 28, 2021 10-11:30 am Pacific 
  • Zoom Link 


Not Invisible Act Joint Commission on Reducing Violent Crime Against Indians. The Bureau of Indian Affairs is soliciting nominations from Tribes to serve on the Joint Commission to develop recommendations to the Secretary and Attorney General on actions the federal government can take to increase intergovernmental coordination to identify and combat violent crime in Indian Country.  


CDC Eviction Moratorium Order in Areas of Substantial and High Transmission of COVID-19 vacated in recent U.S. Supreme Court Ruling. On Aug. 26, 2021, the U.S. Supreme Court issued an order vacating the Centers for Disease Control and Prevention’s latest eviction moratorium.  

  • State and local organizations, including Tribal communities are distributing federal rental assistance in their communities – assistance can cover rent, utilities, and other housing costs to keep people in their homes. 
  • Link to find help with rent and utilities.


CDC Tribal Consultation on Tribal Consultation Policy CDC conducted tribal consultation on Aug. 5, 2021 to receive input and guidance on improving the current CDC/ATSDR Tribal Consultation Policy.   


CMS released State Health Official Letter that provides guidance on extension of 100% FMAP for urbans and Native Hawaiian Health Care Systems. The extension is only available for eight fiscal quarters beginning Apr. 1, 2021 and ending Mar. 31, 2023; 100 percent FMAP for services received through these entities are retroactive to Apr. 1, 2021.  

  • See ‘Section 3: Section 9815 of the ARP – Extension of 100 percent FMAP to Urban Indian Health Organizations and Native Hawaiian Health Care Systems’ in State Letter 


Medicare Physician Fee Schedule Proposed Rule. CMS released a proposed rule on Jul. 23, 2021 that expands certain telehealth services currently allowed during the COVID-19 Public Health Emergency, includes Part B payment issues, solicits comments on tribal FQHC payments and vaccine administration, and proposes other Medicare payment policy changes. 

  • Comments are due Sep. 13, 2021 


HRSA Announced Tribal Health Affairs ReorganizationOn Aug. 31, 2021, HRSA released a Dear Tribal Leader Letter announcing the establishment of the HRSA Office of Intergovernmental and External Affairs (IEA) that will house the HRSA Tribal Health Affairs. Natasha Coulouris, MPH, Associate Administrator is the HRSA IEA lead and CAPT Carmen “Skip” Clelland, PharmD, MPA, MPH, citizen of the Cheyenne and Arapaho Tribes is the Senior Tribal Health Affairs Advisor. 


HRSA Health & Public Safety Workforce Resiliency TA Center Funding Opportunity. The purpose of this program is to provide tailored training and technical assistance (TA) to HRSA’s health workforce resiliency grant recipients to establish, enhance and expand the capacity and infrastructure to rapidly deploy evidence-informed or evidence-based innovative strategies that promote mental and behavioral health, prevent suicide, as well as reduce burnout and substance use among providers, health care professionals, health care students, residents, professionals, paraprofessionals, trainees, public safety officers and employers of such individuals, collectively known as the “Health Workforce”. These health workforce resiliency grant recipients have a special focus on the Health Workforce in rural and medically underserved communities. 

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 npaihb.org