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Week of March 11, 2024

In this Letter:

✒️Congressional Items 

📣Announcements 

📝 Dear Tribal Leader Letters

📒Upcoming Tribal Advisory Committees & Tribal Consultations

🎟️Events 

💵 Notice of Funding Opportunities

Congressional Items

The House and Senate are in session this week, floor proceedings will convene at 2 pm and 3 pm today, respectively. Last week, Congress sent a must-pass appropriations package to the President’s desk, narrowly avoiding a partial federal shutdown on Friday evening. The IHS was funded at $6.96 billion in the minibus, which also included an increase in funding to the Special Diabetes Program for Indians and an extension to the end of the calendar year. Negotiations are ongoing in Congress for six other appropriations bills, including funding for the Department of Health and Human Services, which are temporarily extended until March 22, 2024.

 

The President released his FY 2025 Skinny Budget today, which will highlight the Administration’s priorities for the next budget year. It will not contain the full details, but we expect those to be released in the coming days The Department of Health and Human Services also released its FY 2025 Budget in Brief. While the budget will not be adopted fully by Congress, it is an important step in the appropriations process. The Office of Management and Budget Director, Shalanda Young, and HHS Secretary, Xavier Becerra, will be testifying before Congress this week on the FY 2025 President’s Proposed Budget release.

Hearings

A Subcommittee on Health Markup of 19 Legislative Proposals

Committee: House Energy and Commerce Subcommittee on Health

Date: March 12, 2024, 10:00 AM ET

Hearing Webpage Link 

The President’s Fiscal Year 2025 Budget Proposal

Committee: Senate Committee on the Budget

Date: March 12, 2024, 10: 15 AM ET

Hearing Webpage Link

Hearing on Enhancing Access to Care at Home in Rural and Underserved Communities

Committee: House Ways and Means Committee

Date: March 12, 2024, 11:00 AM ET

Hearing Webpage Link 

Joint Hearing: Legislative Presentation of The American Legion & Multi VSOs

Committees: House Committee on Veterans’ Affairs and Senate Committee on Veterans’ Affairs

Date: March 13, 2024, 10:00 AM ET

Hearing Webpage Link

The President’s Fiscal Year 2025 Health and Human Services Budget

Committee: Senate Committee on Finance

Date: March 14, 2024, 10: 00 AM ET

Hearing Webpage Link 

Announcements

CMS All Tribes Consultation Webinar on Traditional Health Care Practices Medicaid Coverage

Registration is open for the CMS Consultation Webinar to obtain input on pending section 1115(a) demonstration proposals for Medicaid coverage and reimbursement for Traditional Health Care Practices provided by qualifying providers at IHS and Tribal facilities. At the webinar, CMS will provide information on its framework for potential coverage of Traditional Health Care Practices and provide an overview of the four pending demonstration waivers to cover Traditional Health Care practices. CMS seeks input on the scope of coverage of Traditional Health Care Practices that could be provided at IHS and Tribal facilities, recommendations on provider qualifications and monitoring and evaluation criteria. Save the date information and background information is available here. Registration for the webinar is available here

IHS Announces Agency-Wide Consolidation of Human Resources Known as “One HR”

On March 4, IHS published a Dear Tribal Leader Letter announcing the consolidation of IHS human resource (HR) offices in an initiative known as “One HR.” Prior to this consolidation, IHS HR had been decentralized, which the DTLL notes created “varied processes and resource allocation inconsistencies across the Agency.” Actions to transition IHS to One HR include an internal One HR communication team, organizational changes to streamline resource provisioning to the regional structure, and providing each Service Unit with one or more assigned HR personnel. 

Registration is Open for the National Indian Health Board 2024 National Tribal Health Conference in Rapid City, SD 

Click here to visit the conference website to learn more about the event, exhibiting, and sponsoring NTHC 2024. Check the co­nference website often for upcoming information regarding speakers, the call for abstracts, and exciting opportunities!  

Dear Tribal Leader Letters


View NIHB’s full Dear Tribal Leader Letter Tracker here 

CDC March 5 Letter : CDC is looking to collaborate with public health and correctional partners in federal, state, tribal, local, and territorial jurisdictions to improve food safety in jails and prisons

IHS March 4 Letter: The IHS Director writes to Tribal Leaders to update you on our Agency-wide consolidation of human resources (HR) offices, an initiative that we are referencing as "One HR."

IHS March 1 Letter: The IHS Director writes to Tribal Leaders to share updates on Agency procedures for access by Tribal staff and contractors to IHS facilities and computer networks

HHS February 21 Letter: Invitation to the 26 the U.S. Department of Health and Human Services (HHS) Annual Tribal Budget Consultation (ATBC), which will take place in-person on April 9 10, 2024

Upcoming Tribal Advisory Committees & Tribal Consultations


View NIHB’s full Regulations Tracker here


Consultations

Administration for Children and Families (ACF) Administration for Native Americans (ANA) Seeks Public Comment on Proposed Notice of Funding Opportunity (NOFO) Changes

Federal Register Announcement

Comments Due: March 18, 2024

Comment Submission: [email protected]

Revised VA-THP Lower 48 Reimbursement Agreement

Dear Tribal Leader Letter

Comments Due: March 21, 2024

Comment Submission: [email protected]

HHS Annual Tribal Budget Consultation

Dear Tribal Leader Letter

Date: April 9 – 10, 2024

Location: Hubert H. Humphrey Building  

Meeting Registration Link

Comments Due: April 12, 2024, 5:00 PM ET

Comment Submission: [email protected], subject "HHS Annual Tribal Budget Consultation"

Tribal Consultation and Urban Confer Health IT Modernization Program: Deployment and Cohort Planning

Dear Tribal Leader Letter

Date: May 9, 2024, 1:30 – 3:00 PM ET

Meeting Registration Link 

CMS All Tribes Consultation Webinar on Traditional Health Care Practices Medicaid Coverage

Save the Date

Date: April 3, 2024

Comments Due: April 24, 2024

Comment Submission: [email protected]

Meeting Registration Link

ACF Proposes Amendments to the Adoption and Foster Care Analysis and Reporting System (AFCARS) Regulations

Federal Register Link

Comments Due: April 23, 2024

Comment Submission: www.regulations.gov (RIN 0970-AC98)

Tribal Consultation and Urban Confer Health IT Modernization Program: Multi-Tenant Domain Considerations 

Dear Tribal Leader Letter

Date: August 8, 2024, 1:00 – 3:00 PM ET

Meeting Registration Link 

Tribal Consultation and Urban Confer Health IT Modernization Program: Site Readiness and Training

Dear Tribal Leader Letter

Date: November 7, 2024, 1:30 – 3:00 PM ET

Meeting Registration Link

Tribal Advisory Committee Meetings

Facilities Appropriation Advisory Board Meeting

Date: March 12 — 13, 2024

Location: Sacramento, CA 

Meeting Webpage Link

*UPDATED* Community Health Aide Program (CHAP) Tribal Advisory Group

Date: March 26 — 27, 2024

Location: Rockville, MD

Meeting Webpage Link 

Direct Service Tribe Advisory Committee (DSTAC) Third Quarter Meeting

Date: June 5 – 6, 2024

Location: Albuquerque, NM

Meeting Webpage Link

Listening Sessions

ARPA-H Introductory Listening Session for Tribal Leaders

Dear Tribal Leader Letter

Date: March 19, 2024, 1:00 – 2:30 PM ET 

Meeting Registration Link

ACF Tribal Listening Session on Child Care and Development Fund (CCDF)

Dear Tribal Leader Letter

Date: April 11, 2024, 10:15 AM – 4:00 PM CT

Location: Prior Lake, MN

Events

All Tribes / Urban Indian Organizational Leaders - FY 2025 Indian Health Service Budget Roll Out Meeting

Date: March 13, 2024, 4:00 – 5:00 PM ET 

Event Webpage Link

National Indian Child Welfare Association 42nd Annual Protecting Our Children Conference

Date: April 7 – 10, 2024

Location: Seattle, WA

Event Webpage Link

2024 Tribal Self-Governance Conference 

Date: April 15 – 19, 2024

Location: Chandler, AZ

Event Webpage Link 

National Council of Urban Indian Health 2024 Annual Conference 

Date: April 29, 2024 – May 2, 2024

Location: Washington, DC

Event Webpage Link

National Indian Health Board 2024 National Tribal Health Conference

Date: May 19 – 23, 2024

Location: Rapid City, SD

Event Webpage Link

Notice of Funding Opportunities

Funding Opportunity for the Tribal Management Grant Program | Click Here to Learn More

Award Amount: $50,000 – $150,000

Application Deadline: March 14, 2024

Description: The TMG Program is a competitive grant program that is capacity building and developmental in nature and has been available for federally recognized Indian Tribes and Tribal Organizations (T/TO) since shortly after enactment of the ISDEAA in 1975. The TMG Program was established to assist T/TOs to prepare for assuming all or part of existing IHS programs, functions, services, and activities (PFSAs) and further develop and improve Tribal health management capabilities. The TMG Program provides competitive grants to T/TOs to establish goals and performance measures for current health programs, assess current management capacity to determine if new components are appropriate, analyze programs to determine if a T/TO's management is practicable, and develop infrastructure systems to manage or organize PFSAs.

Behavioral Health Integration (BHI) Evidence Based Telehealth Network Program (EB-TNP) | Click Here to Learn More

Award Amount: Up to $350,000

Application Deadline: March 22, 2024

Description: The purpose of this program is to integrate behavioral health services into primary care settings using telehealth technology through telehealth networks and evaluate the effectiveness of such integration. The goal for the BHI/EB-TNP Program is to support evidence-based projects that utilize telehealth technologies through telehealth networks in rural and underserved areas.

Supporting People with HIV as Leaders in HIV Systems of Care | Click Here to Learn More

Award Amount: Up to $800,000

Application Deadline: April 1, 2024

Description: The program activities are to: 1. Conduct training of trainers (ToT) for people with HIV on leadership in Ryan White HIV/AIDS Program (RWHAP) activities. 2. Provide supports to ToT trainees to help them accomplish goals related to the ToT. 3. Develop and disseminate relevant tools and lessons learned from the project. The goal of the Supporting People with HIV as Leaders in HIV Systems of Care program is to support leadership development and enhance meaningful engagement for people with HIV in health care planning and programs inclusive of RWHAP-funded organizations.

Tribal MIECHV Notice of Funding Opportunity | Click Here to Learn More

Award Amount: $250,000 – $1,000,000

Application Deadline: April 18, 2024, 11:59 PM ET 

Description: Administered by the Office of Early Childhood Development (ECD) within the Administration for Children and Families (ACF), this grant will support 5-year cooperative agreements between ACF and federally recognized Indian Tribes (or a consortium of Indian Tribes), Tribal organizations, or urban Indian organizations interested in developing, implementing, sustaining, or expanding an evidence-based home visiting program serving expectant families and families with young children aged birth to kindergarten entry. Awards will support the implementation of high-quality, culturally grounded, evidence-based home visiting services to American Indian and Alaska Native (AIAN) families and children; implementation of performance measurement and continuous quality improvement systems; development of early childhood systems; and participation in research and evaluation activities to build evidence around home visiting, particularly in Tribal communities. Reach out to [email protected] with questions.

Poison Control Centers Program | Click Here to Learn More

Application Deadline: May 1, 2024

Award Amount: The goal of this program is to reduce poisonings and the harms resulting from poisonings by ensuring that individuals across the United States can connect to a Poison Control Center and obtain expert consultation on preventing and managing poisonings. The objectives of this program are to: 1. Support poisoning prevention activities; 2. Provide high-quality guidance and information to callers to the Poison Help Line; 3. Provide treatment recommendations when poisonings occur; 4. Collect data related to poisonings and poisoning outcomes; and 5. Use data to inform public health and emergency preparedness responses. These will be accomplished by: 1. Maintaining the number of calls received by the Poison Help Line. 2. Maintaining the percentage of human exposure poisoning case calls from health care facilities and practitioners. 3. Increasing the percentage of human exposure poisoning cases with a completed follow-up contact. 4. Increasing national data on poisonings available in the National Poison Data System (NPDS) for toxic exposure surveillance purposes.

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