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Week of October 23, 2023

In this Letter:

✒️Congressional Items

📝 Dear Tribal Leader Letters

📒Upcoming Tribal Advisory Committees & Tribal Consultations



💵 Notice of Funding Opportunities

Congressional Items

It’s Day 20 without a House speaker. Government funding runs out on November 17th, which includes the Special Diabetes Program for Indians (SDPI). And President Biden is asking for $105 billion for Ukraine, Israel, Taiwan, and border security. Without a speaker, votes cannot be scheduled for consideration on the House floor, so until then, the House chamber is on hold. A speaker candidate forum will be held today at 6:30 pm, with a Speaker vote scheduled for tomorrow. The Senate is back for another week full of committee hearings and markups– including the HELP committee holding a vote for NIH Director nominee, Dr. Monica Bertagnolli on Tuesday.

Bills NIHB is Tracking this Month

Special Diabetes Program for Indians (SDPI) 

There are multiple bills that contain a reauthorization for SDPI, including S.1855 - Special Diabetes Program Reauthorization Act of 2023 and H.R. 3561 - Promoting Access to Treatments and Increasing Extremely Needed Transparency (PATIENT) Act. H.R. 5378, “Lower Costs, More Transparency Act,” which included reauthorization of SDPI, was scheduled for consideration but was pulled at the last minute. It is likely that the “transparency” bill for both the House and Senate will be revisited once FY 2024 funding is secured.  At this time, the exact vehicle for reauthorizing SDPI is uncertain. NIHB continues to advocate to Congress for SDPI’s reauthorization and is closely monitoring bills that contain language reauthorizing the program. 


Disability Assistance and Memorial Affairs Legislative Hearing on Pending Legislation

Committee: House Committee on Veterans’ Affairs 

Date: October 24, 2023, 10:30 AM ET 

Hearing Webpage Link 

Infrastructure Law/Inflation Reduction Act Native Communities

Committee: Senate Committee on Indian Affairs

Date: October 25, 2023, 2:00 PM ET

VA Accountability and Transparency: A Cornerstone of Quality Care and Benefits for Veterans 

Committee: Senate Committee on Veterans 

Date: October 25, 2023, 3:30 PM ET

Hearing Webpage Link

Overworked and Undervalued: Is the Severe Hospital Staffing Crisis Endangering the Well-Being of Patients and Nurses? 

Committee: Senate Committee on Health, Education, Labor, and Pensions 

Date: October 27, 2023, 9:00 AM ET 

Hearing Webpage Link 

Dear Tribal Leader Letters

View NIHB’s full Dear Tribal Leader Letter Tracker here 

SAMHSA October 4 Letter: Tribal Opioid Response (TOR) Consultation

IHS October 1 Letter: The IHS Director writes to Tribal Leaders and Urban Indian Organization Leaders to share information regarding the current status of fiscal year 2024 appropriations for the Indian Health Service

IHS September 29 Letter: The IHS Director writes to Tribal Leaders and Urban Indian Organization Leaders to acknowledge her 1-year anniversary as Director and reflect on our shared accomplishment

ACL September 28 Letter: Administration for Community Living (ACL) is hosting a Tribal Consultation Listening Brief and Tribal Consultation on modifying the implementing regulations of the Older Americans Act of 1965

Upcoming Tribal Advisory Committees & Tribal Consultations

View NIHB’s full Regulations Tracker here


National Institutes of Health (NIH) All of Us Research Program Tribal Consultation

Federal Register Notice

Comments Due: October 26, 2023

Comment Submission: [email protected]

Tribal Consultation—Study on Designating North Dakota and South Dakota as Purchased/Referred Care Delivery Areas

Date: October 26, 2023

Meeting Registration Link

IHS Medical Priority Levels for Purchased/Referred Care (PRC)

Dear Tribal Leader Letter

Comments Due: October 27, 2023

Comment Submission: [email protected], subject line “IHS MEDICAL PRIORITY LEVELS CONSULTATION”

Administration for Children and Families Consultation on Parentage Establishment 

Dear Tribal Leader Letter

Date: October 30, 2023

Meeting Registration Link

Comments Due: November 27, 2023

Comment Submission: [email protected], include the docket number and/or RIN number in the subject line 

Bemidji Area Budget Formulation Consultation

Date: November 7 – 9, 2023

Location: Prior Lake, Minnesota

Tribal Consultation and Urban Confer: Health Information Technology Modernization The Path Forward 

Date: November 8, 2023, 1:30 – 3:00 PM ET 

Meeting Registration Link 

Office of Civil Rights (OCR) Section 504 Proposed Rulemaking 

Dear Tribal Leader Letter

Comments Due: November 13, 2023

Comment Submission: (RIN 0945-AA15)

Substance Abuse and Mental Health Services Administration (SAMHSA) Tribal Opioid Response (TOR) Consultation

Federal Register Link 

Date: November 9, 2023, 2:00 PM ET

Comments Due: November 23, 2023, 5:00 PM ET

Comment Submission: [email protected]

Listening Sessions

Food and Drug Administration (FDA) All Tribes Call on FDA Nutrition Initiatives

Dear Tribal Leader Letter

Date: October 24, 2023, 4:00 – 5:00 PM ET

Meeting Registration Link

Office of Minority Health (OMH) Listening Session on Healthy People 2030

Dear Tribal Leader Letter

Date: October 25, 2023, 4:00 PM ET 

Meeting Registration Link

Centers for Disease Control and Prevention (CDC) Environmental Justice Index Tribal Listening Session

Date: October 27, 3:00 PM ET 

Meeting Registration Link 

Substance Abuse and Mental Health Services Administration (SAMHSA) Listening Session on Behavioral Health and Substance Use Disorder Resources for Native American Grant Programs 

Date: November 9, 2023, 4:00 PM ET 

Meeting Registration Link

Tribal Advisory Committee Meetings

IHS November Tribal and Urban Indian Organizations Call

Date: November 2, 2023

Meeting Webpage Link

IHS National Tribal Advisory Committee (NTAC) on Behavioral Health Quarterly Meeting 

Date: November 30, 2023, 1:00 – 4:00 PM ET

Meeting Link 

Tribal Leaders Diabetes Committee (TLDC) Meeting

Date: December 5 – 6, 2023

Location: Portland, OR 

Meeting Webpage Link

Direct Service Tribes Advisory Committee (DSTAC) National Meeting

Date: December 5 – 6, 2023

Location: TBD 

Facilities Appropriation Advisory Board Meeting (FAAB) 

Date: December 5 – 6, 2023

Location: Phoenix, AZ

Community Health Aide Program (CHAP) Tribal Advisory Group (TAG) Meeting

Date: December 28, 2023

Meeting Link

FY 2026 National Tribal Budget Formulation Workgroup Work Session 

Date: February 13 – 14, 2023

Meeting Webpage Link


HHS Office of Civil Rights (OCR) Shares Educational Resources on Privacy and Security of Protected Health Information 

The OCR shared two resources on October 18, 2023, to inform telehealth service users on privacy and security risks. The first resource, The Guidance on Educating Patients about Privacy and Security Risks to Protected Health Information when Using Remote Communication Technologies for Telehealth, shares information for healthcare providers covering telehealth options, risks of remote communication technologies, and applicability of civil rights laws. The second resource, The Guidance on Telehealth Privacy and Security Tips for Patients, shares information for patients advising the use of multi-factor authentication and encryption, among other recommendations. 

Agreement Between HHS and Pfizer Increases Paxlovid Access as Paxlovid Enters the Commercial Market

An October 13, 2023 press release from the US Department of Health and Human Services shares information on an agreement between HHS and Pfizer designed to increase patient access to Paxlovid as the drug is set to enter the commercial market in November 2023. Components of the agreement include protecting individuals in public programs such as Medicare, creating a Paxlovid stockpile, ensuring Paxlovid inventory will not expire, and facilitating a smooth transition to the commercial market. 


Protection and Advocacy for Native Americans with Disabilities 

Description: This webinar will provide an overview of the Native American Disability Law Center’s efforts to make sure Native people with disabilities have access to the services and resources they need to live as independently as possible.

Date: October 25, 2023, 2:00 PM ET

Event Registration Link 

Integrated Healthcare Through an Indigenous Approach

Description: During this webinar, attendees can expect to gain knowledge of the Indigenous medicine wheel and learn ways to integrate inclusive principles into their healthcare design

Date: October 26, 2023

Event Webpage Link

Health Resources and Services Administration (HRSA) FY 2024 Rural Health Network Development Planning Program Webinar

Date: November 20, 2023

Event Link

IHS Health Information Technology Modernization Summit 

Date: December 13, 2023

Registration Link

2024 International Indigenous Women’s Health Meeting

Description: Meeting objectives include employ enhanced systems of culturally informed care to advance the health status of Indigenous people seeking obstetric and gynecologic care and examine strategies and unique solutions to meet the emerging health needs of Indigenous people seeking obstetric and gynecologic care and their families and communities.

Date: March 13 – 15, 2023

Location: Albuquerque, New Mexico

Event Webpage Link

Notice of Funding Opportunities

CDC Grants to Support New Investigators in Conducting Research Related to Understanding Drug Use and Overdose Risk and Protective Factors | Click Here to Learn More 

Award Amount: Up to $150,000

Application Deadline: December 1, 2023

Description: CDC is providing funding to enhance the availability of trained scientists to address health research questions related to the prevention of drug use and overdose. The grants will provide intensive mentorship development experiences to increase the number of research professionals in this area. The grant includes, but is not limited to, a special focus on research among disproportionately affected populations, including Tribal communities and rural areas.

NIH Office of Disease Prevention's Advancing Prevention Research for Health Equity (ADVANCE) T32 Program | Click Here to Learn More

Application Deadline: October 31, 2023

Description: The ADVANCE T32 program trains predoctoral scholars from diverse backgrounds in health disparities and health equity research, multilevel preventive interventions implementation, and analytics

NIH Native Collective Research Effort to Enhance Wellness Program Research Opportunities | Click Here to Learn More

Application Deadline: November 1, 2023

Description: NIH is supporting a new research opportunity to support locally prioritized research related to overdose, substance use, pain, and related factors like mental health. Tribes and Tribal serving organizations are eligible to apply for two grants: (1) to plan, develop, pilot, and/or implement research and data improvement projects; and (2) to form a Native Research Resource Network to provide training and resources to Tribes and Tribal organizations.

FY 2022 and FY 2023 Small Ambulatory Program Application | Click Here to Learn More

Award Amount: $3,500,000 for up to 12 IHS Areas

Application Deadline: November 10, 2023

Description: Under the SAP, American Indian and Alaska Native Tribes or Tribal Organizations that are operating an Indian health care facility pursuant to a health care services contract or compact entered into under the Indian Self-Determination and Education Assistance Act, P.L. 93-638, as amended (25 U.S.C. § 5301 et seq.), may competitively apply for funding for the construction, expansion, or modernization of small ambulatory health care facilities. The FY 2022 budget includes $25 million and the FY 2023 budget includes $25 million for a total budget of $50 million available for SAP. Fiscal year 2022 and 2023 SAP projects will be awarded up to $3.5 million and all 12 IHS Areas that submit an application will have an opportunity to receive an award.

Special Diabetes Program for Indians 2.0 (SDPI-2) | Click Here to Learn More

Award Amount: between $25,000 and $600,000

Application Deadline: November 29, 2023

Description: The IHS Division of Diabetes Treatment and Prevention (DDTP) is announcing a new 2024 funding opportunity (NOFO) for all federally recognized Tribes, Tribal Organizations, Urban Indian Organizations, and/or Federal health care facilities that currently do not have a 2023 Special Diabetes Program for Indians grant.  The 2024 Special Diabetes Program for Indians 2.0 (SDPI-2) is a 4-year grant program to address diabetes treatment and prevention efforts in American Indian and Alaska Native communities. All eligible applicants are welcome to apply.  

HRSA National Health Service Corps (NHSC) Students to Service (S2S) Loan Repayment Program | Click Here to Learn More

Award Amount: up to $120,000 in tax-free loan repayment 

Application Deadline: December 7, 2023

Description: Students in the final year of a primary care health professions school may qualify for up to $120,000 in tax-free loan repayment for their medical, nursing, or dental school student loans in exchange for a three-year service commitment in a high-need rural, Tribal, or urban community. New this year, a Maternity Care Target Area Supplemental Award of an additional $40,000 is available to physicians specializing in obstetrics, gynecology, or family medicine physicians who practice obstetrics on a regular basis, as well as certified nurse midwives. 

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