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Week of November 6, 2023

In this Letter:

✒️Congressional Items

📝 Dear Tribal Leader Letters

📒Upcoming Tribal Advisory Committees & Tribal Consultations



💵 Notice of Funding Opportunities

Congressional Items

The twelve regular appropriations bills necessary to fund the government in FY 2024 have yet to resolve House and Senate differences or been signed into law. The continuing resolution (CR) passed on September 30 that prevented a government shutdown will soon expire on November 17. Though the House has passed eight and the Senate has passed three of the twelve regular appropriations bills, a bill with funding for the Department of Health and Human Services has not yet passed a vote in either chamber. As far as an additional continuing resolution goes, House Speaker Mike Johnson floated an idea last Thursday for a “laddered CR” that could fund different appropriations for different lengths of time. Looking to the future, it is likely we are headed towards another CR to round out the year with consideration of the 12 appropriations bills first thing in the new year. 

Bills NIHB is Tracking this Month

Special Diabetes Program for Indians (SDPI) 

There are multiple bills that contain a reauthorization for SDPI at $170 million per year for two years, including S.1855 - Special Diabetes Program Reauthorization Act of 2023, H.R. 3561 - Promoting Access to Treatments and Increasing Extremely Needed Transparency (PATIENT) Act, and H.R. 5378 - “Lower Costs, More Transparency Act." 

 The Restoring Accountability in the Indian Health Service Act of 2023 (S.3130)

Senators Barrasso (R-WY) and Thune (R-SD) reintroduced legislation to address the persistent inadequacies of healthcare services and increase accountability at the Indian Health Service (IHS). You can read their press release about this legislation here. 


Social Media and the Teen Mental Health Crisis 

Committee: Senate Committee on the Judiciary 

Date: November 7, 2023, 10:00 AM ET 

Hearing Webpage Link

Accessing Clean Water Infrastructure Assistance: Small, Rural, Disadvantaged, and Underserved Communities

Committee: Senate Committee on Environment & Public Works 

Date: November 8, 2023, 10:00 AM ET

Hearing Webpage Link 

Fentanyl in Native Communities: Native Perspectives on Addressing the Growing Crisis

Committee: Senate Committee on Indian Affairs

Date: November 8, 2023, 2:30 PM ET

Hearing Webpage Link 

The Impact of the Historic Salmon Declines on the Health and Well-Being of Alaska Native Communities Along Arctic, Yukon, and Kuskokwim Rivers

Committee: Senate Committee on Indian Affairs

Date: November 10, 2023, 1:00 PM ET

Hearing Webpage Link 

Emerging Therapies: Breakthroughs in the Battle Against Suicide? 

Committee: House Committee on Veterans’ Affairs Subcommittee on Health 

Date: November 14, 2023, 2:00 PM 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

Upcoming Tribal Advisory Committees & Tribal Consultations

View NIHB’s full Regulations Tracker here


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 

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]

Office of Civil Rights (OCR) Section 504 Proposed Rulemaking 

Dear Tribal Leader Letter

Comments Due: November 13, 2023

Comment Submission: (RIN 0945-AA15)

IHS Tribal Consultation on Purchased/Referred Care (PRC) in North Dakota and South Dakota

Comments Due: November 15, 2023

Comment Submission: [email protected]

Administration for Children and Families Consultation on Parentage Establishment 

Dear Tribal Leader Letter

Comments Due: November 27, 2023

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

California Area Budget Formulation Meeting

Date: December 13, 2023, 9:30 AM 

Location: Sacramento, CA 

Event Webpage Link 

Listening Sessions

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

SAMHSA Tribal Listening Session on the Use of High Dose Buprenorphine for the Treatment of Opioid Use Disorder

Date: November 13, 2023, 2:30 PM ET 

Meeting Registration Link 

Comments Due: December 15, 2023

Comment Submission: [email protected]

Social Security Administration (SSA) Tribal Listening Session 

Date: November 15, 2023, 3:15 PM 

Location: National Congress of American Indians Conference, New Orleans, LA 

Dear Tribal Leader Letter

Center for Disease Control and Prevention (CDC) Grants Governance Board Tribal Listening Session

Date: December 6, 2023, 2:00 PM ET

Meeting Registration Link 

Tribal Advisory Committee Meetings

Direct Service Tribes Advisory Committee (DSTAC) Monthly Meeting 

Date: November 16, 2023

Meeting Webpage Link

Secretary's Tribal Advisory Committee (STAC)

Date: November 28  – 29, 2023

Location: TBA

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 6 – 7, 2023

Location: TBA

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, 2024

Meeting Webpage Link


Presidential Proclamation of National Native American Heritage Month, 2023

On October 31, 2023, The White House published A Proclamation on National Native American Heritage Month, 2023, which reads, in part:

During National Native American Heritage Month, we recognize the invaluable contributions of Native peoples that have shaped our country and honor the hundreds of Tribal Nations who continue exercising their inherent sovereignty as vital members of the overlapping system of governments in the United States. We also recommit to supporting Tribal sovereignty; upholding the Federal Government’s solemn trust and treaty responsibilities; and working in partnership with Tribal Nations to advance prosperity, dignity, and safety for all Native peoples.


Beyond Survivance: Thrivance Among American Indian and Alaska Native Cancer Survivors

Description: The webinar is intended for researchers, advocates, clinicians, and policy makers with an interest in the health of Tribal communities, oncology, or cancer survivorship

Date: November 7, 2023

Event Registration Link 

Improving Access to Health Care Coverage in Rural Communities with Medicaid and CHIP

Description: In this webinar, Centers for Medicare & Medicaid Services staff and partners will discuss important strategies, resources, and best practices for rural community outreach and enrollment and address health equity challenges in rural communities.

Date: November 9, 2023

Event Registration Link

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

Description: HRSA’s Federal Office of Rural Health Policy (FORHP) is hosting a virtual Technical Assistance Webinar dedicated exclusively to Tribal leader audiences to share information about the upcoming FY 2024 Rural Health Network Development Planning Program (Network Planning Program) Funding Opportunity and how Tribes and Tribal organizations can apply.

Date: November 20, 2023, 3:00 – 4:00 PM ET

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, 2024

Location: Albuquerque, New Mexico

Event Webpage Link

Notice of Funding Opportunities

NIHB Vaccine Event Funding | Click Here to Learn More

Award Amount:  Up to $45,000 in sponsorship funds

Application Deadline: Applications accepted on a rolling basis 

Description: With support from the Centers for Disease Control and Prevention (CDC), NIHB is offering up to $45,000 in sponsorship funds for Tribal health organizations to host up to three vaccination events in your community. These events must feature COVID-19 vaccinations; however other vaccines may also be offered and promoted.

Funding can cover non-clinical costs associated with the event. Some examples of what we can fund include (but are not limited to): meeting space rentals, advertising for the event, event set up, incentives for attendees and event swag (limited value per person), and event administration staff salaries. NIHB will also provide Act of Love Kits for you to distribute to attendees. For any questions, contact Moones Akbaran, PHPP Project Coordinator, at [email protected].

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.  

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.

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. 

HRSA Healthy Start Initiative – Eliminating Disparities in Perinatal Health | Click Here to Learn More

Award Amount: up to $1,100,000

Application Deadline: December 15, 2023

Description: The program, administered by HRSA's Maternal and Child Health Bureau, seeks to improve health outcomes before, during, and after pregnancy and reduce the well-documented racial/ethnic differences in rates of infant death and adverse perinatal outcomes. It is intended to support projects in areas experiencing the greatest disparities in maternal and infant health outcomes. Funding is set aside for rural communities.

Office of the Assistant Secretary for Health (OASH) Environmental Justice Community Innovator Challenge | Click Here to Learn More

Description: HHS, through the OASH, is supporting Tribes and disadvantaged communities who face environmental injustices, including harms due to climate change, through the new Environmental Justice Community Innovator Challenge. Community-driven projects will receive funding in two phases to address these inequities. The first phase will provide up to $25,000 for concept design (apply through January 30, 2024). The second phase will provide a minimum of $70,000 for small-scale testing and implementation of projects (opening in spring 2024).

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