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Week of February 26, 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 Senate is in session this week; the House of Representatives is scheduled to return early to Washington on Wednesday. Fiscal Year 2024 regular appropriations negotiations will continue this week, with the possibility of appropriations legislation being released anytime this week. The first expiration of the “laddered” Continuing Resolution (CR) currently funding several U.S. Government programs and services will occur this Friday, March 1. If negotiations are successful, initial appropriations legislation will focus on the first batch of agencies set to expire on March 1, including Dept. of Agriculture, Dept. of Energy, Dept. of Veterans Affairs, Dept. of Transportation, and Dept. of Housing and Urban Development. Portions of the CR which include funding for the Department of Health and Human Services (HHS) and the Special Diabetes Program for Indians (SDPI) are set to expire on March 8.

 

The Senate Environment and Public Works Committee is holding a full committee hearing on Wednesday, February 28 at 10 AM ET on the Water Resources Development Act’s Army Corps of Engineers water infrastructure projects, programs, and priorities. This follows a subcommittee hearing last week, which featured testimony from small, rural, and underserved communities on Army Corps of Engineers projects impacting water and sanitation.

 

In the House, the Energy and Commerce Committee’s Health Subcommittee will be holding a bill hearing for 18 pieces of legislation focused on patients with rare and chronic diseases. The hearing will be Thursday, February 29 at 10 AM ET, “Legislative Proposals to Support Patients with Rare Diseases.” You can read more about the hearing and legislation being considered in the Committee’s announcement.

Other Hearings

No Rights to Speak of: The Economic Harms of Restricting Reproductive Freedom

Committee: Senate Committee on the Budget

Date: February 28, 2024, 10:00 AM ET 

Hearing Webpage Link

All Means All: Empowering People with Disabilities to Thrive in Careers and the Workplace

Committee: Senate Special Committee on Aging 

Date: February, 29, 2024, 10:00 AM ET 

Hearing Webpage Link 

Announcements

Comments Open for the Children and Familiars Administration’s Notice of Proposed Rulemaking on Adoption and Foster Care Analysis and Reporting System

The Administration for Children and Families (ACF) proposes to amend the Adoption and Foster Care Analysis and Reporting System (AFCARS) regulations that require title IV–E agencies to collect and report data to ACF on children who enter out-of-home care, their providers, and children who have a title IV–E adoption or guardianship assistance agreement to collect additional data related to Indian children. The full Federal Register entry for this notice of proposed rulemaking is available here. Comments are due April 23, 2024 and can be submitted through the Federal Register. 

VA Seeking Comments on Updated Draft Reimbursement Agreement Template

Last week, the Department of Veterans Affairs released a revised draft VA/IHS Reimbursement Agreement Template for Tribal Health Programs (THP) operating in the lower 48 states. The Reimbursement Agreement is critical as it will establish the basic underlying terms for reimbursement from VA to the THPs for care provided to AI/AN Veterans at Tribally operated facilities. The revised draft Reimbursement Agreement is available here. The VA seeks written comments on the Agreement from Tribal leaders (or their designees). Written comments can be submitted via email to [email protected] with “Revised VA-THP Lower 48 Reimbursement Agreement 2024 Comments” in the subject line. Written comments are due to the VA by Thursday, March 21, 2024. 


Over the next week, NIHB will review the revised Agreement Template and share our analysis of the changes reflected in this most recent version of the document. If you have any questions, please reach out to Garrett Lankford at [email protected].

Air Force Veteran Chairwoman Janet Alkire (Standing Rock Sioux Tribe) meets with Democratic Minority Leader Hakeem Jeffries.

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 

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

VA February 20 Letter: VA would like to invite Tribal leaders (or their representative designees) to provide input through a written comment period on the Revised VA-THP Lower 48 Reimbursement Agreement

ARPA-H February 20 Letter: US Department of Health and Human Services (HHS) virtual listening session to introduce Advanced Research Projects Agency for Health (ARPA-H), a new agency at HHS, and learn about opportunities to engage with ARPA-H

Upcoming Tribal Advisory Committees & Tribal Consultations


View NIHB’s full Regulations Tracker here


Consultations

Removal of Outdated Regulations on the Use of Indian Health Service (IHS) Funds for Certain Abortions

Dear Tribal Leader Letter

Date: February 27, 2024, 12:00 – 2:00 PM ET 

Meeting Registration Link

Comments Due: March 8, 2024

Comment Submission: Federal Register Comment Submission

IHS Consultation on the Proposed Supplemental Funding Request to Support Fentanyl and Opioid Programs 

Dear Tribal Leader Letter

Comments Due: March 4, 2024

Comment Submission: [email protected], subject “Supplemental Request for Fentanyl and Opioid Abuse Funding”

HHS Tribal Consultation on Draft Tribal and Tribal Epidemiology Center Data Access Policy 

Dear Tribal Leader Letter

Draft Data Access Policy

Comments Due: March 5, 2024

Comment Submission: [email protected], subject “HHS Tribal Data Policy” 

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 

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

CANCELLED—Secretary’s Tribal Advisory Committee (STAC) 

Date: February 27—28, 2024

Veterans Affairs Department Advisory Committee on Tribal and Indian Affairs

Date: February 27 – 29, 2024

Location: Choctaw Nation Headquarters, Durant, OK

Meeting Announcement Link 

Comments Due: February 21, 2024

Substance Abuse and Mental Health Services Administration’s (SAMHSA) Tribal Technical Advisory Committee (TTAC)

Date: February 27, 2024, 8:00 AM – 5:00 PM ET 

Meeting Announcement Link

IHS National Tribal Advisory Committee (NTAC) on Behavioral Health Q1 Meeting

Date: February 27, 2024, 12:00 PM ET – 5:00 PM ET 

Meeting Link

Tribal Leaders Diabetes Committee (TLDC) Quarterly Meeting

Date: March 5 – 6, 2024

Location: Reno, NV

Meeting Webpage Link

Medicare, Medicaid and Health Reform Policy Committee (MMPC) 

Date: March 5, 2024

Location: Washington, DC 

CMS Tribal Technical Advisory Group (TTAG) Face-to-Face Meeting 

Date: March 6 – 7, 2024

Location: Washington, DC 

Facilities Appropriation Advisory Board Meeting

Date: March 12 — 13, 2024

Location: Sacramento, CA 

Meeting Webpage Link

Community Health Aide Program (CHAP) Tribal Advisory Group

Date: March 25, 2024

Location: Rockville, MD

Meeting Webpage Link 

Listening Sessions

SAMHSA Listening Sessions on Burden Reduction for Grants

Dates: February 29, 2024, 3:30 PM ET & March 5, 2024, 3:00 PM ET 

Meeting Registration Link 

Comments Due: March 15, 2024

Comment Submission: [email protected]

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

Events

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

Native Connections Tribal Behavioral Health | Click Here to Learn More

Award Amount: Up to $250,000 per year

Application Deadline: March 6, 2024

Description: The purpose of this program is to prevent and reduce suicidal behavior and substance use/misuse, reduce the impact of trauma, and promote mental health among American Indian/Alaska Native (AI/AN) youth, up to and including age 24, by building a healthy network of systems, services, and partnerships that impact youth. SAMHSA expects this program will be a model for community change that integrates a community’s culture, resources, and readiness to address suicide prevention and substance use/misuse among AI/AN youth.

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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