IHS TRIBAL SELF-GOVERNANCE ADVISORY COMMITTEE

233 Pages·2017·11.61 MB·English

by  Tami Snow

IHS TRIBAL SELF-GOVERNANCE
ADVISORY COMMITTEE (TSGAC)
QUARTERLY MEETING
MARCH 28-29,2017
Embassy Suites DC Convention Center
900 10th Street Northwest, Washington, DC 20001
Phone: [phone]
IHS Tribal Self-Governance Advisory Committee and Technical Workgroup
Quarterly Meeting
Tuesday, March 28, 2017
Wednesday, March 29, 2017

Embassy Suites Washington DC - DC Convention Center
900-10th Street NW
Washington, DC 20001
Phone: [phone]

Table of Contents

1. TSGAC Information
• TSGAC Agenda
• 2017 TSGAC Calendar
• TSGAC Membership Matrix

2. TSGAC Committee Business
• January Quarterly Meeting Summary
• January Quarterly Meeting Assignment Matrix
• TSGAC Correspondence Matrix
• Oklahoma 1 Area Nomination
• Bemidji Area Nomination
• Nomination Request for ISAC and CHAP Workgroup Representatives

3. Tribal Caucus
• GAO High Risk Report: Summary
• GAO High Risk Report: Improving Federal Management of Programs that Serve
Tribes and Their Members
• SGCETC Testimony on Examining Federal Programs that Serve Tribes and
Their Members
• TSGAC Comments Regarding IHCIA and LNF
• IHS DTLL Regarding Funds Returned to Treasury

4. Veterans Administration and Indian Health Service Memorandum of
Understanding (VA-IHS MOU)
• TSGAC Comments Regarding VA Proposal to Consolidate Community Care
Programs
• VA Response to TSGAC Regarding MOU
• VA Top Priorities in Indian Country 2016
• VA OTGR Presentation

5. Office of Information Technology Update
• TSGAC Letter Regarding OIT Follow Up and Invitation to March Quarterly
Meeting
• IHS DTLL Regarding Systems Enhancements for the Use of EPCS
• IHS OIT Presentation

6. Office of Environmental Health and Engineering
• TSGAC Letter Regarding OEHE Follow Up and Invitation to March Quarterly
Meeting

7. Indian Health Service Budget Update
• Alaska Native Health Board Letter Regarding IHS Tribal Budget Formulation
Policy Proposal
• FY 2018 Presidential Budget Blueprint Pages

8. Patient Protection and Affordable Care Act (ACA) Implementation Update
• Timeline of Potential Administration and Congressional Action on ACA
Repeal/Replace Legislation; Other Key Dates; and Activities of Tribes
• Administration and Congressional ACA-Related Actions in 2017 and 2018
• TTAG Letter to Secretary Price Regarding 2017 Priorities
• Next on the Affordable Care Act: Funding for Cost-Sharing Protections and
Marketplace Stability Programs

9. Joint Discussion
• TSGAC Letter Requesting IHS Exemption From Federal Hiring Freeze
• IHS DTLL Regarding IHS Exemption From Federal Hiring Freeze Update
• OPM Response to TSGAC Regarding Federal Hiring Freeze Exemption Request
• TSGAC Letter Regarding ALN Recommendations
• Executive Order: Enforcing the Regulatory Reform Agenda
• Executive Order: Comprehensive Plan for Reorganizing the Executive Branch
• IHS Letter Regarding Follow-up to January 2017 TSGAC Quarterly Meeting
• TSGAC Request for IHS Data on Insurance Status of Active Users, by Service
Unit Follow-up Report
IHS TRIBAL SELF-GOVERNANCE ADVISORY COMMITTEE
c/o Self-Governance Communication and Education
P.O. Box 1734, McAlester, OK 74501
Telephone [phone] ~ Facsimile [phone] ~ Website: www.Tribalselfgov.org

INDIAN HEALTH SERVICE TRIBAL SELF-GOVERNANCE ADVISORY COMMITTEE
AND TECHNICAL WORKGROUP QUARTERLY MEETING
Tuesday, March 28, 2017 (8:00 am to 4:30 pm)
Wednesday, March 29, 2017 (8:30 am to 12:45 pm)

Embassy Suites Washington DC - DC Convention Center
900-10th Street NW
Washington, DC 20001
Phone: [phone]

AGENDA

Tuesday, March 28, 2017 (8:00 am to 4:30 pm)
Meeting of IHS Tribal Self-Governance Advisory Committee (TSGAC) and Technical Workgroup
with RADM Chris Buchanan Acting IHS Director

8:00 am Tribal Caucus
Facilitated by: Marilynn “Lynn” Malerba, Chief, Mohegan Tribe, and Chairwoman, Indian
Health Service (IHS) Tribal Self-Governance Advisory Committee (TSGAC)
 IHS Funding and Returning Funds to Treasury (Senate Committee on Indian
Affairs Correspondence)
 Area Budget Formulation Pilot Project
 GAO High Risk Report and Recommendations
 IHS Headquarters and Area Assessments
 Level of Need Funded
 VA-IHS MOU Outstanding Issues
 Medicaid Reform

9:00 am Meeting Called to Order
Welcome
Invocation
Roll Call
Introductions – All Participants & Invited Guests

9:15 am TSGAC Opening Remarks
Marilynn “Lynn” Malerba, Chief, Mohegan Tribe, and Chairwoman, IHS TSGAC
RADM Chris Buchanan, Acting Director, IHS

9:45 am TSGAC Committee Business
 Approval of Meeting Summary (January 2017)
 TSGAC Committee Members Approval
o Oklahoma Alternate Delegate: Kay Rhoads, Principal Chief, Sac and Fox
Nation
o Bemidji Area Primary Delegate: Jane Rohl, Secretary, Grand Traverse
Band of Ottawa and Chippewa Indians
 ISAC Member Nomination and Approval

Draft of March 2, 2017
IHS TSGAC & Technical Workgroup Quarterly Meeting Page 2
March 28-29, 2017 – AGENDA

10:00 am Office of Tribal Self-Governance Update
Jennifer Cooper, Acting Director, Office of Tribal Self-Governance, IHS

10:20 am Break

10:30 am Veterans Administration and Indian Health Service Memorandum of
Understanding
 Overview of 2016 Tribal Consultation identify top 3-5 priorities for Veterans
 Status of the amendments to Title 38 Part 14
 Status of the VA/IHS/THP Reimbursement Agreement program
 Overview and updates regarding training, outreach and technical assistance
activities
Stephanie Birdwell, Director, Office of Tribal Government Relations, Department of
Veterans Affairs
Terry Bentley, VA Tribal Government Relations Specialist, Pacific District
Mary Culley, VA Tribal Government Relations Specialist, Continental, Midwest and
Southeast Districts
Peter Vicaire, VA Tribal Government Relations Specialist, Midwest, Continental and
North Atlantic Districts
Homana Pawiki, VA Tribal Government Relations Specialist, Continental District
Clay Ward, VA OTGR Program Analyst (DC)

11:30 am Office of Information Technology
 Service Catalogue Announcement and Consultation
 Drug Enforcement Agency electronic prescription compliance
CAPT Mark Rives, Chief Information Officer and Director, OIT, IHS (Invited)
Randall Hughes, Tribal Liaison, OIT, IHS (Invited)

12:00 pm TSGAC Members’ Executive Session with Acting IHS Director

1:30 pm Office of Environmental Health and Engineering
 Sanitation Facilities Construction Methodology
 Updates to the Joint Venture Construction Template
 Small Ambulatory Health Center Grants
 Table 4F Development and Full Implementation of Title V
Gary Hartz, Director, Office of Environmental Health and Engineering, IHS (Invited)

2:00 pm Contract Support Costs Update
Melanie Fourkiller, Policy Analyst, Choctaw Nation and TSGAC Tribal Technical
Workgroup Co-Chair
Lloyd Miller, Partner, Sonosky, Chambers, Sachse, Miller, Monkman & Flannery, LLP
IHS TSGAC & Technical Workgroup Quarterly Meeting Page 3
March 28-29, 2017 – AGENDA

2:30 pm Indian Health Service Budget Update
 IHS Fiscal Year (FY) 2017 Funding and Continuing Resolution
 President’s FY 2018 Budget Request
 FY 2019 National Budget Formulation Evaluation
 Area Budget Formulation Pilot Project
 Budget Implications of the Federal Hiring Freeze
Elizabeth Fowler, Deputy Director for Management Operations, IHS (Invited)
Rosetta Tracy, Director of Budget Formulation, IHS (Invited)
Melanie Fourkiller, Policy Analyst, Choctaw Nation and TSGAC Tribal Technical
Workgroup Co-Chair

3:00 pm Patient Protection and Affordable Care Act (ACA) Implementation Update
 Outreach and Education Project Update
 Timeline of Potential Administration and Congressional Action on ACA
Repeal/Replace Legislation
 Administration and Congressional ACA Related Actions in 2017 and 2018
Cyndi Ferguson, Self-Governance Specialist/Policy Analyst, SENSE Incorporated
Doneg McDonough, Consultant, TSGAC

3:45 pm Preparation for Discussion with Acting IHS Director

4:30 pm Recess until March 29, 2017

Wednesday, March 29, 2017 (8:30 am – 12:45 pm)
Meeting of IHS Tribal Self-Governance Advisory Committee (TSGAC) and Technical Workgroup
with RADM Chris Buchanan Acting IHS Director

8:30 am Welcome and Introductions
Marilynn “Lynn” Malerba, Chief, Mohegan Tribe, and Chairwoman, IHS TSGAC
RADM Chris Buchanan, Acting Director, IHS

8:45 am Congressional and Legislative Office Update
 Overview of the IHS Process to Fulfill Congressional Requests
 Summary of Recent Congressional Requests
June Tracy, Director, Congressional and Legislative Office, IHS

9:30 am Joint TSGAC and Acting IHS Director Discussion
 Contract Support Costs Workgroup Meeting
 GAO High Risk Report Recommendations
 Executive Order Re: Hiring freeze

11:15 am Closing Remarks
Marilynn “Lynn” Malerba, Chief, Mohegan Tribe, and Chairwoman, IHS TSGAC
RADM Chris Buchanan, Acting Director, IHS

11:30 am Lunch

12:15 pm TSGAC Technical Workgroup Working Session
IHS TSGAC & Technical Workgroup Quarterly Meeting Page 4
March 28-29, 2017 – AGENDA

12:45 pm Adjourn TSGAC Meeting
2017 Self‐Governance National Calendar

Date Meeting Location
March 28-29 IHS TSGAC Quarterly Meeting
Embassy Suites – DC
Convention Center
March 29-30 DOI SGAC Quarterly Meeting
National Indian Child Welfare Association
April 2-5 San Diego, CA
Annual Conference
Annual Tribal Self-Governance Consultation
April 23-27 Spokane, WA
Conference
May 2-4 Tribal Interior Budget Council Washington, DC
June 11-14 NCAI Mid Year Conference & Marketplace Uncasville, CT
July 18-19 IHS TSGAC Quarterly Meeting
Embassy Suites – DC
Convention Center
July 19-20 DOI SGAC Quarterly Meeting
July 25-27 Tribal Interior Budget Council Flagstaff, AZ
September 12-14 NCAI Impact Days Washington, DC
September 25-29 NIHB Annual Consumer Conference Billings Area
October 15-20 NCAI Annual Convention & Marketplace Milwaukee, WI
October 24-25 IHS TSGAC Quarterly Meeting
Embassy Suites – DC
Convention Center
October 25-26 DOI SGAC Quarterly Meeting
November 7-9 Tribal Interior Budget Council Washington, DC
IHS TRIBAL SELF-GOVERNANCE ADVISORY COMMITTEE
c/o Self-Governance Communication and Education
P.O. Box 1734, McAlester, OK 74501
Telephone [phone] ~ Facsimile [phone] ~ Website: www.tribalselfgov.org

MEMBERSHIP LIST
(April 11, 2017)

AREA MEMBER (name/title/organization) STATUS CONTACT INFORMATION
Alaska Jaylene Peterson-Nyren, Executive Primary 150 N Willow St.
Director Kenai, AK 99611
Kenaitze Indian Tribe P: [phone]
Email: [email protected]
Gerald “Jerry” Moses, Senior Director Alternate 4000 Ambassador Drive, LIGA
Intergovernmental Affairs, Alaska Native Department
Tribal Health Consortium Anchorage, AK 99508
P: [phone]
Email: [email protected]
Albuquerque Ruben A. Romero, Governor Primary PO Box 1846
Pueblo of Taos Taos, NM 87571
P: 575-758-9593 ~ F: 575-758-4604
Email: [email protected]
Raymond Loretto, DVM, Tribal Council Alternate PO BOX 100
Representative Jemez Pueblo, NM 87024
Pueblo of Jemez P: 575-834-7359 ~ F: 575-834-7331
Email:
[email protected]

Bemidji Jane Rohl, Tribal Council Secretary Primary 2605 N West Bay Shore Drive
Grand Traverse Band of Ottawa & Peshawbestown, MI 49682-9275
Chippewa Indians P: [phone]
Email: [email protected]
VACANT Alternate

Billings Beau Mitchell, Council Member Primary PO Box 544
Chippewa Cree Tribe Box Elder, MT 59521
Email: [email protected]
Shelly Fyant, Tribal Council Member Alternate PO BOX 278
The Confederated Salish and Kootenai Pablo, MT 59855
Tribes of the Flathead Nation P: [phone] ~ F: [phone]
Email:
California Ryan Jackson, Council Member Primary PO Box 1348
Hoopa Valley Tribe Hoopa, CA 95546
Email: [email protected]
Robert Smith, Chairman Alternate 35961 Pala-Temecula Rd.
Pala Band of Mission Indians Pala, CA 92059
P: 760-891-3519 ~ F: 760-891-3584
Email: [email protected]
Great Plains VACANT Primary

VACANT Alternate

Nashville Marilynn “Lynn” Malerba, Chief Primary 5 Crow Hill Road
Mohegan Tribe of Connecticut Uncasville, CT 06382
TSGAC Chairwoman P: 860-862-6192 ~ F:
Email: [email protected]
Casey Cooper, Chief Executive Officer Alternate 43 John Crowe Hill Rd.
Eastern Band of Cherokee Indians Hospital PO Box 666
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TSGAC & Technical Work Group Membership List
April 11, 2017

Cherokee, NC 28719
Email:
[email protected]
Navajo Jonathan Nez, Vice President Primary PO BOX 7440
Navajo Nation Window Rock, AZ 86515
P: [phone]
Email: [email protected]
Nathaniel Brown, Delegate of the 23rd Alternate PO BOX 3390
Navajo Nation Council Window Rock, AZ 86515
Navajo Nation P: [phone]
Email: [email protected]
Oklahoma 1 John Barrett, Jr., Chairman Primary 1601 S. Gordon Cooper Dr.
Rhonda Butcher, Director Proxy Shawnee, OK 74801
Citizen Potawatomi Nation P: 405-275-3121 x 1157
F:405-275-4658
Email: [email protected]
Kay Rhoads, Principal Chief Alternate 920883 Hwy 99
Sac and Fox Nation Stroud, OK 74079
P: [phone] x 1004
F: [phone]
Email: [email protected]
Oklahoma 2 Jefferson Keel, Lt. Governor Primary PO Box 1548
Chickasaw Nation Ada, OK 74821
P: 580-436-7232 ~ F: 580-436-7209
Email: [email protected]
Gary Batton, Chief Alternate PO Box 1210
Mickey Peercy, Executive Director Proxy Durant, OK 74702
Choctaw Nation of Oklahoma P: 580-924-8280 ~ F: 580-920-3138
Email: [email protected]
Phoenix Lindsey Manning, Chairman Primary PO BOX 219
Shoshone-Paiute Tribes of the Duck Valley Owyhee, Nevada 89832
Indian Reservation P: 208-759-3100 ~ F: 208-759-3102
Email: [email protected]
VACANT Alternate

Portland W. Ron Allen, Tribal Chairman/CEO Primary 1033 Old Blyn Highway
Jamestown S’Klallam Tribe Sequim, WA 98382
TSGAC Vice-Chairman P: 360-681-4621 ~ F: 360-681-4643
Email: [email protected]

Tyson Johnston, Vice President Alternate P.O. Box 189 (1214 Aalis Drive)
Quinault Indian Nation Taholah, WA 98587
P: 360-276-8211 ~ F: 360-276-4191
Email: [email protected]
Tucson Daniel L.A. Preston, III, Councilman Primary P.O. Box 837
Tohono O’odham Nation Sells, AZ 85634
P: [phone]
Email: Daniel.preston@tonation-
nsn.gov
Anthony J. Francisco, Jr., Councilman Alternate P.O. Box 837
Tohono O’odham Nation Sells, AZ 85634
P: [phone]
Email: Anthony.francisco@tonation-
nsn.gov

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