Posted - May 6, 2015
A Toolkit: Five Fast Facts about the ACA for Native Youth
The National Indian Health Board (NIHB) and the Centers for Medicare and Medicaid Services' (CMS) Division of Tribal Affairs joined forces to create Affordable Care Act (ACA) educational materials specifically for the Native youth population. The materials, highlighting the Fast Five Facts that Native youth need to know about the ACA, include three Public Service Announcements (PSAs), a poster and brochure. All materials are available for immediate download at NIHB's Tribal Health Reform Resource Center website. Tribes, Tribal organizations, I/T/Us, and other ACA stakeholders are encouraged to use the materials in their communities to help educate and empower youth, so that they in turn, can share information about the ACA with their families.
The Five Fast Facts that Native youth need to know about the Affordable Care Act are:
- They can be added to or kept on their parent or guardian's health insurance until they turn 26 years old.
- They will be covered for prevention screenings for STDs, HIV, pregnancy, depression and diabetes.
- Their additional coverage will allow them to receive services outside of the Indian Health Service.
- Medicaid may be an additional option for health coverage.
- Their parents can file an exemption from the tax penalty for them.
For more information, contact April Hale, NIHB Tribal Health Reform Outreach and Education Communications Coordinator, at 202-507-4077 or [email protected].
Posted - April 23, 2015
National Indian Health Board (NIHB) Elevates Native Health Issues at the Department of Health and Human Services
House Labor HHS Appropriations Subcommittee Holds Hearing on American Indian/Alaska Native Priorities
WASHINGTON DC - On April 23, 2015, the House Appropriations Subcommittee on Labor, Health and Human Services, Education and Related Agencies held a Budget Hearing on Programs Serving Native Americans. This subcommittee is responsible for allocating annual funding for agencies of the Department of Health and Human Services (HHS) (with the exception of the Indian Health Service (IHS) which receives funding from the Interior and Environment Appropriations Subocmmittee) and the Departments of Education, Labor and related agencies. The hearing represented a historic opportunity for Tribal advocates to describe challenges that Indian Country faces when it comes to accessing federal programs at HHS and other federal agencies...
Read Full Story
Posted - April 21, 2015
Funding Opportunity: Navigator Grants
Last week, the Department of Health and Human Services (HHS) announced a funding opportunity for organizations and individuals to operate as Navigators in Federally-facilitated Marketplaces (FFMs), including State Partnership Marketplaces (SPMs). As they have done over the past two years, and as they are doing now, Navigators will assist consumers in various ways, including providing information about available coverage options through the Marketplace during open enrollment.
Navigators have been an important resource for the millions of Americans who enrolled in coverage over the past two years. This funding announcement ensures this important work will continue over the next three years in states with a FFM, including during Marketplace open enrollment periods.
Applications are due on June 15, 2015. For more information about the grant opportunity click here.
Posted - April 16, 2015
Special Diabetes Program for Indians Two Year Renewal Clears Congress
Last night, the U.S. Senate passed a two (2) year renewal of the Special Diabetes Program for Indians (SDPI). The renewal was contained in a larger bill called: "H.R. 2 - The Medicare Access and CHIP Reauthorization Act of 2015." The measure was passed the Senate by a bipartisan vote of 92-8. This follows action by the U.S. House of Representatives on March 26, 2015, which also passed the legislation by a bipartisan vote. President Obama is expected to sign the legislation into law...
Posted - April 15, 2015
HHS announces $1 million in new grant programs to help improve sharing of health information
Projects to help long-term and behavioral health care providers
National Coordinator for Health Information Technology Karen B. DeSalvo, M.D., M.P.H., M.Sc., announced today the availability of $1 million in grant funds to support community projects for the Community Interoperability Health Information Exchange (HIE) Program. The funding will help support and enable the flow of health information at the community level, leading to better care and better health.
Read more about this announcement
Posted - March 20, 2015
NIHB would like to thank the following sponsors who gave so generously to make the 2015 Tribal Public Health Summit the largest to date
Posted - February 26, 2015
Special Enrollment Period for Tax Season
The Centers for Medicare & Medicaid Services (CMS) recently announced a special enrollment period (SEP) for individuals and families who did not have health coverage in 2014 and are subject to the fee or "shared responsibility payment" when they file their 2014 taxes in states which use the Federally-facilitated Marketplaces (FFM). Between March 15th and April 30th, those individuals and families who were unaware or did not understand the implications of this new requirement, can enroll in 2015 health insurance coverage through the FFM.
Enrolled members of federal recognized Tribes, including shareholders of Alaska Native Claims Settlement Act (ANCSA) Corporations, are eligible for enrollment on a monthly basis and do not need to wait for the SEP. Others eligible for services from an Indian Health Care Provider (Indian Health Service (IHS), Tribal or Urban Indian program) can enroll in this SEP.
This year's tax season is the first time individuals and families will be asked to provide basic information regarding their health coverage on their tax returns. However, those individuals who are members of federally recognized Tribes and shareholders of ANCSA corporations, as well as those who are eligible for services through an Indian health care provider, including IHS, can receive an exemption for 2014. There are two ways to apply for an exemption: by submitting an application through the Health Insurance Marketplace or claiming an exemption on the 8965 Tax Form.
Failure to claim an exemption and not having health coverage in 2014 will result in a fee - $95 per adult or 1 percent of their income, whichever is greater - when they file their taxes this year. The fee increases to $325 per adult or 2% of income for 2015.
Posted - February 10, 2015
Dr. Yvette Roubideaux Named Senior Advisor to Secretary Burwell
This morning, HHS Secretary Burwell announced that Acting IHS Director Yvette Roubideaux, MD, MPH, will immediately begin serving as Senior Advisor to Secretary Burwell on American Indians and Alaska Natives. Robert McSwain will serve as Acting Director of IHS, effective immediately. The move comes as a result of Appropriations Act rules limiting the time that a nominee may serve in an “Acting” position. The Administration will resubmit Dr. Roubideaux’s nomination to serve as IHS Director.
To read the announcement from Secretary Burwell, CLICK HERE (PDF).
Posted - February 10, 2015
Tribal Leaders Visit Capitol Hill in Support of SDPI
Tribal leaders took to Capitol Hill on February 3, 2015 to provide outreach and education to Congress on the Special Diabetes Program for Indians (SDPI). Over 15 individuals participated in visits to 9 Congressional offices. The group met with members of both the House of Representatives and the Senate and included representatives from Cowlitz Indian Tribe; Cow Creek Band of Umpqua Tribe of Indians; Navajo Nation; Sault Ste Marie Tribe of Chippewa Indians; Pueblo of Zuni; Astariwi Band of Pit River Indians; the Santa Ynez Band of Chumash Indians; and the Tohono O'Odham Nation.
SDPI will expire on September 30, 2015, unless Congress acts. The legislation that typically serves as the legislative vehicle for SDPI, the Sustainable Growth Rate Fix (aka the "Doc Fix"), which governs the rates physicians are paid by Medicare, expires on March 31 2015. It is still unclear if Congress will find a way to pay for the overall bill which is estimated to cost over $150 billion. If there needs to be another short-term patch for the Doc Fix Tribes are asking that SDPI be included in that reauthorization.
Please visit www.nihb.org/sdpi for more information on how you can be involved in SDPI renewal for 2015!
Posted - February 6, 2015
Today, the Corporation for National and Community Service (CNCS) released two new Notices of Funding Availability in the Senior Corps Foster Grandparent (FGP) and Senior Companion (SCP) programs. These competitions are open to federally-recognized Indian Tribes, including current tribal grantees. With these notices, CNCS intends to fund successful applicants that increase the impact of national service in Native American and Alaska native communities not currently served by FGP or SCP grantees.
For more information, please click here.
Posted - January 29, 2015
"Our People continue to live sicker and die younger than other Americans," said the National Indian Health Board before Senate Committee on Indian Affairs January 28th Hearing - highlighting Native American priorities for the 114th Congress
WASHINGTON, D.C. - On Wednesday, January 28, the Senate Committee on Indian Affairs held its first hearing during the 114th Congress to gain an overview of American Indian and Alaska Native priority issues. National Indian Health Board (NIHB) Executive Director Stacy A. Bohlen (Sault Ste. Marie Chippewa) testified before the Senate Committee on Indian Affairs in an oversight hearing to explore "Indian Country Priorities for the 114th Congress."
Read Full Media Release
Posted - January 28, 2015
NIHB Invites You to Attend Upcoming Data Symposium
The Centers for Medicare and Medicaid Services (CMS), the California Rural Indian Health Board (CRIHB) and the National Indian Health Board (NIHB) will be presenting a Data Symposium at the National Museum of the of the American Indian in Washington, D.C. on Thursday, February 19th, 2015. The Data Symposium will feature the latest data on key priorities in the delivery of healthcare services across Indian Country.
Tribal leaders, representatives, and their staff are invited to attend the daylong event that follows the Tribal Technical Advisory Group (TTAG) Face-to-Face meeting the day before. Notable topics for the Symposium include updates on the changes in American Indian and Alaska Native Medicaid enrollment and payment, IHS updates on the diabetes and Medicare payments, CMS information on Medicare payment adjustments, federal and state marketplace and qualified health plan enrollment, and more.
The National Indian Health Board highly encourages Tribal leaders and staff to attend this rare event. For more information, please contact Devin Delrow at [email protected].
Posted - January 21, 2015
Solicitation of Nominations for Appointment to the Advisory Committee on Minority Health at the Department of Health and Human Services
The Department of Health and Human Services (HHS), Office of Minority Health (OMH), is seeking nominations of qualified candidates to be considered for appointment as a member of the Advisory Committee on Minority Health (hereafter referred to as the ''Committee or ACMH'')
The current and impending vacancies on the ACMH impact the representation for the health interests of American Indians and Alaska Natives and Asian Americans, Native Hawaiians, and other Pacific Islanders. OMH is particularly seeking nominations for individuals who can represent the health interests of these racial and ethnic minority groups.
Click here to learn more.
Posted - January 21, 2015
CDC Releases Report on Disease Incidence in AI/AN Communities
According to new data published in today's MMWR, American Indian and Alaska Native (AI/AN) populations experienced higher rates of new infections than non-Hispanic white (NHW) populations in 14 of 26 reportable infectious diseases during 2007-2011. Although incidence rates of some infectious diseases have declined in AI/AN populations, disparities between groups remain.
CDC analyzed data from the National Notifiable Diseases Surveillance System that collects reports on nationally notifiable diseases in the United States and its territories. Interventions are needed to reduce disparities in chlamydia, gonorrhea, West Nile virus, spotted fever rickettsiosis, and other infections among AI/AN and NHW populations.
Click here to read the report.
Posted - January 20, 2015
Legislation Introduced to provide for Advance Appropriations for the Indian Health Service
On Wednesday, January 14, Congressman Don Young (R-AK) introduced H.R. 395 which would provide for Advance Appropriations for the Indian Health Service (IHS). Tribes and Tribal organizations have been supporting this change in the way IHS is funded in order to achieve better stability in how our health care is funded.
Advanced appropriations would mean Tribal and IHS facilities would know their funding levels one year in advance, but the funds would not be drawn down until the year in which it was spent. Congress uses a similar funding procedure for the Veterans' Health Administration. Advance appropriations would allow Indian health programs to effectively and efficiently manage budgets, coordinate care, and improve health quality outcomes for American Indians and Alaska Natives.
But in order to see this legislation enacted, we will need help from you! NIHB and its partners are encouraging Tribes to pass resolutions and send letters to Congress in support of this important issue in order to demonstrate widespread support in Indian Country. We are also encouraging you to share your story on how funding delays have impacted health care delivery at your Tribe. Click here to learn more.
Posted - January 16, 2015
Please join Dr. Yvette Roubideaux, the Acting Director for the Indian Health Service (IHS), for an IHS update by teleconference on Thursday, January 22 at 3:30 PM – 4:30 PM Eastern.
Note: This call is off the record and not for press purposes. Please dial in 5-10 minutes early to avoid any delays in joining the call.
Posted - December 18, 2014
CMS Issues Proposed Rule Regarding Benefit and Payment Parameters for 2016
On November 26th, the Centers for Medicare and Medicaid Services, (CMS) issued a proposed rule, "Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2016," that announced a number of new benefits for American Indians and Alaska Natives (AI/AN). In the proposed rule, CMS is establishing a requirement for Qualified Health Plan (QHP) issuers to prepare a summary of Benefits and Coverage for each plan variation that they offered.
This is beneficial to AI/ANs who will be better able to compare plans and fully understand the type of coverage that is available to them. In addition the proposed rule will also urge QHPs to offer contracts to all Indian health care providers in their network and to include all the special terms and conditions under Federal law pertaining to Indian Health Care Providers, otherwise referred to as the "Indian Addendum." These proposed changes are a direct result of NIHB's advocacy efforts in these areas. NIHB applauds CMS for making these proposed changes but will continue to advocate that the inclusion of the "Indian Addendum" be a mandatory requirement.
Comments are due on December 22, 2014. NIHB and the Tribal Technical Advisory Group to CMS (TTAG) are in the process of constructing comments for this proposed rule. For more information or a copy of NIHB's comments, please contact Devin Delrow at 202-507-4072 or at [email protected].
Posted - December 18, 2014
Congress Passes FY 2015 Omnibus Appropriations Bill
On Saturday, December 13, the U.S. Senate cleared an omnibus appropriations package that will keep the majority of the federal government (including the Indian Health Service) funded through September 30, 2015. The final vote on the legislation was 56-40. In the Senate, 31 Democrats and 24 Republicans, majorities for both parties, supported it.
Specifically, the provisions for Indian Health Service Include:
- $4.6 billion in FY 2015. This is $208 million above the FY 2014 level.
- $4.2 billion is provided for services
- $460.2 million for facilities
- $914 million for Purchased/ Referred Care (formerly known as Contract Health Services) This is a $35 million increase from FY 2014.
- $663 million for Contract Support Costs (CSC). This amount includes increased CSC for FY 2015 but also funds to repay other budget line items which were reprogrammed to cover the FY 2014 CSC shortfall.
- Please stay tuned to NIHB in the coming days for specific details on the FY 2015 Indian Health Service budget.
Posted - December 17, 2014
Congress Repeals Section 910 of the Violence Against Women Act
On December 11, Congress passed S. 1474 which repeals Section 910 of the Violence Against Women Act (VAWA). This provision prohibited Alaska Tribes from exercising Special Domestic Violence Jurisdiction over non-Indian domestic violence offenders. This action is a major victory for Alaska Native Tribes.
Last year, the Indian Law and Order Commission, a bipartisan advisory board, called the Alaska exemption "unconscionable".
Posted - December 10, 2014
Congress Releases FY 2015 Spending Bill - IHS funded at $4.6 billion
Last night, Congress unveiled a $1.1 trillion spending bill that will keep most of the federal government funded through September 30, 2015. The Department of Homeland Security has funding only until February 27, 2015 so that action might be taken by the Republican Congress early next year to counter the President's recent actions on immigration.
The Indian Health Service (IHS) will receive a total of $4.6 billion in FY 2015. This is $208 million above the FY 2014 level. Within this, $4.2 billion is provided for services and $460.2 million for facilities...
Posted - December 10, 2014
HHS Releases a Proposed Rule for Medicare Like Rates for Purchased / Referred Care
On Friday, December 5, 2014, Department of Health and Human Services released a proposed rule on a Medicare Like Rate for non-hospital services. This proposed rule would amend Indian Health Service (IHS) Purchased and Referred Care (PRC), (formerly known as the Contract Health Services) regulations to apply Medicare payment methodologies to all physician and other health care professional services and non-hospital-based services. (IHS referrals currently use a Medicare Like Rate for hospital-based services.)
Specifically, it proposes that the health programs operated by IHS, Tribe, Tribal organization, or urban Indian organization (collectively, I/T/U programs) will pay the lowest of the amount provided for under the applicable Medicare fee schedule, prospective payment system, or Medicare waiver; the amount negotiated by a repricing agent, if available; or the usual and customary billing rate...
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