10th Annual National Tribal Public Health Summit - May 13-15, 2019 - CLICK HERE
2019 American Indian/Alaska Native National Behavioral Health Conference - May 15-17 - CLICK HERE

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NIHB publishes weekly newsletters to keep Tribal leaders, public health program directors, providers, and advocates up to date on the latest news impacting Indian health.
  • The Washington Report
  • The Public Health Broadcast
  • Climate Mailings

NIHB is Hiring!

We are seeking qualified candidates for the following open positions based in Washington DC:

Public Health Project Coordinator

Public Health Associate

Posted: January 19, 2019

CMS Grants Arizona Medicaid Waiver on Work Requirements - Exempts Members of Federally Recognized Tribes

Yesterday, the Centers for Medicare and Medicaid Services (CMS) approved Arizona's request for an amendment to add work and community engagement requirement to its Medicaid Program. As part of the approval by CMS, members of Federally Recognized Tribes will be exempted from work and community engagement requirements...

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Posted: January 18, 2019

National Tribal Organizations Send Letter to President and Congressional Leadership Urging Action to End Shutdown

On January 10, 2019, eight national Tribal organizations, including the National Indian Health Board (NIHB), submitted a letter to the president and bi-partisan congressional leadership urging immediate action to end the partial government shutdown that is disproportionately impacting American Indian and Alaska Native Tribal Nations. The letter highlighted the shutdown’s impact on Tribal economies, access to healthcare, Tribal self-governance, and Indian housing, education, nutrition, and child welfare.

To read the letter, click HERE (PDF)

To read the accompanying statement, click HERE (DOC)

Posted: January 17, 2019

FOLLOW UP CALLS on the Partial Government Shutdown:
Thursday 1/17: IHS Call
Tuesday 1/22: NIHB Call

Please join the Indian Health Service (IHS) for a call Thursday, January 17, 2019 to update Tribal and Urban Indian Organization Leaders regarding IHS Federal funding during the current partial government shutdown due to a lapse in appropriations.

Date: Thursday, January 17, 2019
Time: 3:30 PM - 4:30 PM (Eastern)

Conference Call: 800-857-5577

Participant Passcode: 6703929

Webinar Adobe Connect: https://ihs.cosocloud.com/r4k6jib09mj/

Participant Password: ihs123

If you have any questions about the IHS call, please contact Jennifer Buschick at 301-443-3593.

The National Indian Health Board (NIHB) is also hosting a separate call Tuesday, January 22, 2019 as a follow up to its earlier call which gathered information from Tribal leaders and health programs about the impacts of the shutdown. Information for the Tuesday NIHB call is:

Date: Tuesday, January 22, 2019

Time: 3:00 - 4:00 PM (Eastern)

Dial In: 1-800-369-1811

Participant passcode: 1219149

Upon entry, all lines will be muted. Please press *1 to join the speaking queue.

If you are not able to join the call, please use this form to let NIHB know how the shutdown is impacting your community.

If you have any questions, please contact Caitrin Shuy, NIHB Director of Congressional Relations, at [email protected].

Posted: January 11, 2019

RESCHEDULED: All Tribes Call on the Partial Government Shutdown

The National Indian Health Board will hold a rescheduled All Tribes Call on Monday, January 14, 2019 at 3:00 PM Eastern.

This call is intended to provide the latest information about the status of the government shutdown and gather information from Tribal leaders and health programs about the impacts of the shutdown on your community. We hope you are able to join us for this call.

Dial In: 1-800-369-1811
Passcode: 1219149
Upon entry, all lines will be muted. Please press *1 to join the speaking queue.


  1. Welcome and Blessing
  2. Overview of Speakers and Topics
  3. Where We Are Now
  4. Interim Healthcare Options for Tribes
  5. Language To Ensure Native Contractors Are Paid
  6. Next Steps - Achieving IHS Advance Appropriations
  7. Need for Tribal Impact Stories about the Shutdown
  8. Closing Remarks

If you are not able to join the call, please use this form to let us know how the shutdown is impacting your community.

If you have any questions, please contact Caitrin Shuy, NIHB Director of Congressional Relations, at [email protected].

Posted: January 11, 2019

National Native Organizations Unite and Urge the President and Congress to Re-Open the Government

WASHINGTON, D.C. | On the 20th day of the government shutdown, eight national Native organizations are jointly urging the President and Congress to immediately end the partial government shutdown, which breaks the treaty and trust obligations the federal government owes to tribal nations. The organizations jointly sent a letter to Congress and the President outlining the wide-ranging impacts of the shutdown on Indian Country.

America’s longstanding, legally-mandated obligations to tribal nations should be honored no matter the political quarrels of the moment. “During this shutdown, Congress and the President are putting the well-being of our tribal nations and our citizens in jeopardy. As governmental leaders, we know that it is simply not an option to stop serving our citizens. On behalf of Indian Country, we urge the President and Congress to do their jobs and reopen the government immediately,” said National Congress of American Indians (NCAI) President Jefferson Keel...

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Posted: January 10, 2019

Government Shutdown Puts the Public’s Health at Risk; Potential for Harm Increases as Impasse Continues

As the government shutdown reaches its 20th day, leaders across a spectrum of health, public health and civil rights organizations call on Congress and the President to immediately reopen the government.

The ongoing shutdown is having a negative impact on the public’s health, both directly and by impacting other factors that influence health such as nutrition support programs at the Department of Agriculture and rental assistance programs at the Department of Housing and Urban Development. That impact will only grow and become more detrimental if the shutdown continues...

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Posted: January 9, 2019

All Tribes Call on the Partial Government Shutdown

As the partial government shutdown enters its 19th day, Tribes are reporting their growing anxiety in trying to keep many of their programs operational. As NIHB has reported, the Indian Health Service (IHS) is operating under a lapse in funding, and both Direct Service and Self Governance Tribes have been impacted.

The National Indian Health Board (NIHB) is working to ensure Tribes have as much information as possible regarding the shutdown and efforts to end it.

NIHB will hold an All Tribes Call on Friday, January 11, 2019 at 2:00 PM Eastern to provide information about the latest status of the government shutdown and gather information from Tribal leaders and health programs about the impacts of the shutdown on your community. Call in information is as follows:

Dial: 1-877-668-4493 Passcode: 734 706 314

Click here to join the WebEx event.

If you are not able to join the call, please use this form to let us know how the shutdown is impacting your community.

This information is extremely important so that NIHB and other advocates can convey to Congress and the White House the serious impact this shutdown is having on American Indian and Alaska Native health. Congress MUST be made aware of the specific harm done to Tribes due to the shutdown.

NIHB has also prepared a sample letter that your Tribe can send to your Representative and Senators. Click to view that letter.

If you have any questions, please contact Caitrin Shuy, NIHB Director of Congressional Relations, at [email protected].

Posted: January 7, 2019

Shutdown Continues into Second Week, Tribes Feeling Impact

Today is the 13th day of the partial government shutdown, and the federal agencies impacted are beginning to see their services effected as carry over funds diminish.

This shutdown is unlike others due to its limited impact: it only affects those agencies which have not been funded by Congress for the entirety of Fiscal Year (FY) 2019. Unfortunately, this includes the Department of Interior as well as the Indian Health Service. Other public health programs operating in Indian Country within HHS are funded and will continue without disruption...

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Posted: January 4, 2019

Tell Congress How the Shutdown is Harming Your Tribe's Health!

Today, January 3, 2019, marks the 13th day of the partial government shutdown. The Indian Health Service (IHS) is one of the agencies affected by the lapse in funding, and both Direct Service and Self Governance Tribes have been impacted.

Even as IHS facilities remain open to provide medical care, Tribes are still feeling the impact of the shutdown. Due to the IHS's inability to provide funding to Tribes and many federal employees during the shutdown, many health programs and critical health services are unable to continue providing care...

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Posted: January 4, 2019

Potential Government Shutdown Approaching:
Legislation Introduced to Keep IHS Funded
What Tribes Can Expect During & After a Shutdown

The federal government may be undergoing a partial shutdown if Congress fails to pass a Continuing Resolution (CR) by the end of the day today, December 21, 2018. At the time of this writing, it is unclear if the Congress and the President will reach an agreement to keep the government open by tonight. President Trump has indicated that he will not sign legislation that does not fund the border wall. Senate Democrats have said that they will not accept that option.

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Posted: January 3, 2019

New Congress Sworn In, Pelosi Elevated to Speaker

Today the 116th Congress took the oath of office and began its two-year term. With Democrats in Control of the House and Republicans in the majority in the Senate, Congress is divided for the first time since 2014.

As NIHB detailed in a webinar analyzing the results of the 2018 midterm elections on Indian health, the new Congress includes four members of federally-recognized Tribes, the most ever in the history of Congress. Committee assignments for the two newly elected Tribal women, as well as the 88 other Congressmembers elected for the first time, will be known in the very near future.

As expected, former Speaker Nancy Pelosi (D-CA) reclaimed her place as the top member of the House, a post which she held from 2007-2011. While there had been some doubt as to whether the House Democrats would continue to support Pelosi, who has led the caucus since 2004, she won a crucial caucus vote following the 2018 elections. Pelosi has demonstrated familiarity with the federal government's trust responsibility to provide health to Tribes and has been a supporter of many of Indian Country's health priorities.

Posted: December 21, 2018

U.S. Commission on Civil Rights Releases Report on Federal AI/AN Funding Shortfalls

Today, December 20, 2018, the U.S. Commission on Civil Rights released "Broken Promises: Continuing Federal Funding Shortfall for Native Americans". The Commission evaluated whether the federal government is meeting its trust responsibilities to the Tribes by examining federal budgets and agency spending of on programs or initiatives designed to meet the needs of American Indian/Alaska Native (AI/AN) and Native Hawaiian communities, including programs under the Departments of Health & Human Services, Interior, Housing & Urban Development, Justice, and Education.

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Posted: December 21, 2018

President Signs Farm Bill into Law; USDA to Release Proposed Rule on SNAP Work Requirements

On Thursday December 20, 2018, President Trump signed H.R. 2 - Agriculture Improvement Act of 2018 - better known as the "Farm Bill" into law. The 5-year reauthorization of the Farm Bill includes important gains in traditional food production, nutrition access, and agriculture infrastructure development for American Indian and Alaska Native (AI/AN) Tribes and Tribal communities...

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Posted: December 20, 2018

GAO releases report on IHS funding levels compared to other federal health programs

On December 10, 2018, the Government Accountability Office (GAO), which acts as the "audit, evaluation, and investigative arm of Congress", published a report considering spending levels for the Indian Health Service (IHS), compared to three other federal health care providers. The report comes at the request of Congressional leaders on the Interior appropriations subcommittee of the House of Representatives.

In the report GAO compared the funding levels of IHS, the Veterans Health Administration (VHA), Medicare, and Medicaid. It looks at funding levels from 2013 through 2017 and analyzed budget and program documents from the four programs to determine total annual spending levels and spending on a per capita basis. The report found that IHS's per capita spending was $4,078, compared to $8,109 for Medicaid, $10,692 for VHA, and $13,185 for Medicare. The report highlights that IHS has a different by design form the other federal healthcare providers, in that it has smaller facilities that are more rural, and often offer mostly primary and emergency care services. In addition, the IHS and VHA depend on funding levels that are subject to the annual appropriations process, meaning that per capita spending could drop, with more people being served.

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Posted: December 20, 2018

HHS Tribal Consultation Policy Deadline Extended by 90 days

On October 22, 2018, The Department of Health and Human Services (HHS), issued a Dear Tribal Leader Letter (DTLL), requesting feedback from Tribal representatives on HHS' Tribal Consultation Policy (TCP). The TCP is reviewed periodically. The original deadline for comments was December, 19, 2018 but thanks to Tribal advocacy, this deadline has been extended for 90 days and comments will now be due on Friday, March 15, 2019.

Specifically, HHS seeks input on:

The consultation mechanisms that work and those that do not; and

  • What HHS can do to improve their activities to ensure an effective and meaningful Tribal Consultation Policy?

Comments can be sent to:

Stacey Ecoffey, Principal Advisor for Tribal Affairs
Office of Intergovernmental and External Affairs
U.S. Department of Health and Human Services
200 Independence Ave SW Room 620-E
Washington, DC 20201
Email: [email protected]

Posted: December 19, 2018

Federal District Judge Issues Ruling that the Affordable Care Act is Unconstitutional

On Friday December 14, 2018, United States District Judge for the Northern District of Texas, Reed O’Connor, ruled the Patient Protection and Affordable Care Act (ACA) (P.L. 111-148) to be unconstitutional after twenty states filed lawsuits in February 2018 arguing that the entire law was invalidated after congress repealed the individual mandate to purchase health insurance. The individual mandate – which was repealed as part of the Tax Cuts and Jobs Act of 2017 – was a central pillar of the health law that required individuals who could afford health coverage to obtain health insurance or face a financial penalty or tax.

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Posted: November 12, 2018

Farm Bill Includes Important Provisions Promoting Tribal Health and Sovereignty

After months of negotiations, leaders from both the House and Senate Agriculture Committees came to an agreement on renewing the Farm Bill, which expired on September 30, 2018. On Tuesday December 12, the Senate passed the massive $867 billion legislation by a vote of 87-13, with the House set to vote on the bill this week. Tribes and Tribal organizations have long advocated for key provisions in the bill that improve food and nutrition access for American Indians and Alaska Natives. The Conference report on the 2018 Farm Bill was released Monday night and included many key Tribal provisions that support Tribal sovereignty and Tribal Health...

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Posted: November 9, 2018

Congressional Co-Chairs of IHS Task Force Request Input from Tribal Leaders

Today, the Co-Chairs of the House of Representatives Indian Health Service (IHS) Task Force released a letter to Tribal leaders requesting information regarding the IHS' accessibility, resources, patient outreach, workforce, cost and other effectiveness metrics...

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Posted: November 2, 2018

NIHB Analysis of H.R. 6 - SUPPORT for Patients and Communities Act

On October 24, 2018, the President signed into law H.R. 6 - SUPPORT for Patients and Communities Act - a comprehensive package of bills to address the opioid overdose epidemic.

Addressing the opioid crisis has been a top priority in Congress, and this legislation fulfills a long anticipated promise of delivering more federal dollars and resources to assist communities in their response efforts. Passed by margins of 98-1 in the Senate and 396-14 in the House, the bipartisan and bicameral support for passage of H.R. 6 speaks directly to the heightened national urgency to turn the tide on the epidemic...

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Posted: September 27, 2018

Congress Passes Health Funding Bill

Trump to Sign Fiscal Year 2019 Labor-HHS Appropriations Bill and Continuing Resolution for Several Agencies

The House of Representatives last night passed H.R. 6157, the Fiscal Year (FY) 2019 Labor-HHS Appropriations bill, which contains funding for the Department of Health and Human Services (HHS) as well as the Departments of Labor, Education, and Defense. The bill funds these agencies until September 30, 2019.

H.R. 6157 also contains a Continuing Resolution (CR) funding several other agencies, including the Indian Health Service (IHS), until December 7, 2018...

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Posted: September 25, 2018

Senate Passes Comprehensive Opioids Bill

Multiple Tribal Additions Included in Alexander Amendment

Today, the Senate passed its version of comprehensive opioids legislation. The Opioid Crisis Response Act (OCRA) passed as an amendment to H.R. 6, the Support for Patients and Communities Act, an opioids bill that passed the House on June 22, 2018.

The final version of OCRA, a bipartisan bill written by the Republican and Democratic leaders of the Health, Education, Labor, and Pensions (HELP) Committee, reflects many Tribal priorities and incorporates several suggestions from the National Indian Health Board (NIHB) and the Tribes. The original Senate bill, S. 2680, included Tribes in certain provisions...

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Posted: September 10, 2018

NIHB Announces 2018 Jake White Crow Award Winner

The National Indian Health Board is pleased to announce that Congressman Tom Cole of Oklahoma (Chickasaw Nation) will receive the 2018 prestigious Jake White Crow Award. This award recognizes an individual or organization with outstanding lifetime achievements in elevating health care advocacy, raising awareness or affecting positive change for American Indian and Alaska Native health care.

The Congressman, one of only two American Indians in Congress, has been a champion for Indian Country throughout his career. He is a visionary leader in the U.S. Congress when it comes to ensuring that the federal government meets its trust responsibility to American Indians and Alaska Natives (AI/ANs). As a senior member of the House Appropriations Committee, Cole has been instrumental in securing funding for all of Indian Country by constantly advocating on behalf of the Tribes and educating his colleagues about the federal trust responsibility to Tribes. He chairs the subcommittee on Labor, Health and Human Services, Education and Related Agencies. In this role, he has worked to ensure that the Indian health system receives equitable funding across the Department of Health and Human Services. He also serves on the Appropriations subcommittee for Interior, Environment and Related Agencies appropriations where he has been a strong advocate for increased Indian Health Service funding. In the time that Congressman Cole has served on that Subcommittee, IHS funding has increased by $2 billion. Outside of the Appropriations Committee he serves as the Co-Chair of the Congressional Native American Caucus and in that role he works to ensure that the federal government honors its promises to American Indians and Alaska Natives in all legislation considered by Congress.

"I am thrilled that the Board has chosen to honor Congressman Tom Cole as the 2018 Jake White Crow Award winner. His leadership in Congress has advanced the needs of Indian health," said NIHB Chairman Vinton Hawley. "Mr. Cole works tirelessly to ensure that the federal government fulfills its trust responsibility for health and protects Tribal sovereignty at every turn" continued Chairman Hawley.

Upon being notified of the award Congressman Cole said, “I am very honored to receive the Jake White Crow Award from the National Indian Health Board. Supporting medical care, research and advocacy has been among my top priorities in Congress as the Chairman of the Labor, Health and Human Services Appropriations Subcommittee. And since my first day in Congress, supporting Native American and Tribal wellbeing across sectors has been a top priority as well. I will always continue to ensure that Native American citizens have proper and adequate access to healthcare in Tribal communities.”

The National Indian Health Board (NIHB) is a 501(c) 3 not for profit, charitable organization serving all 573 Federally recognized Tribal governments for the purpose of ensuring that the federal government upholds its trust responsibilities to provide health care to the Tribes. NIHB also works to elevate health care status, services and systems of the Tribes and our Peoples.

Other awards for National Impact, Area Impact, and Local Impact will be announced at the Annual Heroes in Health Awards Gala on Wednesday, September 19, 2018 in Oklahoma City, Oklahoma. This year’s theme is “Expanding the Horizon of Indian Health.”

Please visit this link for more information and to purchase tickets.

Posted: July 18, 2018

2018 Direct Service Tribes National Meeting

On July 11-12, 2018, the National Indian Health Board (NIHB) participated in the Direct Service Tribes National Meeting (DSTNM) in St. Paul, MN. The DSTNM was preceded by the fourth quarterly meeting of the Indian Health Service (IHS) Direct Service Tribes Advisory Committee (DSTAC) on July 10, 2018. The DSTAC is comprised of elected and appointed leaders from nine IHS areas with Direct Service Tribes (DSTs) that offers recommendations and policy guidance to the IHS. The DSTNM is an annual two-day event hosted by the Indian Health Service (IHS), focused on supporting community wellness and strength. The theme for the 2018 national meeting, “Utilizing people, partnerships, quality and resources to strengthen our communities” featured speakers and breakout sessions that addressed Direct Service Tribes (DST) health priorities...

Click Here to view NIHB Presentation Slides

Click Here to View Photos

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Posted: July 12, 2018

House Appropriations Committee Advances FY 2019 Labor-HHS Appropriations Bill

Programs of Significance for Tribes in the FY 2019 House and Senate Labor-HHS Appropriations Bills

On Tuesday, July 11, 2018, the full House Appropriations Committee held a markup hearing and voted to advance the FY 2019 Appropriations Bill for Labor, Health and Human Services, Education and Related Agencies (commonly referred to as Labor-HHS) by a vote of 30-22. No Tribally-specific amendments were adopted during the markup; however, representatives from both parties adopted a number of amendments aimed at addressing the impact of family separation policies at the border. The bill must now be voted on the House floor before being sent on to the Senate. The full Senate Appropriations Committee advanced their Labor-HHS bill prior to the July 4th recess...

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Posted: July 2, 2018

2019 House Labor-HHS Appropriations Bill
Markup Scheduled for After July 4th

Tribes Must Redouble Advocacy Efforts to Protect Gains and Continue Momentum!

Yesterday, June 25, the House Appropriations Committee announced that it was postponing one of its last remaining mark-ups, delaying a vote on a bill crucial to public health programs in Indian Country. The mark-up for the Labor-HHS Appropriations bill had been scheduled for today, June 26, but will now take place after the July 4th Recess.

The House Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies (Labor-H) had its markup of the appropriations bill for Fiscal Year (FY) 2019 on June 15. This bill funds several public health programs within the Department of Health and Human Services (HHS) that operate in Indian Country. The National Indian Health Board (NIHB) provided oral testimony and a written statement to the subcommittee outlining the success of these programs and providing recommendations for funding in FY 19...

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Posted: April 18, 2018

The House Natural Resources Committee Ranking Member Raul Grijalva (D-AZ) and Representative Nanette Barragan (D-CA) hosted a Natural Resources Roundtable Conversation on Environment and Public Health.

The roundtable brought together a broad coalition of stakeholders working to improve the health of communities impacted by environmental impacts. The group highlighted the health challenges faced by communities across the United States related to air pollution, water contamination, and irresponsible mining and land management practices, among other concerns.

Stacy Bohlen, CEO of the National Indian Health Board (NIHB) participated in the roundtable to advocate for the environmental public health concerns of Tribes. Ms. Bohlen stated, "American Indian and Alaska Native people have lived for thousands of years in harmony with our surrounding environments, taking what we needed from the land for physical, cultural, and spiritual purposes. Tribal practices and lifeways were sustainable over time, and protected the health of current and future generations." She shared that, despite this tremendous respect for the environment, Tribes now find this harmony and balance slipping away as industry creates negative impacts that are far reaching and long lasting.

The need for Trial consultation in regards to public health was stressed by Ranking Member Grijalva, who emphasized that Tribal public health concerns should not be considered "after the fact" – rather, Tribes should have the opportunity to share their unique perspectives, needs, and experiences before any decisions or actions are taken.

Both Ranking Member Grijalva and Representative Barragan look to continue dialogue with organizational partners, to highlight environmental impacts on health, and galvanize action that can disrupt and prevent these health impacts from harming community health, especially those most vulnerable among us like children and elders. The National Indian Health Board will continue to work with the House Natural Resources Committee to ensure that the public health concerns of American Indians and Alaska Natives are addressed.

Posted: March 27, 2018

NIHB Testifies on the Opioid Crisis in Indian Country

Advocates for Specific Tribal Funding, Traditional Healing Practices and better data collection

The National Indian Health Board (NIHB) recently testified before two congressional committees on the need to improve the response to the opioid crisis in Tribal communities.

On March 14, 2018, NIHB Treasurer and Bemidji Area Representative Samuel Moose testified before the Senate Committee on Indian Affairs in a hearing titled: "Opioids in Indian Country: Beyond the Crisis to Healing the Community." On March 22, 2018, NIHB Chief Executive Officer Stacy A. Bohlen testified before the House Energy and Commerce Committee at a hearing titled, "Combating the Opioid Crisis: Prevention and Public Health Solutions."

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Posted: March 23, 2018

The FY 2018 Omnibus & its Impact on Indian Health
Includes Tribal Set Asides for Opioid Funding, $500 million increase for IHS

Last night, Congressional leaders unveiled a massive $1.3 trillion spending bill that will fund the federal government through the rest of FY 2018. The Consolidated Appropriations Act, 2018 (H.R. 1625) contains funding for most of the federal government agencies including Department of Health and Human Services (HHS), and the Indian Health Service (IHS). The bill passed the U.S. House of Representatives on a bipartisan vote of 266-167 on Thursday, March 22. The Senate passed the bill 65-32 early Friday morning and sent it to President Trump for his signature...

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Posted: March 23, 2018

UPDATE: President Trump Signs FY 2018 Omnibus
The Impact to Tribal Health: Tribal Set Asides for Opioid Funding, $500 Million Increase for IHS

President Trump announced today that, despite several objections to funding levels in the bill, he supported the Fiscal Year (FY) 2018 Omnibus. He signed the Omnibus into law shortly after 1:00 Eastern. This means that the government will be funded through September, the end of FY 2018.


Posted: February 27, 2018

HHS Releases Strategic Plan FY 2018-2022

Dear MMPC:
The US Department of Health and Human Services (HHS) has posted their Strategic Plan for FY 2018-2022 (Strategic Plan) to the HHS.gov website, linked above. Every four years, HHS updates its Strategic Plan, which describes its work to address health and human services issues. Tribes and Tribal health advocates may find this document useful in understanding administration priorities and their management perspective for federal agencies and programs that are implemented across Indian Country...

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Posted: February 27, 2018

Congress Renews Health Programs Important to Tribes as Part of Budget Deal

On February 9, 2018, Congress passed a budget agreement that funded the government until March 23, 2018, and reauthorized several public health programs. Many of the programs either benefit Tribal members directly or provide funding to support Tribal public health programs. Reauthorization for these programs varied in length and amount. Below is a summary of renewed programs important to Tribes.

The Special Diabetes Program for Indians (SDPI) was renewed through September 30, 2019. The program will be funded at $150 million per year, the same amount it has received since 2004. SDPI currently funds 301 Tribal diabetes programs through a competitive grant process. The program has existed since 1997 and has helped lessen diabetes’s negative health impacts in Tribal communities. It has been cited as the most successful public health program in Indian Country...

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Posted: February 21, 2018

Robert Weaver Withdraws From Consideration as Indian Health Service Director

Today, February 21, 2018, the White House announced that Robert Weaver, Quapaw Tribe, has submitted his withdrawal from consideration as Director for the Indian Health Service (IHS).

Mr. Weaver was announced as the new IHS Director on October 6, 2017. His name had been submitted to the United States Senate Committee on Indian Affairs, where his nomination had been pending. His nomination has been met with mixed reactions from Indian Country, and The Wall Street Journal detailed allegations of employment misrepresentation and financial mismanagement...

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Posted: February 13, 2018

President Trump Releases FY 2019 Budget Request: Major Cuts to Domestic Spending and Social Safety Net, Investments in Opioid Treatment and Prevention

On Monday, February 12, 2018 President Trump released his fiscal year (FY) 2019 Budget Request to Congress. This is the proposal that the Administration provides the Congress as they will develop the FY 2019 appropriation including funds for the Indian Health Service and other health programs serving Indian Country. It will be up to Congress to make any final spending decisions about appropriations for FY 2019, which will begin on October 1, 2018...

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Posted: February 9, 2018

Congress Passes Spending Bill to Fund Government, Renews SDPI

Early this morning, both chambers of Congress approved a spending bill written by the Majority and Minority leaders in the Senate. Following the vote, President Trump signed the bill into law, reopening the federal government after an hours-long shutdown. The bill funds the federal government until March 23, 2018...

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Posted: February 8, 2018

Budget Deal Includes 2 Year SDPI Renewal, Other Public Health Programs

Senate leadership has announced a two-year budget agreement to avoid another shutdown and lessen Congress's reliance on short term Continuing Resolutions to fund the government. It would fund the federal government through March 23, 2018, and provide a pathway for Congress to determine the final spending amounts for the remainder of FY 2018. Congress must pass a spending bill by the end of the day TODAY, February 8, 2018, to avoid another shutdown...

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Posted: February 6, 2018

New Continuing Resolution Includes SDPI:
Bill Would Reauthorize Program for 2 Years

Last night, the House Appropriations Committee released the text of the latest Continuing Resolution to fund the government until March 23, 2018. Included in the legislative text is a 2 year reauthorization of the Special Diabetes Program for Indians!

NIHB has made long term renewal of SDPI our top legislative priority, and success is in sight. But the journey to secure renewal is not over yet: Congress must still pass the Continuing Resolution with SDPI included!

Click here to view background materials for SDPI.
Click here to view updated talking points on how SDPI can be renewed NOW.

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Posted: February 2, 2018

NIHB Issues Call to Action to Congress:
Finish the Job and Renew the Special Diabetes Program!

Today, Stacy A. Bohlen, Chief Executive Officer of the National Indian Health Board, in partnership with the Juvenile Diabetes Research Foundation, called upon Congress to reauthorize the Special Diabetes Program and the Special Diabetes Program for Indians in the Continuing Resolution that Congress will pass next week in order to keep the federal government funded past February 8.

The article will appear in print in The Hill, a nationwide publication. You can read the piece online here...

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Posted: January 25, 2018

SDPI Outreach Needed: Next Continuing Resolution MAY Include Long-Term Renewal

As the National Indian Health Board has previously reported, one of our top legislative priorities is the long-term renewal of the Special Diabetes Program for Indians. Funding for this highly effective, life-saving program will expire on March 31, 2018, unless Congress reauthorizes it before then.

When SDPI renewal was not included in the last Continuing Resolution despite Congressional promises to Indian Country, NIHB promised to provide Tribes and advocates with Congressional outreach guidance, materials, and information in order to secure renewal for the program...

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Posted: January 23, 2018

NIHB Participates in Native Foods Roundtable at the Senate Committee on Indian Affairs

On January 18, 2018, NIHB Executive Director Stacy A. Bohlen participated in a roundtable with the Senate Committee on Indian Affairs titled "Advancing Native Food Traditions in Indian Country." The purpose of the roundtable was to discuss Tribal policy recommends for the upcoming reauthorization of the Farm Bill.

Ms. Bohlen stressed the need for federal policy to support traditional food practices, Tribal sovereignty, and self-determination. She made the link between access to traditional food and health outcomes. She said that all American Indians and Alaska Natives (AI/ANs) have a "fundamental right to be a healthy person to have access to traditional...foods that are part of defining who we are culturally. We find that the intersection of public policy and health outcomes has a very profound, and often has negative consequence for AI/ANs." When indigenous people are removed from their ability to produce traditional food by federal policies like removal, federal food programs that support processed food, or damming of rivers that disturb agricultural and subsistence practices, health also greatly suffers. Ms. Bohlen also highlighted the major, positive impact that the Special Diabetes Program for Indians (SDPI) has had to bolster traditional food programs and urged that Congress swiftly reauthorize SDPI...

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Posted: January 22, 2018

Senate Reaches Deal to End Government Shutdown
New CR Expires February 8

At noon today, the Senate voted to pass a Continuing Resolution (CR) to end the shutdown and fund the government through February 8, 2018. This vote is the result of a deal reached between Senate Majority Leader McConnell (R-KY) and Minority Leader Schumer (D-NY). The CR includes a 6-year renewal of the Children's Health Insurance Program (CHIP). As part of the deal, the Majority Leader promised a vote on codifying the Deferred Action for Childhood Arrivals Program (DACA) before the CR expires. The House has not yet voted on the new CR but is expected to in the near future. The President has announced his support for the CR...

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Posted: January 18, 2018

We Fight On: Special Diabetes Program for Indians Renewal Efforts Continue

The Work Continues... Thank you to everyone who participated in Congressional outreach for the Special Diabetes Program for Indians (SDPI) renewal today. Unfortunately, we just learned that SDPI is not likely to be included in the current Continuing Resolution (CR). The House Rules Committee is considering the CR now - we expect that the Committee will issue a Closed Rule, meaning no amendments will be allowed, and SDPI renewal is not in the CR. The CR being considered the Rules Committee today, if approved, will expire February 16, 2018. The CR does contain a 6-year reauthorization for the Children's Health Insurance Program (CHIP). For many months, lawmakers and Congressional Leadership assured NIHB and Indian Country that the SDPI renewal would be taken up with CHIP: that did not happen today.

It is worthy of note, and we are grateful, that CHIP will be reauthorized for 6 years - because this program is so vital to American Indian and Alaska Native children...

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Posted: January 17, 2018

New Continuing Resolution Does NOT Include Special Diabetes Program for Indians Reauthorization

Yesterday, January 16, 2018, House Republican leadership released language for the next Continuing Resolution (CR), which will fund federal government agencies until February 16. The CR includes a six-year reauthorization for the Children's Health Insurance Program (CHIP). Many American Indian/Alaska Native (AI/AN) children and their families receive coverage from this program, and NIHB supports its renewal. Unfortunately, the CR does NOT include any language renewing the Special Diabates Program for Indians (SDPI), which now expires on March 31, 2018!

Up to this point, NIHB had been told by Congressional staff that SDPI would be renewed with the long-term CHIP reauthorization...

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