July 2, 2014  |  Issue 14-20




31st Annual Consumer Conference 

September 8-11, 2014

 Albuquerque, New Mexico 


NIHB 2014 Native Youth Health Summit

Navajo Nation

September 5-8, 2014


11th Annual Direct Service Tribes National Meeting

Albuquerque, NM

July 9-10, 2014

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In This Issue



CALL FOR PROPOSALS: 2014 NIHB Annual Consumer Conference


ACCEPTING APPLICATIONS: 2014 NIHB Native Youth Health Summit 


NIHB Traveling to Indian Country for Affordable Care Act Training 


Congress in Recess This Week, Little Action Expected Upon Return 


Comment Period for HRSA Tribal Consultation EXTENDED to July 28, 2014


SAMHSA Accepting Feedback on Tribal Consultation Policy 


Proposed CMS Rule on Certified EHR Technology 


NIHB Updates

The National Indian Health Board (NIHB) invites proposals for the 2014 Annual Consumer Conference, "Advancing Health Care through Consultation, Technology and Tradition." This year's conference will focus on the following tracks:


Medicare, Medicaid and Health Care Reform 

Strategic Plan: Budget, Policy and Advocacy
Health Information Technology
Health Promotion/Disease Prevention
Youth Health and Public Health
Tribal Oral Health


NIHB encourages presenters addressing the top Tribal health priorities, as identified by American Indians and Alaska Natives.  Click here for online application and more information.

ACCEPTING APPLICATIONS: 2014 NIHB Native Youth Health Summit

The National Indian Health Board is proud to announce that we are currently accepting applications for this year's Native Youth Health Summit.  The Summit this year is being hosted by the Navajo Nation and will take place in Window Rock, AZ, September 4-9, 2014 as an official pre-conference event to the Annual Consumer Conference.  The Youth Summit always serves to energize all youth and adults involved. There is no better investment in our future than investing in our youth. 


The Summit will allow participants to develop their own digital stories that they can then take back home to share with their Tribes, Health Board, Area and friends.  The Summit will also feature fitness activities, educational forums, and some fun activities that will bring the participants outsides and interacting with the community. The Youth Summit is a wonderful and exciting opportunity to assist youth to grow in their own health advocacy and knowledge. 


The application packet and additional information is available online at http://nihb.org/communications/acc_2014_youth_summit.php.  The packet contains information on deadlines, application process, travel, fees, agenda, roles and responsibilities for both youth participants and adult chaperones. The packet also includes actual application forms that the youth will need to completedand submit to NIHB by July 31st


If you have any questions, please do not hesitate to contact Robert Foley, Acting Director of Public Health Programs and Policy, at rfoley@nihb.org

NIHB Traveling to Indian Country for Affordable Care Act Training

This summer, NIHB will be traveling to many locations in Indian Country to provide training on the Affordable Care Act (ACA). The law offers new opportunities for Indian Country because it allows American Indians and Alaska Natives increased access to those health services not provided onsite at the IHS facility, and will increase the continuity of care.  The ACA also reinforces the government-to-government relationship that Tribes have with the Federal Government, as it permanently reauthorizes the Indian Health Care Improvement Act, which is a vital component of our health care delivery system.


This summer NIHB will be holding several training sessions across Indian Country including locations in Ft. Duchesne, UT; Phoenix AZ; and Navajo Nation.  Topics in the training include:  

  • Overview of Affordable Care Act (ACA)

  • Health Insurance Marketplace

  • Medicaid Expansion and CHIP

  • Exemption Waivers

  • Large Employer Shared Responsibility Provision of the ACA

  • New Opportunities for Direct Service Tribes with 638 and Purchased/ Referred Care

  • Implications for Tribal Communities and Individuals


You can view the full schedule here.  


If you are interested in requesting a training for your area or community, please contact Dawn Coley, Tribal Health Care Reform Outreach and Education Program Manager, at dcoley@nihb.org or April Hale, Tribal Health Care Reform Outreach and Education Communications Coordinator, at ahale@nihb.org, or call NIHB at 202-507-4070. You may visit www.nihb.org/tribalhealthreform for information about the trainings.  

Capitol Hill Update

Congress In Recess This Week, Little Action Expected Upon Return

Congress is in recess this week in observance of Independence Day. Both the House and Senate will return next week, but insiders predict that little action will be taken before the midterm elections in November. The FY 2015 appropriations process is widely thought to be headed for a continuing resolution due to controversial policy provisions that Members of Congress are seeking to attach to the spending bills. Immigration reform continues to languish and the Highway Trust Fund is quickly running out of funds, endangering many jobs nationwide.


While there may be some movement to enact FY 2015 appropriations legislation in order to avoid a government shutdown and to replenish the Highway Trust Fund, it is unclear if Congress will be able to act on other major legislation including tax reform, veterans' health reform, and human trafficking before November. Despite this, NIHB continues to work with Congress to seek action on key health priorities for Indian Country including advance appropriations for the Indian Health Service; expanding the Medicare Like Rate Cap to all purchased/referred care services; long-term renewal of the Special Diabetes Program for Indians; and a fix for the inconsistent Definitions of Indian in the Affordable Care Act. Please visit NIHB's legislative page to learn how you can get involved!


Please contact NIHB's Director of Congressional Relations, Caitrin Shuy at cshuy@nihb.org with any questions about NIHB's legislative efforts.  

Administration Update
Comment Period for HRSA Tribal Consultation EXTENDED to July 28, 2014

Comment period for the Health Resources and Services Administration (HRSA) Tribal Consultation Policy has been extended for an additional 30 days through Monday, July 28, 2014 (the original comment period was set to end June 27, 2014).


HRSA has asked for input regarding the current HRSA Tribal Consultation Policy (Click here to review).  HRSA policy requires review of the consultation policy every two years, and revision to the policy if necessary. HRSA is seeking Tribal input and asks for comments no later than Monday, July 28, 2014.


Please continue to send comments to the dedicated mailbox: aianhealth@hrsa.gov.

SAMHSA Accepting Feedback on Tribal Consultation Policy

The Substance Abuse and Mental Health Services Administration has released a Dear Tribal Leader letter within the past month soliciting feedback on the latest revisions to their Tribal Consultation Policy (TCP). The policy can be read here, http://beta.samhsa.gov/sites/default/files/tribal-consultation.pdf. SAMHSA is requesting that all feedback on the revised policy be submitted via e-mail to tribalconsultation@samhsa.hhs.gov by August 29, 2014.

Proposed CMS Rule on Certified EHR Technology

On May 23, 2014, HHS published a new proposed rule (Click here to see an easy to read pdf) that would provide eligible professionals, eligible hospitals, and critical access hospitals more flexibility in how they use certified electronic health record (EHR) technology (CEHRT) to meet meaningful use. The proposed rule, from the Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC), would let providers use the 2011 Edition CEHRT or a combination of 2011 and 2014 Edition CEHRT for the EHR reporting period in 2014 for the Medicare and Medicaid EHR Incentive Programs.


The proposed rule also includes a provision that would formalize CMS and ONC's previously stated intention to extend Stage 2 through 2016 and begin Stage 3 in 2017.

To submit comments please visit:  


Comments are due July 21, 2014, 11:59pm EST. 

926 Pennsylvania Avenue, SE
Washington, DC 20003
Main Phone: 202-507-4070
Fax: 202-507-4071
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