April 5, 2016 |  Issue 16-12

7th Annual NIHB Tribal Public Health Summit
April 11-13, 2016
Atlanta, GA 

Tribal Self-Governance Consultation Conference
April 24-28, 2016
Orlando, FL

Direct Service Tribal Advisory Committee Quarterly Meeting
May 18-19, 2016
Rockville, MD
HHS Secretary's Tribal Advisory Committee Meeting
June 7-8, 2016
Washington, DC

Medicare, Medicaid, and Health Reform Policy Committee Annual Spring Retreat
June 14-15, 2016
Nashville, TN

NIHB Annual Tribal Youth Health Summit
August 1-5, 2016
Location: TBD

Direct Service Tribes Annual Meeting 
August 30 - September 1, 2016
Rapid City, SD

HHS Secretary's Tribal Advisory Committee Meeting
September 13-14, 2016
Washington, DC

33rd NIHB Annual Consumer Conference

September 19-22, 2016
Phoenix, AZ

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NIHB Updates
NIHB Recognizes National Public Health Week
This week (April 4-10) is National Public Health Week!  It is designed as a way to call attention to the value of population-based health work, and reaffirm a national commitment to work towards the health and reduce disparities for all people.  You can read President Obama's proclamation on Public Health Week here.

Public health refers to the health of the population as a whole, especially as monitored, regulated, and promoted by the Tribe, state, national, or local government.  These services tend to concentrate on the ten essential services of public health.  These services move from assessing a community issue or health concern to addressing them through programs and policies, and then assuring that the services and programs rendered are meeting the needs of the community (especially as initially identified through the assessment).  

National Public Health Week is a wonderful time to educate your Tribal leaders on the need for public health programming, and to visit with your federal lawmakers and educate them on what public health looks like within your Tribe, and where gaps in services may exist. 
Tribal public health is unique in that the programs and efforts that satisfy these ten essential services are not always housed under one roof with a single staff.  The systems that deliver Tribal public health are determined by each Tribe, and therefore vary from Tribe to Tribe.  This is just one reason why there needs to be distinct and Tribal funding and programming that can work within the Tribal public health systems.
NIHB is honoring National Public Health Week by hosting the National Tribal Public Health Summit in Atlanta, Georgia, April 11-13, and continuing to advance the state of health for all American Indians and Alaska Natives.  
Capitol Hill Updates
SDPI Caucus at NIHB's Tribal Public Health Summit
On behalf of the National Indian Health Board, we invite you to a special Tribal Caucus: Defining Long-Term Renewal for the Special Diabetes Program for Indians (SDPI) on Tuesday, April 12 from 5:00pm to 7:00pm in Ballroom A at the Atlanta Hilton hotel, during the National Indian Health Board's National Tribal Public Health Summit. The purpose of the session is to establish a Tribal consensus on the "ask" for long-term re-authorization of the SDPI.
We are inviting Tribal leaders, health directors, and other advocates to join us for a strategic discussion on how Tribes want this life saving diabetes treatment and prevention program to continue into FY 2018 and beyond. We will hear from program experts on how SDPI programs have impacted diabetes in Indian Country and what long-term renewal of the program might mean for Tribal communities. 
The Tribal Caucus is open to all Tribal leaders, members and advocates. Dinner will be served for the first 120 participants. State or federal government employees are only permitted if unanimously invited by the Tribes present.

Click here for more information.  
Administration and Organizational Updates
IHS Announces Series of Consultation Sessions on Contract Support Costs
On April 1, 2016, IHS announced that it will be releasing its latest Contract Support Costs (CSC) policy later this week for official Tribal consultation.  The CSC policy will provide uniform guidance on the preparation and negotiation requests for CSC funds for new and existing awards authorized by the Indian Self-Determination and Education Assistance Act, 25 U.S.C. 450 et seq. The new policy will be open for review and comment for 60-days.  In addition, IHS will be holding three in-person consultation sessions over the next two months at the following location:
2016 U.S. Department of Health & Human Services Region IX Tribal Consultation
April 15 from 3:00 p.m. - 3:45 p.m. Acacia Ballrooms B/C/D
Wild Horse Pass Hotel and Casino
5040 Wild Horse Pass Blvd.
Chandler, Arizona 85226
2016 Annual Tribal Self-Governance Consultation Conference
April 26 from 2:30 p.m. - 4:30 p.m. Great Hall North
Buena Vista Palace and Resort
1900 E Buena Vista Drive
Lake Buena Vista, Florida 32830
2016 U.S. Department of Health & Human Services Region X Tribal Consultation
May 13 from 10:45am - 12:00pm - Open Tribal Leader Comments session
Salmon/Whale Room, 4th Floor Tower Building
Suquamish Clearwater Casino Resort
15347 Suquamish Way NE
Suquamish, Washington 98392
NIHB will make an announcement as soon as the new policy is released.  In addition, NIHB has been working closely with the IHS CSC Workgroup on the policy's development and will share a briefing memo on the new policy in order to assist Tribes in the development of their own comments.  Please stay tuned for more information later this week! 
Nominations needed: Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030
Planning is Underway for the Development of Healthy People 2030 - The Office of Disease Prevention and Health Promotion (ODPHP) is seeking nominations for the Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives. 
The U.S. Department of Health and Human Services (HHS) has begun planning for Healthy People 2030, scheduled for release in 2020. The Healthy People initiative establishes disease prevention and health promotion objectives for the Nation.
The Office of Disease Prevention and Health Promotion (ODPHP) is seeking nominations for members of the Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030. Nominations will be accepted until 6 p.m. ET on Monday, April 18, 2016See the Federal Register notice for more information on the nomination process. For email updates, subscribe to the Healthy People listserv at HealthyPeople.gov.
CMS finalizes Mental Health and Substance use Disorder Parity Rule for Medicaid and CHIP
Under the final rule, plans must disclose information on mental health and substance use disorder benefits upon request, including the criteria for determinations of medical necessity. The final rule also requires the state to disclose the reason for any denial of reimbursement or payment for services with respect to mental health and substance use disorder benefits.
This is one of CMS' latest efforts to increase access to and improve mental health services and care for low income individuals, especially in light of the opioid abuse epidemic, which constitute significant health risks and cost drivers in the Medicaid program.
For more information, click here.
CMS Releases Final Medicare Advantage and Part D Prescription Drug Program Updates for 2017
On April 4, CMS released final updates to the Medicare Advantage and Part D Prescription programs through 2017 Rate. These updated policies seek to arrange stable payments to plans and improve the programs for plans that deliver high quality care for millions of seniors and people living with disabilities. CMS Acting Administrator Andy Slavitt stated, "with these policies, we will continue to see improvements in growth, affordability, benefits, and quality."
The new policies are designed to improve the accuracy of payment to Medicare Advantage plans that serve dual-eligible or low income beneficiary populations. The payment plan implements methodology changes to evaluate plan performance in order to better account for the costs associated with caring for these enrollees. According to CMS, a revised model for risk adjust payments will more accurately reflect the cost of care for dual-eligible beneficiaries. Another improvement of the new policies is the interim adjustment to the Star Ratings system, which will accurately reflect the socioeconomic and disability status of a plan's enrollees. CMS is also in the process of finalizing policies to encourage safeguards before distribution of opiod prescription at a pharmacy to combat over-utilization of opiods. 

Click herefor the 2017 Rate Announcement and Call Letter fact sheet. 
Upcoming Calls and Webinars
HHS Health Equity Forum - April 7, 2016
The U.S. Department of Health and Human Services (HHS) and the HHS Office of Minority Health (OMH) will host a Health Equity Forum (Forum) in recognition of National Minority Health Month 2016 and the 30th anniversary of the HHS Office of Minority Health.  During these observances, OMH will continue to build upon initiatives and campaigns initiated in 2015 during the 30th anniversary of the Report of the Secretary's Task Force on Black and Minority Health (Heckler Report).

The Heckler Report marked the first convening of health experts by the U.S. government to conduct a comprehensive study of the health status of racial and ethnic minorities, elevated minority health onto a national stage, and led to the establishment of OMH in 1986.  For 30 years, OMH has led efforts to improve the health of racial and ethnic minority populations through the development of health policies and programs that will help eliminate health disparities. 

The Forum will highlight initiatives underway by the Obama Administration and HHS to reduce disparities and further efforts needed to accelerate health equity and expand opportunity for all.

WHAT:             HHS Health Equity Forum: "Accelerating Health Equity for the Nation"
WHO:              Featured speakers: Senior Administration and Federal Officials
WHEN:            Thursday, April 7, 2016; 1:30 p.m. to 3:30 p.m. (EDT)
WHERE:          Join us live online.  Live-stream details and an agenda to come!

For questions or additional information, contact us at
forum@minorityhealth.hhs.gov or 240-453-8833.  
910 Pennsylvania Avenue, SE
Washington, DC 20003
Main Phone: 202-507-4070
Fax: 202-507-4071
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