6/17 NCUIH Newsletter

NCUIH Newsletter | June 17, 2019

Welcome to our Summer Intern and Legal Fellow

NCUIH is pleased to have Christina Haswood (Navajo), Intern, and Joy Parker (Abenaki), Legal Fellow, in the office through July.

Learn more about Christina and Joy.

Newsletter Sections:

Skip to Upcoming Events | Technical Assistance and Research

Policy Center Highlights 

This Week: House of Representatives to Vote on Bill (H.R. 3055) Containing $30 Million Increase for Urban Indian Health 

At the start of the week, the House will work to finish consideration of the four-bill spending package called a "minibus" (H.R. 2740) covering Defense, Labor-HHS-Education, Energy & Water, and State-Foreign Operations. Passing H.R. 2740 will require solid support throughout the House Democratic caucus as Republicans have said they won’t back the measure. To reach the 217 votes currently necessary for a majority, Democrats can lose support from no more than 17 of their 235 members.

Once the House wraps up work on the first minibus, it will move to consider its second Appropriations package (H.R. 3055) that includes Agriculture-FDA, Commerce-Justice-Science, Interior-Environment, Military Construction-VA and Transportation-HUD funds. Agencies and programs covered by those five appropriations bills would receive about $320 billion in fiscal 2020 discretionary funding under the measure. H.R. 3055 contains the $81 million funding for urban Indian health as part of the Interior-Environment appropriations bill. 

Presidential Candidates Stances on the Hyde Amendment  

Recently, former Vice President Joe Biden’s campaign said that he supported the Hyde Amendment, but after criticism, he reversed his position, which has brought the Hyde Amendment to the national spotlight. Democratic presidential candidates Sen. Bernie Sanders and Sen. Amy Klobuchar are co-sponsors of a bill that would repeal the Hyde Amendment, along with Rep. Seth Moulton, Sens. Kamala Harris, Elizabeth Warren, Kirsten Gillibrand and Cory Booker.

Charon Asetoyer (Comanche), founder and executive director of the Native American Women’s Health Education Resource Center on the Yankton Nakota reservation explains that Native women are restricted in their access to reproductive health care because of the Hyde Amendment. “We access health care through the federal government, and the federal government prohibits funds for abortion services.”  Additionally, Sarah Deer (Muscogee (Creek) Nation), recognized for her work on Native women’s issues and inductee into the National Women’s Hall of Fame, explains that too often, people miss the deeper story around reproductive health care for Native women. Deer told Indian Country Today that the pro-choice story and language are predominantly religious. “But for us, for Native people, it’s different,” she said. One issue regarding abortion for Native American people is that it is an aspect of health care. Many in Indian Country strongly assert that health care is not a privilege, it is a right defined by treaties entered into with the United States government.

Read more here and here.

Request for Information: Reducing Administrative Burden to Put Patients over Paperwork 

On June 11th, the Centers for Medicare & Medicaid Services (CMS) published a Request for Information (RFI) seeking new ideas from the public on how to continue the progress of the Patients over Paperwork initiative. The RFI on Reducing Administrative Burden to Put Patients over Paperwork invites patients and their families, the medical community, and other healthcare stakeholders to recommend further changes to rules, policies, and procedures that would shift more of clinicians’ time and our healthcare system’s resources from needless paperwork to high-quality care that improves patient health. Among other topics in this RFI, CMS solicits new ideas in several areas related to transforming Medicaid and better care for Medicare-Medicaid dually eligible individuals, including: aligning Medicare, Medicaid and other payer coding, payment and documentation requirements and processes; clarifying or simplifying regulations or operations that pose challenges for beneficiaries dually enrolled in both Medicare and Medicaid and those who care for such beneficiaries; and simplifying beneficiary enrollment and eligibility determination across programs. The RFI on Reducing Administrative Burden to Put Patients over Paperwork is posted in the Federal Register and the comment period closes on August 12, 2019.
Learn More

Medicaid Expansion Hindered in Utah 

As Medicaid continues to be at the forefront of many people’s healthcare related concerns, Utah seeks to limit Medicaid spending per enrollee. In a waiver request released last week by state officials, the state looks to roll back a voter-approved expansion of the safety net program, and receive enhanced Obamacare funds for covering fewer people. Should the plan go through, low-income adults with dependent children, adults without children and enrollees receiving short-term residential treatment for a substance use disorder, would be per capita capped. Regarding the American Indian population, only those in a “verified membership in a federally recognized tribe” would be exempt. Additionally, the state has asked for federal funding that is consistent with medical inflation rates which is projected to reach 4.2% by 2021. These actions continue a Trump administration tendency to give states flexibility to overhaul Medicaid on their own without input from Congress, which has balked at the prospect of strict spending caps. Protests from various groups have occurred in Utah, including from patient groups warning that it will put the state in an untenable financial situation and risk coverage for thousands of people.

U.S. Department of Justice Announces 14th Annual Government-to-Government Consultation on Violence Against American Indian and Alaska Native Women 

On June 4, 2019, the U.S. Department of Justice's Office on Violence Against Women (OVW), Tribal Affairs Division, announced its 14th annual tribal consultation on Violence Against American Indian and Alaska Native Women. The consultation will take place on August 21-22, 2019, at the Silver Creek Event Center, Four Winds Casino Resort in New Buffalo, Michigan. During the tribal consultation, OVW will be soliciting recommendations from tribal leaders on the following topic areas:

  1. Administering grant funds appropriated for tribal governments and programs created to benefit tribal governments by the original Violence Against Women Act and subsequent legislation;
  2. Enhancing the safety of Native women from domestic violence, dating violence, sexual assault, and stalking; and
  3. Strengthening the federal response to crimes of domestic violence, dating violence, sexual assault, and stalking.
In preparation for the consultation, NCAI and the National Indigenous Women's Resource Center will be co-hosting a Tribal Caucus Meeting the evening of August 20, 2019, at the Four Winds Casino Resort.

View the Dear Tribal Leader Letter here.

Learn More
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Skip to Technical Assistance and Research

Upcoming Events Highlights 

Webinar: Health Resources and Services Administration (HRSA) Shortage Designation Modernization Project (SDMP) 

This webinar will provide information about the national update of automatically designated Health Professional Shortage Areas (Auto-HPSAs) tentatively planned for late summer 2019. HRSA will provide detailed information on how to submit facility-specific data and request an Auto-HPSA rescore. This webinar also will have dedicated time for consultation so that Tribes and urban Indian organization leaders have the opportunity to provide input on and express their concerns about the project. The national update of Auto-HPSAs is part of a larger effort to promote consistency and uniformity across data sets and reduce resource burdens associated with sh01tage designation. Your input will ensure HRSA has the best possible information from which to calculate Auto-HPSA scores.

Date: June 25, 2019 from 2-4 pm ET
Dial in: 888-282-0359
Passcode: 9059513
Learn More

National Conference on American Indian and Alaska Native Injury and Violence Prevention (July 23-25, 2019) 

Registration is now open for the National Conference on American Indian and Alaska Native Injury and Violence Prevention, hosted by IHS and the Centers for Disease Control and Prevention on July 23-25 in Denver, Colorado. The conference will bring together tribal, federal, and state injury prevention practitioners, injury researchers, subject matter experts, and other stakeholders with a goal of Bridging Science, Practice, and Culture to reduce the disparity of injuries in Native communities. 

Learn More

2019 Indian Health Service - Diabetes in Indian Country Conference (August 6-9, 2019)  

The IHS Diabetes in Indian Country Conference will host 1,500 IHS, Tribal and Urban Indian (I/T/U) providers, clinicians, Tribal leaders, community members, and Special Diabetes Program for Indians grantees. There is no cost to attend this conference in-person or via streaming, including CME/CE credits. The event will also be live-streamed. It takes place on August 6-9 in Oklahoma City, OK.

Learn More

Virtual Training: Project ECHO | Grand Rounds 

Opioid Use Disorder

  • August 13, 2019 from 12:00 - 1:00pm MT
  • The BHA Grand Round will be a 1 hour lecture on Opioid Use Disorder (OUD), presented by Snehal Bhatt, MD. This lecture will review criteria for OUD, the role of primary care teams in treatment of patients with OUD and harm reduction for patients with OUD.  
  • To register, contact bhaECHO@salud.unm.edu and include your name, credentials, health center/organization, city and state.

Introduction to Depression Management (BHA)

  • August 16, 2019 from 12:00 - 1:00pm MT
  • To register, contact bhaECHO@salud.unm.edu and include your name, credentials, health center/organization, city and state.
Learn More

CDC/ATSDR Tribal Advisory Committee (TAC) Meeting and 19th Biannual Tribal Consultation Session 

The Summer 2019 CDC/ATSDR TAC Meeting and 19th Biannual Tribal Consultation Session will provide opportunities for tribal leaders to speak about the public health issues affecting their tribal nation. These meetings will include, but are not limited to, discussions about securing sustainable funding to Indian Country, ensuring a tribal voice in CDC policy and programs, and current CDC priorities. Tribal nations also will have an opportunity to present formal testimony about tribal public health issues. It will take place August 13 - 14, 2019 at Harrah’s Cherokee, 777 Casino Dr, Cherokee, NC, 28719.

Email Address for event: TribalSupport@cdc.gov
Learn More

2019 Indian Health Service - National Clinical & Community-Based Services Conference (August 24-30, 2019) 

The Indian Health Service (IHS) is hosting the Clinical and Community-Based Services Conference to convene and hear from nationally recognized speakers, health care providers, Tribal leaders, and health care officials committed to addressing emergent clinical and community health topics in Indian Country. The focus topics include, but are not limited to: opioid prevention, HIV/AIDS and Hepatitis C prevention, STD prevention, tobacco prevention, cancer prevention, and Youth Mental Health First Aid (MHFA) Training. It takes place August 24-30, 2019 in Tigard, Oregon.

Learn More
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Technical Assistance & Research Highlights 

NCUIH 2019 Youth Advisory Council Members Announced

NCUIH  in partnership with the Substance Abuse and Mental Health Services Administration (SAMHSA), announced its 2019 cohort of National Urban Indian Youth Advisory Council Members (Youth Council). The 2019 class of NCUIH Youth Council members include Czarina Campos (Choctaw Nation of Oklahoma), Taylor Francisco (Navajo Nation), Megan McDermott (Descendant Piegan Blackfeet & Plains Cree), Quentin Paulsen (Nima Corporation), and Benjamin Sandecki (Cherokee). 

The 2019 Youth Council will be attending a training in Washington, DC in late June. We look forward to having everyone get to learn more about them in the coming weeks! 

View the one pager on the Youth Advisory Council.
Learn More

NCUIH Presents at IHS Partnership Conference in Spokane 

NCUIH staffers, Dr. Kimberly Fowler, TARC Director, and Julia Dreyer, Federal Relations Director, presented a session through the urban track at the 2019 IHS Partnership Conference held in Spokane WA last week. The presentation titled, "Billing and Regulations Do Mix: An Urban Program Perspective" focused on the Health Information Technology and Regulations surveys that were analyzed in 2018.  The outcomes were presented, as well as current and future next steps to meet the needs of Urban Indian Health Organizations across the U.S.  A standing room only crowd was addressed and also provided with a hands-on tutorial of the new Regulations Tracker on NCUIH’s website, which provides updated information on regulations affecting Urban Indian Health Organizations' services and performance, and the steps NCUIH might be taking to address challenges.


IHS Acting Director of the Office of Urban Indian Health Programs Dr. Rose Weahkee Visits NCUIH 

The Office of Urban Indian Health Programs Acting Director Dr. Rose Weahkee met with the National Council of Urban Indian Health Executive Director Francys Crevier to discuss national priority updates. The cooperative agreement with NCUIH serves as the education and research partner for urban Indian organizations funded under the Indian Health Care Improvement Act. NCUIH is devoted to the support and development of quality, accessible, and culturally competent health services for American Indians and Alaska Natives living in urban settings.

Program Spotlight: Native Americans for Community Action, Inc. – held their 35th Annual Sacred Mountain Prayer Run 

The Native Americans for Community Action, Inc. (NACA) recently held their 35th annual Sacred Mountain Prayer Run in Flagstaff, Arizona. This event represents the intersection between physical, spiritual, emotional, and social wellness and is one of Flagstaff’s longest running foot races. Set at the foot of the San Francisco Peaks, just outside historic Downtown Flagstaff in Thorpe Park, the race offers participants varied distances on a challenging and rewarding course. NACA’s urban Indian organization provides preventive wellness strategies, empowers and advocates for Native people and others in need to create a healthy community based on harmony, respect, and Indigenous values.


Program Spotlight: Oklahoma City Indian Clinic Wins Award for Adult Immunization 


Congratulations to the Oklahoma City Indian Clinic Pharmacy, National Winner of the 2019 Immunization Champion Award from the American Pharmacists Association! The award recognizes an adult immunization program started in 2015, which has “enhanced immunization rates, improved patient satisfaction, and increased access to health care” for its clinic population of almost 20,000 Native Americans.  This program demonstrates the power of collaboration across departments and community partners to enhance quality preventative care.

Program Spotlight: South Dakota Urban Indian Health Clinic - Capital Area United Way funds Summer BackPack Program 

Feeding South Dakota is partnering with several organizations to help fill a gap. These partners include Fort Pierre Community and Youth Involvement Center / Stanley County Elementary School, Southeast Pierre Community Center, Oahe Family YMCA, and South Dakota Urban Indian Health Clinic. While Feeding South Dakota is not an on-site meal provider, it does provide nutritious packages of food over the weekends to children in need through Feeding South Dakota’s Summer BackPack Program during the summer months.

Program Spotlight: Urban Indian Center of Salt Lake Participated in “Girls on the Run 5K” 

On June 1, a team from the Urban Indian Center of Salt Lake participated in the annual Girls on the Run 5K at Sugar House Park in Salt Lake City, Utah. Trained coaches led teams of girls between 3rd-8th grade over the course of the ten-week program, which helps them develop essential skills to navigate their worlds and establish a lifetime appreciation for health and fitness. The program culminates with a service project that positively impacts their communities, while also preparing the girls to be physically and emotionally ready to complete the celebratory 5K event.

Program Spotlight: NATIVE Health's Annual Youth Diabetes Prevention Camp Kick-off 

Native Health’s annual Living Well Traditionally Youth Diabetes Prevention Camp kicked off with over 60 youth heading to Camp Colley in northern Arizona. Many exciting activities are planned during this five-day camp, including horseback riding, hiking, crawdad fishing, canoeing, traditional crafts, and activities. Campers also learned information on diabetes prevention, healthy eating and the effects of physical activity on diabetes risk. Located in the Phoenix area, NATIVE HEALTH’s urban Indian program provides holistic, patient-centered, culturally sensitive, quality, health, and wellness services to all people in Arizona.


Job Announcement: Director, Indian Health Service Division of Behavioral Health 

This position is located within the IHS Office of Clinical and Preventive Services, Division of Behavioral Health. The incumbent in this position serves as the Director, Division of Behavioral Health and provides overall leadership, administrative direction, and oversight in the planning, development, implementation, analysis, and evaluation of behavioral health programs. This position reports to the Director, Office of Clinical and Preventive Services.
Learn More

Funding: FY 2019 Transforming America’s Response to Elder Abuse: Enhanced Multidisciplinary Teams (E-MDTs) for Older Victims of Abuse and Financial Exploitation 

The due date for the OVC solicitation FY 2019 Transforming America’s Response to Elder Abuse: Enhanced Multidisciplinary Teams (E-MDTs) for Older Victims of Abuse and Financial Exploitation has been updated to July 8, 2019.

OVC will also conduct a pre-application webinar on June 17, 2019, from 3–4 p.m. eastern time to discuss the purpose and goals of this funding opportunity, review its eligibility requirements and deliverables, and address frequently asked questions. Register now.
Deadline: July 8, 2019.
Learn More and Apply

Funding: FY 2019 Using Telehealth to Improve Care, Access and Quality of Sexual Assault Forensic Exams 

Through the FY 2019 Using Telehealth to Improve Care, Access and Quality of Sexual Assault Forensic Exams solicitation, OVC seeks to develop or enhance statewide or regional telehealth programs to improve the quality of healthcare for sexual assault victims, increase the quality of forensic evidence collection, and expand the reach of Sexual Assault Nurse Examiner (SANE) services through telehealth for communities with limited access to trained SANEs.

Deadline: July 17, 2019

Learn More and Apply

Funding: FY 2019 Enhancing Community Responses to the Opioid Crisis: Serving Our Youngest Crime Victims 

Through the Centers for Medicare and Medicaid the 2019 Cooperative Agreement to Support Navigators in Federally-facilitated Exchanges has been released for solicitation.  This funding is to facilitate education, outreach, and enrollment of consumers into qualified health insurance plans within eligible states.   This award to 25-50 selected entities will provide funding over a two year term with an anticipated $10 million total annual to be distributed.

A FAQ is available for review to answer pertinent questions.

Deadline: July 22, 2019 by 3pm ET
Learn More and Apply

IHS Call for Project Spotlights: National Suicide Prevention Awareness Month (September) 

September is National Suicide Prevention Awareness Month. Please provide a brief description of their project's activities for suicide prevention to spotlight during the month of September and during National Suicide Prevention Awareness Week, September 8 to 14, 2019. Project Spotlights will be hosted on both the IHS.gov/suicideprevention and at the IHS Division of Behavioral Health Facebook page. If you have any questions or comments, please contact pamela.endofhorn@ihs.gov. Complete this form to provide information to be spotlighted.
Deadline: August 30, 2018 by 5pm EST
Complete Form
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Copyright © 2019 National Council of Urban Indian Health (NCUIH), All rights reserved.

National Council of Urban Indian Health
924 Pennsylvania Ave., SE | Washington, DC 20003 | Phone: 202 544 0344 | www.ncuih.org

This publication was made possible by Award Number H723IHS0003 from the Indian Health Service (IHS). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the IHS or HHS.

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By , posted on Monday June 17, 2019
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