7/15 NCUIH Newsletter: Native Youth Virtual Convening August 6, Senators Seek Comments on Climate Change in Native Communities, Update on Project Beacon

NCUIH Newsletter | July 15, 2019 

NCUIH Youth Council Native Youth Virtual Convening on August 6

Learn how to become an Indigi-Wellness Champion!

The NCUIH Youth Advisory Council is at the forefront of a movement to promote resilience in AI/AN youth. We would like to invite you to join our inaugural virtual Youth Convening to learn how to become an Indigi-Wellness Champion.

An Indigi-Wellness Champion is: American Indian and Alaska Native youth that embraces their indigeneity, lets their culture be the armor that protects them and builds/promotes resilience to empowering future generations.

Join us for the virtual convening on August 6 from 3pm - 5pm EDT to learn how to become an Indigi-Wellness Champion!

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Policy Center Highlights 

Trump Officials to Meet with GOP Leaders to Revive Stalled Budget Talks 

President Donald Trump's budget negotiators are planning to meet with Republican leaders at the Capitol Wednesday, July 10, to try and resolve a stalemate with Democrats ahead of a series of key fiscal deadlines. Congressional leaders are seeking a two-year budget deal to avoid stiff budget cuts, a debt ceiling breach and government shutdown this fall. House Leader Nancy Pelosi and Senate Minority Leader Chuck Schumer have sought increases in domestic spending to go along with the bumps in defense spending that Republicans prefer. The administration has rejected those entreaties so far and is arguing instead for a year-long spending freeze. Congressional leaders had sought to tackle the debt ceiling alongside a budget deal, but stalled progress on spending could force separate action to avoid the kind of financial crisis that could come with a debt default.

Udall, Schatz, Senators Request Feedback from American Indian, Alaska Native, and Native Hawaiian Community Leaders on the Effects of Climate Change on Native Communities 

U.S. Senators Tom Udall (D-N.M.), vice chair of the Senate Indian Affairs Committee and Brian Schatz (D-Hawaii), chair of the Special Committee on the Climate Crisis, along with U.S. Senators Maria Cantwell (D-Wash.), John Tester (D-Mont.), Michael Bennet (D-Colo.), Martin Heinrich (D-N.M.), Tammy Duckworth (D-Ill.), Tina Smith (D-Minn.), Sheldon Whitehouse (D-R.I.), Jeffrey A. Merkley (D-Ore.), Tammy Baldwin (D-Wis.), Edward Markey (D-Mass.), and Catherine Cortez Masto (D-Nev.), asked for input from American Indian, Alaska Native, and Native Hawaiian Community Leaders on the effects of climate change on their communities, seeking to foster a dialogue with Native communities on potential solutions and responses to this urgent threat. 

“As the National Climate Assessment recently confirmed, climate change is having a disproportionate impact on [Native] communities.  As such, we would like to hear directly from you, leaders who are key voices for your communities, about how climate change threatens your traditional ways of life, economic opportunities, and overall wellbeing,” wrote the senators. “It is well past time for Congress to take action in partnership with you and your communities to address the risks and impacts associated with climate change.”“Your voices, stories of current impacts, and ideas for solutions the federal government can take to address the dire impacts of climate change are critical. We welcome your recommendations for federal action that will help provide your communities with the tools necessary to address the harms associated with climate change,” the senators wrote.

Comments from American Indian, Alaska Native, and Native Hawaiian Community Leaders can be submitted to: Community_Leaders_Feedback@indian.senate.gov

Deadline: September 13, 2019

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House Energy and Commerce Committee Releases Legislation Ahead of Thursday Markup 

Late on Tuesday, July 9, House Energy and Commerce leaders released revised legislation addressing ‘surprise’ medical bills ahead of a markup in the panel’s health subcommittee. The bill would resolve payment disputes between providers and health plans by establishing a federal benchmark rate. It would also require the U.S. Department of Health and Human Services (HHS) to create a process to audit how accurate the median contract rates are, requiring insurers’ provider directories to be more accurate in increasing the scenarios in which an insured patient would be protected from unexpectedly receiving a bill for out-of-network care. The panel also announced it will mark up legislation on drug transparency, reauthorizing public health and Medicare programs and Medicaid funds for Puerto Rico and the U.S. territories. 

New Hampshire Delays Medicaid Work Requirements 

New Hampshire’s GOP Governor Chris Sununu is delaying the implementation of the work requirement after nearly 18,000 people were found non-compliant with reporting requirements in the first month alone.  State officials said many enrollees remained unaware of the reporting and work requirements despite mailings, phone calls, and a door-knocking campaign.  The program will be delayed for 120 days to allow more time for state outreach efforts to make people aware of the requirement. In addition, Sununu signed a Democratic-sponsored bill that would halt the work requirement if 500 or more people are disenrolled due to noncompliance, or if providers report an increase in uncompensated care resulting from beneficiaries being disenrolled due to noncompliance. Montana has similar guardrail legislation in place. On July 23rd, arguments will be heard in federal court in a lawsuit seeking to invalidate te CMS’s approval of New Hampshire’s work requirement waiver. Similar waivers in Kentucky and Arkansas were struck down in March on the grounds that potential impact on coverage losses was not adequately considered.

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Judge Blocks Trump Rule Requiring Drug Companies To List Prices In TV Ads 

A federal judge ruled on Monday that the Trump administration cannot force pharmaceutical companies to disclose the list price of their drugs in television ads. Judge Amit P. Mehta, of the United States District Court in the District of Columbia, ruled that the Department of Health and Human Services lacked authority from Congress to compel drug manufacturers to disclose list prices, and set aside the entire rule as invalid. The ruling stated that the Trump administration had failed to show it had legal authority under the statutes that govern federal programs such as Medicare to require price disclosure. 

California to Offer Health Benefits to Adult Undocumented Immigrants 

California has become the first state in the country to offer government-subsidized health benefits to young adults living in the U.S. without documentation. Governor Gavin Newson signed the measure on July 9, extending coverage to low-income, undocumented adults age 25 and younger for the State’s Medicaid program. California has more immigrants than any other state, 14% of them without legal status.  According to the National Conference of State Legislatures, undocumented immigrants in most states are not eligible for federal health programs like Medicaid and Medicare, but exceptions do exist for medical emergencies and pregnancy. California state officials estimate that this measure will expand coverage to about 138,000 residents and cost $98 million.

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Upcoming Events Highlights 

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. 

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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.

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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.
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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
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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.

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Technical Assistance & Research Highlights 

Program Spotlight: New Chemical Dependency Program at Billings Urban Indian Health and Wellness Center 

Congratulations to the Billings Urban Indian Health and Wellness Center, who recently celebrated the opening of their new chemical dependency program.  They commemorated this opening with tours of the new facility, speeches from the staff, and a community wellness fair. This celebration marks the newest expansion to their Center, which grew from 15 clients to 192 at the time of this event. 

Program Spotlight: Native American Connections, Native American Lifelines, and Indian Health Board of Minneapolis secure a combined $978,561 in Grants 

Congratulations to Native American Connections in Phoenix, Native American Lifelines in Baltimore, and Indian Health Board of Minneapolis on their recent award of IHS 4-in-1 grants. Funding is used to support four service areas: health promotion and disease prevention, immunization, alcohol and substance abuse, and mental health services. 

Request for Interviewees to Provide Input on Health Information Technology (HIT) Modernization 

The National Indian Health Board (NIHB) has partnered with a Health and Human Services (HHS) contractor to collect feedback on Health Information Technology.  The project is conducting interviews with IHS healthcare staff, tribal leaders, and people who use healthcare facilities in AI/AN communities, and provide recommendations on IHS' Health IT Modernization efforts and technology appropriations for congress.  Patients can be interviewed as well including all age ranges, health statuses, and communities.  People from the Portland, Billings, Nashville, and Navajo IHS regions are particular outreach priorities.  Interviews are 1 hour, and can be scheduled online here.  NIHB’s Director of Policy, Devin Delrow (ddelrow@nihb.org) can be contacted with questions or for more information.

National Action Alliance for Suicide Prevention Releases Community Planning Guide 

Please see this new resource from the National Action Alliance for Suicide Prevention, which presents seven key elements for comprehensive community-based suicide prevention, all aimed at helping communities create policies, programs, and services that reduce suicide and improve individual, family, and community health.  Visit the site to download the recent release of Transforming Communities: Key Elements for the Implementation of Comprehensive Community-Based Suicide Prevention.
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Release of OIG report: Hospice Deficiencies Pose Risks to Medicare Beneficiaries 

In addition to implementing the OIG’s previous recommendations to strengthen the survey process, establish additional enforcement remedies, and provide more information to beneficiaries and their caregivers, the OIG said, the Centers for Medicare & Medicaid Services should strengthen its oversight of hospices using expanded deficiency data from accrediting organizations and work to include more information on Hospice Compare, including survey reports from state agencies and accrediting organizations, and educate hospices about common deficiencies.
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The American Psychology Association (APA) Released Two Articles on “Better Ways to Prevent Suicide” and “Pathways for Addressing Deep Poverty” 

The American Psychology Association (APA) released two articles that address ways to prevent suicide and approaches for addressing server poverty. The first article titled “Better Ways to Prevent Suicide” looks at the increased suicide rate in the United States and how psychologists are tackling the crisis. The second article titled “Pathways for Addressing Deep Poverty” consists of a report developed by the American Phycologist Association working group that reviews psychological literature to understand deep poverty’s effects and how psychologists can address this grave social ill.

Both publications link are provided here:  Better Ways to Prevent Suicide and Pathways for Addressing Deep Poverty.
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Funding: Project Beacon: Increasing Services for Urban American Indian and Alaska Native Victims of Sex Trafficking

UPDATE: An update for those interested in applying to Project Beacon from the Office for Victims of Crime.  Interested applicants are able to view the pre-application recorded webinar, download the PowerPoint Presentation, and view the transcript of this event including audience questions about application requirements. These materials can help programs create a compelling application for funding to increase the quantity and quality of services available to AI/AN victims of sex trafficking who reside in urban areas.

The Office for Victims of Crime (OVC) will make awards to increase the quantity and quality of services currently available to American Indian and Alaska Native (AI/AN) victims of sex trafficking who reside in urban areas.  Award recipients will use the funding to develop and enhance their capacity to address the needs of AI/AN victims of sex trafficking through a combination of staff training and education on the topic, building strategic collaborative partnerships with other community-based organizations and agencies, and public awareness activities. Two purpose areas are being funded across three year cooperative agreement:  1) Direct Services (7 awards at $450,000 each) and 2) Training and Technical Assistance (1 award at $550,000).

Deadline: July 15, 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 July 15, 2019
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