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PRESS RELEASE: Health Care Access for Urban Native Veterans Act Passes out of the House Subcommittee on Indigenous Peoples

March 12, 2020/0 Comments/in Press Release/by Meredith Raimondi

FOR IMMEDIATE RELEASE

Contact: Meredith Raimondi, 202-417-7781, mraimondi@ncuih.org

Washington, DC (March 11, 2020) – Today, H.R. 4153 – Health Care Access for Urban Native Veterans Act was considered and ordered to be reported by the House Natural Resources Committee during a legislative markup. H.R. 4153, introduced by Representative Ro Khanna, has bipartisan support with 27 cosponsors including 16 Democrats and 11 Republicans.

“Right now, urban Indian Veterans are being left behind by the United States.  This bill will allow Urban Indian Organizations to continue to provide life-saving health care to American Indian and Alaska Native Veterans, no matter where they live. We are grateful for the House Natural Resources Committee, including Chairman Grijalva and Representative Khanna for their continued efforts to push this legislation across the finish line,” said Francys Crevier, Executive Director.

“Native Americans serve in the military at a higher rate than any other population, and over 70 percent of Native Americans live in urban areas. Urban Indian organizations, like the Indian Health Center of Santa Clara Valley, fill a crucial gap in the health care system for Native Americans that do not have access to more remote facilities run by the Indian Health Service. To honor their service to the United States, we must ensure that Native Veterans have access to the care that best fits their cultural and health needs,” said Rep. Ro Khanna.

In July of 2019, the National Congress of American Indians passed a resolution calling on Congress to “enact legislation ensuring the provision of health care to American Indian and Alaska Native Veterans living in urban centers.” The NCAI resolution states: “The National Congress of American Indians (NCAI) urges Congress to pass legislation that amends the Indian Health Care Improvement Act at 25 U.S.C. §1645(c) to insert UIOs after IHS and Tribal Organizations and require VA to reimburse for services provided to AI/AN Veterans at all of the IHS, Tribal, and urban (I/T/U) system, in order to protect the health and welfare of AI/AN Veterans living in urban centers, thereby honoring their sacrifices.”

This important urban Indian health bill has widespread endorsements by NCUIH’s valued partners across Indian Country along with valuable Veteran organizations, such as NCAI, Iraq and Afghanistan Veterans of American, and VoteVets.

Senate

The Senate companion, S. 2365, is led by Senators Udall, Moran, Tester, Rounds, and Smith.

Next Steps

NCUIH will continue to monitor the bill as it moves forward and continue to advocate for health care access for urban Indian Veterans.

Background
  • NCUIH Testifies before Congress on “Native Veterans’ Access to Healthcare”
  • House Subcommittee Reviews the Health Care Access for Urban Native Veterans Act
  • NCUIH Press Release on SCIP Legislative Hearing
  • Udall, Khanna Press Release
  • NCUIH Press Release on Introduction
  • AP Story: Bill would expand health care options for Native veterans
  • House bill (H.R. 4153) and Senate bill (S. 2365)

 

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https://ncuih.org/wp-content/uploads/New-Website-Graphics_NCUIH_D158_V5_Final_Blog-31.png 1126 1501 Meredith Raimondi https://ncuih.org/wp-content/uploads/NCUIH-2022-Logos_Full-Logo-3.png Meredith Raimondi2020-03-12 15:05:242022-08-05 15:07:30PRESS RELEASE: Health Care Access for Urban Native Veterans Act Passes out of the House Subcommittee on Indigenous Peoples

Toolkit: Urban Indian Health Appropriations Letter

March 11, 2020/0 Comments/in News/by Meredith Raimondi

Dear Urban Indian Health Advocates,

We need your help contacting Congress to support Urban Indian Organizations!

Representatives Ruben Gallego (D-AZ) and Raúl Grijalva (D-AZ) are leading a letter to the Chair and Ranking Member of the Appropriations Subcommittee on Interior, Environment, and Related Agencies.

The letter calls for an increase in funding of a minimum of $106 million for the Indian Health Services (IHS) urban Indian healthcare line item. In FY 2020, UIOs received a $6 million increase, and to build on this progress, we are requesting a line item appropriation of $106 million in FY 2021, which reflects the recommendation made by the Tribal Budget Formulation Working Group (TBFWG). To ensure that the urban Indian health line item receives as much support as possible, we encourage you to contact your Member of Congress and request that they sign on to the Gallego-Grijalva Urban Indian Health letter by the deadline of March 16.

Please use the following text below as a template to call or email to your Member of Congress. If you can please, call and email your representative. You can find your representative here.

Thank you for your leadership. Your outreach on this is invaluable to providing greater access to health care for American Indians and Alaska Natives in urban areas.

Sincerely,

NCUIH

  • PRESS RELEASE: NCUIH Testifies Before House Interior Appropriations American Indian and Alaska Native Public Witness Day
  • Appropriations Testimony

Background

In testimony before Congress, NCUIH advocated for an increase in funding to $106 million for the Indian Health Services (IHS) urban Indian healthcare line item. $106 million, is what the IHS Tribal Budget Formulation Workgroup requested minimum is for Fiscal Year (FY) 2021. The House included $81 million in FY 2020 for urban Indian health and the final bill included $57 million, a $6 million increase.

Steps to Contact Congress

  • Step 1: Copy the email below.
  • Step 2: Find your representative here.
  • Step 3: Paste the email into the form and send. Please contact Carla Lott (cmlott@NCUIH.org) with questions.

Email to Your Member of Congress

As an urban Indian health advocate, I respectfully request you on sign on to the Gallego-Grijalva letter to the House Committee on Appropriations in support of increasing the urban Indian health line item.

As an integral part of the AI/AN health care delivery system, UIOs depend on funding from IHS to provide care to urban AI/AN people. UIOs depend on scarce federal resources to provide services to our AI/AN patients. UIOs primarily receive funding from the urban Indian health line item. The letter requests increasing the urban Indian health to at least $106 million, which reflects the recommendation made by the Tribal Budget Formulation Working Group (TBFWG) for FY 2021. With increased funding many UIOs would be able to expand existing services, offer new services, hire additional staff, and procure updated equipment.

For the sake of the U.S. trust responsibility, the health of American Indians and Alaska Natives we request you support increasing the urban Indian health line item.

To sign on please complete this form or contact Ms. Mariel Jorgensen (Mariel.Jorgensen@mail.house.gov) from Gallego’s office by March 16.

Thank you for your leadership and your commitment to upholding the United States trust responsibility.

Social Media

Facebook

Post your support on your Facebook.

  • Example post:
  • Call your Member of Congress to sign on the Gallego Grijalva Urban Indian Health Funding letter by March 16. Learn More: https://www.ncuih.org/policy_blog?article_id=363

Twitter

From your Twitter account, tweet to your Member of Congress.

  • Find your Member of Congress here.
  • Example tweet:
  • Dear [@ Member’s handle], please sign on to Gallego Grijalva letter for $106 million for #urbanIndianhealth in FY21 cc:@ncuih_official.
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https://ncuih.org/wp-content/uploads/Website-Graphics-Logo-Package_NCUIH_D081_V1_NCUIH-News.png 1126 1501 Meredith Raimondi https://ncuih.org/wp-content/uploads/NCUIH-2022-Logos_Full-Logo-3.png Meredith Raimondi2020-03-11 14:37:152022-08-08 14:39:17Toolkit: Urban Indian Health Appropriations Letter

NCUIH in the News: Salt Lake Tribune – ‘We are not ready for this’: Native American tribes struggle to deal with coronavirus

March 9, 2020/0 Comments/in News/by Meredith Raimondi
By Jourdan Bennett-Begaye | Indian Country Today
Published: 5 days ago
Updated: 4 days ago

Washington • Dean Seneca didn’t mince words after the Centers of Disease Control and Prevention’s recent “damaging news” about the spread of the novel coronavirus that has killed more than 3,000 people worldwide, including nine in Washington state.

“I want to make sure that I stated that tribes are not prepared for the coronavirus,” he texted Indian Country Today a day after an interview in which he was more cautious.

“I don’t think that we are as prepared as we should be,” Seneca – who has worked more than 18 years in the Centers for Disease Control’s Office for State, Tribal, Local and Territorial Support – had said in the interview.

What changed overnight? Two things: The infection rate and the length of time an infected person shows no sign of the disease.

The first example was the Diamond Princess cruise ship incident in which one passenger on board, as well as one who had left the ship earlier, tested positive for COVID-19. A two-week quarantine resulted in 45 passengers becoming infected.

Seneca said health officials now know “that people will have this virus, not show symptoms and still be able to transmit the virus. That is scary.”

Viruses usually are contagious at the peak, he said. For example, in the first two days you’re slowing getting sick and on the third day, you’re at a height of an infection. People you come into contact with can get sick. It’s for sure.

‘We really are not ready for it now’

Nez wants to bring in community health representatives to educate tribal elders.

Nez and Dr. Jill Jim, executive director of the Navajo Department of Health, recently gave updates and prevention tips during an appearance on KTNN radio in Window Rock, the nation’s capital.

“There are no cases of the coronavirus on the Navajo Nation,” Nez said, “but this is a very serious health concern and it’s vital that we continue to provide information with everyone, including students, elderly and community members.”

The Inter Tribal Council of Arizona and the California Tribal Epidemiology Centers have been disseminating information to tribes within their states. California also is contingency planning and developing scenario-based exercises for their tribal health clinics. The Rocky Mountain Tribal Epidemiology Center sends out COVID-19 documents from the CDC and “daily key points” to the tribal health directors.

Seneca said tribes need the resources to tackle the threat head-on.

“The other is that our health care systems are really not in place, nor do we have experts, as physicians and nurses that know or are familiar with this kind of foreign virus,” he said.

“I just wanted to make it clear that we are not ready for this. We really are not ready for it now.”

The National Council of Urban Indian Health sent a letter to Congress on Feb. 28, urging lawmakers to honor the trust responsibility to urban Indians. The council asked Congress to include “urban Indian organizations” when approving emergency funding to prevent and treat COVID-19. It also requested “at the very least $94 million for emergency funding and health education/promotion” for urban Indian organizations.

In a March 2 press release, Francys Crevier, executive director of the National Council of Urban Indian Health, requested funds for the council’s 41 urban Indian organizations in 22 states.

“The U.S. government cannot allow (urban Indian organization) patients to die during a COVID-19 outbreak due to unavailability of critical services. UIOs operate on such low funding margins that interruptions in daily operations … have dire effects and have been forced to close entirely.”

Urban Indian organizations receive their funding from one source: Indian Health Service, which has one budget line for the 41 urban Indian organizations. Seventy percent of the American Indian and Alaska Native population resides in urban areas, according to the 2010 Census.

Kevin English directs the Southwest Tribal Epidemiology Center in Albuquerque, which serves 27 tribes in New Mexico and Colorado.

Read more: https://www.sltrib.com/news/nation-world/2020/03/04/we-are-not-ready-this/

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PRESS RELEASE: Congress Announces $8.3 Billion for Coronavirus with Funding for Urban Indian Organizations

March 4, 2020/0 Comments/in Press Release/by Meredith Raimondi

FOR IMMEDIATE RELEASE

Contact: Meredith Raimondi, 202-417-7781, mraimondi@ncuih.org

NCUIH helped ensure Urban Indian Organizations were included in funding.

Washington, DC (March 4, 2020) – Today, Congress announced they have reached an $8.3 billion agreement for emergency supplemental appropriations to combat Coronavirus. The bill includes CDC funds totaling $2.2 billion which includes funding for cooperative agreements for “tribes, tribal organizations, urban Indian health organizations, or health service providers to tribes, to carry out surveillance, epidemiology, laboratory capacity, infection control mitigation, communications, and other preparedness and response activities.” The bill also included $40 million for tribal organizations, urban Indian health organizations, or health service providers to tribes through the CDC.

This is a major victory for Urban Indian Organizations (UIOs) as UIOs were missed in past emergency funding such as the Zika response efforts. This funding will assist in UIOs properly preparing to combat this outbreak for urban AI/ANs.

“NCUIH is glad to see Congress come together so quickly to provide the critical funding necessary to protect the health of American Indian and Alaska Native (AI/AN) patients across Indian Country,” said Francys Crevier, Executive Director “particularly to protect those AI/ANs who live within cities and urban areas, where the COVID-19 is spreading at a rapid pace.”

On Friday, February 28, the National Council of Urban Indian Health sent a letter to Appropriations Chair Betty McCollum urging Congress to include UIOs in Coronavirus response efforts. NCUIH also issued a press release calling for Congress to support urban Indians in emergency supplemental funding. NCUIH has been working closely with the House and Senate on bill language to ensure the whole IHS I/T/U system is included in resources for coronavirus.

The House plans to vote today on the bill, with the Senate expected to pass the package on Thursday.

NCUIH will continue to monitor this legislation and the ongoing health risks to American Indian and Alaska Native patients and the urban Indian communities where they reside.

  • View bill.
  • NCUIH Letter to Congress on Coronavirus
  • One Pager on UIO Needs for Coronavirus Response
  • NCUIH Press Release on Coronavirus

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https://ncuih.org/wp-content/uploads/New-Website-Graphics_NCUIH_D158_V5_Final_Blog-31.png 1126 1501 Meredith Raimondi https://ncuih.org/wp-content/uploads/NCUIH-2022-Logos_Full-Logo-3.png Meredith Raimondi2020-03-04 16:02:422022-08-08 17:07:29PRESS RELEASE: Congress Announces $8.3 Billion for Coronavirus with Funding for Urban Indian Organizations

PRESS RELEASE: NCUIH Urges Congress to Include Urban Indians in any Efforts to Address Coronavirus

March 2, 2020/0 Comments/in Press Release/by Meredith Raimondi

FOR IMMEDIATE RELEASE
Contact: Meredith Raimondi, 202-417-7781, mraimondi@ncuih.org

Urban Indian Organizations must be explicitly included in emergency funding.

Washington, DC (March 2, 2020) – The National Council of Urban Indian Health has requested that Congress honor the United States trust responsibility to urban Indians by passing emergency funding that includes Urban Indian Organizations for the prevention and treatment of the Coronavirus -Covid 19 risk. In its letter, NCUIH requested:

  • At the very least $94 million for emergency funding and health education/promotion for UIOs.
  • Include the term “Urban Indian Organization” in legislation to ensure the funding goes to those programs because often times if Urban Indian Organizations are not explicitly mentioned, they are forgotten. Urban Indian Organizations (UIOs) are one of the three components of the Indian Health Service health care delivery system, Indian Health/Tribal/Urban Organizations (I/T/U) – yet UIOs have received no support for other potential epidemics, like Zika virus.

“As Congress moves forward on its consideration of funding for the Coronavirus-Covid 19, NCUIH would like to ensure that funds are available to our 41 urban Indian organizations. The U.S. government cannot allow UIO patients to die during a Covid 19 outbreak due to unavailability of critical services. UIOs operate on such low funding margins that interruptions in daily operations (including those leading to funding shortfalls) have dire effects and have been forced to close entirely,” said Francys Crevier, Executive Director of NCUIH.

According to the World Health Organization, the coronavirus has reached more than 30 countries and is expected to cause major strain upon the United States medical health care delivery system.  More than 70% of American Indian and Alaska Natives (AI/ANs) reside in urban or suburban areas (i.e. urban Indians). Data has shown that AI/AN people already have a disproportionate burden of infectious disease morbidity compared with the general U.S. population – including influenza.

UIOs provide culturally-competent healthcare to AI/AN patients, however they are forced to operate on such low funding margins that interruptions in daily operations  have dire effects, even leading to death of AI/AN patients. In order to effectively prevent the spread of the Coronavirus – Covid 19, test and treat AI/AN patients, UIOs must be included in the emergency or supplemental budget.

  • One Pager on UIO Needs for Coronavirus Response
  • NCUIH Letter to Congress on Coronavirus

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https://ncuih.org/wp-content/uploads/New-Website-Graphics_NCUIH_D158_V5_Final_Blog-31.png 1126 1501 Meredith Raimondi https://ncuih.org/wp-content/uploads/NCUIH-2022-Logos_Full-Logo-3.png Meredith Raimondi2020-03-02 18:18:002022-08-08 19:00:11PRESS RELEASE: NCUIH Urges Congress to Include Urban Indians in any Efforts to Address Coronavirus
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