Washington, DC (February 10, 2020) – On Tuesday, February 11, 2020, National Council of Urban Indian Health President Maureen Rosette (Chippewa Cree Nation) will testify before the House Interior Appropriations Subcommittee as part of American Indian and Alaska Native Public Witness Days (February 11 and 12, 2020). The hearing will begin at 9:00 AM at 2008 Rayburn House Office Building and will be livestreamed. Ms. Rosette is expected to testify at 10:10 AM during the Health Care Panel.

In the testimony, NCUIH will advocate for an increase in funding to a minimum of $81 to $106 million for the Indian Health Services (IHS) urban Indian healthcare line item, constituting 2% of the total IHS budget. The higher end of this range, $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.

NCUIH is grateful to be included in the Public Witness Days. NCUIH has been encouraged by the strong leadership of Chair McCollum and Ranking Member Joyce for urban Indian health in FY 2020 and looks forward to continuing these efforts for FY 2021.

The deadline to submit written testimony is Friday, March 6th.

• Testimony
• Livestream

On December 31, NCUIH submitted two sets of comments to the Centers for Medicare & Medicaid Services (CMS) and Department of Health & Human Services Office of the Inspector General (OIG), respectively.

NCUIH’s first comment letter was submitted pursuant to CMS’s request for information on the Medicare Program: Modernizing and Clarifying the Physician Self-Referral Regulations.  In the comments, NCUIH strongly encouraged CMS to create new exceptions to the physician self-referral law that are consistent with the trust responsibility to AI/ANs.

The second comments were on OIG’s proposed rule, Medicare and State Healthcare Programs: Fraud and Abuse; Revisions to Safe Harbors Under the Anti-Kickback Statute, and Civil Monetary Penalty Rules Regarding Beneficiary Inducements.  In the comments, NCUIH noted, among other things, the importance of care coordination agreements to the I/T/U system and opposed modifications that would effectively make the safe harbor completely unavailable to I/T/U facilities.The OIG proposed modifications to the existing safe harbor for local transportation. In general, transportation is a major challenge for Indian Country, tribes, and AI/AN people no matter where they reside. For Indian health care providers and their AI/AN patients, transportation poses a significant barrier to health care access. NCUIH commented on the proposed increase in the mileage limit and encouraged OIG to eliminate the mileage limit for Indian health programs altogether – or to further expand the limit for our health programs. You can also find a copy of the comments submitted by the CMS Tribal Technical Advisory Group here.

This is the highest increase for the urban Indian line item. President Trump is expected to sign the bill before midnight.

On Thursday, December 19, 2019, the Senate passed the first part of the legislation to fund the federal government through fiscal year 2020. Congress decided to split all twelve appropriations bills into two different minibus bills, one without national security funding and a separate bill with national security-related items. The package with Interior Appropriations (H.R. 1865) has passed out of both chambers. This bill includes funding for the Department of Interior’s Indian Health Service and the urban Indian health line item through the September 30 end of the fiscal year. The President is expected to sign the bill before the current continuing resolution expires at midnight on Friday.

Indian Health Service and Urban Indian Line Item
As NCUIH reported earlier this week, the bill provides $6.047 billion for the Indian Health Service (IHS), $243 million more than fiscal year 2019 and $138 million more than the President’s budget request. IHS will see a 4% increase over FY19. The agreement includes $6 million in additional funds for the Urban Indian Health Programs, a long-overdue increase. NCUIH has long-advocated for an increase of at least $30 million for urban Indian health, however, this increase sets a higher water mark for next year’s negotiations.

105(l) Leases
The bill includes increases of $125 million to meet court-ordered requirements for tribal lease operating costs owed to tribes. The bill includes Senate report language directing IHS to implement better budget procedures to address this in the future.

Health Extenders
The health extenders including SDPI and CHC has been extended until May 22, 2020. This date provides additional time for negotiations on a longer-term reauthorization. NCUIH will continue to try to ensure the programs are extended for a longer-term, hopefully, 5 years, and to fight for further increases.

• • • Interior Appropriations Summary
    • Interior Appropriations and Other Bills

FY2020 Interior Appropriations

• Indian Health Service – $6.04 Billion
• Urban Indian Health Line Item – $57 Million

FY2019 Interior Appropriations

• Indian Health Service – $5.8 Billion
• Urban Indian Health Line Item – $51 Million

Press Contact:
Meredith Raimondi
mraimondi@NCUIH.org
202-417-7781

Policy Contact:
Carla Lott
cmlott@NCUIH.org

On Tuesday, October 22, the White House announced on its website the President’s intent to nominate Michael D. Weahkee to the post of Director of the Indian Health Service (IHS).  Rear Admiral Weahkee has served as Principal Deputy Director and Acting Director of IHS and also as Assistant Surgeon General of the United States Public Health Services at the Department of Health and Human Services.  RADM Weahkee previously served as the chief executive officer at the Phoenix Medical Center.

In addition, on Wednesday, October 23, sources including Politico and Bloomberg Government reported that President Trump plans to nominate Stephen M. Hahn to the post of Commissioner of the Food and Drug Administration, pending clearance of a background check.  Hahn currently serves as a radiation oncologist at the M.D. Anderson Cancer Center in Houston, Texas.