PRESS RELEASE: Supreme Court Rules 5-4 in Favor of Tribes on Reimbursement of Contract Support Costs for Third-Party Expenses

FOR IMMEDIATE RELEASE

“Today, the Supreme Court required the United States to uphold its responsibility to fully support Tribal self-determination under the Indian Self Determination Education and Assistance Act (ISDEAA). Contract support costs are necessary to ensure that Tribes that exercise their rights under ISDEAA receive the same amount of funding support as other federally run programs. Tribal governments know the needs of their people, and protecting and supporting Tribal self-determination is essential to ensuring the health and well-being of American Indians and Alaska Natives. NCUIH is a strong supporter of Tribal self-determination and proudly signed on to the National Indian Health Board’s amicus brief to the Supreme Court in support of the respondent Tribes.”

– NCUIH CEO, Francys Crevier (Algonquin)

Washington, D.C. (June 6, 2024) – The Supreme Court delivered their opinion in Becerra v. San Carlos Apache (consolidated with Becerra v. Northern Arapaho Tribe), authored by Chief Justice John Roberts. The decision in this case will benefit and assist Tribes operating under self-determination contracts with IHS. Moving forward, additional funding will be allocated within IHS’ budget to pay contract support costs related to Tribes using third-party revenue for administering their healthcare programs. In support of Tribal sovereignty and efforts of Tribes to ensure IHS carries out the federal trust responsibility, NCUIH signed on to the amicus brief filed by the National Indian Health Board (NIHB).

The court relied on language found in the Indian Self-Determination Act (ISDA), to show that, under Section 5325(a), the contract support costs incurred are eligible for repayment since they were done so to “ensure compliance with the terms of the contract.” The collection and spending of third-party revenue was done by Tribes as required by their contracts with IHS – to carry out operations transferred from IHS to the Tribes. Therefore, the court interprets ISDA to assume the administrative and overhead costs incurred as a result would be defined as contract support costs. Section 5326 of ISDA was also discussed by the court, which found that the limitations included “do not preclude payment of costs incurred by the required spending of program income under a self-determination contract.”

A highlight of the opinion is the court recognizing that reading ISDA differently would penalize Tribes who pursue self-determination. The purpose of contract support costs is to prevent funding gaps between IHS and Tribes, and finding differently would impact Tribes ability to finance and operate their healthcare programs.

About NCUIH

The National Council of Urban Indian Health (NCUIH) is a national non-profit organization devoted to the support and development of quality, accessible, and culturally-competent health and public health services for American Indians and Alaska Natives (AI/ANs) living in urban areas. NCUIH advocates for the 41 Urban Indian Organizations contracting with the Indian Health Service under the Indian Healthcare Improvement Act.

NCUIH respects and supports Tribal sovereignty and the unique government-to-government relationship between our Tribal Nations and the United States. NCUIH works to support those federal laws, policies, and procedures that respect and uplift Tribal sovereignty and the government-to-government relationship. NCUIH does not support any federal law, policy, or procedure that infringes upon or in any way diminishes Tribal sovereignty or the government-to-government relationship.

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NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org, 202-417-7781

PRESS RELEASE: NCUIH Honors Representatives Raul Ruiz, M.D. and Don Bacon, Senators Markwayne Mullin and Ben Ray Luján

NCUIH recognized the Members of Congress for their work in advancing the health of Native people.

FOR IMMEDIATE RELEASE

WASHINGTON, D.C. (May 8, 2024) –  The National Council of Urban Indian Health (NCUIH) presented four Congressional Urban Indian Health Champion Awards to Members of Congress for their efforts to advance urban Indian health during its 2024 Annual Conference: Sustaining Traditions: Culture, Identity, Health.

Representative Raul Ruiz, M.D. (D-CA-25), Representative Don Bacon (R-NE-02), Senator Markwayne Mullin (R-OK), and Senator Ben Ray Luján (D-NM), were recognized as Members of Congress who have demonstrated outstanding commitment and leadership in advocating for the advancement and improvement of urban Native health and health care. These individuals have gone above and beyond in their efforts to champion legislation, policies, and initiatives that promote the health, welfare, and rights of urban Native peoples, and have a proven track record of collaboration, bipartisan cooperation, and effectiveness in advancing legislative agendas that address critical issues relating to urban Native health. NCUIH thanks the awardees for their dedication to upholding the federal trust and treaty obligation to provide healthcare services to all American Indian and Alaska Native people, regardless of where they reside.

Pictured: Representative Raul Ruiz, M.D. with NCUIH CEO Francys Crevier, and UIO Representatives from California.

Pictured: Homles Whalen, Senior Counsel for Senator Markwayne Mullin with NCUIH CEO Francys Crevier, CEO of the Indian Health Care Resource Center Carmelita Skeeter, and NCUIH President-Elect Robyn Sunday-Allen.

Pictured: Calli Shapiro, Senior Policy Counsel for Ben Ray Luján with NCUIH Board Member Dr. Linda Son-Stone, and NCUIH CEO Francys Crevier.

Pictured: Representative Don Bacon with Cheryl Carlberg, Omaha Clinic Director at the Nebraska Urban Indian Health Coalition, and NCUIH Staff.

About NCUIH

The National Council of Urban Indian Health (NCUIH) is a national representative advocating for the 41 Urban Indian Organizations contracting with the Indian Health Service under the Indian Health Care Improvement Act. NCUIH is devoted to the support and development of quality, accessible, and culturally competent health and public health services for American Indians and Alaska Natives living in urban areas.

NCUIH respects and supports Tribal sovereignty and the unique government-to-government relationship between our Tribal Nations and the United States. NCUIH works to support those federal laws, policies, and procedures that respect and uplift Tribal sovereignty and the government-to-government relationship. NCUIH does not support any federal law, policy, or procedure that infringes upon or in any way diminishes Tribal sovereignty or the government-to-government relationship.

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NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org, 202-417-7781

PRESS RELEASE: NCUIH Publishes Innovative Report on Traditional Healing at Urban Indian Organizations

Report details benefits of Traditional Healing for American Indians and Alaska Natives and the need for reimbursement for these services

FOR IMMEDIATE RELEASE
NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org, 202-417-7781

WASHINGTON, D.C. (April 30, 2024) – The National Council of Urban Indian Health (NCUIH) is proud to announce the publication of its report entitled “Recent Trends in Third-Party Billing at Urban Indian Organizations: Thematic Analysis of Traditional Healing Programs at Urban Indian Organizations and Meta-Analysis of Health Outcomes.”

“This report is the result of a ground-breaking study focusing on how Urban Indian Organizations administer, evaluate, and fund traditional healing services. Our research shows that the ability to provide and be reimbursed for culturally relevant services will provide an even greater opportunity to provide whole-person care,” says NCUIH CEO Francys Creiver, J.D. (Algonquin).

 The report explains how traditional healing services can have a demonstrably positive impact on the health of American Indians and Alaska Natives but that funding remains a significant impediment to expanding access to these services at UIOs.

View Report

Background

This report serves as an update to the National Council of Urban Indian Health’s previous reporting on recent trends in third-party billing at UIOs. This year’s focus on how UIOs administer, evaluate, and fund traditional healing services reflects UIOs’ commitment to expanding access to traditional healing for American Indians and Alaska Natives in urban areas. The report has a particular focus on Medicaid reimbursement for traditional healing because Medicaid is a significant source of health coverage for UIO patients, but many UIOs have reported difficulty receiving reimbursement for traditional healing services. NCUIH’s prior reports are publicly available at: https://ncuih.org/research/third-party-billing/.

Next Steps

Recognizing the importance of culturally appropriate care, four states have initiated efforts to expand reimbursement for these services at Indian Health Service facilities, Tribal Health Centers, and UIOs. Arizona, California, Oregon, and New Mexico have submitted traditional healing reimbursement proposals to the Centers for Medicare & Medicaid Services (CMS) using Section 1115(a) demonstration waivers. NCUIH continues to educate policymakers regarding the importance of traditional healing for American Indians and Alaska Natives in urban areas and the importance of developing reimbursement models that are culturally sensitive and appropriate.

About NCUIH

The National Council of Urban Indian Health is a national non-profit organization devoted to the support and development of quality, accessible, and culturally competent health and public health services for American Indians and Alaska Natives living in urban areas. NCUIH is a national organization advocating for the 41 Title V Urban Indian Organizations under the Indian Health Service in the Indian Health Care Improvement Act.

NCUIH respects and supports Tribal sovereignty and the unique government-to-government relationship between our Tribal Nations and the United States. NCUIH works to support those federal laws, policies, and procedures that respect and uplift Tribal sovereignty and the government-to-government relationship. NCUIH does not support any federal law, policy, or procedure that infringes upon or in any way diminishes Tribal sovereignty or the government-to-government relationship.

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NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org, 202-417-7781

PRESS RELEASE: NCUIH Honors Councilman Andy Joseph Jr., Carmelita Skeeter, Martin Waukazoo, Sonya Tetnowski, Ralyn Montoya, The Pew Charitable Trusts, and W.K. Kellogg Foundation

NCUIH recognized seven leaders and health advocates for their work in advancing the health of Native people.

FOR IMMEDIATE RELEASE
NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org, 202-417-7781

WASHINGTON, D.C. (May 1, 2024) – The National Council of Urban Indian Health (NCUIH) presented seven awards to leaders and advocate organizations for their efforts to advance urban Indian health during its 2024 Annual Conference: Sustaining Traditions: Culture, Identity, Health. NCUIH thanks the awardees for their dedication to upholding the federal trust and treaty obligation to provide the highest level of health to all American Indian and Alaska Native people, regardless of where they reside.

Tribal Leader Impact Award – Councilman Andy Joseph Jr. (Confederated Tribes of the Colville Reservation)

The Tribal Leader Impact Award was presented to Councilman Andy Joseph, Jr. (Confederated Tribes of the Colville Reservation), Veterans Chair and District Representative of the Colville Business Council, who has demonstrated exceptional leadership, dedication, and impact in addressing health disparities and improving the well-being of Native populations, and has a proven track record of advocating for policies, programs, or initiatives that have positively influenced health outcomes, cultural preservation, and community resilience within their tribal communities and beyond.

Urban Indian Organization Visionary Award –  Carmelita Skeeter (Citizen Nation Potawatomi)

The Urban Indian Organization Visionary Award was awarded to Carmelita Skeeter (Citizen Nation Potawatomi), CEO of the Indian Health Care Resource Center in Tulsa, Oklahoma, who has demonstrated visionary leadership and innovation in addressing challenges and opportunities within urban Native communities and has a track record of developing and implementing innovative programs, initiatives, or strategies that have significantly contributed to the advancement of urban Indian health and well-being.

Pictured: NCUIH Board Member Natalie Aguilera, NCUIH CEO Francys Crevier, NCUIH President-Elect Robyn Sunday-Allen, Carmelita Skeeter, CEO of the Indian Health Care Resource Center in Tulsa, Oklahoma, NCUIH President Walter Murillo, NCUIH Outgoing President Sonya Tetnowski

Distinguished Service Award – Sonya Tetnowski (Makah Tribe)

The Distinguished Service Award was given to Sonya Tetnowski (Makah Tribe) as a heartfelt tribute to our esteemed Board President, in recognition of her profound dedication and unwavering commitment to NCUIH and, by extension, to Native American communities across the nation. Sonya’s tenure has been marked by an extraordinary blend of passion, vision, and tireless advocacy, which have propelled NCUIH to new heights of impact and relevance. Through her leadership, Sonya has been a beacon of hope and empowerment for Native peoples, championing initiatives that uplift health equity, cultural preservation, and community resilience. Her legacy is woven into the fabric of our organization and echoes in the lives she has touched and transformed. This award celebrates Sonya Tetnowski’s profound impact, embodying the spirit of service, compassion, and solidarity that defines her remarkable leadership journey.

Pictured: NCUIH Outgoing President Sonya Tetnowski with NCUIH CEO, Francys Crevier and NCUIH Board President Walter Murillo

Urban Indian Legacy Award – Martin Waukazoo (Lakota)

The Urban Indian Legacy Award was presented to Martin Waukazoo (Lakota), Former CEO of the Native American Health Center, who has made enduring and significant contributions to the urban Indian health movement over the years, dedicating their careers to advocating for urban Native health, preserving cultural heritage, and fostering community empowerment.

Pictured: NCUIH Board Member, Natalie Aguilera, and Native American Health Center accepting on behalf of Martin Waukazoo

Urban Indian Organization Staff Member of the Year Award – Ralyn Montoya (Diné)

The UIO Staff Member of the Year Award was given to Ralyn Montoya (Diné), Public Relations & Marketing Specialist at the Urban Indian Center of Salt Lake, who has demonstrated exceptional dedication, leadership, and service in advancing her organization’s mission and goals.

Pictured: NCUIH Board President Walter Murillo with Public Relations & Marketing Specialist at the Urban Indian Center of Salt Lake, Ralyn Montoya

Native Health Rising Ally Award – The Pew Charitable Trusts

The Native Health Rising Ally Award was presented to The Pew Charitable Trusts, a vital partner in NCUIH’s efforts to improve the health and well-being of American Indian and Alaska Native people who has shown exceptional dedication and effectiveness in partnering with urban Native communities to improve health care outcomes. NCUIH is grateful to The Pew Charitable Trusts’ demonstrated commitment to culturally competent healthcare delivery, collaboration with urban health organizations, and innovative approaches to addressing health disparities.

Pictured: NCUIH VP of Policy and Communications, Meredith Raimondi, with Alaina McBournie, Pew Senior Manager, Substance Use Prevention and Treatment Initiative, and Chris Lipson, Manager, Pew, Strategy and Compliance

Native Health Partnership Excellence Award – W.K. Kellogg Foundation

The Native Health Partnership Excellence Award was presented to the W.K. Kellogg Foundation, an organization that has demonstrated outstanding support, advocacy, and allyship in advancing urban Native American health initiatives. NCUIH is appreciative of W.K. Kellogg Foundation’s active engagement in promoting health equity, amplifying indigenous voices, fostering culturally sensitive healthcare practices, and fostering partnerships with Urban Indian Organizations.

Pictured: NCUIH VP of Policy and Communications, Meredith Raimondi, with Caroline Brunton, W.K. Kellogg Foundation Program Officer

About NCUIH

The National Council of Urban Indian Health is a national non-profit organization devoted to the support and development of quality, accessible, and culturally competent health and public health services for American Indians and Alaska Natives living in urban areas. NCUIH is a national organization advocating for the 41 Title V Urban Indian Organizations under the Indian Health Service in the Indian Health Care Improvement Act.

NCUIH respects and supports Tribal sovereignty and the unique government-to-government relationship between our Tribal Nations and the United States. NCUIH works to support those federal laws, policies, and procedures that respect and uplift Tribal sovereignty and the government-to-government relationship. NCUIH does not support any federal law, policy, or procedure that infringes upon or in any way diminishes Tribal sovereignty or the government-to-government relationship.

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NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org, 202-417-7781

PRESS RELEASE: NCUIH CEO and Helena Indian Alliance Honored with IHS Director’s Special Recognition Awards in Urban Leadership

FOR IMMEDIATE RELEASE

WASHINGTON, D.C. (December 13, 2023) – On December 8, 2023, the Indian Health Service’s Director’s Award Committee honored the National Council of Urban Indian Health’s (NCUIH) CEO, Francys Crevier J.D. (Algonquin) and the Helena Indian Alliance with the 2022 Director’s Special Recognition Award in Urban Leadership.

Pictured L to R: Andrea Palm, Deputy Secretary of the Department of Health and Human Services (HHS), Francys Crevier, NCUIH CEO, and Roselyn Tso, Director of the Indian Health Service

Pictured L to R: Andrea Palm, Deputy Secretary of the Department of Health and Human Services (HHS), Francys Crevier, NCUIH CEO, and Roselyn Tso, Director of the Indian Health Service

“I am grateful for the 2022 Director’s Special Recognition Award, which recognizes the tireless efforts of the National Council of Urban Indian Health in advocating for the health and rights of Indigenous communities. This award is not just a personal achievement but a symbol of the collective impact we can make when we work together. Our Urban Indian Organizations, Tribes, and Tribal organization partners have been integral to our movement. I share this honor with our partners, our dedicated team, and the entire Native community living in urban areas as we continue our mission to foster positive change and ensure equitable access to health care.” – NCUIH CEO Francys Crevier (Algonquin)

The Urban Leadership Award recognizes Ms. Crevier’s dedication to advocating for the rights of Indigenous people, better health care in Indian Country, and previously representing Tribes as an in-house counsel. Francys has been instrumental in steering NCUIH’s mission forward for the betterment of health care in Indian Country and championing the rights of Indigenous communities to ensure a healthier seven generations. The award highlights the significance of urban Native advocacy and marks a milestone in the ongoing journey towards equitable health care and justice for Indigenous communities.

Alongside Francys, Todd Wilson (Crow), a distinguished NCUIH board member and executive director of the Helena Indian Alliance in Montana, accepted an Urban Leadership Award on behalf of the Helena Indian Alliance for its outstanding contributions to urban leadership. Mr. Wilson has played a pivotal role in advocating for the rights and well-being of Indigenous communities, demonstrating exceptional dedication to improving health care in Indian Country. His leadership at the Helena Indian Alliance showcases a commitment to improving health care for urban Native populations. Kevin Sandoval, HIM/IT coordinator at the Helena Indian Alliance, won an IHS Director’s Special Recognition Award.

Pictured: Mike Touchette, Helena Indian Alliance (HIA) board chair, Francys Creier, NCUIH CEO, Todd Wilson, HIA executive director, Renee Parsley, HIA board vice chair, and Jason Smith, HIA board treasurer

Pictured: Mike Touchette, Helena Indian Alliance (HIA) board chair, Francys Creier, NCUIH CEO, Todd Wilson, HIA executive director, Renee Parsley, HIA board vice chair, and Jason Smith, HIA board treasurer

Pictured: Kevin Sandoval, Health Information Management/ IT Coordinator at Helena Indian Alliance

Pictured: Kevin Sandoval, Health Information Management/ IT Coordinator at Helena Indian Alliance

This prestigious award follows the recognition bestowed upon Carmelita Skeeter, CEO of the Indian Health Care Resource Center of Tulsa, in 2018. NCUIH remains steadfast in its dedication to enacting positive change and advocating for the rights and well-being of urban Native populations across the United States.

The Director’s Special Recognition Award serves as both validation and inspiration, propelling NCUIH to continue its unwavering commitment to transformative advocacy and enhancing health care access for all Indigenous communities. NCUIH extends its congratulations to Ms. Crevier, Mr. Sandoval, and the Helena Indian Alliance for this well-deserved recognition and significant contributions to Indian country!

About NCUIH

The National Council of Urban Indian Health (NCUIH) is the national non-profit organization devoted to the support and development of quality, accessible, and culturally competent health and public health services for American Indians and Alaska Natives (AI/ANs) living in urban areas. NCUIH is a national representative advocating for the 41 Title V Urban Indian Organizations (UIOs) under the Indian Health Service (IHS) in the Indian Health Care Improvement Act (IHCIA). NCUIH strives to improve the health of the over 70% of the AI/AN population living in urban areas, by supporting their access to high-quality, culturally-competent care. 

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NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org, 202-417-7781

PRESS RELEASE: NCUIH Applauds Bipartisan Reintroduction of the Urban Indian Health Parity Act

FOR IMMEDIATE RELEASE

WASHINGTON, D.C. (November 30, 2023) – On November 30, 2023, Representative Ruiz (D-CA-25) and Representative Bacon (R-NE-02) reintroduced the bipartisan Urban Indian Health Parity Act, which would amend the Social Security Act to set the federal medical assistance percentage (FMAP) at 100% for services provided to Medicaid beneficiaries at urban Indian organizations (100% FMAP for UIOs). This vital provision will help expand access to necessary health services for American Indian and Alaska Native families and children and ensure the federal government is better fulfilling its trust responsibility.

States have received 100% FMAP for services provided to IHS/Medicaid beneficiaries at Indian Health Service and Tribal facilities for decades, and UIOs have advocated for parity through legislation since 1999. Extending 100% FMAP to UIOs will require the federal government to bear the cost of Medicaid services provided to AI/ANs no matter which facet of the Indian health system they utilize, as is required by the trust responsibility. Parity for UIOs will support UIOs in working with their states to improve the Medicaid program for the 46% of Native patients seen at UIOs who are Medicaid beneficiaries.

“We applaud Representatives Ruiz and Bacon for this bipartisan effort to ensure that the federal government honors its trust responsibility to Native people and improves health outcomes that are desperately needed. With broad support from Indian Country, we are hopeful that Congress will move forward with ending this inequity to expand resources for communities that benefit from the necessary services provided by urban Indian organizations and all Indian Health Care Providers,” said Francys Crevier, CEO of NCUIH.

NCUIH recently released a report highlighting the importance of 100% FMAP, which includes case studies of two states, Washington and Montana, that successfully utilized the American Rescue Plan Act’s (ARPA) temporary authorization of 100% FMAP for UIOs to increase funding support for their UIOs. It also provides an extensive history of 100% FMAP in the Indian health care system.

Read the Press Release from Rep. Ruiz and Rep. Bacon here: Congressman Ruiz, Bacon Introduce Legislation to Address the Health Disparities in Native American Communities

About NCUIH 

The National Council of Urban Indian Health (NCUIH) is the national non-profit organization devoted to the support and development of quality, accessible, and culturally competent health and public health services for American Indians and Alaska Natives (AI/ANs) living in urban areas. NCUIH is the only national representative of the 41 Title V Urban Indian Organizations (UIOs) under the Indian Health Service (IHS) in the Indian Health Care Improvement Act (IHCIA). NCUIH strives to improve the health of the over 70% of the AI/AN population that lives in urban areas, supported by quality, accessible health care centers.

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NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org, 202-417-7781

PRESS RELEASE: NCUIH Welcomes Not Invisible Act Commission Report to Congress and Administration

Commission Urges Immediate Action to Address Missing and Murdered Indigenous Persons and Human Trafficking Crises

FOR IMMEDIATE RELEASE

WASHINGTON, D.C. (November 17, 2023) – At the start of National Native American Heritage Month, the Not Invisible Act Commission released its report entitled “Not One More” urging Congress and the Biden Administration to take immediate action to address the related crises of Missing and Murdered Indigenous Persons (MMIP) and human trafficking of Indigenous persons (HT). The National Council of Urban Indian Health (NCUIH) endorsed and advocated for the passage of the legislation which created the Commission and NCUIH’s Board President, Sonya Tetnowski (Makah), served on the Commission.

“It was an honor to serve on this commission with so many tribal leaders from across Indian Country.  We as a commission heard from over 260 survivors, families, advocates, government agencies, and law enforcement to understand the impact from as many perspectives as possible. This 200-plus page report should be the beginning of this process as we know that each recommendation will require specific work to accomplish,” said Ms. Tetnowski.

The Commission’s report is a resounding call to the United States to fulfill its trust responsibility to American Indians and Alaska Natives and address the public health and public safety in Native communities caused by centuries of policies designed to attack Tribal Nations and Native ways of living. The Commission specifically recognized the impact of federal policies on Native people living in urban areas, highlighting the testimony of one witness who told the Commission “We can’t forget the urban relocation programs in the 50s; I hope this Commission doesn’t forget those relatives that are living off rez.”

Background

NCUIH along with other National Native Organizations worked in support of the Not Invisible Act legislation, which was enacted in October 2020. The Act required the Secretary of the Interior, in coordination with the Attorney General to establish and appoint a joint commission on violent crime against American Indians and Alaska Natives. Secretary of the Interior Haaland was the lead sponsor of the Not Invisible Act when she served in Congress. The bill was passed unanimously by voice vote in both chambers of Congress.

Commissioner Sonya Tetnowski is a citizen of the Makah Tribe and CEO of the Indian Health Center of Santa Clara Valley. She currently serves as the president of both NCUIH and the California Consortium of Urban Indian Health (CCUIH). Ms. Tetnowski works daily in support of the health and wellness services to American Indians and Alaska Natives living in urban areas. Violence against American Indians and Alaska Natives is a public health crisis and is considered a social determinant of health (SDOH). Both NCUIH and CCUIH are committed to the reduction of violence impacting Native communities.

Next Steps

The Not Invisible Act requires the Secretary of the Interior and the Attorney General to make publicly available and submit a written response to the recommendations within 90 days to the Commission and Congress. NCUIH will continue to uplift the work of the Commission and analyze the federal government’s response for further action once released.

PRESS RELEASE: Vice President Harris Applauds Urban Indian Organization, NATIVE HEALTH, as First Pilot Site for Indian Health Service Voter Registration Program

FOR IMMEDIATE RELEASE

NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org

WASHINGTON, D.C. (November 3, 2023) – In response to barriers that have prevented Native communities from participating in elections, the Biden-Harris Administration announced new agency actions to improve voting access. In March, a pilot program through the Indian Health Service was announced, where five facilities would serve as voter registration pilot sites by the end of 2023. Recently, NATIVE HEALTH in Phoenix, Arizona, became the first of these pilot sites to be designated through the National Voter Registration Act.

“Native American voters often face significant barriers to accessing the right to vote. We are working to change that. For the firsttime ever, Tribal members can now register to vote at an Indian Health Service facility, Native Health of Phoenix.” Vice President Kamala Harris

“Our Native communities routinely face barriers not only with access to voting, but with registering to vote itself. The IHS Voter Registration Pilot Program will help address and eliminate these barriers. We are honored that one of our Urban Indian Organizations is leading the way as the first site to launch this program. NATIVE HEALTH has made civic engagement a priority. We look forward to seeing what other sites are selected for this program and will continue to uplift this work.” – NCUIH CEO, Francys Crevier (Algonquin).

“Voting is a social determinant of health, and we are critical access point to enable our communities to participate in the fundamental civic duty of voting. We are honored to be the first pilot site for this essential program that will make it easier for eligible Native Americans to exercise our right to vote.” Walter Murillo (Choctaw), NCUIH Board President-Elect and CEO of NATIVE HEALTH.

At a recent event, IHS Deputy Director Benjamin Smith (Navajo) stated, “President Biden pledged to designate five Indian Health Service voter registration pilot sites by the end of this calendar year. We are honored to be here and celebrate NATIVE HEALTH as the first to gain National Voter Registration Act designation under the Indian Health Service in alignment with the president’s vision.”

Native Health

About NCUIH
The National Council of Urban Indian Health (NCUIH) is the national non-profit organization devoted to the support and development of quality, accessible, and culturally competent health and public health services for American Indians and Alaska Natives (AI/ANs) living in urban areas. NCUIH is the only national representative of the 41 Title V Urban Indian Organizations (UIOs) under the Indian Health Service (IHS) in the Indian Health Care Improvement Act (IHCIA). NCUIH strives to improve the health of the over 70% of the AI/AN population living in urban areas, by supporting their access to high-quality, culturally-competent care.

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NCUIH Joins National Native Organizations In Urgent Opposition To Federal Shutdown

Organizations Also Call on Congress to Protect Tribal Programs from Any Budget Cuts

FOR IMMEDIATE RELEASE 

WASHINGTON, D.C. (September 22, 2023) – Amid a looming federal government shutdown, the National Council of Urban Indian Health (NCUIH) joins the National Congress of American Indians (NCAI), National Indian Health Board (NIHB), and a group of national Native organizations in a joint press statement opposing any reductions in funding for vital Indian Country programs and reminding Congress that Native lives should never be used as political pawns.

Status of FY 2024 Funding

Annual funding for federal programs ends this September 30. If Congress does not pass a budget by this time, they must either pass a Continuing Resolution (CR) to provide short-term funding for the federal government, or the federal government will shut down and go into emergency operating plans. House Republicans have struggled to come to a consensus on any funding legislation. Earlier this week, House Republicans proposed a CR that included an overall 8% funding cut to the federal budget. Senate Democrats have signaled they will automatically oppose this CR proposal. Congress must commit to protecting the Indian Health Service (IHS) from any across-the-board cuts to agencies in accordance with the trust responsibility. 

Government Shutdown Effect on the Indian Health Service

Thanks to the tremendous advocacy by national Native and partner organizations, IHS will have advance appropriations, which will ensure a greater continuity of operations if the government shuts down. The timing of the enactment of the first-ever advance appropriation for IHS in last year’s omnibus could not be more significant in the prevention of needless deaths during any discontinuation in government operations.

Even with advance appropriations for Fiscal Year (FY) 2024, IHS will still be impacted by a government shutdown. Several IHS accounts were not included in this appropriation such as Electronic Health Record Modernization, Indian Health Care Improvement Fund, Health Care Facilities Construction, Sanitation Facilities Construction, Contract Support Costs, and Section 105(l) Leases. As a result, those accounts will be unfunded in the event of a government shutdown.

Call on Congress to Protect IHS and Tribal Programs from Funding Cuts!

Contact your Members of Congress and urge them to avoid a government shutdown and support Indian Country in budget negotiations.

  • Find your Member of Congress here

Raise your voice on Social Media!

  • Example post: Dear [@Member’s handle], please urge Congressional leadership to protect the Indian Health Service and Tribal programs from dangerous cuts! #TrustResponsibility

NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org

NCUIH Applauds CMS Action to Protect Health Care Coverage for Children and Families

PRESS RELEASE

National Council of Urban Indian Health
Meredith Raimondi, Vice President of Policy and Communications
mraimondi@ncuih.org

 

FOR IMMEDIATE RELEASE

NCUIH Applauds CMS Action to Protect Health Care Coverage for Children and Families

WASHINGTON, D.C. (September 19, 2023) – Today, the National Council of Urban Indian Health (NCUIH) issued a statement from its CEO, Francys Crevier, addressing the recent proactive steps the Centers for Medicare & Medicaid Services (CMS) took to safeguard the health care coverage of children and families.

“The swift and decisive actions undertaken by CMS, instructing states to promptly reinstate Medicaid and CHIP coverage for children and families who may have been inadvertently disenrolled due to systems and operational errors, are nothing short of lifesaving. Preserving and expanding health care access for Native communities disproportionately impacted by these changes should be a paramount concern for all.”

CMS recently communicated with all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands, urging them to investigate potential eligibility system issues that could lead to the unjust disenrollment of individuals, particularly children, from Medicaid or the Children’s Health Insurance Program (CHIP), even when they remain eligible. States are now obligated to rectify these issues promptly and reinstate coverage for all affected individuals. Further details can be found here.

Medicaid and CHIP provide essential health care coverage for American Indian and Alaska Native (AI/AN) communities. In 2020, over 1.8 million AI/ANs were enrolled in Medicaid, meaning almost 1/5 of the AI/AN population is covered by Medicaid. Of these, 46.2% of Medicaid enrollees are AI/ANs from 0-18, and 46.5% are from 19-64.

The Medicaid Unwinding process is projected to disproportionately impact AI/ANs. Some estimates show that 12% of AI/AN children will lose Medicaid coverage. NCUIH is actively monitoring the Medicaid Unwinding and continues to work to ensure that policy makers are informed regarding appropriate strategies to ensure all eligible AI/ANs remain enrolled in Medicaid and CHIP.

About NCUIH

The National Council of Urban Indian Health (NCUIH) is the national non-profit organization devoted to the support and development of quality, accessible, and culturally competent health and public health services for American Indians and Alaska Natives (AI/ANs) living in urban areas. NCUIH is the only national representative of the 41 Title V Urban Indian Organizations (UIOs) under the Indian Health Service (IHS) in the Indian Health Care Improvement Act (IHCIA). NCUIH strives to improve the health of the over 70% of the AI/AN population that lives in urban areas, supported by quality, accessible health care centers.

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