FOR IMMEDIATE RELEASE

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

The National Council of Urban Indian Health was one of 88 organizations providing letters of support for RADM Weahkee.

Washington, DC (December 11, 2019)— Today, December 11, 2019, the Senate Committee on Indian Affairs held a markup on S. 2365, the Health Care Access for Urban Native Veterans Act and a Nomination Hearing to consider RADM Michael D. Weahkee, of New Mexico, to be Director of the Indian Health Service, U.S. Department of Health and Human Services. S. 2365 was ordered to be reported favorably by voice vote by the Senate Committee on Indian Affairs.

“Passing the Health Care Access for Urban Native Veterans Act through the Senate Committee on Indian Affairs is a monumental step in ensuring the health and wellness of urban Native Veterans,” said Francys Crevier, Executive Director of the National Council of Urban Indian Health, “Native people serve in the military at a higher rate than any other population and when they come home from serving our country, Native Veterans deserve the right to access culturally competent health care at an Urban Indian Health program. We thank Chairman Hoeven and the Committee for their outstanding leadership on moving this legislation forward to help our Native Veterans.”

“We write to express our support of the nomination of Rear Admiral (RADM) Michael D. Weahkee. Despite comprising over two-thirds of AI/ANs, urban Indians are too often excluded from federal policies and programs designed to carry out the trust responsibility. While serving in his post, RADM Weahkee has repeatedly established his understanding that UIOs are an integral part of the Indian health system, which is comprised of the Indian Health Service (IHS), Tribes, and tribal organizations, and urban Indian organizations (collectively, I/T/Us),” wrote NCUIH Board President Maureen Rosette in the nominating letter.

“In partnership with Tribes and Urban Indian Organizations, we have developed a comprehensive and aggressive five-year strategic plan for the IHS, focused on expanding access to care, improving the quality of care that we provide, and improving the management and operations of the Agency,” said Rear Admiral Michael D. Weahkee, Nominee for Director of the Indian Health Service, Department of Health and Human Services in his opening statement.

The IHS is an agency within the U.S. Department of Health and Human Services responsible for providing federal health care to approximately 2.6 million American Indians and Alaska Natives. In 37 states, there are over 605 hospitals, clinics, and health stations located on or near tribal communities under the purview of the IHS and 41 urban Indian health programs. The Director of the IHS oversees the administration of health care programs and services within the agency, including management of the budget of approximately $6.9 billion and employment of more than 15,000 professionals.

More Information

• Recording of Hearing
• Weahkee Opening Remarks
• NCUIH Letter of Nomination for RADM Weahkee
• View NCUIH one-pager on VA-IHS Memorandum of Understanding
• NCAI Resolution Passed
• NCUIH Press Release on SCIP Hearing
• Udall, Khanna Bill Introduction Press Release
• NCUIH Press Release on Introduction
• AP Story: Bill would expand health care options for Native veterans

FOR IMMEDIATE RELEASE

Contact: Meredith Raimondi, 202-544-0344, mraimondi@NCUIH.org

Shutdown Averted Through Dec. 20, 2019

The Senate has voted to keep funding the government and the President is expected to sign the bill before the deadline tonight. Following the lead of House who passed legislation on Tuesday, (H.R. 3055), the Senate passed the bill that will keep the government open until December 20, 2019. The stopgap measure is similar to the last Continuing Resolution in that it includes many health programs and the urban Indian health line item.  Notably, the Continuing Resolution extends the Special Diabetes Program (SDPI) for Indians – which will push back SDPI’s expiration to December 20th and give Congress another month to consider a longer-term re-authorization.  The bill also extends funding for Community Health Centers and the National Health Service Corps.

As federal legislators have been in negotiations regarding the FY2020 budget, the National Council of Urban Indian Health (NCUIH) has pressed Congress to fund urban Indian health at $81 million and to pass responsible legislation regarding the future success of urban Indian organizations.

Contact Congress Today

Contact your Member of Congress to encourage them to pass a budget for IHS to include the Urban Indian line item with increased appropriations that reflects and honors the trust responsibility.

• NCUIH’s Letter to the Senate Committee on Appropriations
• Sample Letter to Send to Congress
• Member of Congress Contact Information

For further assistance, please contact:
Director of Congressional Relations, Carla Lott (cmlott@ncuih.org).

FOR IMMEDIATE RELEASE

Contact: Meredith Raimondi, 202-544-0344, mraimondi@NCUIH.org

November 4, 2019

Senate Passes First FY 2020 Appropriations Minibus with Interior Spending Package

Minibus includes $53 million for Urban Indian Health

The Senate passed its first fiscal 2020 spending package on Thursday, as lawmakers have only a few weeks left to prevent a government shutdown. This approximately $332 billion package, cleared the full Senate by a final vote of 84-9, and included spending bills for the departments of Interior, Agriculture-FDA, Commerce-Justice-Science, and Transportation-HUD.

The House minibus was passed in June, under H.R. 3055. The Senate minibus, known as minibus #2, provides a lower overall funding level for the Indian Health Service (IHS) at roughly $6 billion in FY 2020, compared to $6.3 billion under the House minibus. So far, negotiations between the House and Senate on a final spending package has shown little to no progress, as the current Continuing Resolution (CR) is set to expire on November 21, 2019.

According to the House Appropriations Committee Chairwoman Nita Lowey (D-N.Y.) another stopgap measure through February or March would most likely be necessary – although House Speaker Nancy Pelosi (D-CA) and Senate Majority Leader Mitch McConnell (R-KY) publicly declare all twelve FY 2020 appropriations bills will be completed by the beginning of the New Year.

The National Council of Urban Indian Health has tirelessly advocated both the House and the Senate to increase the urban Indian health line item. In May, the House Appropriations Committee approved the FY 2020 Interior, Environment, and Related Agencies appropriations bill that included an approximated $30 million increase for urban Indian health care in the Indian Health Service budget- bringing funding to $81 million for Urban Indian Organizations (UIOs). Shortly after, the Senate Appropriations Committee advanced a $35 billion Interior spending package to include a recommendation of $53 million for the Urban Indian Health program, an approximate increase of almost $2 million above the current enacted level.

House

• IHS – $6.3 billion
• Urban Indian Health – $81 million

Senate

• IHS – $6.04 billion
• Urban Indian Health – $53 million

Contact Congress

As Congress works to shape the federal government’s budget, there is still time for you to contact your member of Congress today and tell them to prioritize increased funding for urban Indian health!

• NCUIH’s Letter to the Senate Committee on Appropriations
• Sample Letter to Send to Congress
• Member of Congress Contact Information

The Health Care Access for Urban Native Veterans Act has broad support across Indian Country.

Washington, DC (August 2, 2019)—Today, Senator Tom Udall (D-NM) and Representative Ro Khanna (D-Calif.) introduced the Health Care Access for Urban Native Veterans Act (S. 2365) which would improve health care access for American Indian and Alaska Native (AI/AN) veterans by providing Department of Veterans Affairs coverage for care that AI/AN vets receive from Title V Urban Indian Organizations (UIOs). The legislation allows AI/AN veterans better access to culturally-competent care and alleviates burdens on the VA system. In addition to Udall and Khanna, the bill is co-sponsored by U.S. Senators Jerry Moran (R-Kan.), Jon Tester (D-Mont.), ranking member of the Senate Committee on Veterans Affairs, Mike Rounds (R-S.D.), and Tina Smith (D-Minn.) and U.S. Representatives Paul Gosar (R-Ariz.), Ben Ray Luján (D-N.M.), Don Young (R-Alaska), Gwen Moore (D-Wis.), Paul Tonko (D-N.Y.), Greg Gianforte (R-Mont.), Don Bacon (R-Neb.), and Deb Haaland (D-N.M.).   

The National Congress of American Indians (NCAI) passed a resolution in July supporting this legislative fix to help UIOs have the resources to better serve AI/AN veterans. The bill is also supported by the Iraq and Afghanistan Veterans of America and VoteVets.

“The Health Care Access for Urban Native Veterans Act is important legislation to ensuring that our veterans in urban areas are no longer left behind. Now, the Department of Veterans Affairs will have the explicit authority to reimburse the 41 Title V Urban Indian Organizations who are already providing critical resources for American Indian and Alaska Native veterans who have served the United States,” said NCUIH Executive Director Francys Crevier.

“The National Council of Urban Indian Health has made it a priority to ensure that Urban Indian Organizations are included in the IHS-VA MOU to help provide health care to American Indian and Alaska Native veterans. As a Native veteran myself, I understand the importance of coming home and knowing I have a safe space to receive care. Thank you to my own Representative Ro Khanna,  and we are grateful for the leadership of the 116th Congress in introducing this landmark legislation,” said NCUIH Vice President Sonya Tetnowski.

“At First Nations Community HealthSource, we never turn anyone – veteran or not – away. Native veterans in Albuquerque consider our facility a safe, accessible space to receive health care. With critical underfunding, this legislation would allow all Urban Indian Organizations to finally be reimbursed for the necessary care we already provide to our Native veterans,” said Linda Son-Stone, NCUIH Secretary Chief Executive Officer of First Nations Community HealthSource, an Urban Indian Organization and member of NCUIH.

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.”

• View NCUIH one-pager on VA-IHS Memorandum of Understanding.
• The full text of the House legislation can be found HERE.
• Senate bill

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About the National Council of Urban Indian Health

The National Council of Urban Indian Health (NCUIH) is the national organization devoted to the support and development of quality, accessible, and culturally-competent health services for American Indians and Alaska Natives (AI/ANs) living in urban settings. NCUIH envisions a nation where comprehensive, culturally competent personal and public health services are available and accessible to AI/ANs living in urban communities throughout the United States.  NCUIH is the only organization that represents all 41 Urban Indian Organizations (UIOs) federally funded by the Indian Health Service.

Press Release from Rep. Ro Khanna

RELEASE: KHANNA, UDALL INTRODUCE BIPARTISAN, BICAMERAL BILL TO IMPROVE HEALTH CARE ACCESS FOR NATIVE AMERICAN VETERANS

August 2, 2019

Press Release

Bill will ensure equal access to culturally competent care for urban Native veterans in cities across the United States

Washington, DC – Today, U.S. Representative Ro Khanna (D-Calif.) and U.S. Senator Tom Udall (D-N.M.), vice chairman of the Senate Committee on Indian Affairs, announced introduction of the Health Care Access for Urban Native Veterans Act, a bill to improve health care access for Native American Veterans by providing Department of Veterans Affairs (VA) coverage for care that Native American veterans receive at urban Indian health centers.  This legislation would help Native American veterans acquire culturally competent care, while at the same time helping relieve the burden on the VA system.

“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. Khanna.

“We owe all veterans a debt for their service to our country, and this legislation will ensure more Native veterans have equal access to timely, culturally-competent care regardless of where they choose to live after leaving their military service. I am proud this bill continues my work toward equitable and effective health care for all Native communities,” said Senator Udall. 

The Indian Health Service (IHS) is the primary federal agency responsible for providing health care to Native Americans through a series of federally operated facilities, tribally run facilities, and urban Indian health centers operated by urban Indian organizations. Federal law allows the VA to reimburse federally-operated and Tribally-operated IHS facilities for services they provide to Native American veterans.

However, the law does not currently allow urban Indian health centers to participate in the same service reimbursement agreements as other two branches of IHS. This exclusion limits the ability of those urban facilities to maintain and expand services sought by Native American veterans and other Native American patients.  The Health Care Access for Urban Native Veterans Act will correct this exclusion and allow Native American veterans to have access to the timely, culturally competent care they deserve.

In addition to Udall and Khanna, the bill is cosponsored by U.S. Senators Jerry Moran (R-Kan.), Jon Tester (D-Mont.), ranking member of the Senate Committee on Veterans Affairs, Mike Rounds (R-S.D.), and Tina Smith (D-Minn.) and U.S. Representatives Paul Gosar (R-Ariz.), Ben Ray Luján (D-N.M.), Don Young (R-Alaska), Gwen Moore (D-Wis.), Paul Tonko (D-N.Y.), Greg Gianforte (R-Mont.), Don Bacon (R-Neb.), and Deb Haaland (D-N.M.).

“All veterans deserve to have access to the benefits and services they have earned, but limitations in the law are preventing Native American veterans from seeing providers at urban Indian health centers. We’re putting a bill forward that will ensure Indian health programs are eligible for reimbursements from the VA, so that Native American veterans get the services they need in a timely manner while giving the VA more options to deliver services in a timely manner,” said Rep. Haaland, Co-Chair of the Congressional Native American Caucus.

“Native American veterans have earned the right to quality, culturally-sensitive health care. Our country is indebted to Native veterans in this respect and more. I stand beside Rep. Khanna as he calls attention to the unique shortfalls that exist for Native veterans in our healthcare systems. The majority of Native Americans live in urban areas, and yet problems persist in VA and Indian Health Service reimbursements that reduce patients’ access to care. The Health Care Access for Urban Native Veterans Act will close gaps in health equity for Native veterans. I hope to quickly see its passage through the U.S. House,” said Assistant Speaker Luján.

“Native Americans have served our nation in uniform at a historically high rate, but too often these veterans face barriers and roadblocks when it comes to receiving the care and benefits they’ve earned. Our bipartisan bill provides Native American veterans in Montana with the health care and services they need when returning home from military service. It also expands Native American veterans’ access to care by streamlining reimbursements to clinics that provide essential care to these men and women in uniform,” said Senator Tester, Ranking Member of the Senate Veterans’ Affairs Committee.

“Right now, dozens of clinics around the country that serve Native veterans-including several in Minnesota-aren’t being reimbursed for care they provide like their federally or tribally operated counterparts. Clinics that serve Native veterans in urban areas should be reimbursed just the same as clinics in any other community. These are clinics that treat things like mental health–including PTSD–chronic diseases, and addiction. And they do so in a culturally sensitive way meaning that Native vets often seek care at these facilities instead of at the VA. Our bill would make a simple fix to make sure clinics get the same level of reimbursement no matter where they’re located,” said Senator Smith.

“I am proud to be an original cosponsor of the Health Care Access for Urban Native Veterans Act. This bill will amend the Indian Health Care Improvement Act to authorize urban Indian organizations to enter into arrangements for the sharing of medical services and facilities,” said Rep. Gosar.

“I have long supported giving veterans a choice in how they access their health care. Alaska Native veterans and veterans from Native communities across our country deserve to seek care at facilities that are close to their homes and from doctors who they feel most comfortable with. This legislation is simple: if a Native veteran accesses care from an Urban Indian Organization clinic, then that clinic should be reimbursed by the VA for services provided. Our veterans risked everything to keep our country safe, and this legislation is an important part of ensuring that our heroes receive the care they have earned. I am grateful to Representatives Khanna, Moore, and Gosar for their leadership on this issue and look forward to working with them to get it past the finish line,” said Rep. Young.

“This partnership supports eligible Native American veterans in Nebraska and provides access to quality health care closer to their home. Passing this legislation would promote accessible public-health services by increasing care coordination, collaboration, and resource-sharing between the agencies,” said Rep. Bacon.

“This legislation would ensure that all tribal health programs serving Native veterans can be reimbursed by the VA. Native American veterans bravely served our country. We need to ensure they are taken care of and receive care that meets their unique cultural and social needs,” said Rep. Moore.

As of 2018, the VA had partnered with 188 federally-operated and Tribally-operated IHS facilities to provide direct care and reimbursement for services ranging from primary care to behavioral health. These agreements have resulted in improved access to care for more than 9,300 Native American veterans.

With the Health Care Access for Urban Native Veterans Act, 37 urban Indian nonprofit IHS facilities operating in 19 states will be able to partner with VA on similar reimbursement agreements, including the First Nations Community HealthSource in Albuquerque, New Mexico, and the Indian Health Center of Santa Clara Valley facility in San Jose, California.

“At First Nations Community HealthSource, we never turn anyone – veteran or not – away. Native veterans in Albuquerque consider our facility a safe, accessible space to receive health care,” said Linda Son-Stone, Chief Executive Officer of First Nations Community HealthSource. “With critical underfunding, this legislation would allow all Urban Indian Organizations to provide more services for the necessary care we already provide to our Native veterans. Thank you, Senator Udall, Representative Haaland, and all of the legislators who made Native veterans a priority.”

“The National Council of Urban Indian Health has made it a priority to ensure that Urban Indian Organizations are included in the IHS-VA MOU to help provide health care to American Indian and Alaska Native veterans,” said Sonya Tetnowski, Vice President of the National Council of Urban Indian Health and CEO of the Indian Health Center of Santa Clara Valley. “As a Native veteran myself, I understand the importance of coming home and knowing I have a safe space to receive care. Thank you to my own Representative Ro Khanna, and we are grateful for the leadership of the 116th Congress in introducing this landmark legislation.”

The bill is supported by the National Congress of American Indians (NCAI), National Council of Urban Indian Health (NCUIH), Iraq and Afghanistan Veterans of American, and VoteVets.

“The Health Care Access for Urban Native Veterans Act is important legislation to ensuring that our Native veterans in urban areas are no longer left behind,” said Francys Crevier, NCUIH Executive Director. “Now, the Department of Veterans Affairs will be able to fully work with the 41 Title V Urban Indian Organizations that are integral to the Indian Health Service IHS/Tribal/Urban system who are already providing critical resources for American Indian and Alaska Native veterans who have served the United States as part of their dual trust obligation not only for veterans but also for American Indians and Alaska Natives.”

The full text of the legislation can be found HERE.

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About the Office

Congressman Khanna represents the 17th District of California, which covers communities in Silicon Valley. Visit his website at khanna.house.gov. Follow him on Facebook, Instagram and Twitter @RepRoKhanna.