- Community Health Programming
- Technical Assistance
- Media and Events
NCUIH represents and coordinates the delivery of membership feedback to pertinent federal agencies on Budget Formulation-related issues and meetings, including:
Tribal Budget Formulation Workgroup Releases FY22 IHS Funding Recommendations with $200.5 million for UIOs
On February 13-14, 2020, the Tribal Budget Formulation Workgroup (TBFWG) convened in Arlington, Virginia to develop the National Tribal Budget Recommendation for fiscal year (FY) 2022. On May 4, 2020, a summary of the TBFWG’s Budget Recommendation was released in a document called Reclaiming Tribal Health: A National Budget Plan to Rise Above Failed Policies and Fulfill Trust Obligations to Tribal Nations. The FY 2022 National Tribal Budget Recommendation is $12.759 billion, representing a 30% increase above the FY 2021 National Tribal Budget Recommendation.
The TBFWG recommended a $90.94 million increase for the urban Indian health line item, bringing the funding for Urban Indian Organizations (UIOs) to a total of $200.5 million.
Other UIO priorities the TBFWG included were:
In addition, the TBFWG highlighted § 105(l) leases by requesting mandatory funding for § 105(l) leases of $337 million, permanent reauthorization for the Special Diabetes Program for Indians (SDPI) with an increase of funding to $200 million per year, advance appropriations for IHS, and renewal of the Indian Health Care Improvement Act.
Budget Formulation Update: The National Tribal Budget Formulation Workgroup’s Recommendations Include Urban Indian Health Increase for the Indian Health Service Fiscal Year 2021 Budget
Last month Tribal sovereign leaders on the National Tribal Budget Formulation Workgroup (TBFWG) met to provide input regarding the Indian Health Service (IHS) budget request for FY 2021 (FY). After a thorough discussion of healthcare needs, their recommendations include $2.7 billion in program increases for the most critical health issues, including $50.9 Million for Urban Indian Health. The National Council of Urban Indian Health provided testimony concerning the status of the Urban Indian Health Programs (UIHPs). The TBFWG recommendations are an approximate 46% increase above the Fiscal Year 2019 funding, highlighting the crucial need for funding of the Indian healthcare system. Additionally, a recommendation was made to fund the Special Diabetes Program for Indians, increasing funding to $200 million per year, to include inflation. 105(l) leases were also a subject of importance, and while IHS does have an obligation towards fulfilling its 105(l) leases, adequate steps have been encouraged to protect other IHS programs for FY2021. The TBFWG understands that before significant steps are taken to address the healthcare concerns in Indian country, the fundamentals such as the I/T/U system, must have precedence.
NCUIH strives to engage IHS, other federal agencies and NCUIH members on the conferring policy that was included in the Re-Authorization of the Indian Health Care Improvement Act (IHCIA, 2010), officially effective on November 2014. Outreach efforts include conferring policy basics, dissemination of information, and other technical assistance and coordination. Recent work includes conferring sessions and official correspondence with the Indian Health Services on Data Report & Standards, the Meth and Suicide Prevention Initiative, and the Distribution of Funding for IHCIA Title V Programs through the Indian Health Service’s Office Urban Indian Health Programs.
NCUIH represents the interests of Urban Indian communities across the nation and educates other audiences—such as research institutes, foundations, federal and local agencies, etc.- on the specific legislative and policy circumstances of Urban Indian Health Programs and the community they serve throughout the United States.
NCUIH provides ongoing policy updates and legislative alerts on topics pertaining to the Urban Indian Health and Urban Indian Communities through a variety of platforms, including the policy blog, newsletters, website posts, and social media. Likewise, its Policy and Legislation Center provides a policy update at NCUIH’s Annual Leadership Conference.
What is the federal government’s trust responsibility for Indian health care?
Under law, tribal governments are treated as “domestic dependent nations”—similar to states in terms of sovereignty but with a trust obligation from the federal government. The federal government is considered to be the trustee with responsibility for the 567 federally recognized tribes.
The trust responsibility means that the government has a fiduciary duty to act in the best interest of Tribes and American Indians / Native Alaskans (AI/AN). That responsibility is not restricted to the borders of reservations, and it includes issues related to health care.