
National Council of Urban Indian Health
1 Massachusetts Avenue NW
Suite 800-D
Washington, DC 20001
Phone: 202.544.0344
As a service to its members, NCUIH tracks and monitors the development of relevant regulations and proposed agency actions that impact Urban Indian Organizations or directly affect their operational growth, financial structure and service expansion. A corollary of regulatory powers in the Executive branch of government is when the President of the United States issues executive orders and presidential memoranda instructing one or more agencies in the Federal government to take some concrete action.
The below document provides a summary of key executive orders & other Regulatory Actions. The NCUIH FEDERAL REGULATIONS TRACKER is a formatted table that will list on a continuing basis, pertinent information to UIO’s as described above. It is not inclusive to all regulatory changes and is not intended to be a suggestion for action but rather a source of information.
88 FR 30316
Relevant Dates:5/11/2023
Agency Actions (archival): Meeting of the Advisory Committee on Infant and Maternal Mortality (Formerly the Advisory Committee on Infant Mortality) Summary:In accordance with the Federal Advisory Committee Act, this notice announces that the Advisory Committee on Infant and Maternal Mortality (ACIMM or Committee) has scheduled a public meeting. Information about ACIMM and the agenda for this meeting can be found on the ACIMM website at https://www.hrsa.gov/advisory-committees/infant-mortality.
Analysis / Additional Details:June 13, 2023, 10:00 a.m. to 5:00 p.m. ET and June 14, 2023, 9:30 a.m. to 2:00 p.m. ET.
88 FR 30141
Relevant Dates:5/10/2023
Agency Actions (archival): National Indian Health Outreach and Education Summary:The purpose of this IHS cooperative agreement is to further the IHS mission and goals related to providing quality health care to the AI/AN community through outreach and education efforts with a focus on improving Indian health care, promoting awareness, visibility, advocacy, training, technical assistance, and education efforts.
Analysis / Additional Details:Application Deadline Date: July 10, 2023
Earliest Anticipated Start Date: July 24, 2023
88 FR 29813
Relevant Dates:5/9/2023
Agency Actions (archival): Missing or Murdered Indigenous Persons Awareness Day, 2023 Summary:NOW, THEREFORE, I, JOSEPH R. BIDEN JR., President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim May 5, 2023, as Missing or Murdered Indigenous Persons Awareness Day. I call on all Americans and ask all levels of government to support Tribal governments and Tribal communities’ efforts to increase awareness and address the issues of missing or murdered Indigenous persons through appropriate programs and activities.
Analysis / Additional Details:88 FR 28092
Relevant Dates:5/3/2023
Agency Actions (archival): Medicaid Program; Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality Summary:This proposed rule would advance CMS’ efforts to improve access to care, quality and health outcomes, and better address health equity issues for Medicaid and Children’s Health Insurance Program (CHIP) managed care enrollees. The proposed rule would specifically address standards for timely access to care and States’ monitoring and enforcement efforts, reduce burden for some State directed payments and certain quality reporting requirements, add new standards that would apply when States use in lieu of services and settings (ILOSs) to promote effective utilization and specify the scope and nature of ILOS, specify medical loss ratio (MLR) requirements, and establish a quality rating system for Medicaid and CHIP managed care plans.
Analysis / Additional Details:Comments are due July 3, 2023
88 FR 27905
Relevant Dates:5/3/2023
Agency Actions (archival): Community Health Aide Program: Tribal Planning & Implementation Summary:The purpose of the TPI program is to support the planning and implementation for Tribes and Tribal Organizations (T/TO) positioned to begin operating a CHAP or support a growing CHAP in the contiguous 48 states. The program is designed to support the regional flexibility required to implement a CHAP unique to the needs of individual Tribal communities across the country through the identification of feasibility factors.
Analysis / Additional Details:Application Deadline Date: August 1, 2023
Earliest Anticipated Start Date: September 15, 2023
N/A
Relevant Dates:5/2/2023
Agency Actions (archival): OMB Tribal Consultation: Proposed IHS Mandatory Funding Summary:Tribal Consultation on the FY 2024 President’s Budget proposal to shift funding for the HHS Indian Health Service (IHS) from discretionary to mandatory beginning in FY 2025
Analysis / Additional Details:Meeting Date: June 2, 2023 2:00 PM ET
register here: https://www.zoomgov.com/meeting/register/vJIsceyqqzIuGT9LZmARnvsD6RLiTFyr20Q
88 FR 19862
Relevant Dates:4/4/2023
Agency Actions (archival): Copayment Exemption for Indian Veterans Summary:The Department of Veterans Affairs (VA) adopts as final, with changes, a proposed rule to amend its medical regulations to implement a statute exempting Indian and urban Indian veterans from copayment requirements for the receipt of hospital care or medical services. This final rule also exempts such veterans from copayments for all urgent care visits.
Analysis / Additional Details:This rule is effective April 4, 2023.
88 FR 21192
Relevant Dates:4/10/2023
Agency Actions (archival): Proposed Information Collection Activity; Tribal Maternal, Infant, and Early Childhood Home Visiting Program Data Reports: Demographic and Service Utilization, Grantee Performance Measures and Quarterly Performance Reports Summary:The Administration for Children and Families (ACF) is requesting a new information collection for the Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Tribal Home Visiting Program Data Reports: Demographic and Service Utilization, Grantee Performance Measures and Quarterly Performance Reports.
Analysis / Additional Details:Comments are due June 9, 2023
N/A
Relevant Dates:4/14/2023
Agency Actions (archival): IHS distribution decision for the fiscal year (FY) 2023 Urban Indian Health funding increase. Summary:In accordance with the methodology established after Urban Confer in FY 2018, the IHS will distribute 90 percent of the funding equally among Urban Indian Organizations (UIOs), with the remaining 10 percent distributed to the IHS Office of Urban Indian Health Programs (OUIHP). The total FY 2023 Urban Indian Health funding increase available for distribution to the OUIHP and UIOs is $15 million
Analysis / Additional Details:88 FR 24196
Relevant Dates:4/19/2023
Agency Actions (archival): Tribal Self-Governance Planning Cooperative Agreement Program Summary:The Tribal Self-Governance Program (TSGP) is more than an IHS program; it is an expression of the Government-to-Government relationship between the United States (U.S.) and Indian Tribes. Through the TSGP, Tribes negotiate with the IHS to assume Programs, Services, Functions, and Activities (PSFAs), or portions thereof, which gives Tribes the authority to manage and tailor health care programs in a manner that best fits the needs of their communities.
Analysis / Additional Details:Application Deadline Date: June 20, 2023.
Earliest Anticipated Start Date:July 18, 2023
88 FR 24812
Relevant Dates:4/24/2023
Agency Actions (archival): Produce Prescription Pilot Program Summary:The Indian Health Service (IHS) is accepting applications for a cooperative agreement for the Produce Prescription Pilot Program (P4). The purpose of this program is to help establish Produce Prescription Programs through collaborations with stakeholders from various health care and food industries in Tribal communities.
Analysis / Additional Details:Application Deadline Date: June 8, 2023
Earliest Anticipated Start Date: June 23, 2023
88 FR 25313
Relevant Dates:4/26/2023
Agency Actions (archival): Clarifying Eligibility for a Qualified Health Plan Through an Exchange, Advance Payments of the Premium Tax Credit, Cost-Sharing Reductions, a Basic Health Program, and for Some Medicaid and Children's Health Insurance Programs Summary:This proposed rule would make several clarifications and update the definitions currently used to determine whether a consumer is eligible to enroll in a Qualified Health Plan (QHP) through an Exchange; a Basic Health Program (BHP), in States that elect to operate a BHP; and for some State Medicaid and Children’s Health Insurance Programs (CHIPs).
Analysis / Additional Details:Comments are due 06/23/2023
N/A
Relevant Dates:Published 3/10/2023
Agency Actions (archival): Invitation to Participate in Upcoming Communication Activities Summary:On behalf the entire staff of the Indian Health Service (IHS), we express our commitment to our patients and our Tribal and Urban partners throughout Indian Country. Today, we write to invite you to join us in our efforts to improve our communications with Tribes, Tribal organizations, and Urban Indian Organizations (UIO) by actively participating in the following communication activities: Monthly All Tribal Leaders and Urban Indian Organization Leaders Call, The IHS Updates, The IHS 2023 Work Plan, and Social Media.
Analysis / Additional Details:88 FR 12387
Relevant Dates:Published 2/27/2023
Agency Actions (archival): Reimbursement Rates for Calendar Year 2023 Summary:Notice is provided that the Director of the Indian Health Service (IHS) has approved the rates for inpatient and outpatient medical care provided by the IHS facilities for Calendar Year 2023
Analysis / Additional Details:N/A
Relevant Dates:Published 02/13/2023
Agency Actions:The DULL regards an upcoming Urban Confer on the Urban Indian Organization (UIO) Infrastructure Study convened by the Indian Health Service (IHS) scheduled for June 23, 2022.
Analysis / Additional Details:N/A
Relevant Dates:Published 2/06/2023
Agency Actions (archival): Tribal Consultation and Urban Confer (TC/UC) sessions in calendar year 2023 on Health IT Modernization Summary:IHS is hosting a series of four TC/UC sessions in 2023 on Health IT Modernization to ask questions and get UIO feedback. During the first event, Preparing for Change, scheduled for March 8, the IHS will provide an overview of milestones and accomplishments of the Health IT Modernization Program and seek your UIO on change readiness, what the IHS could be doing to support organizations and individuals, and what facilities can be doing to prepare for an electronic health record modernization.
Analysis / Additional Details:88 FR 18558
Relevant Dates:Published 3/29/2023
Agency Actions (archival): Addressing Dementia in Indian Country: Models of Care Summary:The purpose of this program is to support the development of models of comprehensive and sustainable dementia care and services in Tribal and Urban Indian communities that are responsive to the needs of persons living with dementia and their caregivers.
Analysis / Additional Details:Application Deadline Date: June 27, 2023