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INDIAN HEALTH POLICY 109 TH Congress

INDIAN HEALTH POLICY 109 TH Congress. Aberdeen Area Tribal Chairmen’s Health Board (AATCHB) October 25, 2006. Deborah A. Broken Rope. Indian Health Policies. Who Decides when/what to Craft? Federal Court Decisions Federal Regulatory Scheme Congressional, Statutory Fixes

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INDIAN HEALTH POLICY 109 TH Congress

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  1. INDIAN HEALTH POLICY109TH Congress Aberdeen Area Tribal Chairmen’s Health Board (AATCHB) October 25, 2006 Deborah A. Broken Rope

  2. Indian Health Policies Who Decides when/what to Craft? • Federal Court Decisions • Federal Regulatory Scheme • Congressional, Statutory Fixes • Tribal Specific Action

  3. Tribal Codes Tribal Treaties, Eos Snyder Act Transfer Health Facilities Act Sanitation Facilities PL 94-437 PL 93-638 Indian Diabetes Hill Burton Social Security Medicaid SCHIP EMTALA HIPPA PHS Acts ERISA Current Authorities

  4. TRIBAL Federal Preemption U.S. and Tribal Relationship Snyder w/o Sunset Community Facility Infrastructure and Responsibility Comprehensive Scope: acute to>>prevention PUBLIC HEALTH Underserved, low-income individuals Individual focus by categorical status Anti-dumping as civil rights protectionist measure Portability of individual health benefits Health Law Objectives

  5. FACTORS, CONTEXT SHAPING INDIAN HEALTH POLICY TODAY • LEGISLATIVE PROCESS, PRIORITIES • PRESIDENT’S AGENDA • CABINET INITIATIVES • ELECTORAL, POLITICAL DYNAMICS • DEFICITS

  6. 109TH PRIORITIES • ANNUAL SPENDING BILLS • DISASTER RELIEF, • DEFICIT REDUCTION • TAX CUTS • DEFENSE, HOMELAND SECURITY • FOREIGN AFFAIRS • ENERGY PRODUCTION

  7. National Issues w/Tribal Concerns • Budget Reconciliation • Social Security Reform (HR3304/S1302) • Medicaid Reform • Welfare Reauthorization (S.1021) • Headstart (S1107/HR2123) • Rural Water Supply (S895)

  8. National Issues w/Tribal Concerns • Child Care & Develop Block Grants (S5250) • Children’s Safety Act (HR3132) • Veterans Health Care (S1182) • S.1177, S.1189, S.1190 • Veterans Benefits Improve.(S1235) • S.151, S.1259, S.1271 • VA Stand Alone: S.716, S1234 • Violence Against Women (S1197) • Includes Tribal Set-aside $100M • House passed Bill (HR3402) contains VAWA but no tribal set-asides

  9. INDIAN HEALTH AND RELATED LEGISLATION • S.1057 – IHCIA Reauthorization • S.972 – Albuq Indian Health Center • S.987 – Restoring Indian Women’s Safety (in S.1197) • S.1239 – AI/AN Elderly & Disabled (Medicare Part D Premium Co-Pay)

  10. INDIAN HEALTH ANDRELATED LEGISLATION • S.103 Combat Meth Act • S.536/H.R.3351 NA Omnibus Act • S.611/H.R.1240 EMS Support Act • S.898 Patient Navigator (PL109-18) • S.1049 Covering Kids Act

  11. CONTEXT, PROCESS CONGRESSIONAL AND POLITICAL DYNAMICS

  12. OVERVIEW

  13. OTHER DYNAMICS • CONGRESSIONAL ELECTIONS • COMMITTEE ASSIGNMENTS • CONGRESSIONAL LEADERSHIP • PARTY INITIATIVES • EMERGENT ISSUES (9/11, Katrina) • HOUSE, SENATE RULES

  14. INDIAN HEALTH CAREIMPROVEMENT ACT • Goal: Achieve Health Parity w/ Nation • How: Identify "Unmet Health Needs" • Method: Fair Resource Allocation

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