National Self-Governance Strategic Plan ( 2014-2016)

1. National Self-Governance Strategic Plan (2014-2016) Department of Health & Human Services/Indian Health Service Preserve and Protect Tribal and Indigenous Sovereignty, Culture, History, Treaty and Self-Governing Rights Vision Accountability to Tribal Citizens Inherent Self-Governing Authority Government to Government Tribal Government Control Principles TSGAC Advisory Committee Health & Human Services Indian Health Service Office of Tribal Self-Governance TSGAC Technical Workgroup Self-Governance Tribes Stakeholders Advance Self-Governance Budget Priorities Advance Self-Governance Policy Priorities Advance Self-Governance Legislative Objectives Objectives • On-going ACA/IHCIA Implementation including Health Exchanges & Medicaid Expansion • Expansion of SG in HHS • SDPI Re-Authorization • Expansion of Medicare-Like Rates • Advance (S.1575) to streamline the Definition of Indian in the ACA • Strengthen Meaningful Tribal Consultation • Finalize updates to CSC Policy • Clarification of FACA implementation • Include CHS in VA Agreement • Advance IHS Appropriations • Move IHS to HHS Appropriations • Mandatory Funding for IHS • Full Funding CSC & Resolve Claims • Full funding to support ACA/IHCIA HHS/IHS Goals • Exempt the IHS from budget sequestration • Advocate for OMB Asst. Director for Native American Programs • Ensure SG representation at all HHS/IHS Budget Formulation Mtgs. • Invite OMB to TSGAC Meetings. • Prepare reports/analysis on IHS appropriations • Active involvement of SG Tribes in ACA/IHCIA Regulation and Policy Involvement • Establish a Tribal/Federal Team to draft Title VI Legislation Strategies & Action Items Updated: October 2013 • Conduct SG Training for HHS • Invite Senior Staff to Annual SG Conference • Ensure SG representation on all HHS/IHS Committees • Convene CSC Workgroup • Develop report on FACA