Indian Health Service Budget Update TRIBAL SELFGOVERNANCE ADVISORY

Indian Health Service Budget Update TRIBAL SELF-GOVERNANCE ADVISORY COMMITTEE MEETING JULY 13, 2021 JILLIAN CURTIS, CHIEF FINANCIAL OFFICER

Indian Health Service FY 2022 House Bill

FY 2022 House Mark On July 1, the House Appropriations Committee approved the FY 2022 Interior Appropriations bill. v The bill provides $8. 1 billion in discretionary funding for the IHS. § +$1. 9 billion above FY 2021, and § -$367 million below the FY 2022 President’s Budget. Goal 3: Management and Operations, Obj. 3. 3: Improve communication within the organization with tribes, urban Indian organizations, and 3 other stakeholders, and with the general public.

FY 2022 House Bill The bill provides the following funding levels for the IHS: v Services: $5. 8 billion, +$1. 5 billion above FY 2021 and +$121 million above the FY 2022 President’s Budget v Facilities: $1. 3 billion, +$367 million above FY 2021 and -$216 million below the FY 2022 President’s Budget v Contract Support Costs: $880 million, which is -$36 million below FY 2021 and -$261 million below the FY 2022 President’s Budget v Tribal Lease Payments: $150 million, +$49 million above FY 2021 Goal 3: Management and Operations, Obj. 3. 3: Improve communication within the organization with tribes, urban Indian organizations, and 4 other stakeholders, and with the general public.

FY 2022 House Mark While the House Bill is supportive of the President’s Budget proposal to reclassify Contract Support Costs and Tribal Lease Payments to mandatory, it does not include the advance appropriations proposal. v House Report Language v IHS/HHS Outreach Goal 3: Management and Operations, Obj. 3. 3: Improve communication within the organization with tribes, urban Indian organizations, and 5 other stakeholders, and with the general public.

Indian Health Service American Rescue Plan Act

American Rescue Plan Act Update IHS announced the final allocation decisions for the remaining $1. 8 billion in American Rescue Plan Act funds on June 22. § All but $600 million for COVID-19 facilities related activities is now allotted. § Remaining funds will be allotted this week. Goal 3: Management and Operations, Obj. 3. 3: Improve communication within the organization with tribes, urban Indian organizations, and 7 other stakeholders, and with the general public.

Indian Health Service Section 105(l) Updates

Section 105(l) Lease Updates v Section 105(l) Policy Consultation Process § IHS and DOI continue to map out the process for consultation. § Announcement forthcoming in next few weeks. v Section 105(l) Projections Subworkgroup v Reconvened on June 10. Goal 3: Management and Operations, Obj. 3. 3: Improve communication within the organization with tribes, urban Indian organizations, and 9 other stakeholders, and with the general public.

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