Indian Health Service Budget Update TRIBAL SELFGOVERNANCE ADVISORY
Indian Health Service Budget Update TRIBAL SELF-GOVERNANCE ADVISORY COMMITTEE MEETING JANUARY 23, 2020 JILLIAN CURTIS, DIRECTOR, OFFICE OF FINANCE AND ACCOUNTING
Indian Health Service Fiscal Year 2020 Budget
Fiscal Year 2020 Budget The enacted fiscal year (FY) 2020 budget includes a total discretionary budget authority of $6 billion, which is $243 million above the enacted FY 2019 funding level. This includes three accounts: v Services: $4. 3 billion v Facilities: $912 million v Contract Support Costs: $820 million • Remains an indefinite discretionary appropriation for fully funding CSC 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.
Funding Increases (Services & Facilities) § $84 million for staffing and operating costs of newly-constructed healthcare facilities: ◦ Cherokee Nation Regional Health Center in OK (JV) ◦ Northern California Youth Regional Treatment Center in CA, ◦ Yakutat Tlingit Health Center in AK (JV), and ◦ Ysleta Del Sur Health Center in TX (JV). 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.
Services Program Increases to the Hospitals and Health Clinics budget line include: § $89 million for tribal clinic operational costs, for a total of $125 million; § $11 million to provide health services for newly federally recognized Tribes (six in VA); § $5 million for the Community Health Aid Program expansion; § $2 million for quality and oversight; § $1 million for the Domestic Violence Prevention Program; and § $1 million for Tribal Epidemiology Centers 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.
Services Program Increases (Cont. ) Increases to other budget lines within the Services account include: § $8 million for modernization of the Electronic Health Record system; § $2 million for the Electronic Dental Record system; § $8 million for Indian Health Professions, inclusive of $4 million for recruitment and retention; § $5 million for urban Indian health; § $1 million for mental health; and § $90 thousand for public health nursing. Goal 3: Management and Operations, Obj. 3. 3: Improve communication within the organization with tribes, urban Indian organizations, and 6 other stakeholders, and with the general public.
Facilities Program Increases An increase of $27 million includes: § $16 million for health care facilities construction, inclusive of: § $10 million for the Small Ambulatory Program, for a total of $25 million, and § $5 million for green infrastructure; § $4 million for medical equipment; § $4 million for facilities and environmental health support; § $2 million for sanitation facilities construction; and § $1 million for maintenance and improvement. 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.
Additional Budget Highlights § Transfer of $1 million from the Alcohol and Substance Abuse budget line to the Urban Indian Health budget line former-NIAAA programs § Retains base funding levels and programs from FY 2019 § e. g. Community Health Representatives, Health Education, and Tribal Management Grants § Retains a two-year period of availability for the majority of Services funds § No changes to funds available until expended (no-year funds) § The Special Diabetes Program for Indians is extended through May 22 nd at nearly $97 million. Goal 3: Management and Operations, Obj. 3. 3: Improve communication within the organization with tribes, urban Indian organizations, and 8 other stakeholders, and with the general public.
Indian Health Service Fiscal Year 2021 -22 Budgets
Fiscal Year 2021 Budget Proposals FY 2021 President’s Budget § The FY 2021 budget proposal is expected to be released in the second week in February. § We look forward to providing additional updates shortly. Goal 3: Management and Operations, Obj. 3. 3: Improve communication within the organization with tribes, urban Indian organizations, and 10 other stakeholders, and with the general public.
Fiscal Year 2022 Budget Formulation Key Dates § January 29 & 30, 2: 30 pm ET webinars: Tribal representatives report on FY 2022 Area budget recommendations and priorities. § February 13 -14: IHS FY 2022 National Tribal Budget Formulation Work Session will be held in the Washington, DC area. Technical Subgroups § Section 105(l) Lease Projections § Full Funding Goal 3: Management and Operations, Obj. 3. 3: Improve communication within the organization with tribes, urban Indian organizations, and 11 other stakeholders, and with the general public.
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