We want to thank all of you who attended the ACA/IHCIA Training held on June 19-20, 2024 in Portland, OR.  As promised, please see below for the related PPT presentations and hand-outs that were discussed during the training. Please feel free to share with others in your Tribe/Organization.

Purpose of Training: The Tribal Self-Governance Advisory Committee (TSGAC) was excited to host an in-person training on the Affordable Care Act/Indian Health Care Improvement Act (ACA/IHCIA) in Portland, OR. The Training was targeted for Tribal leaders, Health Directors and front-line health care staff who would like to learn more about opportunities available under the ACA/IHCIA.


Day 1 – June 19

Day 2 – June 20

  • CHAP Overview and Implementation
    Christina Friedt, Tribal Community Health Provider (TCHP) Senior Program Director, Northwest Portland Area Indian Health Board (NPAIHB)
    Carrie Sampson Samuels, CHAP Program Director, NPAIHB
    Lisa Rhine Griggs, TCHP Program Manager, NPAIHB
    Miranda Davis, Dental Health Aide Program Director, NPAIHB
    Dolores Jimerson, Behavioral Health Aide Program Director, NPAIHB
    Stephannie Christian, TCHP Education Programs Director, NPAIHB
    Tanya Firemoon, CHAP Certification Board Consultant, Fort Peck Tribes
  • What is CHAP and how does it support Tribal Self-Determination
  • The Components of a CHAP Program (what you need to do to implement CHAP)
  • What are the Three Disciplines of CHAP
    • Community Health Aide/Practitioner
    • Dental Health Aide/Therapist
    • Behavioral Health Aide/Practitioner
  • Regulatory Infrastructure
    • Area Standards and Procedures
    • Area Certification Boards
    • Federal Infrastructure
  • Education/Training programs
    • The relationship between Area Standards and Procedures, eHAM, and curriculum
    • Approval of education/training programs
  • CHAP Advocacy and Education
    • Budget
    • Federal
    • Area
    • Tribal/Community
    • Federal infrastructure
    • Update on Federal implementation and timeline
  • Click Here for the PPT Presentation
  • The National Association of State Mental Health Program Directors (NASMHPD)
  • Link for the Making Relatives video
  • Manual: “Making Relatives” A GUIDE FOR HEALING THE SOUL WOUND