Tribal Self-Governance Virtual Conference: September 14 - 16, 2021

Calendar

About TSGAC

The Indian Health Service (IHS) Tribal Self-Governance Advisory Committee (TSGAC) provides a forum for Tribal and Federal officials to discuss issues related to Tribal administration of Federal programs and services, exchange ideas, and develop solutions intended to improve Self-Governance and enhance the Tribal-Federal partnership.

TSGAC membership consists of a Primary and an Alternate representative from each of the IHS Areas that have Self-Governance Tribes. The Primary and Alternate TSGAC members from each region also select two persons to serve as Official Members of the TSGAC Technical Workgroup.

TSGAC protocols outline the committee’s roles, responsibilities, and the process for committee members to submit for travel reimbursement.

TSGAC Chair: Marilynn “Lynn” Malerba, Chief, Mohegan Tribe of Connecticut

Federal Technical Workgroup Co-Chair: Jennifer Cooper, Director, Office of Tribal Self-Governance, Indian Health Service

Tribal Technical Workgroup Co-Chair: Terra Branson, Secretary of the Nation, Muscogee Nation

Members

Diana Zirul, Councilmember, Kenaitze Indian Tribe (Primary)
Gerald Moses, Senior Director, Alaska Native Tribal Health Consortium (Alternate)
Richard Aspenwind, Governor, Taos Pueblo (Primary)
David Toledo, Governor, Pueblo of Jemez (Alternate)
Jane Rohl, Council Secretary, Grand Traverse Band of Ottawa and Chippewa Indians (Primary)
Jennifer Webster, Councilwoman, Oneida Nation (Alternate)
Chippewa Cree Tribe (Primary)
Martin Charlo, Councilman, Confederated Salish and Kootenai Tribes (Alternate)
Byron Nelson, Jr., Chairman, Hoopa Valley Tribe (Primary)
Robert Smith, Chairman, Pala Band of Mission Indians (Alternate)
Victoria Kitcheyan, Chairwoman, Winnebago Tribe of Nebraska (Primary)
Danielle Smith, CEO, Winnebago Comprehensive Healthcare System (Alternate)
Lynn Malerba, Chief, Mohegan Tribe of Connecticut (Primary)
Casey Cooper, CEO, Eastern Band of Cherokee Indians (Alternate)
Myron Lizer, Vice President, Navajo Nation (Primary)
Jill Jim, Executive Director, Navajo Nation (Alternate)
John Barrett, Jr., Chairman, Citizen Pottawatomi Nation (Primary)
Jacklyn King, Secretary, Sac and Fox Nation (Alternate)
Chris Anaotubby, Lt. Governor, Chickasaw Nation (Primary)
Gary Batton, Chief, Choctaw Nation (Alternate)
Joey Whitman, Councilman, Gila River Indian Community (Primary)
Delia Carlyle, Councilmember, Ak-Chin Indian Community (Alternate)
W. Ron Allen, Tribal Chairman/CEO, Jamestown S’Klallam Tribe (Primary)
Lummi Nation (Alternate)
Daniel Preston, Councilman, Tohono O’odham Nation (Primary)
Anthony Francisco, Councilman, Tohono O’odham Nation (Alternate)

TSGAC Meeting Materials (July 2021)

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1. TSGAC Agenda- July 2021Downloadadvisory-materials-current advisory-committeestsgac
2. TSGAC Meeting Summary – February 2021Downloadadvisory-materials-current advisory-committeestsgac
3a. Oneida Nation Nomination Letter (2021)Downloadadvisory-membership advisory-materials-current advisory-committeestsgac
3b. Chippewa Cree Nomination (2021)Downloadadvisory-membership advisory-materials-current advisory-committeestsgac
3c. Lummi Nation Nomination (2021)Downloadadvisory-membership advisory-materials-current advisory-committeestsgac
3d. Alaska Tribal Health Compact Nomination Letter (2021)Downloadadvisory-materials-current advisory-committeestsgac
4a. 2021- Response Letter to TSGAC from VADownloadadvisory-correspondence advisory-materials-current advisory-committeestsgac
4b. IHS Letter in Response to Feb 2021 TSGAC MeetingDownloadadvisory-materials-current advisory-committeestsgac
5a. 2021- TSGAC Brief: American Indian and Alaska Native Marketplace Enrollment, Including Access to Cost-Sharing ProtectionsDownloadadvisory-materials-current health-reform advisory-committeestsgac
5b. American Indian and Alaska Native Marketplace EnrollmentDownloadadvisory-materials-current advisory-committeestsgac
5c. Medicare Telehealth Coverage Before, During, and After the COVID-19 Public Health EmergencyDownloadadvisory-materials-current advisory-committeestsgac
5d. ACA/IHCIA Issues ChartDownloadadvisory-materials-current advisory-committeestsgac
6. NIHB HIT Modernization Letter to CongressDownloadadvisory-materials-current advisory-committeestsgac
7a. VA Presentation – BirdwellDownloadadvisory-materials-current advisory-committeestsgac
7b. ACF Presentation – SauveDownloadadvisory-materials-current advisory-committeestsgac
7c. ACA Project Update – SullivanDownloadadvisory-materials-current advisory-committeestsgac
7d- OTSG Update Presentation – CooperDownloadadvisory-materials-current advisory-committeestsgac
7e- Budget Update Presentation – CurtisDownloadadvisory-materials-current advisory-committeestsgac
7f- HIT Modernization Presentation- ThornbrughDownloadadvisory-materials-current advisory-committeestsgac
8. USET Letter to OMB Regarding IDC GuidanceDownloadadvisory-materials-current advisory-committeestsgac
9. TSGAC Tribal Talking Points – July 2021Downloadadvisory-materials-current advisory-committeestsgac

TSGAC Correspondence

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4a. 2021- Response Letter to TSGAC from VADownloadadvisory-correspondence advisory-materials-current advisory-committeestsgac
2021- TSGAC Letter: Nomination to the IHS Tribal Consultation Policy WorkgroupDownloadadvisory-correspondence advisory-committeestsgac
2021- TSGAC Letter: Health Information Technology Modernization Summit RequestDownloadadvisory-correspondence advisory-committeestsgac
2021- TSGAC Letter: Funds Authorized in the American Rescue Plan Act of 2021Downloadadvisory-correspondence advisory-committeestsgac
2021- TSGAC Letter: Establishment of the Department of Veterans’ Affairs Tribal Advisory CommitteeDownloadadvisory-correspondence advisory-committeestsgac
2021- TSGAC Letter: 2020 Draft Revised VA-IHS MOUDownloadadvisory-correspondence advisory-committeestsgac
2021- TSGAC Comments on the VA-IHS MOUDownloadadvisory-correspondence advisory-committeestsgac
2020- TSGAC Letter: Allocation of $95 Million for Telehealth (CARES Act)Downloadadvisory-correspondence advisory-committeestsgac
2019- TSGAC Testimony: U.S. House of Representatives, Committee on Veterans’ Affairs, Subcommittee on Health Hearing “Native Veterans’ Access to Healthcare”Downloadadvisory-correspondence advisory-committeestsgac
2019- TSGAC Letter: Summary of Issues from the Tribal Self-Governance Advisory Committee (TSGAC) Meeting September 30-October 1, 2019Downloadadvisory-correspondence advisory-committeestsgac
2019- TSGAC Letter: Summary of Issues from the Tribal Self-Governance Advisory Committee (TSGAC) Meeting July 15-16, 2019Downloadadvisory-correspondence advisory-committeestsgac
2019- TSGAC Letter: Special Diabetes Program for Indians Tribal ConsultationDownloadadvisory-correspondence advisory-committeestsgac
2019- TSGAC Letter: Recommendation to include Section 105(l) lease information request in FAAB’s Facilities Needs AssessmentDownloadadvisory-correspondence advisory-committeestsgac
2019- TSGAC Letter: Re-Review of Summary of Benefits and Coverage DocumentsDownloadadvisory-correspondence advisory-committeestsgac
2019- TSGAC Letter: Comments on Tribal Engagement with the NIH All of Us Research ProgramDownloadadvisory-correspondence advisory-committeestsgac
2019- TSGAC Letter: Comments on MISSION Act Strategic PlanDownloadadvisory-correspondence advisory-committeestsgac
2019- TSGAC Letter: Comments and Recommendations for Funding Indian Self-Determination Education and Assistance Act 105(l) LeasesDownloadadvisory-correspondence advisory-committeestsgac
2019- IHS Response to the Oct 2019 TSGAC MeetingDownloadadvisory-correspondence advisory-committeestsgac
2019- IHS Response to Issues Discussed at the April 2019 TSGAC MeetingDownloadadvisory-correspondence advisory-committeestsgac
2019- (July) IHS Reponse Letter to TSGAC MeetingDownloadadvisory-correspondence advisory-committeestsgac
2018- TSGAC White Paper: Reimbursement for Purchased and Referred Care (PRC)Downloadadvisory-correspondence advisory-committeestsgac
2018- TSGAC Letter: Updates to Indian Health Service Tribal Consultation PolicyDownloadadvisory-correspondence advisory-committeestsgac
2018- TSGAC Letter: Summary Letter from October 2018 MeetingDownloadadvisory-correspondence advisory-committeestsgac
2018- TSGAC Letter: Section 105(l) Lease Funding “Dilemma”Downloadadvisory-correspondence advisory-committeestsgac
2018- TSGAC Letter: Requesting Hearing on Advance Appropriations for the Indian Health ServiceDownloadadvisory-correspondence advisory-committeestsgac
2018- TSGAC Letter: Request for Fiscal Year (FY) 2018 105(l) Leasing Expenditures and EstimatesDownloadadvisory-correspondence advisory-committeestsgac
2018- TSGAC Letter: Opportunities to Enhance HHS’ Tribal Consultation PolicyDownloadadvisory-correspondence advisory-committeestsgac
2018- TSGAC Letter: Inclusion of Purchased and Referred Care (PRC) in Veterans Affairs and Indian Health Service Reimbursement AgreementsDownloadadvisory-correspondence advisory-committeestsgac
2018- TSGAC Letter: Request for Fiscal Year (FY) 2018 105(l) Leasing Expenditures and EstimatesDownloadadvisory-correspondence advisory-committeestsgac
2018- TSGAC Issue Area Summary – Reimbursement for Purchased and Referred Care (PRC)Downloadadvisory-correspondence advisory-committeestsgac
2017- TSGAC Letter: Update to Level of Need Funded Data and Workgroup RequestDownloadadvisory-correspondence advisory-committeestsgac
2017- TSGAC Letter: Support for Broad Exemption of IHS from Federal Hiring FreezeDownloadadvisory-correspondence advisory-committeestsgac
2017- TSGAC Letter: Request to Delay Catastrophic Health Emergency Fund Final RuleDownloadadvisory-correspondence advisory-committeestsgac
2017- TSGAC Letter: Request for Tribal Consultation on HHS Reimagining InitiativeDownloadadvisory-correspondence advisory-committeestsgac
2017- TSGAC Letter: Recommendations for the IHS Scholarship and Loan Repayment ProgramsDownloadadvisory-correspondence advisory-committeestsgac
2017- TSGAC Comments: Market Stabilization Proposed Rule (CMS-9929-P)Downloadadvisory-correspondence advisory-committeestsgac
2017 TSGAC Letter: Medicaid Work Requirements for American Indians and Alaska NativesDownloadadvisory-correspondence advisory-committeestsgac
2017 – TSGAC – Support for Broad Exemption of IHS from Federal Hiring FreezeDownloadadvisory-correspondence advisory-committeestsgac
2016-4-18_letter-to-mary-smith-request-to-withdraw-chef-rule-pdfDownloadadvisory-correspondence advisory-committeestsgac
2016- User Population Insurance Eligibility – SummaryDownloadadvisory-correspondence advisory-committeestsgac
2016- TSGAC Letter: Comments on Veteran Affairs’ Proposal to Consolidate Community Care ProgramsDownloadadvisory-correspondence advisory-committeestsgac
2016- TSGAC Letter: Comments on Draft 2016 Letter to Issuers in the Federally-Facilitated MarketplaceDownloadadvisory-correspondence advisory-committeestsgac
2016- TSGAC Letter: Comments on CMS-9936-N; Waivers for State InnovationDownloadadvisory-correspondence advisory-committeestsgac
2016- TSGAC Comments: Proposed Rule; HHS Grant Regulation: Published on July 13, 2016 (81 Federal Register 45270, et seq.)Downloadadvisory-correspondence advisory-committeestsgac
2016 TSGAC – Letter – CMS–10519, Agency Information Collection Activities: Submission for OMB Review; Comment RequestDownloadadvisory-correspondence advisory-committeestsgac
2016 SGAC/TSGAC Letter: Request for Support for Legislation to Provide Partial Relief to Tribes from the Affordable Care Act’s Employer MandateDownloadadvisory-correspondence advisory-committeessgac tsgac
2016 – TSGAC – Request for Service Unit Data on Health Insurance Status and 2016 AppropriationDownloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Reimbursement Agreement between the IHS and VADownloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Opportunities for Partnerships between Tribal Health Programs and the Veterans AdministrationDownloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Opportunities for Partnerships between Tribal Health Programs and the Veterans AdministrationDownloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Letter to Steve Petzinger, OMB Program Examiner – Follow up from March TSGAC Mtg.Downloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Letter – Support for USET Comments on the CDC Proposed 2016 Guideline for Prescribing Opioids for Chronic Pain; Docket CDC-2015-0112Downloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Letter – Comments on Purchasing Health Care Coverage (IHS Circular 2016-08)Downloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Letter – Comments on Headquarters RealignmentDownloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Identification of Staff for Developing Level of Need Funded DataDownloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Comments on SASP Program Funding DistributionDownloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Comments on Purchasing Health Care Coverage (IHS Circular 2016-08)Downloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Comments on Payment for Physician and Other Health Care Professional Services Purchased by Indian Health Programs and Medical Charges Associated with Non-Hospital-Based CareDownloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Comments on Oklahoma Section 1115 Waiver Amendment RequestDownloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Comments on IHS Contract Support Costs PolicyDownloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Comments on HHS Notice of Benefit and Payment Parameters for 2018 (CMS-9934-P)Downloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Comments on FY 2015 Report to Congress on Administration of the Tribal Self-Governance ProgramDownloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Comments on CMS-10458 (OCN: 0938-1203)Downloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Comments on Catastrophic Health Emergency Fund Proposed Rule (RIN 0905-AC97)Downloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – CHEF Proposed Rule 42 CFR Part 136 – RIN 0905AC97, Catastrophic Health Emergency Fund, File Code 0905AC97Downloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Bemidji IHS Area Member VacancyDownloadadvisory-correspondence advisory-committeestsgac
2016 – TSGAC – Comments on Proposed Rule; Health and Human Services Grant Regulation: Published on July 13, 2016 (81 Federal Register 45270, et seq.)Downloadadvisory-correspondence advisory-committeestsgac
2016 – HHS/IHS – Response to Inquiry About Agency-specific Quality Reporting MeasuresDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Thanking the Administration for Swift Actions on CSCDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Response to Request for Tribal Consultation on Referrals for Limited Cost-Sharing Variation PlansDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Response to May 22, 2015 Dear Tribal Leader Letter Regarding Payment of Employee SettlementsDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Response to IRS Notice 2015-16 on Section 4980I — Excise Tax on High Cost Employer Sponsored Health CoverageDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Request for Permanent Administrative Relief from Affordable Care Act’s Employer Mandate on Tribes for Tribal Member EmployeesDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Request for Permanent Administrative Relief from Affordable Care Act’s Employer Mandate on Tribes for Tribal Member EmployeesDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Request for Extension of Transition Relief from the Employer MandateDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Payment of Settlements to Civil Service EmployeesDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Payment of Contract Support Costs for MSPI and DVPI fundingDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Multi-Purpose Agreement and ISAC PresentationDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Mandatory Appropriations for Contract Support CostsDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Expediting the Review and Publication of the Final Medicare-Like Rate – NovemberDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Excise Tax on High Cost Employer Sponsored Health CoverageDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Excise Tax on Certain Employer-Sponsored Health BenefitsDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Determination of Contract Support Cost RequirementsDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Comments to CMS on Draft 2016 Letter to Issuers in the Federally-Facilitated MarketplaceDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Comments Submitted In Response to Notice of Tribal Consultation: Section 102(c) of the Veterans Access, Choice and Accountability Act of 2014Downloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Comments Regarding Section 102(c) of the Veterans Access, Choice and Accountability Act of 2014Downloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: Comments on CMS-2390-PDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Letter: : Support for 100 Percent FMAP ProposalDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Comments: Section 102(c) of the Veterans Access, Choice and Accountability ActDownloadadvisory-correspondence advisory-committeestsgac
2015- TSGAC Comments: Consultation on Section 102(c) of the Veterans Access, Choice and Accountability Act of 2014Downloadadvisory-correspondence advisory-committeestsgac
2015 – TSGAC – Qtly. Mtg. Summary – JanuaryDownloadadvisory-correspondence advisory-committeestsgac
2015 – TSGAC – Letter to IHS – Quality Reporting MeasurersDownloadadvisory-correspondence advisory-committeestsgac
2015 – TSGAC – Letter -Request for Permanent Administrative Relief from Affordable Care Act’s Employer Mandate on Tribes for Tribal Member EmployeesDownloadadvisory-correspondence advisory-committeestsgac
2015 – TSGAC – Letter – Self-Governance Representative to the Information Systems Advisory CommitteeDownloadadvisory-correspondence advisory-committeestsgac
2015 – TSGAC – Interpretation of Duplication Provision in 25 U.S.C. § 450j-1(a)(3)Downloadadvisory-correspondence advisory-committeestsgac
2015 – TSGAC – Fiscal Year 2014 Report to Congress on the Administration of the Tribal Self-Governance ProgramDownloadadvisory-correspondence advisory-committeestsgac
2015 – TSGAC – Comments on Veterans, Choice and Accountability Act of 2014Downloadadvisory-correspondence advisory-committeestsgac
2015 – TSGAC – Comments on Veterans Access, Choice and Accountability Act of 2014 (Choice Act)Downloadadvisory-correspondence advisory-committeestsgac
2015 – TSGAC – Comments on RIN 0945-AA02, Nondiscrimination in Health Programs and ActivitiesDownloadadvisory-correspondence advisory-committeestsgac
2015 – TSGAC – Comments on IHS Proposed Rule entitled “Payment for Physician and Other Health Care Professional Services Purchased by Indian Health Programs and Medical Charges Associated with Non-Hospital-Based Care.”Downloadadvisory-correspondence advisory-committeestsgac
2015 – TSGAC – Comments on CMS-10561, ECP Data Collection to Support Qualified Health Plan (QHP) Certification for PY 2017Downloadadvisory-correspondence advisory-committeestsgac
2014- TSGAC Letter: Tribal Consultation on Medicare-like Rates Regulations and/or GuidanceDownloadadvisory-correspondence advisory-committeestsgac
2014- TSGAC Letter: Self-Governance Priorities and Strategic PlanDownloadadvisory-correspondence advisory-committeestsgac
2014- TSGAC Letter: Response to DTLL Regarding Section 402 of the IHCIADownloadadvisory-correspondence advisory-committeestsgac
2014- TSGAC Letter: Request for VA and IHS to Revisit VA-IHS Reimbursement AgreementDownloadadvisory-correspondence advisory-committeestsgac
2014- TSGAC Letter: Request for Tribal Consultation on 340B Drug Pricing ProgramDownloadadvisory-correspondence advisory-committeestsgac
2014- TSGAC Letter: Comments on IHS Proposed Rule entitled “Payment for Physician and Other Health Care Professional Services Purchased by Indian Health Programs and Medical Charges Associated with Non-Hospital-Based Care,” 79 Fed. Reg. 72160Downloadadvisory-correspondence advisory-committeestsgac
2014- TSGAC Letter: Comments on Draft 2015 CCIIO Letter to IssuersDownloadadvisory-correspondence advisory-committeestsgac
2014- TSGAC Letter: Comments on CMS Funding Methodology for 2015Downloadadvisory-correspondence advisory-committeestsgac
2014- TSGAC Letter: Comment on Proposed Emergency Preparedness Rule (CMS-3178-P)Downloadadvisory-correspondence advisory-committeestsgac
2014- TSGAC Letter: CMS Tribal Technical Advisory Committee – Membership AppointmentDownloadadvisory-correspondence advisory-committeestsgac
2014- TSGAC Information Request Letter – Issuers of Qualified Health PlansDownloadadvisory-correspondence advisory-committeestsgac
2014- TSGAC Comments: CMS-9944-9 – Notice of Benefits and Payments Parameters for 2016Downloadadvisory-correspondence advisory-committeestsgac
2014- TSGAC Comments: CMS – Third-Party Payments of Premiums for Qualified Health Plans (QHPs) in the MarketplaceDownloadadvisory-correspondence advisory-committeestsgac
2014 – TSGAC Letter: Shared Responsibility PaymentDownloadadvisory-correspondence advisory-committeestsgac
2014 – Response to Dear Tribal Leader Letter on Expanding the Medicare-Like Rate Cap to Non-Hospital ServicesDownloadadvisory-correspondence advisory-committeestsgac
2014 – CMS – Third Party Payments of Premiums for Qualified Health Plans in the MarketplacesDownloadadvisory-correspondence advisory-committeestsgac

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