Self-Governance Communication & Education Tribal Consortium

ALN Survey Introduction

TSGAC Agency Lead Negotiator Survey

The Indian Health Service Tribal Self-Governance Advisory Committee (IHS-TSGAC) established a workgroup to review TSGAC recommendations and unimplemented provisions of the Title V IHS Tribal Self-Governance Program. During the course of their research, the workgroup found conflicting recommendations regarding the roles, responsibilities, and expectations for IHS Agency Lead Negotiators (ALNs). The purpose of this survey is to gather input from Self-Governance Tribes to provide future recommendations about IHS Self-Governance negotiations and the role of ALNs.

Background Information:

Self-Governance Negotiations

Negotiations are the method of determining and agreeing upon terms and provisions of a Tribe’s Compact and Funding Agreement (FA), the implementation documents for Self-Governance. Negotiations are a dynamic, evolving, and tribally driven process that requires careful planning and preparation by both parties, including the sharing of precise, up-to-date information. Because each Tribal situation is unique, a Tribe’s success in Self-Governance requires focused discussions between the Federal and Tribal negotiation teams about the Tribe’s specific health care concerns and plans.

Self-Governance negotiations is collaborative process that has four major stages: Planning, Pre-Negotiations, Negotiations, and Post-Negotiations. The design of the negotiation process:

  1. Allows a Tribe to set its own priorities when assuming responsibility for IHS PSFAs.
  2. Observes the nation-to-nation relationship between the United States and each Tribe.
  3. Involves the active participation of both Tribal and IHS representatives, including the OTSG.

Agency Lead Negotiators

The IHS Director has delegated authority to the ALNs to represent the IHS Director during Title V Compact and Funding Agreement negotiations. Only the ALN has the delegated authority to negotiate on behalf of the IHS Director. The ALNs also provide Tribes with Self-Governance information, assist Tribes in Self-Governance planning, coordinate meetings between the Tribe and IHS during the negotiation process, and coordinate the Agency’s response to Tribal questions.
If you are interested in engaging with the workgroup as they formulate ALN recommendations, please contact Jackie Eagle.