National Strategic Plan

    2017-2019 Top Tribal Self-Governance Priorities

    In September 2016, Self-Governance Tribes held their annual strategic planning session in Ocean Shores, WA. During the strategic planning session, a series of white papers and resource documents provided an overview of the top issues and proposed actions for Tribal leaders’ consideration. The full version of the 2017-2019 Tribal Self-Governance National Strategic Plan includes other goals and initiatives, additional strategies, and communication plans. However, a summary of the highest priority issues are listed below:

    Budget Priorities:

    • Restore Fiscal Year (FY) 2013 sequestration cuts and exempt Tribal funding from future sequesters.
    • Preserve authority to include one-time or short-term resources in Self-Governance Funding Agreements.
    • Enact Advanced Appropriations for the Indian Health Service.

    Legislative Priorities:

    • Amend Title IV of the Indian Self-Determination and Education Assistance Act.
    • Enact legislation that strengthens and reaffirms the original tenants of the Indian Employment, Training and Related Services Act, Public Law 102-477.
    • Reauthorize the Native American Housing Assistance and Self-Determination Act.
    • Protect modernizing health care delivery and quality provisions included in the Indian Health Care Improvement Act (IHCIA).
    • Permanently reauthorize and provide full funding for the Special Diabetes Program for Indians.
    • Enact Medicare-Like Rates for outpatient services for IHS, Tribal, and Urban facilities.
    • Advance legislation to expand Self-Governance authority to other HHS agencies and programs.

    Policy Priorities:

    • Implement the Indian Trust Asset Reform Act (ITARA).
    • Expand Tribal Consultation on allocation and formula distribution of Bureau of Indian Affairs (BIA) funding.
    • Foster greater transparency announcing new DOI funding opportunities.
    • Ensure the Tribal Transportation Self-Governance Program (TTSGP) is implemented in accordance to the Fixing America’s Surface Transportation (FAST) Act and Self-Governance Principles.
    • Improve coordination of care between Veterans Administration (VA) and Indian health systems and utilize the National VA-IHS Memorandum of Understanding (MOU) to provide care to non-Native veterans.
    • Include IHS Purchase/Referred Care in all VA-IHS reimbursement agreements.
    • Develop a successful strategy to transition Agency Lead Negotiators.
    • Assign a High Level Tribal-Federal Task Force to provide recommendations for the redesign of IHS.
    • Implement a Self-Governance Demonstration Project within the Department of Health and Human Services.
    • Develop a streamlined vehicle for Tribes to maximize cross-cutting funding.

    Download the White Papers:

    Budget Issues/Priorities: