Webinar Jointly Hosted by:
The Tribal Self-Governance Advisory Committee (TSGAC) and the Northwest Portland Area Indian Health Board (NPAIHB)

“Indian-Specific Cost-Sharing Protections: Updates on Federal Policies and Implementation”
July 29, 2015 – 1:00 pm – 2:30 pm EDT

This Webinar Covered:

(1) Eligibility criteria for the Indian-specific cost-sharing protections,

(2) Ongoing concerns involving eligibility determinations made by Marketplaces,

(3) The design of the referral forms issued by THOs under the “limited cost-sharing variation,” and

(4) Efforts to ensure that eligible Marketplace enrollees receive the cost-sharing protections and that their providers receive full payments for services provided.


Presenter’s Biographies:

Jim Roberts

Jim Roberts, Policy Analyst, Northwest Portland Area Indian Health Board. Jim Roberts is an enrolled member of the Hopi Tribe from Shungmopovi, Arizona. He has worked in Tribal government affairs and health care issues for over thirty years. Jim serves as the Policy Analyst for the Northwest Portland Area Indian Health Board (NPAIHB), an organization that represents 43 federally recognized tribes in Idaho, Oregon, and Washington. Jim provides technical expertise to Tribal leaders on health policy, governmental, and legislative matters. Prior to joining NPAIHB he worked for the National Indian Health Board and with American Indian Technical Services. He completed his education at Metropolitan State University of Denver with degrees in Economics and Business Management.

Doneg McDonough

Doneg McDonough leads the health care consulting firm Health System Analytics and advises clients on implementation of the Affordable Care Act. Doneg serves as a technical advisor to the Tribal Self-Governance Advisory Committee on work involving the Centers for Medicare and Medicaid Services (CMS) and its Tribal Technical Advisory Group (TTAG) as well as work involving the Indian Health Service. In addition, Doneg is under contract with the National Indian Health Board (NIHB), serving as a technical advisor to the Medicare, Medicaid and Health Reform Policy Committee (MMPC) on regulatory issues. Doneg previously oversaw finances and operations of a State’s health and human service agencies with combined annual expenditures of $1.6 billion and led a 220-person team responsible for processing applications for health insurance coverage in the third largest province in Canada. Doneg earned a BA in Sociology at the University of California, Berkeley and a Master of Public Administration from Columbia University in New York.

Cyndi Ferguson

Cyndi Ferguson has extensive experience, including: management and implementation of Tribal Self Governance in the Bureau of Indian Affairs and the Indian Health Service programs; negotiation of Self-Governance Funding Agreements with Federal agencies; internal Tribal governance planning; and participation on Tribal Team to develop several major legislative initiatives, including amendments to the Indian Self-Determination and Education Assistance Act (Title IV, Title V and Title VI). Cyndi has been a lead presenter on national Tribal Self-Governance Trainings, including the recent Self-Governance Health Care Reform outreach and education efforts surrounding implementation of the Affordable Care Act. She has been an active, long-term participant on several Tribal/Federal Workgroups and currently serves as the facilitator for the National Indian Health Board-Medicare and Medicaid Policy Committee.