Tribal Self-Governance Advisory Committee
September 30, 2015   1:00 pm – 2:30 pm EST


This Webinar Covered:

  • Indian-specific cost-sharing protections:  Recent developments involving eligibility criteria for limited (“03”) cost-sharing protections; pending considerations with referrals for limited (“03”) cost-sharing protections?
  • Tribal sponsorship of Tribal members through a Marketplace: Recent progress with expanding Tribal options.
  • Federal poverty level eligibility figures for 2016.
  • ACA’s Employer Mandate: Current status.





Presenter’s Biographies:

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.

Mim Dixon

Mim Dixon has worked with Tribes as a policy analyst, researcher, facilitator, planner and health care administrator. She earned her BA in economics from Washington University (St. Louis, MO) and her MA and Ph.D. in anthropology from Northwestern University (Evanston, IL). She lived in Alaska for more than 20 years where she administered a Tribally-operated health clinic that served Fairbanks and 42 villages in Interior Alaska. After moving to Colorado in 1993, she worked for the National Indian Health Board as a policy analyst and researcher, travelling throughout the United States listening to issues important to Tribes. She served as health director for the Cherokee Nation in 2000. She is the author, co-author and/or editor of four books including “Strategies for Cultural Competency in Indian Health Care” with Pamela E. Iron, and “Promises to Keep: Public Health Policy for American Indians & Alaska Natives in the 21st Century” with Dr. Yvette Roubideaux.

Dr. Dixon has served as Technical Advisor to the Tribal Self-Governance Advisory Committee (TSGAC) and the Tribal Technical Advisory Group (TTAG) for the Center for Medicare and Medicaid Services (CMS). She has been the project coordinator for the Tribal Education and Outreach Consortium (TEOC) and the Affordable Care Act training program, TEOC U. She is an active participant in the National Indian Health Board (NIHB) Medicaid and Medicare Policy Committee (MMPC). She was the author of the first CMS American Indian and Alaska Native Strategic Plan, as well as the most recent revision of that plan.

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.