IHS leadership attended the annual Tribal Self-Governance Conference in Scottsdale, AZ, during the first week of May, 2010. I was unable to attend due to a family emergency, but IHS Deputy Director Randy Grinnell was able to present my Director’s Update and answer questions. The conference is an excellent opportunity for Tribes who have taken over the management of their health programs to meet together and discuss common issues. The conference also included many opportunities for Tribes to give input on the new health reform law and the reauthorization of the Indian Health Care Improvement Act. We reassured them that we strongly support the self-governance Tribes and understand that they are interested in the new authorities available in the new laws, and want us to move forward with implementation as quickly as possible. Our staff reassured them that we are working as quickly as possible to implement the IHCIA and to prepare for the upcoming negotiations on their compacts since some tribes would like to include some of the new authorities in their negotiations this year. We will provide updates and information as soon as it is available. Here is a picture from some of the Tribal Delegation meetings during the meeting:

Northwest Portland Area
Indian Health Board

Jamestown S’Kallam
Tribe

Ketchikan Indian Community

I recently traveled to Oklahoma City to meet with the Tribes served by the Oklahoma IHS Area as a part of my goal to hold an in-person consultation session in all 12 IHS Areas. The Tribes presented their priority issues and made recommendations for how to improve our Tribal consultation process at the national, Area and local levels. Common priority issues included the need for more funding, especially in the Contract Health Services Program, self-governance issues, the joint venture program, and how to improve consultation. Here is a picture from the meeting:
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