1. Indian Health Service Office of Tribal Self-Governance Update
Jennifer Cooper, Acting OTSG Director
Tribal Self-Governance Advisory Committee
October 24, 2017

2. People OTSG Staff – coming soon GS 13-14: Financial Analyst
Agency Lead Negotiators
ALN monthly call: ALN Co-Chairs designated and new format of meeting
Pilot project to hiring full time ALNs
People

3. Partnerships: New Self-Governance Tribes
FY 2017
FY 2018
Bemidji Area:
Ho-Chunk Nation
Oklahoma Area:
Quapaw Tribe
Seminole Nation of OK
Phoenix Area:
Fort McDermitt Paiute & Shoshone Tribe
Salt River Pima-Maricopa Indian Community
California Area:
Lake County Tribal Health Consortium, Inc.
Total: 95 Title V Compacts
121 Funding Agreements
Transferring $2.0 Billion

4. Partnerships: Self-Governance Activities
FY 2017 Tribal Delegation Meetings (TDM)
29 TDMS: 18 Tribes and 3 Tribal Organizations from 10 IHS Areas
FY 2017 Title V Final Offers
10 Received: 2 Rejected, 7 Withdrawn, 1 Pending

5. Quality: Implementing ISDEAA Title V authorities
Digital Accountability and Transparency Act of (DATA Act) Compliance
Updating 2002 Headquarters PFSA Manual
FY 2015 and FY 2016 Self-Governance Report to Congress
ISDEAA Title V Team Process Improvement
In person meeting – November 15-17

6. Resources: FY 17 Cooperative Agreements
Planning – $120,000
Negotiation – $48,000
Paskenta Band of Nomlaki Indians/Rolling Hills Clinic (California Area)
Salt River Pima-Maricopa Indian Community (Phoenix Area)
Pascua Yaqui Tribe (Tucson Area)
FY 18 funding announcements currently being drafted and scheduled to be published in Federal Register in March 2018

7. Resources: Self Governance FY 2017 Budget
MOU Choctaw Nation and SGCE to support TSGAC and Self-Governance Activities
Jamestown S’Klallam Tribe – Affordable Care Act – Self-Governance National Indian Health Outreach & Education
Government Performance and Results Act Pilot Projects (5)

8. Resources: FY 2018 Continuing Resolution (CR) Payment 1
Period –10/1/2017 – 12/8/17 (18.9% of the year)
Reduction .6791%

9. Questions? www.ihs.gov/self-governance (301) 443-7821