1

27th Annual Consumer Conference Tribal-State Relations and American Indian/Alaska Native Health Care.

Best Western Ramkota Hotel - Sioux Falls, South Dakota Agenda At-A-Glance for September 20-23, 2010

MONDAY, September 20, 2010 9:00 am – 5:00 PM Noon - PRE CONFERENCE MEETINGS 9:00 AM – 12:00 PM United States Department of Health and Human Services Agency for Children and Families Tribal Consultation on the Teen Pregnancy Prevention Initiative HARVEST ROOM 12:00 PM – 4:00 PM NIHB Board of Directors Quarterly Board Meeting CONFERENCE ROOM II 4:00 – 5:00 PM Meeting of the Albuquerque Area Indian Health Board and The All Indian Pueblo Council ROOM TBD 12:00 Noon – 5:00 PM – EAST LOBBY REGISTRATION DESK OPEN 5:30 PM – 7:00 PM – EXHIBIT HALL WELCOMING RECEPTION Sponsored by Aberdeen Area Tribal Chairmen’s Health Board.

2

TUESDAY September 21, 2010 Tribal-State Relations and American Indian/Alaska Native Health Care 7:00 AM – 5:00 PM – EAST LOBBY Registration and Information Desk Open Daily 7:00 AM – 5:00 PM – EXHIBIT HALL ANNEX Exhibits Open Daily 7:00 AM - 8:30 AM – EXHIBIT HALL ANNEX Continental Breakfast Served 8:00 AM – 12:45 PM: PLENARY SESSION – GRAND RUSHMORE HALL 8:00 AM – 8:45 AM Opening Ceremony/Prayer/Presentation of the Colors and Board and Aberdeen Area Tribal Dignitaries Procession: Welcome, Reno Keoni Franklin, NIHB Chairman (California Area); Councilman, Kashia Band of Pomo Indians; Chairman, California Rural Indian Health Board Welcome, John Blackhawk, NIHB Board Member (Aberdeen Area); Chairman, Winnebago Tribe of Nebraska Honoring Robert D. Moore / Rosebud Sioux Tribe 8:45 – 9:05 AM – GRAND RUSHMORE HALL Jefferson Keel (invited) President National Congress of American Indians Implications of State/Tribal Relations: The National Perspective Introduced by Reno Keoni Franklin, NIHB Chairman (California Area) 9:05 – 9:40 AM – GRAND RUSHMORE HALL Keynote Address The Honorable Kathleen Sebelius (Invited) Secretary United States Department of Health and Human Services Introduced by Reno Keoni Franklin, NIHB Chairman (California Area)

3

9:40 – 10:05 AM – GRAND RUSHMORE HALL Keynote Address

Garth N. Graham, MD, MPH (Invited) Deputy Assistant Secretary United States Department of Health and Human Services Director, Office of Minority Health 10:05 – 10:40 AM – GRAND RUSHMORE HALL Yvette Roubideaux, MD, MPH Director Indian Health Service United States Department of Health and Human Services Introduced By John Blackhawk, NIHB Board Member (Aberdeen Area) 10:40 – 11:05 AM – GRAND RUSHMORE HALL Pamela Hyde, J.D. Administrator Substance Abuse and Mental Health Services Administration (SAMSHA) United States Department of Health and Human Services Introduced by: Andy Joseph, Jr, NIHB Board Member-At-Large (Portland Area); Councilman, Confederated Tribes of Colville (Washington); Chairman, Northwest Portland Area Indian Health Board 11:05 – 11:30 AM – GRAND RUSHMORE HALL Mary Wakefield, Ph.D., RN Administrator Health Resources & Services Administration (HRSA) United States Department of Health and Human Services Introduced by Buford Rolin, NIHB Vice Chairman (Nashville Area); Chairman, Poarch Band of Creek Indians of Alabama

4

11:30 AM – 12:30 – GRAND RUSHMORE HALL Interstate Perspectives on State/Tribal Relations Impacting American Indian and Alaska Native Health

States Featured: South Dakota, California, Arizona, Four Corners Area (Navajo Nation)

Facilitator: Don Warne, MD, MPH, Sanford Health (Dr. Warne is the Immediate Past Executive Director of the Aberdeen Area Tribal Chairman’s Health Board) Panelists:

• Don Warne, MD, MPH, Director, Office of Native American Health, Sanford Health South Dakota

• James Crouch, Executive Director, California Rural Indian Health Board • Alida Montiel, Senior Policy Analyst, Inter-Tribal Council of Arizona • Anslem Roanhorse, Director, Navajo Nation Division of Health

12:30 – 12:45 PM – GRAND RUSHMORE HALL Lillian Sparks, Esq. Commissioner, Administration on Native Americans Introduced by Tom John, NIHB Treasurer (Oklahoma Area); Chairman, Oklahoma City Area Indian Health Board 12:45 – 2:00 PM – LUNCH ON YOUR OWN 2:00-3:30pm - WORKSHOPS I

ROOSEVELT ROOM

1. Diabetes in Tribal School (DETS): Why is it Important?

Diabetes is a serious illness that is too frequent in Native Americans. The national Institute of Diabetes and Digestive and Kidney Diseases (CDC), Indian Health Services and the American Indian Higher Education Consortium teamed up and developed DETS: Diabetes Education in Tribal School. As a national effort to decrease the incidence and improve the care of type II diabetes among American Indians DETS was developed. The DETS project is a free K-12 curriculum that is geared towards learning, exposure to science and health related careers and tying in the culture. The curriculum is broken into unit component: K-2, 3-4, 5-6, 7-8 social studies & science, and 9-12 health and science. Presenter: Ann M. Wadsworth, Director, Diabetes in Tribal School (DETS), Cankdeska Cikana Community College (Spirit Lake Dakota Nation), Fort Totten, North Dakota

5

LINCOLN ROOM

2. Healthcare Response to Domestic Violence in Indian Country In the largest survey of its kind, a 2008 Centers for Disease Control and Prevention report on health care and violence found that 39% of Native women reported that they were the victims of intimate partner violence sometime in their lives – a rate higher than any other race or ethnicity surveyed. During a three year span, homicide was the 3rd leading cause of death for Native women. Of Native women murdered, 75% were killed by a family member, acquaintance, or someone they knew. Because most American Indian/Alaska Native individuals are seen at some point by a health care provider, the health care setting offers a critical opportunity for early identification and primary prevention of abuse. Violence against Native women is one of the top public health problems in Indian Country today. Presenters: Cecelia Firethunder, Coordinator, Native Women’s Society of the Great Plains Carmen O’Leary, Native Women’s Society of the Great Plains Linda Thompson, First Nation Women’s Alliance, North Dakota Patricia McGeshick, Montana Native Women’s Coalition

JEFFERSON ROOM

3. Developing Successful Coalitions in Indian Country The Gila River Prevention Coalition, formed in 2006, with initial funding to address the issue of underage drinking and substance use in the Gila River Indian Country, is made up of service providers, tribal departments and community members. The mission of the coalition is: To improve the health, safety and well-being of all Gila River Indian Community. This specific workshop will stress:

• Building a strong coalition made up of service providers, tribal departments and community members

• Creating collaborative relationships and successful partnerships • Providing opportunities and events throughout a large and remote reservation

community • Bring the message to the community members: block parties, family nights • Ongoing needs assessment: meeting the needs of the community

Presenter: Julie Jimenez, Prevention Administrator, Gila River Healthcare Corporation, Arizona

6

CONFERENCE ROOM II

4. Tribal-State Relations in Indian Health Care: Arizona’s Experience The workshop will provide an overview of Arizona’s Medicaid Program, State Health Department, Indian Health Care or “I/T/U” System, Tribal Governments, Advisory Council on Indian Health Care, and other key entities that share the common goal of improving Indian health in Arizona. More importantly, the presenters will discuss the importance of key partnerships, the role of tribal liaisons at the state level, and meaningful consultation – all of which are crucial at a time when state budget shortfalls are driving policy decisions that may affect the health care delivery and financing systems for American Indians. Presenters: Carol Chicharello, Tribal Relations Liaison, Arizona Health Care Cost Containment Systems (AHCCCS) Michael Allison, Native American Liaison, Arizona Department of Health Services (ADHS) Sandra Irwin, Health Department Director, Hualapai Tribe

CONFERENCE ROOM III

5. Promoting Community Change to Address Suicide Suicide continues as a leading cause of death for AI/AN aged 10 to14 and 15 to 24 in the U.S, with those aged 15 to 24 making up 33% of all suicides in 2006. Native communities, have an opportunity to increase their health and well-being by integrating tribal traditions and customs with other behavioral health strategies. Approaches will be presented that build upon existing capacities to create cost-effective, promising solutions which reflect indigenous cultural strengths and community will. Presenter: Petrice Post, MA, Tribal Prevention Specialist, Education Development Center, Inc. – Suicide Prevention Resource Center, Newton, Massachusetts

7

AMPHITHEATER I

6. A Seat at the Table: A Meaningful Dialogue of New Ways that Make a Difference

Federally funded services in Indian Country are challenged to meet the needs of the local tribal community while meeting the needs and intent of the federal of the federal funding source. This workshop provides an easy-to-use method for creating a living network of collaborative and meaningful dialogue around SAMHSA-supported service delivery systems in Indian Country. Hosted by CSAP and CSAP’s Native American Center for Excellence (NACE), participants will have the opportunity to “take a seat at the table” to discuss what works and doesn’t work, and provide new ways to make a difference in their work and moreover, in the lives they serve. Presenters: Ammie Bonsu, MPH, Public Health Analyst, U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Prevention, Division of Knowledge Application and Systems Improvement Josefine Haynes-Battle, Commander, Tribal Issues Workgroup, U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Prevention Anthony Ernst Ph.D., Project Director, Native American Center for Excellence, U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Prevention

AMPHITHEATER II

7. Administration for Children and Families Presenter: Lillian Sparks, Esq., Commissioner, Administration on Native Americans, U.S. Department of Health and Human Services

8

HARVEST ROOM

8. We Can! A Science-Based Childhood Overweight Prevention Program

Overweight is a significant national health concern among U.S. children and the prevalence has reached epidemic proportions, with a higher incidence among AI/AN children and adolescents. It is our hope to provide greater awareness of the childhood overweight problem, together with an overview of We Can!’s parent program and youth curricula and how they can be implemented in tribal community settings. The session will provide a brief overview of We Can! Including why and how it was developed, an introduction to program and a summary of key accomplishments; a summary of success stories within schools, youth-serving organizations, parks and recreation departments, and outreach activities that have begun with tribal organizations; and overview of the We Can! Energize our Families: Parent Program, fun and hands-on practical activities, ideas on parent recruitment ; and a brief overview of each of the four youth curricula: Media-Smart Youth, CATCH Kids Club and S.M.A.R.T., and the SPARK After School Physical Activity Program Presenter: Rachael L. Tracy MPH, Public Health Advisor, National Heart, Lung & Blood Institute, National Institute of Health

VIKING ROOM

9. All You Need to Know about Improving our Health, You Learned From Your Grandmother

Traditionally, improvement initiatives have been approached as standalone projects. As a result, many of the gains achieved are lost once the initiative is over. The goal of this presentation is to suggest a comprehensive methodology that allows the incorporation of existing knowledge gathered through years of practical experience and research, into the fabric of our institutions. This can be accomplished by embedding improvement principles and practices into the rubric of daily operations through enduring cultural transformation. We will have an interactive session where specific examples are discussed. Presenter: Anna Maria Izquierdo-Porrera MD PhD, Chief Medical Office and QI Practice Lead, BlueNovo, Inc., Maryland

3:30 PM – 3:45 PM BREAK

9

3:45 PM - 5:15 PM - WORKSHOPS II ROOSEVELT ROOM

1. Sudden Infant Death Syndrome (SIDS) Risk-Reduction Activities for AI/AN Communities: The Healthy Native Babies Project

The Healthy Native Babies Project provides Sudden Infant Death Syndrome (SIDS) risk-reduction messages to AI/AN populations via culturally and regionally appropriate training and outreach materials. The Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), working with AI/AN stakeholders, developed this project with these deliverables: Workbook, Resources CD, and a Toolkit program for developing community-tailored materials and training sessions. Each outreach coordinator, health educator, and community partner can choose the most appropriate outreach approach for his or her specific audience. Presenter: Jennifer Irving MPH, Healthy Native Babies Project Aberdeen Area Coordinator, Aberdeen Area Tribal Chairmen’s Health Board / Oglala Lakota

LINCOLN ROOM

2. Innovations in Health Communities: Using Health Literacy, Internet Access and Increased Patient Provider Communications to Improve the Health of AI/AN

The Indian Health Service encourages all IHS, Tribal and Urban programs to integrate Healthy People Health Communication 2020 Objectives into their healthcare organizations. Health care objectives focus on 6 areas: Recognizing the health literacy levels of our AI/AN patients and designing programs and activities that are provided accordingly. The IHS has many new initiatives that integrate increased use of computers and internet access; this presentation will unveil many of those new innovative programs. These programs are designed to improve patient care demands and to improve patient-provider communications; the IHS has new tools to increase these communications that increase awareness of the role both the provider and the patient have in improving health care. Increase the proportion of adults who report having social support. Increase the proportion of crisis and emergency risk messages, intended to protect the public’s health, and to increase social marketing of health. Presenter: Mary Wachaca, Lead Consultant, IHS Health Education Program / Eastern Band of Cherokee

10

CONFERENCE ROOM II

3. Utilization of the Buffalo into Today’s Health Regimen

The Intertribal Buffalo Council has been responsible for reintroducing the buffalo back into tribal communities since 1992. This national reintroduction effort is to help Indian people reestablish their relationship with their four-legged relative. The workshop will be focused four main learning objectives. The first objective is on Understanding the potential role buffalo can play in Native culture. The second is an introspective into the potential of buffalo meat as medicinal sources in addressing diabetes, obesity, and cardiovascular problems. The third objective is incorporating the buffalo into social and academic programs. The fourth is implementing a traditional meat source and animal into cultural programs Presenters: Jim Stone, Executive Director of the Intertribal Buffalo Council (ITBC) Mr. Ervin Carlson, ITBC President Chris Olguin, ITBC Vice President Alvah Quinn, Buffalo Herd Manager / Sisseton Wahpeton Oyate

JEFFERSON ROOM

4. Breaking Through the Barriers-Overcoming Obstacles to Provide Effective HIV Prevention Programming

AI/AN people currently have the fourth highest rate of new HIV infections annually, while Native Hawaiians have the third highest (22.8 per 100,000 persons for Native Hawaiians and other Pacific Islanders and 11.9 per 100,000 for AI/AN). Although neither frequently nor openly discussed, HIV is having a huge impact on Native communities in America and not just those living with the virus but also their friends, partners, families, communities, villages, and tribes. This workshop will present an overview of the state of the epidemic in communities with the most up to date epidemiological data, and current promising prevention programming that is making an impact. We also will present stories from people who have faced challenges at the community level taken from filmed interviews, a documentary and a recent community assessment conducted by the National Native American AIDS Prevention Center prevention work, and creative strategies for overcoming these obstacles. Presenters: Robert Foley, Executive Director, National Native American AIDS Prevention Center (NNAAPC) Mathew Barkhausen (Tuscarora), Media Specialist, National Native American AIDS Prevention Center (NNAAPC)

11

AMPHITHEATER I

5. Methamphetamine Suicide Prevention Initiative (MSPI): A National Overview and the Local Prevention Efforts of the Aberdeen Area

Participants will learn about the MSPI Initiative and the prevention and treatment options employed by communities across Indian Country. We will also discuss the use of technology to create a virtual “community of learning”. This includes utilizing a streamlined reporting model and social networking site to facilitate program development, implementation, and evaluation. The panelists are made up of National and Aberdeen Area MSPI prevention specialists who will discuss meth and suicide prevention and highlight the lessons learned within the first year. Presenters: Seprieono Lacario, Behavioral Health Program Coordinator, NIHB Bobbie Jo Bruce, Mental Health Program Specialist, Aberdeen Area Behavioral Health, Indian Health Service, U.S. Department of Health and Human Services Robert J. Kindschuh Jr., MSE, LIPC, LADC, Winnebago Counseling Center, Nebraska Michaelene K. Irwin, LIMHP, LPC, NCC: Mental Health Director, Indian Health Service, U.S. Department of Health and Human Services

CONFERENCE ROOM III

6. Presentation on the Knowledge Resource Center for Urban Indians Presenter: Alejandro Bermudez-Del-Villar, Development & Technology Director, National Council of Urban Indian Health

HARVEST ROOM

7. Optimizing the Prevention of Fetal Alcohol Spectrum Disorders (FASD) Through Working with Women at Risk

Fetal Alcohol Spectrum Disorders (FASD) can occur in any community where women drink during pregnancy. This workshop presents promising practices that have been shown to be effective in reducing the risk of alcohol-exposed pregnancies. The three programs presented are the Parent-Child Assistance Program (P-CAP), Project Choices, and Screening and Brief Intervention. Existing services into which these approaches can be integrated are examined. Presenter: Candace Shelton, Senior Native American Specialist, U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Fetal Alcohol Spectrum Disorders Center for Excellence

12

AMPHITHEATER II

8. Special Diabetes Program For Indians (SDPI): Reauthorization and Advocacy

Program overview, including legal and legislative history; presentation of outcomes of this successful program; briefing on current legislative proposals and status; advocacy and action session. Moderator: Buford Rolin, Chairman, Tribal Leaders Diabetes Committee introduces session, give brief history of program (how far we have come) Erin Bailey, Senate Committee on Indian Affairs (Majority staff to Senator Dorgan) Jennifer Cooper, JD, Legislative Director, National Indian Health Board Ronnie Tepp, Project Consultant to the National Indian Health Board, Special Diabetes Project for Indians

VIKING ROOM9. American Indian and Alaska Native Men’s Health

13

WEDNESDAY September 22, 2010 Centers for Medicare & Medicaid Services (CMS) NIHB’s Annual CMS Day—sponsored by CMS 7:00 AM – 8:00 AM Just Move It! Annual Fitness Walk 7:00 AM – 5:00 PM – EAST LOBBY Registration and Information Desk Open Daily 7:00 AM – 5:00 PM – EXHIBIT HALL ANNEX

Exhibits Open Daily 8:00 AM - 9:30 AM – EXHIBIT HALL ANNEX Continental Breakfast Served 8:30 AM – 8:40 AM – GRAND RUSHMORE HALL Welcome to Centers for Medicare & Medicaid Services Day

H. Sally Smith, NIHB Board Member (Alaska Area), Chair of Medicare & Medicaid Policy Committee (MMPC), NIHB Representative of CMS TTAG, Chair of Bristol Bay Area Health Consortium 8:40 AM – 9:00 AM – GRAND RUSHMORE HALL Keynote Address: Presented by CMS Leadership: CMS’s Role in Improving Access to Medicaid and the Children’s Health Insurance Program (CHIP) 9:00 AM – 9:15 AM – GRAND RUSHMORE HALL Keynote Address:

CMS Tribal Technical Advisory Group: Progress and Future Goals Valerie Davidson, Chair of CMS TTAG; Senior Director, Legal & Intergovernmental Affairs, Alaska Native Tribal Health Consortium

14

9:15 AM - 10:45 AM – GRAND RUSHMORE HALL

Tribal State Consultation and Promising Practices: Panel will discuss progress on State and Tribal consultation efforts and accomplishments. Facilitator: Mickey Peercy, TTAG Member, Executive Director of Health Services, Choctaw Nation, Oklahoma Panelists:

Donald Warne, MD, MPH, Director, Office of Native American Health, Sanford Health, South Dakota Deborah K. Bowman, Secretary, Department of Social Services, South Dakota Jonathan Windy Boy, Vice Chairman, Chippewa-Cree Business Committee, Member of the Montana State Senate representing District 16 Anna Whiting Sorrell, Director, Montana Department of Public Health and Human Services Mike Fogarty, Chief Executive Officer, Oklahoma Health Care Authority

10:45 AM – 12:00 Noon – GRAND RUSHMORE HALL

CHIP Promising Practices on Outreach and Enrollment:

Panel will discuss new and promising practices in the outreach and enrollment of Indian children and families. Facilitator: Kathy Hughes, TTAG Member, Vice Chair for the Oneida Tribe of Wisconsin Panelists:

Donna Cohen Ross, Senior Advisor, Office of External Affairs & Beneficiary Services/CMS Kerstin Powell, Business Office Manager, Port Gamble S'Klallam Tribe, Contract Health Service, Port Gamble TANF Program Diana Murat, Director, Medicaid Enrollment, Yukon Kuskokwim Health Corporation (Alaska) Jo Ann Kauffman, President & CEO, Kaufman & Associates, CHIP Outreach Toolkit and Website Gale Marshall, Two Feathers Media Consultants, CHIP Video

15

12:00 NOON - 1:30 PM – EXHIBIT HALL NIHB ANNUAL AWARDS LUNCHEON This annual event includes the presentation of national awards honoring the exemplary service and dedication of groups and individuals in the arenas of health promotion and disease prevention. The award categories include the Jake Whitecrow Lifetime Achievement Award, National, Regional, and Local Awards and a Youth Leadership Award. Sponsored by: Sanford Medical American Cancer Society, Midwest Division 1:30 PM - 3:00 PM - WORKSHOPS I

CONFERENCE ROOM II

1. Children’s Health Insurance Programs: Share Grantee Outreach and Education Experiences.

The Children’s Health Insurance Program set aside $100 million to help enroll children into Medicaid and CHIP and $10 million specifically to Indian health providers for outreach and enrollment activities. In this session you will hear from four grantees authorized for new federal funding. On April 16, 2010, CMS announced grants to 41 health programs operated by the Indian Health Service for tribes and tribal organizations, and urban Indian organizations. The grantees will describe their outreach and education activities implemented under this new program. Presenters:

Julie Wood, Flandreau Santee Sioux Tribe of South Dakota, Patient Benefits Coordinator Jerilyn Church, Executive Director at American Indian Health & Family Services of Southeastern Michigan Adam Archuleta, Director of Revenue Enhancement Services, Tucson Area IHS Judy Gibson, Indian Health Resource Center of Tulsa, Oklahoma

16

CONFERENCE ROOM III

1. Medicaid 101 and Meet Your Native American Contact (NAC): Roundtable Discussion This session will provide an overview of Medicaid and the Children's Health Insurance Program (CHIP) administration, eligibility, covered services and reimbursement for Tribal Health Program staff and beneficiaries with a focus on specific provisions for AI/ANs. CMS NACs from each Regional Office will be available to address the provider enrollment process and information about how to maximize collections for services provided by tribal programs. The second part of the session will address how the CMS Native American Contacts (NACs) work together with States, IHS and Tribal programs. Presenters:

Nancy Grano, CMS Native American Contact, Region I, Boston Vennetta Harrison, CMS Native American Contact, Region II, New York Barbara Williamson, CMS Native American Contact, Region III, Philadelphia Crystal Francis, CMS Native American Contact, Region IV, Atlanta Pamela Carson, CMS Native American Contact, Region V, Chicago Dorsey Sadongei, CMS Native American Contact, Region VI, Dallas Stacey Shuman, CMS Native American Contact, Region VI, Dallas Nancy Rios, CMS Native American Contact, Region VII, Kansas City Cindy Smith, CMS Native American Contact, Region VIII, Denver Mary Munoz, CMS Native American Contact, Region VIII, Denver Rosella Norris, CMS Native American Contact, Region IX, San Francisco Cecile Greenway, CMS Native American Contact, Region X, Seattle

AMPHITHEATER I

2. American Indian and Alaska Native Data Symposium: Developing Medicaid and Medicare Data

This session will provide an overview of the American Indian and Alaska Native Data Symposium held at the National Museum of American Indian, Washington, DC, on July 30, 2010. At this session, the presenters will highlight the discussions from the symposium on AI/AN data discrepancies, how description of how data discrepancies can negatively impact patient care, and the recommendations from the symposium on how to improve usability of data and recommendations on further data analysis and investigation Presenters: Jim Crouch, MPH, Executive Director, California Rural Indian Health Board, (CRIHB), California Representative to CMS TTAG Carol Korenbrot, Ph.D. Research Director, California Rural Indian Health Board

17

ROOSEVELT ROOM

3. HITECH & Meaningful Use This session will include a viewing of the HITECH Medicine Dish presentation on the Electronic Health Record (EHR) Incentive Program and Meaningful Use featuring Theresa Cullen, IHS Office of Information Technology, Elizabeth Holland, CMS Office of E-Health Standards and Services; and Jessica Kahn, Center of Medicaid, CHIP, and Surveys & Certification. Dr. Theresa Cullen from Indian Health Services; Captain Jim Lyon from CMS Tribal Affairs Group and Jessica Burger, NIHB Deputy Director will also participate in this workshop. They will be available for a question and answer period. Presenters: RADM Theresa Cullen, Assistant Surgeon General and CIO, Indian Health Service, U.S. Department of Health and Human Services CAPT James Lyon, Senior Health Insurance Specialist, CMS/Commissioned Corps Jessica Burger, RN, Deputy Director, NIHB

AMPHITHEATER II

4. Indian Health Care Improvement Act (IHCIA) & Affordable Care Act (ACA) Provisions: Priorities for Indian Country

The presenters will provide an overview of the TTAG recommended Affordable Care Act outcome measures identified by the CMS TTAG committee at the July 2010 TTAG face to face meeting. The workshop presenters will discuss draft papers outlining the tribal perspective on several topics such as: Assuring the Inclusion of Indian Health Providers In Provider Networks of Exchange Plans; Premiums and Cost Sharing; Use of High Risk Pools; Modified Adjusted Gross Income‐Treatment of Indian Income; Medicaid Expansion and Medicare Part D: “TrOOP” Fix for I/T/U Pharmacies. Presenters:

Carol L. Barbero, Partner, Hobbs, Straus, Dean & Walker, LLP Myra Munson, Esq., JD, MSW, Sonosky, Chambers, Sachse, Miller & Munson, LLP

18

LINCOLN ROOM

5. How to Become an Federally Qualified Health Center (FQHC) & Bill Successfully

This workshop will present an overview of the FQHC (Federally Qualified Health Center) requirements under Titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act. Understanding the CMS requirements and how Tribal and Urban Indian programs can access reimbursements as an FQHC will be addressed in this workshop. Presenters:

Cecile Greenway, Native American Contract, Region X, CMS. Donna Keeler, Executive Director, South Dakota Urban Indian Health (Pierre, SD)

3:00 – 3:15 PM BREAK 3:15 – 5:15 PM WORKSHOPS II

ROOSEVELT ROOM

1. Long Term Care in Indian Country This session will provide an overview of long term care authorities in Medicaid, including home and community-based services; money follows the person, and other authorities in the IHCIA and the Affordable Care Act (ACA). Presenters:

Anita Yuskauskas , Ph.D. Technical Director for Health Care Business Solutions (HCBS) Quality DEHPG, CMSO, CMS

Bruce Finke, M.D., IHS/NAS, Nashville Area Office (NAO), Elder Care Initiative

AMPHITHEATER I

2. How to effectively screen and prevent cancer in Tribal communities.

This session will report on the successful experience of a cancer prevention and screening program involving Northern Montana tribal communities using tribal community health representatives (CHRs) and navigators to provide cancer prevention and screening services. Presenters:

Frederick Avis, MD, Medical Director, Benefis Health System Native American Programs, Great Falls, MT. Kathie Avis, Chief Administrative Officer Strategic Development/Tribal Programs, Benefis Health System, Great Falls, MT.

19

AMPHITHEATER II

3. Indian Health Care Improvement Act (IHCIA) & Affordable Care Act (ACA) Provisions: Priorities for Indian Country

The presenters will provide an overview of the TTAG recommended Affordable Care Act outcome measures identified by the CMS TTAG at the July 2010 TTAG face to face meeting. The workshop presenters will discuss several draft papers outlining the tribal perspective on several topics such as: Assuring the Inclusion of Indian Health Providers In Provider Networks of Exchange Plans; Premiums and Cost Sharing; Use of High Risk Pools; Modified Adjusted Gross Income ‐ Treatment of Indian Income; Medicaid Expansion and Medicare Part D: “TrOOP” Fix for I/T/U Pharmacies Presenters:

Carol L. Barbero, Partner, Hobbs, Straus, Dean & Walker, LLP Myra Munson, Esq., JD, MSW, Sonosky, Chambers, Sachse, Miller & Munson, LLP

LINCOLN ROOM

1. Across State Borders: Medicaid Program and Children's Health Insurance Program; Model of Interstate Coordinated Enrollment and Coverage Process for Low-Income Children

This session will discuss the payment problems encountered by Indian health programs providing and/or coordinating health services for Medicaid beneficiaries from multiple states. In particular, issues serving Medicaid-eligible youth at youth regional treatment centers and Indian boarding schools will be discussed. Section 213 of 2009 Children's Health Insurance Program Reauthorization Act (CHIPRA) which requires CMS to report on improvements to the interstate coordination for low income children will also be reviewed. Presenters:

Anslem Roanhorse, Director Navajo Nation Division of Health, Navajo Area TTAG Representative Lane Terwilliger, Esq., Technical Director, Center for Medicaid and State Operations, CMS Liselotta Erdrich, school health officer, Circle of Nations School in Wahpeton, North Dakota Paula Bossert, LCSW, Social Worker, Sisseton Indian Health Service, U.S. Department of Health and Human Services

20

CONFERENCE ROOM III

2. Medicare 101 and Meet Your Native American Contacts (NAC): Roundtable Discussion

This session will provide an overview of Medicare parts A, B, C and D for Indian and Tribal Health Program staff and beneficiaries focusing on specific provisions for American Indians/Alaska Natives. The session will address the provider enrollment process and information about how to maximize collections for services provided by tribal programs. CMS NACs from each Regional Office will be available to address how CMS NACs work together with States, IHS and Tribal programs to assure access to CMS programs and maximization of IHS/Tribal third party revenue from Medicare. Presenters: Nancy Grano, CMS Native American Contact, Region I, Boston Vennetta Harrison, CMS Native American Contact, Region II, New York Barbara Williamson, CMS Native American Contact, Region III, Philadelphia Crystal Francis, CMS Native American Contact, Region IV, Atlanta Pamela Carson, CMS Native American Contact, Region V, Chicago Dorsey Sadongei, CMS Native American Contact, Region VI, Dallas Stacey Shuman, CMS Native American Contact, Region VI, Dallas Nancy Rios, CMS Native American Contact, Region VII, Kansas City Cindy Smith, CMS Native American Contact, Region VIII, Denver Mary Munoz, CMS Native American Contact, Region VIII, Denver Rosella Norris, CMS Native American Contact, Region IX, San Francisco Cecile Greenway, CMS Native American Contact, Region X, Seattle Cyndi Gillaspie, CMS Lead Native American Contact for CMS Regional Offices

JEFFERSON ROOM

3. ITU Regional Extension Centers/ HITECH The NIHB American Indian/Alaska Native National Regional Extension Center (REC), an undertaking of the NIHB in collaboration with Tribes and the American Indian Higher Education Consortium will play a key role in creating opportunities for Tribal health service providers to engage in and implement meaningful use criteria in the application of electronic health records in the clinic and health delivery setting. The presentation will provide a brief overview of the REC; key personnel, operations plan and the milestones that are required under the program to fully attain the funds to support meaningful use implementation in Indian Country. Collaboration efforts, workforce development plans and interoperability with state health information exchanges (HIE) will be highlighted in the presentation. Presenters:

RADM Theresa Cullen, Assistant Surgeon General and CIO, Indian Health Service CAPT James Lyon, Senior Health Insurance Specialist, CMS/Commissioned Corps Jessica Burger, RN, Deputy Director, NIHB

21

5:30 PM - 7:30 PM – EXHIBIT HALL CULTURE NIGHT CELEBRATION Sponsored by Aberdeen Area Chairman’s Health Board THURSDAY September 23, 2010 Health Care Reform and IHCIA Implementation 6:30 AM - 7:30 AM – VIKING ROOM Potential Morning Fitness Activity 7:00 AM - 2:00 PM – EAST LOBBY Registration and Information Desk Open 7:00 AM – 2:00 PM – EXHIBIT HALL ANNEX

Exhibits Open Daily 8:00 AM - 9:00 AM – EXHIBIT HALL ANNEX Continental Breakfast 8:00 – 8:10 AM - GRAND RUSHMORE HALL

Welcome and Opening Remarks 8:10 – 8:40 AM - GRAND RUSHMORE HALL

Special Diabetes Program for Indians: The Road to Reauthorization Presenters: Buford Rolin, Chairman, Poarch Creek Band of Indians; Vice-Chairman, National Indian Health Board and Co-Chair, Tribal Leaders Diabetes Committee Gale Marshall, Spirit of Eagles, American Diabetes Association

22

8:40 – 9:10 AM - GRAND RUSHMORE HALL

Health Information Technology (HITECH) in Indian Health Care: An Overview of the NIHB Project to Develop a National, Tribal Regional Extension Center (REC) Presenters: Larry Jessop, Project Officer, The Office of the National Coordinator for Health Information Technology (ONC) US Department of Health and Human Services Jessica Burger, RN, NIHB Deputy Director NIHB Project Director, Tribal REC Project (TBA) Byron Jasper, DDS, Public Health Director, United South and Eastern Tribes, Nashville 9:10 AM - 9:50 AM – GRAND RUSHMORE HALL An Overview of Health Care Reform and the Indian Health Care Improvement Act (IHCIA) Reauthorization - Tribal Implications and Expectations Health Care Reform: Myra Munson, Esq., NIHB Consultant on Health Care Reform Implementation and Outreach, Partner, Sonosky, Chambers, Sachse, Miller and Muncon, LLP (Alaska) IHCIA: Jennifer Cooper, JD, MPA., NIHB Legislative Director 9:50 AM – 10:30 AM – GRAND RUSHMORE HALL NIHB Hosted Town Meeting on Implications for Tribes of Health Care Reform and the Indian Health Care Improvement Act Reauthorization Bring your questions about implementing the new health care reform law (Patient Protection and Affordable Care Act) and the Indian Health Care Improvement Act and get your answers! Moderator: Stacy A. Bohlen, NIHB Executive Director Yvette Roubideaux, MD, MPH, Director, Indian Health Service Erin Bailey, Legislative Assistant, US Senate Committee on Indian Affairs (Majority) Richard Litsey, Esq., Council and Senior Advisor on Indian Affairs, Senate Finance Committee (Majority) (invited) Jennifer Cooper, JD, MPA, NIHB Legislative Director Myra Munson, Esq., NIHB Consultant on Health Care Reform Implementation and Outreach, Partner, Sonosky, Chambers, Sachse, Miller and Munson, LLP (Alaska) Valerie Davidson, Esq., Chair, Centers for Medicare and Medicaid Services Tribal Technical Advisory Committee, Ahniwake Rose, Policy Analyst for Health and Education, National Congress of American Indians (NCAI)

23

10:30 - 10:45 AM BREAK 10:45 – 12:15 PM – WORKSHOPS I Workshops will focus on specific issues to train attendees on implementation of the Patient Protection and Affordable Care Act and the Indian Health care Improvement Act. The topics of these workshops were selected based on the outcome of a national survey conducted by NIHB in August, 2010, in which Tribes were asked to identify their top priorities and immediate information needs to assist them with implementing the new health care reform law. These workshops address the top five (5) policy areas identified through that survey.

AMPHITHEATER I

1. Access to Federal Health Benefits Plan The IHCIA included a new provision, which provides tribes and tribal organizations an opportunity to access the federal health benefits system. This session will provide a general overview of this new opportunity and an update on the implementation of this new provision. Presenters: Yvette Roubideaux, MD, MPH, Director, Indian Health Service (invited) Richard Litsey, Esq., Council and Senior Advisor on Indian Affairs, Senate Finance Committee (Majority)

CONFERENCE ROOM II

2. Enrollment and Access The goal of the Affordable Care Act is to increase access to quality health care for all Americans. The Act provides many new opportunities to acquire coverage. This session will focus on all the new opportunities for individual Indians and Tribes to access health care through the Affordable Care Act such as enrolling in Medicaid and accessing insurance through the state exchanges. Presenters: Carol Barbero, Esq., NIHB Consultant on Health Care Reform Implementation and Outreach, Hobbs, Straus, Dean and Walker, LLC Erin Bailey, Legislative Assistant, Senate Committee on Indian Affairs (Majority) (invited)

24

CONFERENCE ROOM III

3. Insurance Premiums Tribal members will have unique arrangements with insurance companies because of their status. What benefits will Tribal members experience under the law and what opportunities exist for health programs to take advantage of insurance reimbursements? This workshop will explore the impact of health care reform for Tribal members’ insurance policies Presenters: Doneg McDonough, NIHB Consultant for Health Care Reform Implementation and Outreach, Medicaid and Medicaid Policy Elizabeth Fowler, US Department of Health and Human Services The Office of Consumer Information and Insurance Oversight (invited)

HARVEST ROOM

4. Tribal Employer Responsibility Health Care Reform will have a substantial impact on employers. Tribes will be affected by requirements and benefits that will apply to employers through this law. What do Tribal councils need to know about their responsibility as employers and when do the provisions go into effect? Presenters: Geoff Strommer, Esq., Hobbs, Straus, Dean and Walker, LLC (invited) Ahniwake Rose, Policy Analyst for Health and Education, NCAI

VIKING ROOM

5. Medicaid Expansion and Implication for the Tribes

One of the most significant changes in health care reform, and one of the biggest opportunities for Tribes, is the expansion of Medicaid. This workshop will explore who will now be eligible for Medicaid, why it matters to Tribes, and how Tribes can take advantage of this expansion.

Presenter: Myra Munson, Esq., NIHB Consultant on Health Care Reform Implementation and Outreach, Partner, Sonosky, Chambers, Sachse, Miller and Munson, LLP (Alaska)

25

12:15 PM – 1:30 PM – GRAND RUSHMORE HALL Closing Remarks Reno Keoni Franklin, Chairman, NIHB (California Area) John Blackhawk, NIHB Board Member (Aberdeen Area) H. Sally Smith, NIHB Board Member (Alaska Area) and Chair, NIHB 2011 28th Annual Consumer Conference Planning Committee (the 2011 Conference will take place in Anchorage, Alaska) Closing Prayer Retiring of the Colors