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Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana
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Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.

Mar 30, 2015

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Page 1: Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.

Indian Health ServiceOffice of Tribal Self-Governance

May 6, 2012New Orleans, Louisiana

Page 2: Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.
Page 3: Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.

3

DIRECTOR(Vacant)

Program Analyst (Larney)

Program Analyst

(Manydeeds)

Program Analyst(King)

Financial Analyst(Mayo)

Program Analyst COTA

(Johnson)

Ofc. Auto Assistant STEP

(Parkinson)

Secretary(Beardsley)

Office of Tribal Self-Governance

Total FTE: 15

Note: Current Office as of 3/7/2012

Financial Analyst(Quinn)

Policy Analyst(Patton)

Deputy Director(Smith)

Policy Analyst(Vacant)

HHS Emerging Leader

(Smith-Kaprosy) Financial Analyst(Vacant)

Staff Assistant(Longenecker)

Financial AnalystCOTA

(Vacant)

Page 4: Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.

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Self-Governance GoalsFormalize U.S. & Tribal relations on a Government-to-

Government basis

Promote social, economic, political, and cultural stability and self-sufficiency

Establish better fiscal accountability through expanded Tribal decision making

Change U.S. role from day-to-day management to advocates of Tribal interests

Page 5: Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.

OTSG Key ActivitiesSelf-Governance Implementation

Indian Self-Determination and Education Assistance Act (ISDEAA)

Policy Development for TSGP

Agency Advisor

Compact/Funding Agreement Negotiations

Special Project Oversight

Nation-wide Self-Governance Education and Outreach

Tribal Consultation

5

Page 6: Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.

Roles of OTSG—Program Analysts

– Administer and Facilitate Self-Governance Negotiation process

– Analyzes and evaluates the PSFAs being considered for Self-Governance.

– Process completed Compacts and Funding Agreements

– Provides support and technical assistance on Self-Governance issues

6

Page 7: Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.

Roles of OTSG—Policy Analysts

– Works on a wide range of national issues– Administer OTSG Cooperative Agreements– Maintains and updates OTSG Policy Manuals– Review HHS Agency policy and regulations– Composes responses to Congressional inquires– Prepares briefing materials for OTSG and the IHS Director– Conducts research and analysis

7

Page 8: Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.

Roles of OTSG—Financial Analysts

– Makes the payments to the Self-Governance Tribes at the beginning of the funding cycle (Fiscal, Calendar).

– Makes payments based on amendments to funding tables throughout the year.

– Audit Review for Self-Governance Eligibility

– OTSG Budget Activities

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Page 9: Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.

Availability of Options is a Success

Direct Service

IHS Tribal Self-Governance

Program

IHS Tribal Self-Determination

Program

Other Tribally Specific Initiatives

Page 10: Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.

Participation Rates are a Success

19941996

19982000

20022004

20062008

20102012

0

50

100

150

200

250

300

350

400

Number of Tribes

Page 11: Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.

Participation Rates are a Success

19941996

19982000

20022004

20062008

20102012

0

20

40

60

80

100

120

CompactsFunding Agreements

Page 12: Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.

Increased Budget Portion is a Success

1992

Tribal Self-Governance ProgramOther IHS

2012

Tribal Self-Governance ProgramOther IHS

Page 13: Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.

Diverse Geographic Representation is a Success

Page 14: Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.

OTSG Efforts to Ensure Tribal Consultation are a Success

• Coordinates the IHS Tribal Consultation Summits

• Drafts IHS input for the HHS Tribal Consultation Report

• Coordinates Tribal Delegation Meetings

• Helps to determine when Tribal consultation is needed

• Reviews and comments on circulars, policies, manuals, guidance to ensure Tribal consultation occurs

Page 15: Indian Health Service Office of Tribal Self-Governance May 6, 2012 New Orleans, Louisiana.

OTSG Efforts Ensure Tribal Consultation is a Success