Tribal Self-Governance ACA/IHCIA Project Update

Presentation to the Tribal Self-Governance Conference Advisory Committee on the Affordable Care Act (ACA) and Indian Health Care Improvement Act (IHCIA) project update, including recent and upcoming project activities, resources, project staff details, and contact information for the project team.

• Tribal Self-Governance
• ACA
• IHCIA
• Project Update
• Healthcare

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1. Presentation to the Tribal Self-Governance Conference Advisory Committee Tribal Self-Governance Affordable Care Act (ACA)/Indian Health Care Improvement Act (IHCIA) Project Update August 31, 2023 Presented by Cyndi Ferguson, SENSE Inc. (Project Lead) Elliott Milhollin, Partner, Hobbs, Straus, Dean and Walker Betsy Barron, Project Intern

2. Recent Project Activities Held two break-out sessions during the 2023 Annual Self-Governance Conference in Tulsa, OK Development of Tribal input on Medicaid Unwinding (and summary of resources and available guides) Development of Tribal Sponsorship Survey Motion-Capture Video Development of informational video on Tribal Sponsorship: https://link.edgepilot.com/s/5b25bb40/NoF7gc OyZ0mv- _t4z4qwoQ?u=https://www.dropbox.com/s/0fc n4hw0kxrpk1o/TribalSponsorship_d3_SGETClog o.mp4?dl=0 2

3. Upcoming Project Activities Developing Tribal Self-Governance ACA/IHCIA Success Stories Interviews being conducted to highlight some Tribal best practices and outcomes as a result of authorities under the ACA/IHCIA. Webinars being planned to address on Implementation of CHAP and Increases to Third Party Revenues. Working on updated TSGAC issue briefs including Pharmacy Reimbursement Issues. Participating in TTAG/CMS Small Workgroups on Medicare/Medicaid Administrative Priorities 3

4. Project Resources Check out our Website! Project staff completed a detailed update to ACA/IHCIA portion of the Website. All Webinars, Briefing Papers, Tribal Sponsorship Toolkit and other resources are available at: https://www.tribalselfgov.org/h ealth-reform/ 4

5. ACA/IHCIA Project Staff Questions and Input Please contact Project Team: Cyndi Ferguson, SENSE Incorporated, Project Lead Email: cyndif@senseinc.com Elliott Milhollin, Partner, HSDW Email: EMilhollin@hobbsstraus.com Betsy Barron, Project Intern Email: betsygb1@gmail.com All updates are posted on the SGCE Website at: ACA/IHCIA Issues - Tribal Self-Governance (tribalselfgov.org) 5