Office of Tribal Self-Governance Update Indian Health Service April 1, 2019 Jennifer Cooper Director Office of Tribal Self-Governance

(3) the achievement of tribal health goals and objectives Facilitation - 25 USC § 5392 Except as otherwise provided by law, the Secretary shall interpret all Federal laws, Executive orders, and regulations in a manner that will facilitate— (1) the inclusion of programs, services, functions, and activities (or portions thereof ) and funds associated therewith, in the agreements entered into under this section; (2) the implementation of compacts and funding agreements entered into under this title; and (3) the achievement of tribal health goals and objectives

IHS Strategic Plan Goal 1: Access New Tribes – Jan 1 Ak-Chin Indian Community Paskenta Band - Rolling Hills Clinic 103 Compacts and 129 Funding Agreements Over $2.3 billion transferred in Fiscal Year 2018  Over 370 Tribes participate

Hold – Staff Poster

Goal 2: Quality Create quality improvement capability Provide care to better meet the health care needs of American Indians and Alaska Native communities.

Goal 3: Management and Operation – Communication Improve communication and provide timely follow-up on correspondences Self-Governance Reports to Congress

Goal 3: Management and Operation – Manage Assets and Resources Self Governance FY 2019 Budget - $5.8 million Support FY 2019 SG Planning and Negotiating Cooperative Agreements Transferring funds to Tribes

Thank you Office of Tribal Self-Governance: 301-443-7821 www.ihs.gov/selfgovernance