1. Ready for Reform! Port Gamble S’Klallam Tribe Tribal Sponsorship Program begins July 1! Washington State on the pleasant side of the Puget Sound on the Kitsap Peninsula with treaty rights stretching to the Olympic Peninsula, the Pacific Ocean and Canada Port Gamble S’Klallam Tribe Port Gamble S’Klallam Tribe Tribal Sponsorship Program begins July 1! Washington State on the pleasant side of the Puget Sound on the Kitsap Peninsula with treaty rights stretching to the Olympic Peninsula, the Pacific Ocean and Canada Port Gamble S’Klallam Tribe

2. Tribal Sponsorship Eligibility Eligibility (subject to change) is similar to Contract Health Services eligibility, but restricted to Port Gamble S’Klallam Trial Members and their families. All uninsured Port Gamble S’Klallam Tribe Tribal members living in Kitsap County are potentially eligible for sponsorship in the same manner as they are for Contract Health Services You have to be eligible for the exhange. For example, you can’t have access to affordable employer-sponsored insurance and access Exchange plan and subsidies. This means many spouses’ dependents won’t be eligible even if uninsured- as they are expected to access employer plan. CHS will have funds available for their health care needs if CHS –eligible-that does not change.

3. Key Income Level for AIANs is 300% FPL and Key Premium Cost level for is 50% No deductibles No copays Bronze level has lowest rates Because it has highest Deductibles and copays AIANs under 300% on average save over $2,000 in cost sharing with any level plan Bronze is cheaper for all only because there is higher cost sharing

4. Combining Swinomish and Port Gamble S’Klallam Tribe

5. 6 Elements of Port Gamble S’Klallam Tribe’s readiness Staffing: Support current monitor need for additional Outreach and Education on Health Care reform tied to our Eligibility and Enrollment capacity Make the Accounting system produce needed information for decision making-which option--- buy insurance or buy ‘risk’ Continue to pay for health insurance and prepare for expansion of sponsorship Electronic Health Record system upgrades to report on Quality Work with other Tribes through other organizations.

7. Tribal Sponsorship Program Questions? Contacts: Emma Medicine White Crow, AIHC emmamwc@gmail.com Native Exchange nativeexchange.org TEOC- NPAIHB Jim Roberts