1. Dean M Seyler - Area Director April 16, 2013 Quarterly Board Meeting Swinomish Casino and Lodge

2.  2013 DHHS Region 10 Tribal Consultation  May 14 th – 16 th  Double Tree - Seattle Airport  10th Annual Direct Service Tribal National Meeting  July 23 - 25, 2013  Location - Minneapolis

3.  Chief Medical Officer  Vacancy Announcement Closes April 18 th  New RPMS Script Pro Pharmacy Interface  Human Resources  Area Focus Group  Average Hiring Time  Benchmark 80 days ≤  63.0 Days

4.  VA/IHS Memorandum Of Agreement For Reimbursement Update  VISN 20 Office Is Central Billing Location  Signed Agreement In Place For Federal Site  Pilot Sites Testing Connection And Process  Moving Forward With The Other Five Federal Sites  Recommend NPAIHB Veterans Committee Involvement For Tribal Sites  National Combined Councils Conference  April 22 nd – 26 th  Virtual  Open to all I/T/U  On-line registration https://www.surveymonkey.com/s/2013NCCregistration

5.  Fund Distribution Workgroup  May/June Meeting  Portland Area Office Or Virtual  Review And Update Charter  User Pop Calculation Method  Existing Members Are:  Angela MendezJanice ClementsStella Washines  Dan GleasonMarilyn ScottLeroy Jackson  Judy MuschampMark JohnstonBarbara Finkbonner  IHS FY 13 Budget  Agency  Portland Area

7. Sequester & Rescission cuts $14.2m from Portland Area FY 13 budget The amount of the sequester is $13.6m for Portland Area; the.02% rescission amount is $612k Health Care Services -$13.5m sequester & rescission  Hospitals & Clinics  Contract Health Services  Dental Services  Mental Health Services  Alcohol & Substances Abuse  Public Health Nursing  Health Education  Community Health Representatives  Urban Health Programs  Direct Operations  Contract Support Costs Collections  $0 IHS sequester  2% Medicare reduction will impact Service Units Special Diabetes Program for Indians -$68k sequester & rescission  Competitive and non competitive grant activities  Area Office consultant activities $15 m $1.2 m $246.7 m Facilities -$633k sequester & rescission  Health Care Facility Construction  Maintenance & Improvement  Equipment  Sanitation Facility Construction  Facilities & Environmental Health Support $11.5 m Enacted CR $288.6mLess $14.2m$274.4m

8.  Essential Community Provider Designation (ECP)  http://cciio.cms.gov/programs/Files/Model_QHP_Addendum_04_04_13.pdf http://cciio.cms.gov/programs/Files/Model_QHP_Addendum_04_04_13.pdf  Medical Equipment Funds  $45,507  Specific to (3)Title I and (4)Title V  ACA Business Plan Template  Workgroup Comprised Of I/T/U  Federal Sites To Complete  Available For Tribes & Urban

9. Questions or Comments? Our Mission... to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level. Our Goal... to assure that comprehensive, culturally acceptable personal and public health services are available and accessible to American Indian and Alaska Native people. Our Foundation... to uphold the Federal Government's obligation to promote healthy American Indian and Alaska Native people, communities, and cultures and to honor and protect the inherent sovereign rights of Tribes.