mmpc - National Indian Health Board

Notes from Tribal Consultation with HHS on Federally-facilitated Exchange (FFE)
and Medicaid Expansion
July 26 (Washington, DC), August 6 (Anchorage, AK), August 9 (Denver, CO), as well
as IHS consultation with tribes on ACA August 8 (Denver, CO)
Notes from Mim Dixon (with additions from Doneg McDonough shown in bold)
1. We now have agenda for FFE Tribal Consultation Sessions.
a. Jennifer Cooper put together talking points that tracked the agenda for DC
session and revised for Anchorage session.
- A revised version was prepared for the Denver session.
b. No real opportunity for written statements or comments unrelated to topics.
c. Morning about Medicaid Expansion.
2. FFE Developments
i. No real news about Medicaid Expansion alternatives.
ii. Administration is encouraging interest groups (Tribes, Hospital Assn) to
work together to pressure Republican governors and legislatures to adopt
ME.
a. TTAG’s ACA Policy Committee is meeting weekly to work on some issues.
Only agenda items identified to date are:
i. Addendum + Companion piece explaining addendum
ii. Tribal Sponsorship
iii. Network adequacy / contracting with I/T/U
iv. Other topics will be prioritized as high impact, high value topics
b. For Addendum and companion piece, Pete Nakahata has said process will
be: ACA Subcommittee – HHS Legal Counsel – Tribal Consultation – completion
in September.
- A session with the ACA Policy Committee on the Indian Addendum
was held during a break in the Denver consultation. Policy
Committee reviewed edits on documents from P. Nakahata. Final
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