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Rural Tribal Health – News

News stories from the past 60 days.

Nov 22, 2024 - Notice from the Indian Health Service (IHS) announcing the decision to expand the geographic boundaries of the Purchased/Referred Care Delivery Area (PRCDA) for the Pokagon Band of Potawatomi Indians of Michigan and Indiana (Pokagon Band) to include the counties of Kalamazoo, Kent, and Ottawa in Michigan. The expanded boundaries will include the current PRCDA for the Pokagon Band, which includes Allegan, Berrien, Cass, Kalamazoo, Kent, Ottawa, and Van Buren counties in Michigan, and Elkhart, Kosciusko, La Porte, Marshall, St. Joseph, and Starke counties in Indiana. This expansion is effective November 22, 2024.
Source: Federal Register
Nov 1, 2024 - Pre-publication notice of final rule with comment period from the Centers for Medicare & Medicaid Services (CMS) revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2025. This rule also updates the requirements for the Hospital Outpatient Quality Reporting (OQR) Program, Rural Emergency Hospital Quality Reporting (REHQR) Program, Ambulatory Surgical Center Quality Reporting (ASCQR) Program, and Hospital Inpatient Quality Reporting Program and finalizes updates to the Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services. Among other things, this rule summarizes comments received in response to an information request on potential modifications to the Safety of Care measure group in the Overall Hospital Quality Star Rating methodology. This rule also finalizes exceptions to the Medicaid clinic services benefit four walls requirement for Indian Health Service and Tribal clinics, and, at state option, for behavioral health clinics and clinics located in rural areas. The provisions of this rule are effective January 1, 2025. Comments are due by December 31, 2024.
Source: Federal Register
Oct 29, 2024 - Discusses racial disparities in overdose death trends between 2021 and 2023. While overdose deaths dropped for White Americans, deaths increased for Black and Indigenous Americans. Highlights harm reduction efforts across the country and funding issues. Notes that rural areas have unique access challenges.
Source: Stateline
Oct 27, 2024 - Describes lack of access to running water and electricity in some parts of the Navajo Nation, and the impacts on health and other aspects of life. Details federally-funded efforts to extend power lines and improve connectivity, which have faced challenges related to the rugged landscape and the large size of the Navajo Nation.
Source: Associated Press
Oct 25, 2024 - Notice from the U.S. Department of Agriculture (USDA) Food and Nutrition Service (FNS) seeking comments on a new information collection request related to the Food Distribution Program on Indian Reservations (FDPIR). Information collection will be used to provide current, nationally representative information on FDPIR participants and local program operations across the nation. The information collection will also provide FNS with a better understanding of the reasons for the decline in FDPIR participation and how to streamline and target food and nutrition education efforts, funding, and policy changes. Comments are due by December 24, 2024.
Source: Federal Register
Oct 24, 2024 - Notice from the Department of the Interior (DOI) Bureau of Indian Affairs (BIA) seeking comments on an information collection titled "Request for Certificate of Degree of Indian or Alaska Native Blood." The information collected is used to certify that an individual's degree of Indian or Alaska Native blood under the laws authorizing BIA to administer program services to American Indians. Comments are due by November 25, 2024.
Source: Federal Register
Oct 18, 2024 - Examines high rates of substance abuse and overdose in Native American communities and the impacts of traditional healing practices that address cultural and spiritual needs. Notes that traditional healing practices will soon be covered by Medicaid and available through Indian Health Service facilities in California, Oregon, Arizona, and New Mexico. Provides overview of research on the efficacy of traditional healing practices for treating substance use disorder.
Source: KQED
Oct 16, 2024 - Announces an amendment to Medicaid and the Children's Health Insurance Program (CHIP) to allow coverage of traditional healthcare practices at Indian Health Service (IHS) facilities, tribal facilities, and urban Indian organizations in Arizona, California, New Mexico, and Oregon. The action is expected to improve access to culturally appropriate healthcare. Notes the health disparities for American Indian and Alaska Native populations compared to the general population.
Source: Centers for Medicare & Medicaid Services
Oct 14, 2024 - Discusses higher breast cancer mortality rates among American Indian/Alaska Native (AI/AN) women. Explores treatment barriers including transportation and long distances to care. Notes lower screening rates among AI/AN women and efforts to develop more culturally responsive outreach tools.
Source: ABC News

Last Updated: 11/22/2024