In addressing the VA Reimbursement Agreement between the VA and both IHS and Tribal Health Providers (THP), President Begaye said the Navajo Nation opposes any consolidation of the current MOA into a larger Community Care Program or any standardization of IHS/THP agreement
Published July 22, 2017
WINDOW ROCK – During a consultation held on Tuesday, July 18 with representatives from the U.S. Department of Health and Human Services (DHHS), Navajo Nation President Russell Begaye called for improved health care services and specialized facilities on the Navajo Nation.
The consultation took place at the Navajo Nation Museum in Window Rock, Arizona.
In attendance were: Capt. Brian K. Johnson, Acting Area Director of Navajo Area Indian Health Services; David Teuscher, Regional Director, HHS, Region VI; Elsa Ramirez, Acting Regional Director, HHS, Region VIII; and Elizabeth Carr, Deputy Director.
President Begaye spoke about the reimbursement agreement between the Veterans Administration (VA) and Indian Health Services (IHS) calling it “slow and cumbersome”.
During a recent VA round table held at the Heard Museum, the president advocated against altering the reimbursement rates between the VA and IHS. The president also opposed any standardization of services where the Navajo Nation would be put under a certain region as opposed to having a specific Navajo region.
“In proposing to continue the current VA Reimbursement Agreement with IHS and Tribal Health Providers (THP), the VA shouldn’t consolidate the current memorandum of understanding into a larger Community Care Program or standardize IHS/THP agreements,” he said. “We oppose the standardization of services as we have always had our own Bureau of Indian Affairs and IHS regions.”
Vice President Jonathan Nez mentioned the Navajo Nation supports the Reauthorization of the Special Diabetes Prevention Initiative with health and wellness being demonstrated throughout the Navajo Nation. He said key health care bills are being monitored and the Navajo Nation is working collaboratively with state senators and representatives.
The reauthorization of the Special Diabetes Program for Indians is a major area of concern.
Vice President Jonathan Nez called the consultation an opportunity to share important Navajo Nation milestones like the Building Communities of Hope Tour and proposed tribal employee wellness policy.
“Our people are giving up on life and we can no longer stand in silence. We have shared our message of hope and the beauty of life with over 50 schools,” Vice President Nez said.
The Navajo Nation Wellness Policy is an initiative that will allow tribal employees up to an hour to exercise.
“Our employees will be able to exercise, which will increase productivity and decrease healthcare costs,” he said.
The Dine’ Bich’iiya Summit was another Begaye-Nez initiative aimed at addressing the food system on the Navajo Nation.
“We must exercise our tribal sovereignty to regain control of our food system. Returning to farming and self-sufficiency is the key,” said Vice President Nez.
Along these lines, President Begaye also advocated for the federal food distribution program to utilize Navajo Beef products and support tribal businesses/enterprises.
The president encouraged the Navajo people to remain active in taking care of their health.
“Historically, our people have always worked outdoors and been able to subsist off the lands they farmed and ranched,” President Begaye said. “We need to return to this lifestyle of being active and eating what we farm. The way our ancestors lived made them strong and healthy.”
With larger populations of Navajo spread across all agencies of the Navajo Nation, there is a need for federal assistance in developing more health facilities in places like Bodaway Gap and Pueblo Pintado. Regarding the new Gallup Indian Medical Center (GIMC), the president said he will continue to advocate for it to be placed on Indian land.
“The Navajo Nation has 80 acres of land adjacent to Miyamura High School in Gallup and we are looking to develop the new GIMC on this acreage,” he said.
President Begaye pushed for federal assistance to support the development of specialty health care centers including oncology centers to address health effects caused by uranium contamination.
At the consultation, representatives from the Navajo Agency IHS noted increases in the final FY2017 budget that was approved by President Trump. The IHS service budget was increased by $6.1 million dollars for pay costs to help programs partially fund pay raises while minimizing the impact to base budget of providing health care services. There was also an increase of $1.5 million to provide alcohol and drug treatment services. The third party collection increased by 11.58% compared to FY2016.
“NDOH is confident that DHHS will present and prescribe Navajo Nation health matters to the Trump Administration for conclusive change that is favorable to the Navajo Nation,” said Dr. Glorinda Segay, Executive Director of the Navajo Department of Health (NDOH).
Executive Director for the Navajo Division of Social Services Terrelene Massey advocated for continued flexibility for Tribal Temporary Assistance for Needy Families (TANF) programs, and continued support for the Low Income Home Energy Assistance Program (LIHEAP) and the Family Violence Prevention and Service Act.
Both President Begaye and Vice President Nez serve on U.S. Secretary of Health and Human Services Tom Price’s Secretarial Tribal Advisory Committee.
The president said they would continue to advocate on behalf of Navajo Nation health care service issues to Secretary Price.
“We will make sure that our requests stay in place and are prioritized,” he said.