Thursday, April 17, 2025
4/17/2025
Tribal Self Governance Negotiation Cooperative Agreement Process - Project Abstract Summary Tribal Self-Governance Negotiation Cooperative Agreement Program The Spokane Tribe of the Spokane Reservation has undergone the necessary steps to fulfill the planning process requirement by engaging in a feasibility study. The Spokane Tribe of Indians, a Federally recognized Tribe of 2,990 enrolled members, is seeking a Self-Governance program negotiation cooperative agreement in preparation for entry into a Self-Governance Compact and Funding Agreement to be effective March 31, 2025.The Tribe will conduct a formal analysis of the elements and options under Self-Governance that would presumably lead to a stronger health care delivery system that could better meet the needs of Tribal members. The Spokane Tribe built the current Health Clinic in 1970 and by 2001 the Tribe alongside IHS built a new ambulatory primary health care in addition to the David C. Wynecoop Memorial Clinic. The clinic offers services including the following but not limited to Dental, Medical, Pharmacy, Community Health and Administration. The building that these services are offered in this facility, the only services are not mental health and Health Education these are housed our of our Health & Human Services Department located about ¼ mile from the Health Clinic. The recruitment of professional staff is also a major weakness, allowing for there to be gaps present in the primary care service realm. The Spokane Tribe is in the final stages of the Self-Governance planning process. A dedicated Self-Governance Team has been convened, meeting monthly to fulfill responsibilities related to analysis and data collection. Ongoing collaboration with IHS involves examining PFSA's and funding levels to explore programmatic alternatives, aiming to strengthen and redesign the health care delivery system for the Spokane Tribe. Negotiation efforts will conclude the planning phase by clearly specifying the Tribal shares the Spokane Tribe wishes to assume and formulating a plan for implementing a Compact and Funding Agreement. Continuous analysis with IHS will continue as laws and regulations are identified to support the Tribe in many activities. The Self-Governance Team will present recommendations to the Tribal Council, anticipating improved health services for Tribal members in a manner that is efficient, cost-effective, and culturally sensitive. The grant request is in the amount of $84,000
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).