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Self-Governance Negotiation Process Jessica Smith-Kaprosy, Policy Analyst Office of Tribal Self-Governance Indian Health Service April 2015 1

Self-Governance Negotiation Process Jessica Smith-Kaprosy, Policy Analyst Office of Tribal Self-Governance Indian Health Service April 20151

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Self-Governance Negotiation Process

Jessica Smith-Kaprosy, Policy AnalystOffice of Tribal Self-Governance

Indian Health Service

April 2015

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Introduction to the Negotiation

Process

April 2015

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KEY FEATURES

April 2015

Respects Nation-to-Nation Relationship CollaborativeTribally-driven

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WHAT ARE NEGOTIATIONS?

Outcome: Compact and Funding Agreement

April 2015

1. Planning2. Pre-Negotiations 3. Negotiations 4. Processing & Payment/Post-Negotiations

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COMPACT AND FUNDING AGREEMENT?

• Both documents are necessary to participate in the IHS Tribal Self-Governance Program (TSGP)• Compact: Sets forth the general terms of the

nation-to-nation relationship between the Tribe and HHS• Funding Agreement: • Abbreviated FA or MYFA (multi-year FA)• Describes the length of the agreement• Identifies Programs, Services, Functions or Activities

(PSFAs), or portions thereof, that the Tribe will assume and funding associated with those PSFAs.

April 2015

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COMPACT AND FUNDING AGREEMENT?

• Generally, each Tribe/Tribal Organization will have one compact and one funding agreement. • In some cases (Alaska and Navajo Areas) there

may be one compact with multiple cosigners, each with their own FA.

• Read together as the expression of the agreement between the Federal government and the Tribe.• There is no model compact or FA. Each is

drafted to fit the Tribe’s unique situation.

April 2015

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WHO NEGOTIATES FOR THE GOVERNMENT?• IHS negotiation teams are lead by an Agency Lead

Negotiator (ALN). • The only person with authority to negotiate compacts

and FAs on behalf of the IHS Director.

• Supported by:• OTSG Program Analyst and Financial Analyst • Member of the Office of the General Counsel• IHS subject matter experts, as needed

April 2015

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WHO NEGOTIATES FOR THE TRIBE/TO?

Who will be your lead negotiator?

April 2015

Examples: Tribal Chair, member of Tribal Council, Health Director/CEO

Who might be on your negotiation team?

Examples: In-house or outside legal counsel, finance, program directors, consultants, others?

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Negotiation Process Stages

April 2015

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4 STAGES OF THE NEGOTIATION PROCESS

1. Planning• Eligibility and mandatory planning phase for new Tribes• Program assessment and possible additional assumptions

2. Pre-Negotiation• Discuss, PSFAs, financial tables, and draft documents• Preparation of draft compact and FA

3. Final Negotiations• Resolution of remaining issues from pre-negotiation stage• Agreement on final documents

4. Post-Negotiations• Document processing & payment

April 2015

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PLANNING STAGE

Usually, this stage is the longest and most work.Title V of the ISDEAA requires completion of a planning phase to the satisfaction of the Tribe. Must Include:• legal and budgetary research• internal Tribal government planning and

organization preparation relating to the administration of health care programs.

April 2015

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PRE-NEGOTIATIONSTAGE

• Drafting or editing the compact & FA• Active discussion by negotiation teams:

1. Issues identified during planning 2. Draft compact, FA, and funding tables

• “Pre-negotiations”: a meeting, in-person or by phone, with both negotiation teams meet to discuss any questions or concerns regarding the documents and tables prior to final negotiations.

April 2015

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PRE-NEGOTIATIONSTAGE

April 2015

What does OTSG look for when reviewing draft documents?

Mandatory provisions Within IHS authority Are the PSFAs/associated funds

and other obligations clear? Does it make sense as a whole? Outdated language Level of detail— the FA is not a

scope of work Extra Title I provisions

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FINAL NEGOTIATIONS

• Negotiation teams work together to reach agreement on the final documents. • OTSG recommends in-person negotiations for

Tribes new to the program. • Once agreement on the final documents has

been reached, two final copies are signed by the Tribe and provided to the ALN.

April 2015

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POST NEGOTIATION

• The Tribe/TO signs the final documents and returns them to the ALN.• The ALN then:• Reviews the documents• Packages them with the supporting documents, • Submits package to HQ for processing and signature by

the IHS Director or a designee

• Once the compact and FA have been signed by both parties, they become legally binding and enforceable.

April 2015

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TSGP DOCUMENT PROCESSING

ALN packages documents and attachments and sends to OTSG.

OTSG reviews the package for completeness.

IHS-HQ Office of Finance and Accounting (OFA) validates the

amounts and certifies availability of HQ Tribal Shares.

OTSG submits the final package to the Office of the

Director for signature.

IHS Director (or designee) reviews and signs the

agreement if there are no outstanding issues.

Payment process begins

April 2015

OTSG sends a copy of the agreement to the Tribe.

OTSG retains the case file in compliance with Federal

recordkeeping procedures.

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TSGP PAYMENT PROCESS

April 2015

A signed compact and FA must be in place for the payment process to begin.

Congress passes an appropriations act or continuing resolution.

IHS-HQ OFA allots the funding to Areas.

OTSG prepares & approves payment docs in accordance with the most recent FA. Payment signed by OTSG financial analyst, HQ OFA, & OTSG Director (approved at Area for AK).

OMB apportions the appropriation into quarterly spending limits for the IHS.

Areas confirm recurring base amounts paid to TSGP Tribes.

OTSG sends signed payment document to Area Finance Office.

OTSG posts payment docs to OTSG database and

sends a copy to the Tribe.

Area finance obligates the funds and transmits payment to US Dept. of the Treasury.

US Dept. of the Treasury sends the funds to the

Tribe. Tribe receives funds.

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Tips and Best Practices

April 2015

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3 Negotiation Stumbling Blocks

•Timing

April 2015

•Communication

•Version control and document flow

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RESOURCES

• Office of Tribal Self-Governance: www.ihs.gov/selfgovernance• Self-Governance Communication and Education Tribal

Consortium: www.tribalselfgov.org• Tribal Self-Governance Advisory Committee • Welcome to attend quarterly meetings. • Area representatives are excellent resources.

• Annual Tribal Self-Governance Consultation Conference

April 2015