{"id":8343,"date":"2020-08-07T10:48:37","date_gmt":"2020-08-07T14:48:37","guid":{"rendered":"https:\/\/www.indianz.com\/covid19\/?p=8343"},"modified":"2020-09-09T10:59:35","modified_gmt":"2020-09-09T14:59:35","slug":"national-indian-health-board-8","status":"publish","type":"post","link":"https:\/\/indianz.com\/covid19\/2020\/08\/07\/national-indian-health-board-8\/","title":{"rendered":"National Indian Health Board"},"content":{"rendered":"<h6><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-7034\" src=\"https:\/\/indianz.com\/covid19\/wp-content\/uploads\/2020\/07\/nihb.jpg\" alt=\"nihb\" width=\"800\" height=\"268\" srcset=\"https:\/\/indianz.com\/covid19\/wp-content\/uploads\/2020\/07\/nihb.jpg 800w, https:\/\/indianz.com\/covid19\/wp-content\/uploads\/2020\/07\/nihb-300x101.jpg 300w, https:\/\/indianz.com\/covid19\/wp-content\/uploads\/2020\/07\/nihb-768x257.jpg 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/h6>\n<h6>Bipartisan House Coalition Releases <span class=\"il\">Tribal<\/span><span class=\"il\">Health<\/span> <span class=\"il\">Data<\/span> <span class=\"il\">Improvement<\/span> <span class=\"il\">Act<\/span><\/h6>\n<p><em>Bill Addresses Longstanding Issues in <span class=\"il\">Tribal<\/span> Access to Public <span class=\"il\">Health<\/span> <span class=\"il\">Data<\/span><\/em><\/p>\n<div>FOR IMMEDIATE RELEASE<\/div>\n<div>August 7, 2020<\/div>\n<p>&nbsp;<\/p>\n<p>On Friday August 7, 2020, multiple members of the House Energy and Commerce Committee (E&amp;C) introduced pivotal new legislation to address chronic challenges faced by <span class=\"il\">Tribal<\/span> Nations and <span class=\"il\">Tribal<\/span> Epidemiology Centers (TECs) in accessing federal healthcare and public <span class=\"il\">health<\/span> surveillance <span class=\"il\">data<\/span>systems. Led by Representative Gianforte (R-MT) and Representative Lujan (D-NM), and joined by Representative Mullin (R-OK), Representative O&#8217;Halleran (D-AZ), Representative McMorris Rodgers (R-WA), and Representative Ruiz (D-CA), the <span class=\"il\">Tribal<\/span> <span class=\"il\">Health<\/span> <span class=\"il\">Data<\/span> <span class=\"il\">Improvement<\/span> <span class=\"il\">Act<\/span> would do the following:<\/p>\n<div><\/div>\n<div><\/div>\n<div>\n<ul>\n<li>Require the Department of <span class=\"il\">Health<\/span> and Human Services (HHS), within 30 days of the <span class=\"il\">Tribal<\/span> <span class=\"il\">Health<\/span> <span class=\"il\">Data<\/span> <span class=\"il\">Improvement<\/span> <span class=\"il\">Act<\/span> becoming law, to give direct access to all <span class=\"il\">data<\/span> related to <span class=\"il\">health<\/span> care and public <span class=\"il\">health<\/span>surveillance programs and services to <span class=\"il\">Tribal<\/span> Nations, Indian <span class=\"il\">Health<\/span>Service, and <span class=\"il\">Tribal<\/span> Epidemiology Centers<\/li>\n<\/ul>\n<div align=\"justify\"><\/div>\n<ul>\n<li>Require the Centers for Disease Control and Prevention (CDC) to give technical aid to Tribes and <span class=\"il\">Tribal<\/span> Epidemiology Centers for improving <span class=\"il\">health<\/span> statistics<\/li>\n<\/ul>\n<div><\/div>\n<ul>\n<li>Require CDC to engage in consultation with Tribes, <span class=\"il\">Tribal<\/span>organizations, the Centers for Medicare and Medicaid Services (CMS) <span class=\"il\">Tribal<\/span> Technical Advisory Group (TTAG), and the CDC\/ATSDR <span class=\"il\">Tribal<\/span>Advisory Committee (TAC) and then develop guidelines for States and local <span class=\"il\">health<\/span> agencies on improving the quality and accuracy of birth and death record <span class=\"il\">data<\/span> for American Indians and Alaska Natives<\/li>\n<\/ul>\n<div align=\"justify\"><\/div>\n<ul>\n<li>Require CDC to enter into cooperative agreements with Tribes, <span class=\"il\">Tribal<\/span>organizations, urban Indian organizations, and <span class=\"il\">Tribal<\/span> Epidemiology Centers to address misclassification and undersampling of American Indians\/Alaska Natives on birth\/death records and in <span class=\"il\">health<\/span>care\/public <span class=\"il\">health<\/span> surveillance systems<\/li>\n<\/ul>\n<div align=\"justify\"><\/div>\n<ul>\n<li>Encourage states to enter into <span class=\"il\">data<\/span> sharing agreements with Tribes and <span class=\"il\">Tribal<\/span> Epidemiology Centers<\/li>\n<\/ul>\n<div align=\"justify\"><\/div>\n<div align=\"justify\">To access bill text for the <span class=\"il\">Tribal<\/span> <span class=\"il\">Health<\/span> <span class=\"il\">Data<\/span> <span class=\"il\">Improvement<\/span> <span class=\"il\">Act<\/span>, <a href=\"http:\/\/r20.rs6.net\/tn.jsp?f=001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jaV47QlczhMce2-zuA27AXdrM-n0vo3GsghODjUGvo6dvNjBZEQxNZW3ZJsN33BGuSEJ9spqgQllyOzT2TJEeEAGc4KOhMcUWSuSy3WaIZMQu9Eg8IFXA6M_iRk9ERMD5gmzEQKhJn1SF5o-aW-7T4RHR1J5FROKzG4MaalZByqHuQbFmPGxE1c=&amp;c=e7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA==&amp;ch=K5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww==\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=http:\/\/r20.rs6.net\/tn.jsp?f%3D001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jaV47QlczhMce2-zuA27AXdrM-n0vo3GsghODjUGvo6dvNjBZEQxNZW3ZJsN33BGuSEJ9spqgQllyOzT2TJEeEAGc4KOhMcUWSuSy3WaIZMQu9Eg8IFXA6M_iRk9ERMD5gmzEQKhJn1SF5o-aW-7T4RHR1J5FROKzG4MaalZByqHuQbFmPGxE1c%3D%26c%3De7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA%3D%3D%26ch%3DK5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww%3D%3D&amp;source=gmail&amp;ust=1599747559297000&amp;usg=AFQjCNF80UkQWLInqb7x8iHBPoU2iw4tog\">click here<\/a>.<\/div>\n<div align=\"justify\">To access a press release from the Committee, <a href=\"http:\/\/r20.rs6.net\/tn.jsp?f=001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jaV47QlczhMcT8aUx9Lite5nRSi1nR0-ijZFeu9dqa25u5_a2xvVmk8W8lNDhDdAkcFBoBqTn1tB7NGvzR0yNrbAK5fCNg1PX4VC05rziy2EElxnCJjwIE-AZlH3GSRFLZbXtgE8y6druaCquRB8MFT8VWGWH1N3rHACf1sjtfS_LNza1EUk_ZrSzVm-LIqpXnuPeBlv2dnKUEthYWzmdJ1v-RmvMF6Pww==&amp;c=e7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA==&amp;ch=K5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww==\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=http:\/\/r20.rs6.net\/tn.jsp?f%3D001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jaV47QlczhMcT8aUx9Lite5nRSi1nR0-ijZFeu9dqa25u5_a2xvVmk8W8lNDhDdAkcFBoBqTn1tB7NGvzR0yNrbAK5fCNg1PX4VC05rziy2EElxnCJjwIE-AZlH3GSRFLZbXtgE8y6druaCquRB8MFT8VWGWH1N3rHACf1sjtfS_LNza1EUk_ZrSzVm-LIqpXnuPeBlv2dnKUEthYWzmdJ1v-RmvMF6Pww%3D%3D%26c%3De7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA%3D%3D%26ch%3DK5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww%3D%3D&amp;source=gmail&amp;ust=1599747559297000&amp;usg=AFQjCNE0XOscZcmLg2PrB9sCWdFKMzyIGA\">click here<\/a>.<\/div>\n<p align=\"justify\">\n<div align=\"justify\"><strong>Background<\/strong><\/div>\n<p align=\"justify\">As sovereign governments, <span class=\"il\">Tribal<\/span> Nations are inherent public <span class=\"il\">health<\/span>authorities that provide vital public <span class=\"il\">health<\/span> services to their citizens and communities. Under the Indian <span class=\"il\">Health<\/span> Care <span class=\"il\">Improvement<\/span> <span class=\"il\">Act<\/span>, TECs were also designated as public <span class=\"il\">health<\/span> authorities. <a href=\"http:\/\/r20.rs6.net\/tn.jsp?f=001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jaV47QlczhMc-N27irT6b4C3pcDwR7nd1LgzRngl3hXP0gj3kZBs3h1XxTGxb6Rvyk53sjFamw0xsFwVmPvLp1jmpS_0scLxtZFItKdxmOaIjv_rQZGx1Z_CI5pw2gljKqxlxuyNzHpcSjpDzFhriOxIU6MMt5lDxFgRjhU8okSbOHlQnq4J5KA=&amp;c=e7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA==&amp;ch=K5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww==\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=http:\/\/r20.rs6.net\/tn.jsp?f%3D001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jaV47QlczhMc-N27irT6b4C3pcDwR7nd1LgzRngl3hXP0gj3kZBs3h1XxTGxb6Rvyk53sjFamw0xsFwVmPvLp1jmpS_0scLxtZFItKdxmOaIjv_rQZGx1Z_CI5pw2gljKqxlxuyNzHpcSjpDzFhriOxIU6MMt5lDxFgRjhU8okSbOHlQnq4J5KA%3D%26c%3De7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA%3D%3D%26ch%3DK5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww%3D%3D&amp;source=gmail&amp;ust=1599747559297000&amp;usg=AFQjCNEq9nHa0Ar4841TH037CNG6T4QHoQ\">Guidance from HHS<\/a> defines public <span class=\"il\">health<\/span> authorities as:<\/p>\n<div align=\"justify\"><\/div>\n<p align=\"justify\"><em>An agency or authority of the United States government, a State, a territory, a political subdivision of a State or territory, or Indian tribe that is responsible for public <span class=\"il\">health<\/span> matters as part of its official mandate, as well as a person or entity acting under a grant of authority from, or under a contract with, a public <span class=\"il\">health<\/span> agency.<\/em><\/p>\n<div align=\"justify\"><\/div>\n<p align=\"justify\">Entities designated as a public <span class=\"il\">health<\/span> authority, as clarified in HHS guidance, are entitled to protected <span class=\"il\">health<\/span> information:<\/p>\n<div align=\"justify\"><\/div>\n<p align=\"justify\"><em>for the purpose of preventing or controlling disease, injury, or disability. This would include, for example, the reporting of a disease or injury; reporting vital events, such as births or deaths; and conducting public <span class=\"il\">health<\/span> surveillance, investigations, or interventions<\/em><\/p>\n<div align=\"justify\"><\/div>\n<p align=\"justify\">Despite <span class=\"il\">Tribal<\/span> Nations being inherent public <span class=\"il\">health<\/span> authorities and TECs being designated as such under federal law, for many years Tribes and TECs have faced immense challenges in exercising their authority. State and local <span class=\"il\">health<\/span> departments, and the CDC, have failed to honor the authorities of Tribes and TECs in carrying out their essential public <span class=\"il\">health<\/span> functions. Back in 2015, the CDC released an <a href=\"http:\/\/r20.rs6.net\/tn.jsp?f=001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jaV47QlczhMcEEz8PJb3Y2ivmQUOxKXpKgDVgeglP_nGKr34QqDzfAjzc-GUw03Zwupmms1QnbL-5UzoezZvVhRVoGO-yORiEd5YPQdER41gIXu3dBXdtfX_I1UIVQM3SQ==&amp;c=e7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA==&amp;ch=K5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww==\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=http:\/\/r20.rs6.net\/tn.jsp?f%3D001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jaV47QlczhMcEEz8PJb3Y2ivmQUOxKXpKgDVgeglP_nGKr34QqDzfAjzc-GUw03Zwupmms1QnbL-5UzoezZvVhRVoGO-yORiEd5YPQdER41gIXu3dBXdtfX_I1UIVQM3SQ%3D%3D%26c%3De7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA%3D%3D%26ch%3DK5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww%3D%3D&amp;source=gmail&amp;ust=1599747559297000&amp;usg=AFQjCNECiNItC3Kr8Uwd2jT4bmNqiyzA5A\">issue brief<\/a> documenting some of the challenges that TECs face in exercising their public <span class=\"il\">health<\/span> authority.<\/p>\n<div align=\"justify\"><\/div>\n<p align=\"justify\">Similarly, there are pervasive issues regarding the quality and accuracy of <span class=\"il\">health<\/span> <span class=\"il\">data<\/span> concerning American Indians and Alaska Natives (AI\/ANs). Over the years, multiple <span class=\"il\">Tribal<\/span> reports and peer-reviewed research studies have demonstrated rampant misclassification of AI\/ANs on birth and death records, and in disease surveillance systems, in addition to chronic undersampling of AI\/AN populations in public <span class=\"il\">health<\/span> disease surveillance <span class=\"il\">data<\/span> sets. For example, a <a href=\"http:\/\/r20.rs6.net\/tn.jsp?f=001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jaV47QlczhMcbI9boEv1OCEa8BRdqKBlRzCFQew13_-YqAvUVf1dTrQ4DBjf2wxDSAnCoyuIley5gB4xH5XmqZvH_skNKtWmZSh5zHk5JT9qNCyNFKnd3hedVluDU8ivkbJE-FCdsGDd&amp;c=e7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA==&amp;ch=K5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww==\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=http:\/\/r20.rs6.net\/tn.jsp?f%3D001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jaV47QlczhMcbI9boEv1OCEa8BRdqKBlRzCFQew13_-YqAvUVf1dTrQ4DBjf2wxDSAnCoyuIley5gB4xH5XmqZvH_skNKtWmZSh5zHk5JT9qNCyNFKnd3hedVluDU8ivkbJE-FCdsGDd%26c%3De7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA%3D%3D%26ch%3DK5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww%3D%3D&amp;source=gmail&amp;ust=1599747559297000&amp;usg=AFQjCNG72_CcqBy1H8oDCL7_NMvVzzgzew\">2007 study<\/a> on rates of HIV diagnoses among AI\/ANs across five states found a 30% misclassification rate. Similarly, a <a href=\"http:\/\/r20.rs6.net\/tn.jsp?f=001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jaV47QlczhMcsrKe0BtvS-cXtbE0w33d_OtUoh7sObWmIXRa-hNjyqVdrVhYkP-Hun1lcm2PbBtpOMcMd9cdJTS3f_cSrhCoqkpFCfAOy-LpmvZ_AF0IjN0rmQ4tTFjGLImnpmBD8yROLU1LT9o43oY6VLRvibwHGchmmYPZci-otEnviEuM5PveWr2T2_ojpURb2vtt1rfe2uHgNHkmUaA=&amp;c=e7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA==&amp;ch=K5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww==\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=http:\/\/r20.rs6.net\/tn.jsp?f%3D001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jaV47QlczhMcsrKe0BtvS-cXtbE0w33d_OtUoh7sObWmIXRa-hNjyqVdrVhYkP-Hun1lcm2PbBtpOMcMd9cdJTS3f_cSrhCoqkpFCfAOy-LpmvZ_AF0IjN0rmQ4tTFjGLImnpmBD8yROLU1LT9o43oY6VLRvibwHGchmmYPZci-otEnviEuM5PveWr2T2_ojpURb2vtt1rfe2uHgNHkmUaA%3D%26c%3De7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA%3D%3D%26ch%3DK5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww%3D%3D&amp;source=gmail&amp;ust=1599747559297000&amp;usg=AFQjCNHuXE_TtSLmjZmPWrVgAEvGmU3hFA\">2019 study<\/a> looking at all-cause mortality <span class=\"il\">data<\/span> among AI\/ANs in Oklahoma found a 29% misclassification rate on death certificates from 1999 to 2015.<\/p>\n<div align=\"justify\"><\/div>\n<p align=\"justify\">These systemic barriers contribute to the invisibility of AI\/AN <span class=\"il\">health<\/span>disparities in the mainstream public, and directly infringe on <span class=\"il\">Tribal\u00a0<\/span>sovereignty and self-governance.<\/p>\n<div align=\"justify\"><\/div>\n<p align=\"justify\">The COVID-19 pandemic has shed an even larger spotlight on the gaps in <span class=\"il\">Tribal<\/span> and TEC public <span class=\"il\">health<\/span> <span class=\"il\">data<\/span> access and quality, galvanizing support for a legislative solution. During a <a href=\"http:\/\/r20.rs6.net\/tn.jsp?f=001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jaV47QlczhMcsPC0PwAX0pLHggH5xl5NtAnkUYS4ljQ-wDYqoQBI3aRf38qvuVAWN38UzuvHu6Gr63UYDtB2hRL_aHIyy3uoEcUvd5Vly1ohUGEANJGfctDDbyKRXTrB9c2RDHtnQap1pbS6e4ddmdlYBKNu-yEyPlYNZyPB5NSIsqrVyIIwZC8BT6QwBKSCNXAAf_DBGYA66nMcMu_SmL7vyPQufVG_KNaNu6vuD3ih&amp;c=e7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA==&amp;ch=K5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww==\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=http:\/\/r20.rs6.net\/tn.jsp?f%3D001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jaV47QlczhMcsPC0PwAX0pLHggH5xl5NtAnkUYS4ljQ-wDYqoQBI3aRf38qvuVAWN38UzuvHu6Gr63UYDtB2hRL_aHIyy3uoEcUvd5Vly1ohUGEANJGfctDDbyKRXTrB9c2RDHtnQap1pbS6e4ddmdlYBKNu-yEyPlYNZyPB5NSIsqrVyIIwZC8BT6QwBKSCNXAAf_DBGYA66nMcMu_SmL7vyPQufVG_KNaNu6vuD3ih%26c%3De7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA%3D%3D%26ch%3DK5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww%3D%3D&amp;source=gmail&amp;ust=1599747559297000&amp;usg=AFQjCNHog5nit50tNNittRTTuKK_TnqGNg\">June 23 hearing before House Energy and Commerce<\/a>, several Committee members including Representative Lujan (D-NM) demanded answers from CDC Director Redfield on why TECs had not received COVID-19 <span class=\"il\">data<\/span> from the agency despite their public <span class=\"il\">health<\/span>authority. In early <a href=\"http:\/\/r20.rs6.net\/tn.jsp?f=001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jVr4b2gaj5SRaL6iSJchslhzB3IkdaC5ftFPj7Kwp8tOzBaaXGeJa4sYACR3rxUaAlVP4ACyK89hnnfEz7KbwvfsuCQVCa7WuHa41xr9JF9j4rxBirTsh2v8nunNtJLwWKTrcxVxKDHVolC-F0tlY_fhtdKUPgpckB9vijZ-9hBPs_4iHfjlYaYOCk93dFcp9OWNIvMYi2P_SPUlXNNTK8AmZOn7M5UWlA==&amp;c=e7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA==&amp;ch=K5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww==\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=http:\/\/r20.rs6.net\/tn.jsp?f%3D001-K8wm96V032Bj7GKeUMstBuT9RL2KNJNRmecRjBjWAuOMxiXqYs3jVr4b2gaj5SRaL6iSJchslhzB3IkdaC5ftFPj7Kwp8tOzBaaXGeJa4sYACR3rxUaAlVP4ACyK89hnnfEz7KbwvfsuCQVCa7WuHa41xr9JF9j4rxBirTsh2v8nunNtJLwWKTrcxVxKDHVolC-F0tlY_fhtdKUPgpckB9vijZ-9hBPs_4iHfjlYaYOCk93dFcp9OWNIvMYi2P_SPUlXNNTK8AmZOn7M5UWlA%3D%3D%26c%3De7SupAtXqaVlL-0Hru7RgXjE_0YNbKI0WfoD6jZ6Pa_x6Djdz_2BAA%3D%3D%26ch%3DK5eNAehLgTgR0_O37tbw3DpGrLKbXnTXILytvWA6Ox2N3OXmCPdyww%3D%3D&amp;source=gmail&amp;ust=1599747559298000&amp;usg=AFQjCNH7If25N1jNnehu6ffuGV2bG2EfAA\">July, twenty-six bipartisan members of Congress<\/a>submitted a letter HHS Secretary Azar and CDC Director Redfield outlining their strong concerns with the lack of direct <span class=\"il\">Tribal<\/span> access to COVID-19 <span class=\"il\">data<\/span>. These efforts helped spark momentum for legislation to address these longstanding concerns.<\/p>\n<div align=\"justify\"><\/div>\n<p align=\"justify\">NIHB strongly supports the <span class=\"il\">Tribal<\/span> <span class=\"il\">Health<\/span> <span class=\"il\">Data<\/span> <span class=\"il\">Improvement<\/span> <span class=\"il\">Act<\/span>, and is working to have this legislation attached to the next COVID-19 pandemic relief package.<\/p>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The National Indian Health Board strongly supports the Tribal Health Data Improvement Act, and is working to have this legislation attached to the next COVID-19 pandemic relief package.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[6],"tags":[59],"class_list":["post-8343","post","type-post","status-publish","format-standard","hentry","category-organizations","tag-nihb"],"jetpack_featured_media_url":"","amp_enabled":true,"_links":{"self":[{"href":"https:\/\/indianz.com\/covid19\/wp-json\/wp\/v2\/posts\/8343","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/indianz.com\/covid19\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/indianz.com\/covid19\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/indianz.com\/covid19\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/indianz.com\/covid19\/wp-json\/wp\/v2\/comments?post=8343"}],"version-history":[{"count":10,"href":"https:\/\/indianz.com\/covid19\/wp-json\/wp\/v2\/posts\/8343\/revisions"}],"predecessor-version":[{"id":8355,"href":"https:\/\/indianz.com\/covid19\/wp-json\/wp\/v2\/posts\/8343\/revisions\/8355"}],"wp:attachment":[{"href":"https:\/\/indianz.com\/covid19\/wp-json\/wp\/v2\/media?parent=8343"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/indianz.com\/covid19\/wp-json\/wp\/v2\/categories?post=8343"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/indianz.com\/covid19\/wp-json\/wp\/v2\/tags?post=8343"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}