Released 2/10/20

Requests $6.232 billion in discretionary funding for IHS in FY 2021, an increase of roughly $190 million above the FY 2020 enacted discretionary budget of $6.04 billion. Includes requests to elevate the IHS Director to Assistant Secretary of Indian Health; extension of Medicare tele-health services for IHS/tribal; an indefinite appropriation for ISDEAA section 105(l) leases; and $125 million for the newly established electronic health record system (EHR) line item. Concerning requests include waiver of Indian  preference  to address the chronic health professional shortage;  $134 million proposed reduction to Health Care Facilities Construction; and combining funding for Community Health Representatives ($62.8M in FY 2020), Health Education ($20.56M in FY 2020), and nationalization of the Community Health Aide Program ($5M in FY 2020) into a new "Community Health" line item funded at $44.1M overall ( $44M  reduction  to all three programs).

HHS FY 2021 Budget in Brief

IHS FY 2021 Budget Congressional Justification

President's FY 2021 Budget Request

NIHB FY 2021 Budget Press Release

CMS Healthy Adult Opportunity Initiative

Issued 1/30/20 

Invites states to submit section 1115 waivers to CMS that would impose caps on Medicaid spending in exchange for increased Medicaid program flexibility on the Medicaid expansion population. Rather than receiving reimbursement from CMS for each claim, a state would instead receive a lump-sum payment that is capped either based on a level set for the state's overall Medicaid expenditures or on a level established per Medicaid beneficiary. As a condition of approval CMS highlights inclusion of AI/AN protections and does not count 100% FMAP for services received through an IHS/Tribal facility towards a state's aggregated or per-capita cap funding.
CMS Fact Sheet

CMS Press Release