A. within two years of being named, creation of an initial off-reservation Native American health care plan that includes:
(1) an estimate of the number and tribal affiliation of Native Americans living in the off-reservation urban area;
(2) an inventory of sources of non-emergency health care for off-reservation Native Americans, identifying federal, state and local public resources, tribal facilities and program duplications;
(3) a cross-jurisdictional budget analysis compiled from the most current annual figures reported by state and county facilities demonstrating the amount of health care funding for off-reservation Native Americans available to the existing non-emergency facilities;
(4) recommendations to eliminate duplications of services, improve access, initiate new services and consolidate non-emergency health care budgets for off-reservation Native Americans; and
(5) a comprehensive set of recommendations for redesigning the system of non-emergency health care available to off-reservation Native Americans;
B. within three years of being named, presentation of a plan for permanent restructuring of state and local budgets and services for off-reservation Native American health care to the legislature along with proposed legislation for that restructuring that addresses:
(1) financing for persons not eligible for medicaid;
(2) estimated costs or savings to the state from off-reservation Native Americans receiving medicaid;
(3) ways to enhance use of preventive care;
(4) nonresidential substance abuse treatment;
(5) residential treatment for substance abuse withdrawal;
(6) coordination of health care facilities with transportation services; and
(7) domestic violence and suicide prevention programs; and
C. a set of recommendations to the secretary on projects and programs that fall within the parameters of the initial off-reservation Native American health care plan and the permanent restructuring plans as funding becomes available.
A. within two years of being named, creation of an initial off-reservation Native American health care plan that includes:
(1) an estimate of the number and tribal affiliation of Native Americans living in the off-reservation urban area;
(2) an inventory of sources of non-emergency health care for off-reservation Native Americans, identifying federal, state and local public resources, tribal facilities and program duplications;
(3) a cross-jurisdictional budget analysis compiled from the most current annual figures reported by state and county facilities demonstrating the amount of health care funding for off-reservation Native Americans available to the existing non-emergency facilities;
(4) recommendations to eliminate duplications of services, improve access, initiate new services and consolidate non-emergency health care budgets for off-reservation Native Americans; and
(5) a comprehensive set of recommendations for redesigning the system of non-emergency health care available to off-reservation Native Americans;
B. within three years of being named, presentation of a plan for permanent restructuring of state and local budgets and services for off-reservation Native American health care to the legislature along with proposed legislation for that restructuring that addresses:
(1) financing for persons not eligible for medicaid;
(2) estimated costs or savings to the state from off-reservation Native Americans receiving medicaid;
(3) ways to enhance use of preventive care;
(4) nonresidential substance abuse treatment;
(5) residential treatment for substance abuse withdrawal;
(6) coordination of health care facilities with transportation services; and
(7) domestic violence and suicide prevention programs; and
C. a set of recommendations to the secretary on projects and programs that fall within the parameters of the initial off-reservation Native American health care plan and the permanent restructuring plans as funding becomes available.
A. within two years of being named, creation of an initial off-reservation Native American health care plan that includes:
(1) an estimate of the number and tribal affiliation of Native Americans living in the off-reservation urban area;
(2) an inventory of sources of non-emergency health care for off-reservation Native Americans, identifying federal, state and local public resources, tribal facilities and program duplications;
(3) a cross-jurisdictional budget analysis compiled from the most current annual figures reported by state and county facilities demonstrating the amount of health care funding for off-reservation Native Americans available to the existing non-emergency facilities;
(4) recommendations to eliminate duplications of services, improve access, initiate new services and consolidate non-emergency health care budgets for off-reservation Native Americans; and
(5) a comprehensive set of recommendations for redesigning the system of non-emergency health care available to off-reservation Native Americans;
B. within three years of being named, presentation of a plan for permanent restructuring of state and local budgets and services for off-reservation Native American health care to the legislature along with proposed legislation for that restructuring that addresses:
(1) financing for persons not eligible for medicaid;
(2) estimated costs or savings to the state from off-reservation Native Americans receiving medicaid;
(3) ways to enhance use of preventive care;
(4) nonresidential substance abuse treatment;
(5) residential treatment for substance abuse withdrawal;
(6) coordination of health care facilities with transportation services; and
(7) domestic violence and suicide prevention programs; and
C. a set of recommendations to the secretary on projects and programs that fall within the parameters of the initial off-reservation Native American health care plan and the permanent restructuring plans as funding becomes available.
