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Advancing Tribal Priorities
As winter continues and the legislative session is underway, the Office of Tribal Affairs has been focused on strengthening relationships, elevating Tribal voices, and supporting work that reflects Washington’s unique government-to-government relationship with Tribes.
This season, we reflected on the enduring importance of the Centennial Accord and Governor Bob Ferguson’s executive order reaffirming the state’s responsibility to engage with Tribes as sovereign governments. This commitment guides how agencies consult, collaborate, and consider impacts on Tribes as policies and budgets move forward.
We’ve also held a series of public forums, Tribal Consultations, and Roundtables on the Traditional Health Care Practices Medicaid waiver. These conversations center the understanding that healing is holistic and culturally grounded, and that the best health outcomes for Tribal people come from honoring both traditional and clinical approaches. Learn more.
As cold weather trudges on, we remain mindful of the importance of staying warm, staying connected, and taking care of one another, while continuing the important work of partnership and building trust.
Thankyou,
Christine Winn, Deputy Administrator
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For Our Lives is a Native-centered, storytelling-based awareness campaign that informs and educates Tribal communities about opioid misuse prevention, overdose response, and treatment. The campaign features Native participants from around the state and highlights the importance of culture as a source of strength and community connection. Over the last year, HCA Office of Tribal Affairs has worked closely with Tribes and Native-serving organizations to create materials and resources specifically for Native youth. OSPI is working with the HCA Office of Tribal Affairs to send out toolkits to state-tribal education compact schools and districts with Title VI Indian Education Programs across the state. Read the Dear Tribal Leader Letter.
The toolkit includes youth-specific items like posters, rack cards, and an interactive refusal skills slider. Then, you will have the opportunity to order more of the available materials and have them customized (with your Tribal School logo or Native education department contact information, for example) and shipped to you at no charge. If you have any questions about the For Our Lives youth toolkits or the campaign in general, reach out to the For Our Lives Campaign.
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Washington awarded $181 million for Rural Health Transformation Program
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Washington State recently received $181 million through the federal Centers for Medicare & Medicaid Services (CMS) Rural Health Transformation Program, creating important opportunities for Tribal communities across the state. For Tribes—many of whom operate clinics in rural and geographically isolated areas—this funding could help strengthen access to care, stabilize critical services, and address workforce shortages that have long impacted Tribal health systems.
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Announcement of 1 Billion investment in IHS facilities
On February 13, 2026, U.S. Health and Human Services Secretary Robert F. Kennedy Jr. announced that HHS will commit $1 billion in existing funds to help address the long-standing construction backlog at Indian Health Service (IHS) facilities, starting in Fiscal Year 2027 and continuing over several years.
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Billing and policy
Reimbursement
Rates for 2026 are now available.
Claims that paid at the old rate will be reprocessed in early March 2026. Residential Treatment Facility rates were also updated and claims will be reprocessed soon as well.
Reentry billing
The Reentry initiative launched July 2025. Clients who are incarcerated are eligible for many services through Medicaid (P1 or MCO) up to 90 days from their release. This sounds great, but P1 will still error with a suspension notice. if this happens and you know its an error, please reach out to Stacy and Mike with the Client ID and date. We should be able to fix it shortly.
Training and funding
Tribal Arts Cultural Grant Opportunity
This is a non-competitive grant that offers funding for federally recognized Tribes in Washington state to support Tribal communities. Funding is meant to support expansion, enhance or create space for art and culture that is respectful and responsive to each communities needs. As long as the proposed project is eligible, a Tribe may automatically received funding. Application deadline is March 31, 2026 at 5 p.m.
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Psychosis CARE 2026 Virtual Conference
Registration is now open for the Psychosis CARE 2026 Virtual Conference. This free event will take place April 28–29, 2026, from 8:30 a.m. to 2 p.m. each day.
For questions, please contact Health Care Program Specialist Sonya Wohletz
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Certified Peer Support Specialist Training
These are multi-day intensive training, hosted on both sides of the state. For more information on becoming a Certified Peer Support Specialist, please contact Tribal Opioid Response Coordinator, Nakia DeMiero.
NWITC - Squaxin Island Tribe April 20-May 1, 2026 Little Creek Casino
Spokane - Spokane Tribe of Indians May 4 - May 15, 2026 Spokane Tribe Resort & Casino
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Offering training, education, and support for behavioral health providers serving Native communities. Northern Quest Resort & Casino April 28–30, 2026 100 N Hayford Rd, Airway Heights, WA 99001 |
8th Annual Trauma Informed Care Conference
Yakama Nation community members are invited to join us for the 8th Annual Trauma Informed Care Conference, happening June 2–4, 2026 at Legends Casino in Toppenish, WA.
This powerful three day event brings together community partners, educators, service providers, and families committed to healing, resilience, and culturally rooted wellness.
 Yakama Nation is excited to open an invitation for presenters to submit proposals for review and an opportunity to present your work at the 8th Annual Trauma Informed Care Conference 2026.
8th Annual Trauma Informed Care Conference June 2-4th, 2026 - Legend’s Casino Hotel, Toppenish, WA Deadline for Submission: March 27, 2026

Yakama Nation: Join us for a full‑day event dedicated to empowering our youth, building strong leaders, and creating space for healing, culture, and community strength.
A powerful, in‑person youth conference where you can: • Learn how historical trauma impacts our communities/identities • Build real‑life resilience + wellness skills • Explore leadership tools to create positive change • Turn your own experiences into strengths for advocacy
June 8, 2026 at Legend's Casino Hotel, Toppenish, WA
Who Should Come?
Youth, parents, educators, mentors, and community leaders ready to support the next generation of strong, grounded leaders.
 We are excited to open an invitation for presenters to submit proposals for review and an opportunity to present your work at the 2nd Annual Youth Leadership & Wellness Conference.
2nd Annual Youth Leadership & Wellness Conference June 8, 2026 - Legend’s Casino Hotel, Toppenish, WA Deadline for Submission: March 31, 2026
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We are pleased to welcome a new Regional Tribal Liaison (RTL), Lisa Wilson, to our team!
Lisa brings a lifetime of service, leadership, and lived experience as the new North Sound RTL. She’s a Lummi Tribal member, mother of three children, and a proud grandmother to eight. Her roots in community leadership run deep—she is a former Lummi Nation council member, former Vice Chair of the Northwest Indian Fisheries Commission, and holds a bachelor’s degree in Native Environmental Science.
Before stepping into elected leadership, Lisa spent much of her career working in fisheries, focusing on salmon restoration and upholding treaty rights. That work, she explains, shaped how she sees everything else.
“When I was working in natural resources, my cousin told me: You find the need in your community, and you go fulfill that need,” Lisa said. “That’s always stayed with me.”
Lisa says her work in OTA allows her to continue serving in a role that’s deeply needed—not just in her own community, but across North Sound Tribal communities.
“It’s still about being a Tribal leader, still about salmon, still about health,” she said. “But it’s also about stepping back and remembering what’s important—and being willing to take something on and learn something new.”
Her path to this role reflects decades of perseverance. A teen parent, later a single mom of three, Lisa worked full time, went to school, built her career, and eventually built her own home—all while staying grounded in family and community. Today, she lives next door to her son and says she’s grateful to be doing work that aligns with her values.
“I’ve worked hard my whole life,” she said. “But most importantly, I’m working for Tribal communities, in areas where the need is real.”
At the heart of everything Lisa Wilson does is a simple belief: When you see a need in your community, you step up. And you don’t do it alone—you build relationships, honor trust, and keep health, culture, and people at the center of the work.
Getting to know Lisa
- Best way to work with her: Collaboration, open communication, and shared goals
- Favorite snack: Apples—something she grew to love because of a bedtime ritual with her granddaughter, who refused to go to sleep without a few bites of the “family apple,” shared with everyone before bed. She can also be wooed with Häagen-Dazs ice cream
- Go-to office dance move when things go right: Raise the roof
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Learning from Licorice Fern – Find Your Voice
A Coast Salish Story as told by Lower Elwha Klallam Storyteller Roger Fernandes
A long time ago, the People had small voices, they could barely hear each other when they talked. When the People spoke to each other, they couldn’t hear one another. Their voices were so quiet and so small that they couldn’t always understand one another.
One day, a woman from the village was walking through the woods. As she was walking, she heard a voice that said, “Come here” and the woman asked, “Who is that?”
“Over here,” the voice said, the woman went towards the voice and there, before her, was licorice fern.
Licorice fern said, “Chop up my roots and taste them.” So, the woman did as licorice fern instructed; she chopped up licorice fern’s roots and tasted them, and in a big voice said, Oh, that tastes really good!”
The woman now had a big voice. She returned back to the village and (in a big voice) said “Hello!” Everyone in the village was amazed and asked where she got this big voice. The woman told the People about the licorice fern an instructed that everyone go to the forest. So, the people all went to the forest and gathered licorice fern, chopped up the roots, and tasted them. And that is how the People got big voices. And that is all.
Licorice fern reminds us of the power of clear communication when we find our own voice and develop skills. In effectively communicating with others, we can move toward achieving our goals while building healthy relationships.
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Come work with us!
We have a position open at the HCA Office of Tribal Affairs. Please share widely with those looking to support Tribes in Washington state government.
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Desautel Hege (DH) is hiring for two freelance positions to assist in the roll out of materials for the For Our Lives Campaign:
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Observances
March 9, 2026 - Billy Frank Jr. Day
March is a time to remember Billy Frank Jr., an advocate from the Nisqually Indian Tribe whose life’s work centered on protecting Tribal treaty rights and sovereignty. From the Fish Wars to the Boldt decision, Billy stood firm in defense of the promises made in the Treaty of Medicine Creek—reminding the state and nation that treaties are binding agreements, not symbolic words on paper. His leadership strengthened government-to-government relationships and protected the salmon, waters, and ways of life that sustain our communities. As we commemorate him this month, we reflect not only on his legacy, but on the ongoing responsibility to uphold treaties and advance Tribal sovereignty for generations to come.
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Check out our resource page in case you missed the latest Dear Tribal leader Letters, billing resources, toolkits, or minutes from previous meetings.
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