the annual negotiation process for the Alaska annual funding ...

the annual negotiation process for the Alaska annual funding ...

Annual Negotiations Process for the Alaska Tribal Health Compact Vern Boerner, President/CEO, AK Native Health Board Alberta Unok, Deputy Director, AK Native Health Board Myra Munson, Partner, Sonosky, Chambers, Sachse, Miller & Munson LLP The Voice of Alaska Tribal Health Since 1968 The Process Principles Tribal Caucus Consensus Rules Formal exchanges: IHS and the Co-Lead negotiators, and Review of finance & open items Principles Government to Government Relationship Respect for all participants Consensus Transparency Unity Access to Information Uniqueness Call for Tribal Caucus As needed, Tribal leaders will call for a special Tribal Caucus. These are convened to discuss items in need of

urgent attention (i.e. national policy, funding allocations). During national conferences and Tribal consultation, Alaska tribal caucus meetings are scheduled for the purpose of reaching statewide consensus on issues of national interest. The ANHB facilitates the Alaska tribal caucus meetings. Tribal and IHS caucuses are built into the Pre- and Final Negotiations processes. Tribal Caucus for Pre- and Final Negotiations The agenda is drafted by the Co-Lead negotiators and Facilitator Consensus is used for decisions in tribal caucus Tribal caucus is open to all tribal representatives, employees, and consultants Workgroups are appointed by the ATHC as needed (i.e. tribal shares, legal, language, ad hoc workgroups) Co-Lead Negotiators are authorized to represent the ATHC Tribal Caucus: Facilitator Tracks agenda items by category and prioritize by importance for completing negotiations; Participates in the pre-meeting information gathering and agenda planning; Prepares the meeting location bringing necessary equipment and meeting materials; Maintains meeting records, and preparation of required correspondence; Maintains a centralized repository of information concerning current developments and events; Be a resource and information referral service for various public and private agencies involved with services related to the ATHC; Be a mechanism for the U.S. Department of Health and Human Services and its associated

agencies to consult with Alaska tribes and tribal organizations; and At the completion of the ATHC negotiations, orchestrates appropriate follow-up activities. Co-Signers & Co-Lead Negotiators Negotiators - each Co-Signer has an authorized Co-Signer Representative Co-Signers select two (2) Co-Lead Negotiators (one Tribal and one Technical) who are authorized to represent the ATHC The co-lead negotiators provide the tribal position to the Indian Health Service (IHS) on commonly negotiated language* and funding issues. The co-lead negotiators may call on other experts in the room for explanation or further discussion of issues. Consensus Process Alaska Tribal Health Compact Ground Rules Overview Be respectful All Co-signers are represented at the table (two representatives per tribe or tribal organization) Daily schedule 8am-6pm with a lunch break at 12:00 noon Daily open mike at 4:00 p.m. All documents must be marked with the Date/Time/Source Cell phones on silent No use of acronyms No side conversations: Conference Room 3 and seating in the hall is available

Speakers: Must be recognized by facilitator prior to speaking Must speak through the Co-signer Must use the microphone for digital recording Must state name and organization Alaska Tribal Health Compact (ATHC) Members Alaska Native Tribal Health Consortium Aleutian Pribilof Islands Association Inc. Arctic Slope Native Association Bristol Bay Area Health Corporation Chickaloon Chugachmiut Cooper River Native Association Council of Athabascan Tribal Governments Eastern Aleutian Tribes Kenaitze Indian Tribe Ketchikan Indian Community Knik Tribal Council

Kodiak Area Native Association Maniilaq Metlakatla Indian Community Mt. Sanford Tribal Consortium Native Village of Eklutna Native Village of Eyak Norton Sound Health Corporation Southcentral Foundation Southeast Alaska Regional Health Consortium Seldovia Village Tribe Tanana Chiefs Council Yukon-Kuskokwim Health Corporation Yakutat Tlingit Tribe Pre-Negotiations Pre-negotiations: where information is exchanged and potential issues between the IHS and Co-Signers or among co-signers are identified includes a tribal caucus is held for 2 or 3 days in March or April Final Negotiations normally one week in May where all Co-Signer agreements are

negotiated Common negotiations take place at the beginning of the week include any Compact change and any funding agreement changes which are common to all or substantially all CoSigners led by the co-lead negotiators Individual Negotiations take place after common negotiations at the end of the week led by the individual Co-Signers. Formal Exchanges: IHS & Tribal Negotiators Negotiations Common Negotiation: All Co-Signers agreed to speak through the Co-Lead Negotiators Individual Negotiations: Individual authorized Co-Signers negotiate directly with IHS Tribal Attorneys and Financial Consultants Open Microphone Key Documents Alaska Tribal Health Compact Issues among Co-Signers Funding Agreements Funding Tables -Appendix A to Funding Agreement Continuing Services Agreement

Open Items Review of Open Items It is a matrix formatted, living document tracking the status of the ATHC and funding agreement related issues. The list is disseminated during pre and final negotiations to review ongoing issues from past years and to add new items for the current year. The first page of the open items provides background notes, in addition to an overview of the status indicators. ATHC PreNegotiation Open Items P u rp o se I n tr o d u c tio n a n d O v e rv ie w P r in c ip le s N e g o t ia tio n P rocess P a r t ic ip a n t s D o cu m e n ts R e fe re n ce s Open Items

Matrix Design A T L A SK A R IB A L F Y 2 0 0 5 I H S /T R IB A L F Y 2 0 0 0 -0 4 U H EALTH C OM PACT N E G O T IA T IO N O P E N I T E M S AND

i N R E SO L V E D I SSU E S U P D A T E D th r o u g h 8 /2 5 / 0 4 N e g o tia tio n s a n d 2 /8 / 0 5 T r i b a l C a u c u s O p en I tem s L ist NOTE: M o s t ite m s c lo s e d b y th e e n d o f F Y 2 0 0 4 n e g o ti a tio n s h a v e b e e n d e le te d . T h e y c a n b e f o u n d in th e v e r s io n u p d a te d th r o u g h 5 /1 4 /0 3 a n d 1 /1 5 /0 4 S ta tu s U p d a te w ith J im A r m b ru s t, t h e I H S a g e n c y le a d n e g o tia to r. H ea d er d esc r ib in g th e d a te o f issu e I tem n u m b er r efer en c e fo r a ll d isc u ssio n Ite m s th a t n e e d to b e re s o lv e d a m o n g C o -S i g n e rs , in c lu d in g th o s e b e tw e e n C o -S ig n e rs a n d th e A N T H C c a r r y i n g o u t i t s T r ib a l A r e a O f f ic e f u n c tio n s a r e b e in g tr a c k e d h e r e a n d a r e f o u n d a t t h e e n d o f lis t a n d in d ic a te d b y le tte r , in s te a d o f n u m b e r ( e g . 0 0 -A ) . Ite m s a t th e b e g in n in g o f th e lis t d e s ig n a te d x x a re ite m s th a t a re r e c u rr in g fro m y e a r -to -y e a r . Ite m s a re m a r k e d w it h a _ w h e n th e a c tio n a g r e e d u p o n h a s o c c u rr e d . I f th e ite m n u m b e r is s h a d e d o r th e fir s t c o lu m n h a s a ! in it, th e n a d d itio n a l re p o rts a n d /o r n e g o tia t io n s o n th a t i te m a r e e x p e c te d d u r in g th e n e g o ti a tio n s b e in g h e ld th e w e e k o f J u n e 1 4 , 2 0 0 4 . O th e r o p e n it e m s a r e o p e n f o r m o n ito r in g , b u t n o f u r th e r a c tio n i s n e c e s s a r ily e x p e c te d d u r in g th e s e n e g o ti a tio n s . I tem _ xx -0 1

A n n u a l I H S D ir e c to rs E m e rg e n c y R e s e rv e A c c o u n tin g U p d a te A c tio n R e q u e s te d / U p d a te s 5 /1 3 /0 3 A L N r e p o r ts th a t n o n e w in f o r m a tio n is a v a ila b le . H e f u r t h e r c o m m e n te d th a t I H S tr ie s to r e s p e c t th e p u r p o s e o f th e fu n d s , h o w e v e r I H S h a s a c o n s tr a in e d b u d g e t w ith n o a b ility to c a r r y fo r w a r d fu n d s fr o m y e a r to y e a r, n o r a n y a b ilit y to g e n e ra te a d d itio n a l f u n d s w h e n is s u e s a r is e . I tem n a m e- C o -S ig n e rs s e e k s a d d itio n a l a s s u ra n c e re g a rd in g th e u s e o f th e c o m m itm e n t. C o -S i g n e r s w e r e a s s u re d th a t tr ib a l s h a r e s w o u ld n o t b e u s e d f o r th e f in a n c ia l m a n a g e m e n t s y s te m u n if ic a t io n , b u t e x p e n d itu r e s f ro m th e E m e rg e n c y F u n d h a s t h a t e f fe c t s in c e a n y fu n d s r e m a in in g a t th e e n d o f a fi s c a l y e a r a r e to b e d is trib u te d a s tr ib a l s h a r e s . T h e p u r p o s e o f t h e f u n d i s d e f i n e d i n t h e H e a d q u a r te r s P S F A s M a n u a l, w h ic h s a y s T h e E m e r g e n c y F u n d p ro v id e s th e O ffic e o f th e D ir e c to r ( O D ) w ith a lim ite d re s e rv e to a d d r e s s s o m e o f th e e m e r g e n c ie s i n v o lv i n g I H S f a c ili ti e s a n d I H S /T r ib a l d e liv e r y o f h e a lth s e r v ic e s . T h e f u n d s a r e n o t in te n d e d f o r a d m in is tr a tio n , m a in te n a n c e , c o n s tr u c tio n , o r fo r a n y o t h e r p u rp o s e s th a t a re n o t r e la te d to

e m e r g e n c ie s w i th in IH S fa c ili tie s o r th e d e liv e r y o f IH S /T r ib a l h e a lth s e r v ic e s . U p d a te d a te o f a c tio n o r u p d a te A c tio n /U p d a te d e sc r ip tio n o f th e issu e a n d a g en c y a n d C o - S ig n er s p o sitio n o r a gr eem en t 1 /1 5 /0 4 A L N s till a w a it in g in f o r m a tio n . 3 /1 8 /0 4 F Y 2 0 0 3. S e e M a th e r M e m o 3 /1 7 /0 4 , p . 1 & 7 . In F Y 2 0 0 3 A la s k a r e c e iv e d $ 3 7 7 ,9 2 4 o r 8 3 % o f th e to ta l a v a i la b le a t th e b e g in n in g o f th e y e a r fr o m th e y e a r e n d d is tr ib u tio n fro m th e D ir e c to r s E m e rg e n c y r e s e rv e fu n d . T h is c o m p a r e s t o $ 0 in F Y 2 0 0 2 a n d is c o n s is te n t w ith d is tr ib u tio n in y e a r s b e fo r e F Y 2 0 0 2 .F u n d in c lu d e d la r g e d is trib u tio n f o r in f o r m a tio n te c h n o lo g y in F Y 2 0 0 3 o f $ 2 ,2 5 3 ,5 6 1 . H e a d q u a r te r s h a s i n d ic a te d th a t th is w a s fo r c o n tra c tu a l s e r v ic e s . M o re in f o r m a tio n h a s b e e n r e q u e s te d a b o u t th i s IT c o n tr a c t. 26 A L N a g re e s to o b ta in in fo r m a tio n .

A LASKA T RIBAL H EALTH C OMPACT UPDATED THRU FY 2015 FINAL NEGOTIATIONS AND FOR FY 2016 AS OF 3/7/15 15 Open Items Matrix Page 2 Item Update FY 2016 O PEN I TEMS AND FY 2003-15 UNRESOLVED I SSUES PAGE 2 OF 58 Action Requested/Updates *A-1 IHS Headquarters (HQ) 3/18/14 Organization and Key Updated Staff - Update 3/7/15 from IHS (xx-24a) webpage According to IHS Website: Acting Director, Robert G. McSwain Deputy Director, vacant

Field Operations, D eputy Director Randy Grinnell Management Operations, Deputy Director Elizabeth A. F owler Robert G. McSwain Intergovernmental Affairs, Deputy Director RADM Sanra Pattea Senior Advisor to Director, G eoffrey Roth Chief Medical Officer, Capt. Susan V. Karol, M.D. Chief of Staff Capt. Carol Lincoln Office of Tribal Self-Governance, Director P. Benjamin Smith OTSG Deputy Director, Jennifer Cooper Office of Direct Service & Contracting Tribes, Director Capt. Chris Buchanan Congressional & Legislative Affairs, Director Michael Mahsetky Public Affairs, Director Constance James Office of Info rmation Technology, Director CDR Mark Rives Acting Director Capt. Howard Hayes, M.D. Office of Environmental Health & Engineering, D irector G ary H artz Office of Resource Access & Partnerships, Director Carl L. Harper Office of Clinical & Preventive Services: Alec Thundercloud, M.D., Director Charlene Avery, MD, Director Office of Finance and Accounting, Kenneth Cannon, Acting Director Elizabeth Fowler, Director Office of Public Health Support, Capt F rancis F razier, Acting Director Richard Church, Director retired April 2014 Office of Management Support, Athena S. Elliott, Director Human Resources Director, Lisa Reyes Oral Health Director, Timothy Lozon Contracting Officer Steven Yuder as of May 2014 Roshwan Majors *A-2 Area Organization and

Key Staff Update 3/18/14 updated Deputy Director/Chief Medical Officer, Kenneth Glifort, M.D. Executive Officer (remains vacant pending budget analysis) Planning, Evaluation & Health Statistics: Diana Roberts, Area Statistician (replaced Bonnie Boedecker) Sherry D. Foster Program Analyst Office of Financial M anagement: Douglas P. Gorgoni, Director Office of Tribal Programs: Evangelyn Angel Dotomain, Director Rick Mills, ISDA Specialist Duff Pfanner, Healthcare Management Consultant Office of Environmental Health and Engineering, Denman Ondelacy, Director; Capt. Dale Mossefin retiring effective 5/31/14 Office of Human Resources, Rita Dotomain J eanne Smith, Acting W estern Region HR Director (retiring 4/18/14) This is a HQ position and open recruitment will occur Commissioned Corps Personnel, Commander Carol Treat, Liaison (retiring 4/1/14) Lt. Commander Randy Saria, Western Region Liaison Military Human Resources Specialist, will assume Liaison position 4/1/14, and recruitment will b egin to backfill Stacy Turner, Military Human Resources Assistant Summary of Issue

Co-Signers Point of View. For many years, the IHS Director assigned a Headquarters level staff to the final negotiations in the Alaska Area to act as a ratifier in the event issues arose that could not be resolved with the ALN. Co-Signers believe the on-site ratifier plays an important role in (xx-24b) *A-3 Decision Makers and Ratifier for Negotiations Sonosky, Chambers, Sachse, Miller & Munson 302 Gold St., Suite 201, Juneau, AK 99801 (907)586-5880 fax (907) 586-5883 email: [email protected] FY 2016 Open Items Updated thru 2015 Final Negotiations and 2015-03-07.wpd A LASKA T RIBAL H EALTH C OMPACT UPDATED THRU FY 2015 FINAL NEGOTIATIONS AND FOR FY 2016 AS OF 3/7/15 15 Item Update FY2016 O PEN I TEMS AND FY 2003-15 U NRESOLVED I SSUES PAGE 57 OF 58 Action Requested/Updates W here [Co-Signer] plans to undertake an action, as described in Appendix [Z], on IHS owned real property or utilizing IHS funds

received through this Funding Agreement and [Co-Signer] has not assumed these responsibilities, [Co-Signer] will provide the IHS with a Project Summary Document (see Appendix [X-4]) and a completed Environmental Information and Documentation Form (see Appendix [Y]) so that the IHS can accomplish these requirements, and issue a Determination Document (Categorical Exclusion (CATEX) or Finding of No Significant Impact (FONSI)), as soon as possible. All documentation shall be submitted to the IHS as early as possible in the planning phase of the project to prevent delays in the action. No irreversible action can be taken by [Co-Signer] until the IHS completes its compliance respo nsibilities and so advises the Co-Signer with a Determination Document. Pending resource availability, the IHS is available for education and consultation on NEPA, NHPA, and related provisions of law on an as needed basis. Z - Actions Requiring NEPA Review and Determination X-4 - Project Summary Document Y - Environmental Information and Documentation Form L-3 Capital Improvement Project Language Revision 5/19/14

Irene Dundas and Steve W eaver reported that IHS made to changes, which workgroup accepted. After correcting typos, Caucus accep ted the appendices listed above. 5/15/13 IHS proposes amending the following provision on Capital Improvement Projects, as follows: Approval. Subject to the following thresholds, [CoSigner] will submit to AANHS a Project Summary Document (PSD) or Program Justification Document (PJD ) for any projects in a federally-owned facility or on federally owned property for construction, renovation, or acquisition of space: for projects started before October 1, 2005, costing more than $25,000, including non-IHS funds, and for projects started on or after October 1, 2005, $100,000, including non-IHS funds. For projects that require additional funds fro m the IHS, [Co-Signer] may proceed with the project only after receipt of approval of the PSD or PJD from IHS. 5/20/13 Area DEHE Director says that this may apply only to federally owned facilities. 3/18/14 Co-Signers inform IHS that they do not believe the workgroup has achieved enough progress to negotiate language for FY15; Co-Signers

recommend continuation of workgroup. 3/19/14 IH S agrees to continue working on simplifying. Suggests a small technical workgroup might be useful. Sonosky, Chambers, Sachse, Miller & Munson 302 Gold St., Suite 201, Juneau, AK 99801 (907)586-5880 fax (907) 586-5883 email: [email protected] FY 2016 Open Items Updated thru 2015 Final Negotiations and 2015-03-07.wpd Open Items Final Matrix Page A LASKA T RIBAL H EALTH C OMPACT UPDATED THRU FY 2015 FINAL NEGOTIATIONS AND FOR FY 2016 AS OF 3/7/15 1/ Open Items History FY2016 O PEN I TEMS AND FY 2003-15 UNRESOLVED I SSUES PAGE 58 OF 58 HISTORY: FY 2014 IHS/Tribal Negotiation Open Items and FY 2003-13 Unresolved Issues UPDATED through FY 2014 Pre-Negotiations and Subsequent Negotiations (as of 5/17/13) May 18, 2013; FY 2013 IHS/Tribal Negotiation Open Items and FY 2003-12 Unresolved Issues Updated through Pre-Negotiations and Subsequent IHS Communications (5/17/12); FY 2013 IHS/Tribal Negotiation Open Items and FY 2003-12 Unresolved Issues Updated through FY 2012 Negotiations Final Negotiations May 2011 and Preparation

for FY 2013 Pre-Negotiations March 16, 2012; IHS/Tribal Negotiation Open Items and FY 2003 Unresolved Isues Updated through March 2011 Pre-Negotiations May 12, 2011; FY 2012 IHS/Tribal Negotiation Open Items and FY 2003-11 Unresolved Issues March 19, 2011 (open items d01 through FY 2011 Final Negotiation and FY 2010 re-Negotiation Report); FY 2011 IHS/Tribal Negotiation Open Items and FY 2003-10 Unresolved Issues Updated through May 18, 2010 (August 16, 2010) (FY 11 open items d04 2010-08-16 (without language items).wpd); FY 2010 (mislabeled as 2009) IHS/Tribal Negotiation Open Items and FY 2003-09 (mislabeled 08) Unresolved Issues, Updated through FY 2009 Final Negotiations and Incorporating Comments from ALN and Dr. Mathers Memo - March 24, 2009 (FY 10 open items d01 (incorp. ALN & DM discussions) 2009-03024)); FY 2009 Final Negotiations (May 19-23, 2008) - June 3, 2008 (FY 09 open items d06 through final negs 2008-06-03); FY 2009 IHS/Tribal Negotiation Open Items and FY 2008-08 Unresolved Issues, Updated through May 20, 2008 7:00 pm (FY 09 open items d04 through 2008-05-20.wpd); FY 2009 IHS/Tribal Negotiation Open Items and FY 2003-08 Unresolved Issues Updated through FY 2009 Pre-negotiations (March 26-27), TSMWG (May 12, 2008), and Subsequent Communications from IHS May 18, 2008 (FY 09 open items d03 as 2008-05-18); FY 2009 IHS/Tribal Negotiation Open Items and FY 2000-08 Unresolved Issues, Updated March 25, 2008 (FY 09 open items d01 (including end of FY 08 negotiation updates) Final); FY 2008 IHS/Tribal Negotiation Open Items and FY 2000-07 Unresolved Issues through April 17, 2007 (close of pre-negotiations); FY 2007 IHS/Tribal Negotiation Open Items and FY 2000-06 Unresolved Issues Updated through August 7, 2006 (FY 07 OPEN ITEMS d06 THRU 8-7-06 (8-07-06).wpd); FY 2007 IHS/Tribal Negotiation Open Items and FY 2000-06 Unresolved Issues Updated through May 19, 2006 (FY 07 open items d03 as of53-19-05.wpd); FY 2007 IHS/Tribal Negotiation Open Items and FY 2000-06 Unresolved Issues Updated through March 28, 2006 Pre-Negotiaions (FY 07 open items d01 as of 3-28-05 pm (3-28-06).wpd); FY 2006 IHS/Tribal Negotiaon Open Items and FY 2000-05 Unresolved Issues Updated through 5/19/05 Negotiations March 24, 2006 (FY 06 open items d08 as of 5-19-05 pm (3-2406).wpd); FY 2006 IHS/Tribal Negotiation Open Items and FY 2000-05 Unresolved Issues Updated through 5/16/05 Negotiations (FY 06 open items d03b 5-16-05 pm.wpd); FY 2006 IHS/Tribal Negotiation Open Items and FY 2000-05 Unresolved Issues Updated Through 4/12/05 Negotiations; FY 2006 open items d02 4-12-05 pm; FY 2006 IHS/Tribal Negotiation Open Items and FY 2000-05 Unresolved Issues Updated through 4/12/05 11:00 am Negotiations; FY 2005 IHS/Tribal Negotiation Open Items and FY 2000-04 Unresolved Issues Updated through 8/25/04 Negotiations and 2/8/05 Tribal Caucus; FY 2005 IHS/Tribal Negotiation Open Items and FY 2000-04 Unresolved Issues Updated through 8/24/04 Negotiations (FY 05 open d10 as of 6-24-04.wpd) FY 2005 IHS/Tribal Negotiation Open Items and FY 2000-04 Unresolved Issues Updated through 8/23/04 Tribal Caucus (FY 05 open d09 as of 6-23-04.wpd); FY 2005 IHS/Tribal Negotiation Open Items and FY 2000-04 Unresolved Issues Updated through 6/16/04 Negotiations (FY 05 open d08 as of 6-18-04.wpd); FY 2005 IHS/Tribal Negotiation Open Items and FY 2000-04 Unresolved Issues Updated through 6/16/04 Negotiations (FY 05 open d06 as of 616-04.wpd); FY 2005 IHS/Tribal Negotiation Open Items and FY 2000-04 Unresolved Issues Updated through 6/15/04 Negotiations (FY 05 open d05 as of 6-15-04.wpd); FY 2005 IHS/Tribal Negotiation Open Items and FY 2000-04 Unresolved Issues Updated through 6/14//04 Negotiations (FY 05 open d04 as of 6-14-04.wpd); FY 2005 IHS/Tribal Negotiation Open Items and FY 2000-04 Unresolved Issues Updated through 3/19/04 Negotiations (FY 05 open d02 as of 3-19-04.wpd). ; FY 2005 IHS/Tribal Negotiation Open Items and FY 2000-04 Unresolved Issues Updated through 3/18/04 Negotiations (FY 05 open d01 as of 3-18-04.wpd). FY 2004 IHS/Tribal Negottiation Open Items and FY 200003 Unresolved Issues Updated trough 5/14/03 Negotiations and 1/15/04 Status Update with Jim Armbrust (FY 04 open d06 as of 2-20-04.wpd); FY 2004 IHS/Tribal Negotiation Open Items and FY 2000-03 Unresolved Issues Updated through 5/12/03 (Tribal Caucus) (FY 04 open 04 as of 5-12-03.wpd); FY 2004 IHS/Tribal Negotiation Open Items and FY 200-03 Unresolved Issues Updated as of 4/29/03 (Phoenix Tribal Caucus & Meeting with IHS Director) (FY 04 open d03 as of 4-29-03 (5-1-03).wpd); FY 2003 IHS/Tribal Negotiation Open Items and FY 98-02 Unresolved Issues as of May 16, 2002 (FY 03 open d07 (3-3-03); FY 2003 IHS/Tribal Negotiation Open Items and FY 98-02 Unresolved Issues as of May 13, 2002 (FY open d06 J(5-13-02); FY 2003 IHS/Tribal Negotiation Open Items and FY 98-02 Unresolved Issues as of May 12, 2002 (FY 03 opend05.wpd); FY 2003 IHS/Tribal Negotiation Open Items and FY 98-02 Unresolved Issues as of March 13, 2002 (FY 03 opend04.wpd); FY 2003 IHS/Tribal Negotiation Open Items and FY 98-02 Unresolved Issues as of March 12, 2002 (FY 03 open d02.wpd); FY 2002 IHS/Tribal Negotiation Open Items and FY 98-01 Unresolved Issues (FY 02 open d06.wpd); FY 2001

IHS/Tribal Negotiation Open Items and FY 98-00 Unresolved Issues, Updated as of 5/19/00; FY 2001 IHS/Tribal Negotiation Open Items and FY 98-00 Unresolved Issues Updated as of 5/15/00 5:00 pm (FY 01 open.d06.wpd); FY 2001 IHS/Tribal Negotiation Open Items and FY 98-00 Unresolved Issues Updated as of 5/10/00 (FY 01 open.d05.wpd); FY 2001 IHS/Tribal Negotiation Open Items and FY 98-00 Unresolved Issues Updated as of 4/19/00 (FY 01 open.d04.wpd); FY 2001 IHS/Tribal Negotiation Open Items and FY 96-00 Unresolved Issues Updated as of 4/6/00 (FY 01 open.d03.wpd); FY 2001 IHS/Tribal Negotiation Open Items and FY 96-00 Unresolved Issues Updated as of 4/5/00 (FY 01 open.d02.wpd); FY 2001 IHS/Tribal Negotiation Open Items and FY 96-00 Unresolved Issues Updated as of 4/3/00 (FY 01 open.d01); FY 2001 IHS/Tribal Negotiation Open Items and FY 96-99 [00] Unresolved Issues Updated as of 3/14/00; FY 2000 IHS/Tribal Negotiation Open Items and FY 96-99 Unresolved Issues Updated as of 4/2/99; FY 2000 IHS/Tribal Negotiation Open Items and FY 96-99 Unresolved Issues Updated as of 2/5/99; FY 99 IHS/Tribal Negotiation Open Items and FY 96-98 Unresolved Issued Updated 5/13/98 pm; FY 99 IHS/Tribal Negotiation Open Items and FY 96-98 Unresolved Issues Updated after 4/27/98 Tribal Caucus FY 99 IHS/Tribal Negotiation Open Items and FY 96-98 Unresolved Issues Updated 3/25/98; FY 99 IHS/Tribal Negotiation Open Items and FY 96-98 Unresolved Issues Updated 3/23/98; CLOSED FY 98 IHS/Tribal Negotiation Open Items and FY 96-97 Unresolved Issues As Of 3/21/98; FY 98 IHS/Tribal Negotiation Open Items and Unresolved Issues Updated 3/21/98 (limited distribution); FY 98 IHS/Tribal Negotiation Open Items and FY 96-97 Unresolved Issues Updated 5/20/97 pm; FY 98 IHS/Tribal Negotiation Open Items and FY 96-97 Unresolved Issues Updated 4/10/97 pm; FY 98 IHS/Tribal Negotiation Open Items and FY 96-97 Unresolved Issues Updated 4/9/97 PM; FY 98 IHS/Tribal Negotiation Open Items and FY 96-97 Unresolved Issues 3/31/97; FY 98 IHS/Tribal Negotiation Open Items and FY 96-97 Unresolved Issues 3/28/97; FY 98 IHS/Tribal Negotiation Open Items and FY 95-97 Unresolved Issues 3/12/97; FY 97 Open & FY 96 Unresolved 5/13/96; FY 97 Open & FY 96 Unresolved 4/18/96 pm; 4/18 /96 am (limited distribution); 4/17/96; 3/12/96; FY96 Open & FY 95 Unresolved 9/18/95

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    Consider searching using google.com, ACES, issues? In general we want to search in a collection for a key Recall search in readsettree.cpp, readsetlist2.cpp Tree implementation was quick Vector of linked lists was fast, but how to make it faster? If...
  • Anatomy & Physiology SIXTH EDITION Chapter 23, part

    Anatomy & Physiology SIXTH EDITION Chapter 23, part

    Chapter 23, part 4 The Respiratory System SECTION 23-9 Gas Pickup and Delivery Blood in peripheral capillaries delivers O2 and absorbs CO2 Reactions are completely reversible Figure 23.20 An Overview of Respiratory Processes and Partial Pressures in Respiration Oxygen transport...
  • Health Statistics on the Web

    Health Statistics on the Web

    This definition quickly summarizes many key features of health statistics. Health statistics are population based and they measure a wide range of health indicators for a community.A community could be be the entire United States, a region, state, county, or...