Area Indian Health Service Talking Points Based on 2017 data -- Numbers are approximate

 The Indian Health Care System: . IHS-operated residential treatment services There is one IHS-operated youth residential treatment center located in Hemet, California. A second IHS-operated youth residential treatment center is slated to open in Davis, California in 2019. . Tribally-operated health care services Tribal facilities are operated under the authority of the Indian Self-Determination and Education Assistance Act (Public Law 93-638, as amended), Titles I and V. There are 14 Title V compacts, funded through 14 Funding Agreements, totaling $120 million. These compacts represent 56 Tribes, which is 54% of all the federally recognized Tribes in California. There are also 26 programs contracted under Title I serving 60 Tribes. Of the 34 Tribally-operated ambulatory healthcare programs, one is accredited through the Joint Commission and 14 are accredited through the Accreditation Association for Ambulatory Health Care. . Urban health care services and resource centers There are 10 Urban programs, ranging from community health to comprehensive primary health care services. Three are accredited through the Accreditation Association for Ambulatory Health Care and two are accredited through the National Committee for Quality Assurance. . Alcohol Treatment Services There are 4 alcohol treatment programs. Their services range from referral and counseling to residential services. Two of them are accredited through the Commission on Accreditation of Rehabilitation Facilities. . Accredited Programs Of the 49 Tribal and Urban Indian healthcare programs in California, 21 are accredited.

 Population Served: . Members of 104 federally recognized Tribes . 88,887 American Indians and Natives residing on or near reservations . 167,066 potential AI/AN users in CHSDA and 195,735 potential users not in a CHSDA (2010 census)

 Annual Patient Services (Tribal facilities): . Inpatient Admissions: N/A . Outpatient visits: 669,886 . Dental visits: 267,583

 Appropriations: . FY 2016 Area Office budget appropriation: $211,136,156 . FY 2017 Area Office budget appropriation: $224,810,347

 Third-party collections: N/A for P.L. 93-638

 Per capita personal health care expenditures comparisons: . CAO user population: $2,263 (excludes OEHE $) . IHS user population: $3,332 . Total U.S. population: $9,207 (National Health Expenditures Projections)

Comparision of IHS and Other Federal Per Capita Spending Levels - 2017 $14,000

$12,000

$10,000

$8,000

$6,000 $13,185

$10,692 $4,000 $8,109 $8,109

$2,000 $4,078 $3,332 $2,263 $- I I I VA IHS (all IHS (healthcare CAO expenses) expenses)

 Human Resources

. Total IHS employees: 153 (37% are Indian; Excluding medical professionals listed below) All employees Indian Non-Indian Physicians Nurses Dentists Pharmacists Engineers Sanitarians Comm. Corps 27 2 25 2 4 0 1 13 3

Civil service 126 54 72 1 6 1 0 3 4

Total 153 56 97 3 10 1 1 16 7

Health Professionals vacancy rates 25% 10% 0% 0% 0% 15%

 Facilities

Hospitals Health Centers Alaska Village Clinics Health Stations Residential Treatment Centers IHS 1 Tribal 48 9 3

 Office of Environmental Health and Engineering:

. The services provided by the IHS/CAO OEHE are categorized into three divisions:

 Division of Environmental Health Services (DEHS)

 Division of Health Facilities Engineering (DHFE)

 Division of Sanitation Facilities Construction (DSFC)

Area Office Locations

Del Norte ______Modoc ------1125Arcata 16th Field Street, Office Ste. ------~- !~~CA .. P (707) 822-1688 Humboldt Trtn~ '--' F (707) 822-1692 0------Radding District Offico 1900 Chum Creek Road, Ste. 210 Pluma Redding, CA 96002-0292 P (530) 246-5339 Butt. Melldodno Gle•n Slana F (530) 246-5210 Nevada ColUN # ,. Lake \ ..1; P- ______California Area Office Ukiah Field Office _ _/' v~ El ~------Sacramento District Office 1252 Airport Par1l, Sonoma Napa I Q-- ~ Alpine 650 Capitol Mall, S18. 7-100 Boulevard, Ste. B5 I Sacramento, CA95814-4706 Ukiah, CA 95482-5979 = /. Soljlno P (916) 930-3927 P (707) 462-5314 1 Main San Tuololma F (916) 930-3954 F (707) 462-0907 Joaqul• Mono San Francisco---- ~=- Merlpoae San Mateo----/ Santa / 1 Clel8 Merced Sacred Oaks Youth .../ ~ Wellness Center __ _. 33100 County Road 31 t:;1!51------"trano Davis, CA 95616 ___ Inyo -- TINN Clovis Field Office------M0ntarwy Kings 613 Harvard Avenue Ste. 101 Clovis, CA 93612-1868 P (559) 322-7488 F (559) 322-7445 Kam

Sen Sema Bernardino Barbera Desert Sage Ventura Loa Youth Wellness Center------Angeles 39990 Faure Rd. ------LEGEND Hemet, CA92544 ------p (951) 708-4019 Orange - --.... e -OEHE Field Office F (951) 767-9820 e @-OEHE Dilltricl Office • 0 Sen Imperial ,,'"' Diego / ~-Area <)ff,ce Escondido District Office ___./ 1320 Wast Valley Parlcway Ste. 309 *-YRTC Escondido, CA 92029-2129 P (760) 735-6880 F (735) 735-6893