ACA/IHCIA In-Person Training Session
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The Tribal Self-Governance Advisory Committee (TSGAC) is excited to announce we will be hosting an upcoming in-person training on the Affordable Care Act/Indian Health Care Improvement Act (ACA/IHCIA). The training will be held on December 3rd and 4th, 2025, from 9 am to 4 pm both days. The meeting will take place at the Potawatomi Hotel and Casino in Milwaukee, WI (see hotel link below).
The Training is targeted for Tribal leaders, Health Directors, front-line health care staff, Indian Health Service and other representatives who would like to learn more about opportunities available under the ACA/IHCIA.
Agenda In Brief (Topics to be Covered):

December 3, 2025 (Day 1) – 9 am to 4 pm
- ACA/IHCIA 101 Refresher
- Opportunities to Increase Health Care Revenues
- Use of Third Party Revenues
- Policy Updates and Current Issues (Medicare, Medicaid, VA)
- Open Discussion, including opportunity to engage on priority issues
December, 4 2025 (Day 2) – 9 am to 4 pm
- How to plan for and steps needed to initiate a Tribal Sponsorship program (Reimbursement of Marketplace Premiums and Medicare Parts B & D)
- One Big Beautiful Bill Act Overview/Tribal Issues/Implementation
- Available Resources for Tribes
- Question and Answer Session
