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Governor's Indian Health Advisory Council

The purpose of the Governor’s Indian Health Advisory Council (GIHAC) is to address issues in our state’s Indian health care delivery system. It was created in 2019 through Senate Bill 5415. The Council includes representatives from tribes, Indian health, state agencies, and legislators.

The Council builds upon the planning work of the Governor's Indian Health Council created in 2018 through Senate Bill 6032

The Council is tasked with:

  • Addressing current and proposed policies or actions that have tribal implications (and are not able to be addressed at the agency level).
  • Facilitating training for state agency leadership, staff, and legislators on the Indian health system and tribal sovereignty.
  • Providing contracting and performance oversight of service coordination organizations or service contracting entities (RCW 70.320.010) to address impacts on services to American Indians and Alaska Natives and relationships with Indian health care providers.



View or print the 2019 regular meeting schedule.

Time and date



August 14, 2019
6 to 8:30 p.m.

Great Wolf Lodge Conference Center
20500 Old Highway 99 SW
Centralia, WA 98531

Agenda (08/14/2019)

Proposal A: council charter

Proposal B: 2019 meeting schedule

November 6, 2019
2 to 5 p.m.

Little Creek Event Center
Squaxin Island Tribe
91 WA-108
Shelton, Washington, 98584

(part of Centennial Accord pre-meeting)

Agenda (11/06/2019)

Council charter

December 6, 2019

Health Care Authority
Sue Crystal Conference Room
Cherry Street Plaza
626 8th Avenue SE
Olympia, WA 98501

Agenda (12/06/2019)

Proposal A - Draft minutes from 11/06/2019 meeting

Proposal B - Proposed meeting schedule for 2020

Draft American Indian Health Council (AICH) bill to address suicide and addiction crisis in Indian Country

Advisory Council brief - Indian Managed Care entity

Advisory Council brief - Specialized Managed Care program

Advisory Council brief - Wisconsin Three-Party contracts


View and print the 2018 regular meeting schedule and work plan.




December 20, 2018

Health Care Authority
Cherry Street Plaza
626 8th Avenue SE
Olympia, WA 98504

Agenda (12/20/2018)

December 11, 2018

Squaxin Island Tribe
Little Creek Resort
91 West State Route 108
Shelton, WA 98584

Agenda (12/11/2018)

November 7 and 8, 2018

Suquamish Tribe
15347 Suquamish Way NE
Suquamish, WA

Agenda (11/7-8/2018)

July 16, 2018

Health Care Authority
Cherry Street Plaza
626 8th Avenue SE
Olympia, WA 98501

Agenda (07/16/2018)

2018 legislative recommendations

The Council’s 2018 legislative report recommended:

  • Establishing the Governor’s Indian Health Advisory Council.
  • Establishing the Indian Health Improvement Reinvestment Account for appropriating new state savings while maintaining fiscal neutrality.
  • Budgeting funding for Health Care Authority staff to partner with the Indian Health Service and tribal governments to meet federal requirements regarding the 100 percent Federal Medical Assistance Percentage.
  • Partnering with tribes to cover expenses for the Governor’s Indian Health Advisory Council to complete the first Indian Health Improvement Advisory Plan.

Workgroup member organizations

Organization name (A-N) Organization name (O-Z)

American Indian Health Commission

Office of the Insurance Commissioner

Colville Indian Health Services (IHS) Service Unit

Office of the Superintendent of Public Instruction

Confederated Tribes and Bands of the Yakama Nation

Port Gamble S'Klallam Tribe

Confederated Tribes of the Chehalis Reservation

Puyallup Tribe of Indians

Confederated Tribes of the Colville Reservation

Quileute Tribe

Cowlitz Indian Tribe

Quinault Indian Nation

Department of Children, Youth, and Families

Samish Indian Nation

Department of Commerce

Sauk-Suiattle Indian Tribe

Department of Corrections

Seattle Indian Health Board

Department of Health

Senate, Washington State

Department of Social and Health Services

Shoalwater Bay Indian Tribe

Governor's Office

Skokomish Indian Tribe

Health Care Authority

Snoqualmie Indian Tribe

Hoh Tribe Spokane Tribe of Indians

House of Representatives

Squaxin Island Tribe

Indian Health Service Portland Area Office

Stillaguamish Tribe of Indians

Jamestown S'Klallam Tribe

Suquamish Tribe

Kalispel Tribe of Indians

Swinomish Indian Tribe

Lower Elwha Klallam Tribe

The Native Project

Lummi Nation

Tulalip Tribes of Washington

Makah Indian Tribe

Upper Skagit Indian Tribes

Muckleshoot Indian Tribe

Washington Health Benefit Exchange

Nisqually Indian Tribe

Wellpinit IHS Service Unit

Nooksack Indian Tribe

Yakama IHS Service Unit

Northwest Portland Area Indian Health Board



Jessie Dean, administrator and tribal liaison
Email: jessie.dean@hca.wa.gov
Phone: 360-725-1649

Melissa Livingston, senior policy analyst
Email: melissa.livingston@hca.wa.gov
Phone: 360-725-9832