IHS TRIBAL SELF-GOVERNANCE ADVISORY COMMITTEE

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IHS TRIBAL SELF-GOVERNANCE ADVISORY COMMITTEE c/o Self-Governance Communication and Education P.O. Box 1734, McAlester, OK 74502 Telephone (918) 302-0252 ~ Facsimile (918) 423-7639 ~ Website: www.tribalselfgov.org July 28, 2015 Geoffrey M. Standing Bear Principal Chief Osage Nation 627 Grandview PO BOX 779 Pawhuska, OK 74506 Dear Principal Chief: On behalf of the Indian Health Service Tribal Self-Governance Advisory Committee (IHS-TSGAC), we are pleased to welcome you to the Self-Governance family and extend our congratulations on your decision to operate your Tribal Health Programs under Self-Governance within the Department of Health and Human Services Indian Health Service. Your decision represents the continued success and growth of this Tribally-driven initiative. The TSGAC was established in 1996 to represent Self-Governance Tribes in an advisory role to the IHS Director on the implementation of Self-Governance both in our communities and at the Federal agency level. In addition to the TSGAC quarterly meetings, we work with the Self-Governance Communication and Education Tribal Consortium (SGCETC) to host an annual Tribal Self- Governance Consultation Conference in partnership with our Federal partners, IHS and the Department of the Interior Indian Affairs (DOI-IA). Further, we also host an annual Tribal Self- Governance Strategy Session for Self-Governance Tribal leaders and technical staff. These venues allow us to share our mutual concerns, recommendations, success stories, etc. and collectively support each other in our day-to-day responsibilities to operate our Tribal health systems. TSGAC can be an excellent resource for new Tribes entering into Self-Governance. The committee regularly discusses urgent policy issues, provides comments on Administrative proposals, and sends updates to Tribes in their area. Please take time to introduce yourself to your regional representative. Their name and contact information is available in the TSGAC Membership Matrix attached. Additionally the Self-Governance Communication & Education website, www.tribalselfgov.org, provides weekly updates. We are excited to have you join more than 340 Federally-Recognized Tribes currently exercising Self-Governance authority as authorized by Title V of the Indian Self-Determination and Education Assistance Act. On behalf of the entire TSGAC Membership and the Tribal Technical Workgroup, please let us know if we can assist in your transition to Self-Governance. We have Tribal Leaders and Technical Workgroup experts that stand ready and willing to help the Southern Indian Health Council, Inc succeed! If you would like to know more about the TSGAC, please contact me at (860) 367-1609 or via email at lmalerba@moheganmail.com. Thank you. Sincerely, Chief Lynn Malerba, Mohegan Tribe Chairwoman, TSGAC Enclosure: TSGAC Membership List, Protocols, and 2015-2016 Calendar

2015-2016 Self-Governance Calendar Date Meeting Location July 21-22, 2015 TSGAC Quarterly Meeting Embassy Suites-DC July 22-23, 2015 SGAC Quarterly Meeting Convention Center August 18-19, 2015 DOI Self-Governance 101 and IHS Self- Mohegan Sun- Governance Finance Training Uncasville, Connecticut September 9-10, 2015 2015 Tribal Self-Governance Annual Hard Rock Hotel- Strategy Session Catoosa, OK October 6-7,2015 IHS TSGAC Quarterly Meeting Embassy Suites-DC October 7-8, 2015 DOI SGAC Quarterly Meeting Convention Center January 26-27, 2016 DOI SGAC Quarterly Meeting Embassy Suites-DC January 27-28, 2016 IHS TSGAC Quarterly Meeting Convention Center March 29-30, 2016 DOI SGAC Quarterly Meeting Embassy Suites-DC March 30-31, 2016 IHS TSGAC Quarterly Meeting Convention Center April 24-28, 2016 2016 Annual Consultation Conference Buena Vista Palace- Orlando, FL July 19-20, 2016 DOI SGAC Quarterly Meeting Embassy Suites-DC July 20-21, 2016 IHS TSGAC Quarterly Meeting Convention Center September 7-8, 2016 2016 Tribal Self-Governance Annual Strategy Session TBD October 25-26, 2016 DOI SGAC Quarterly Meeting Embassy Suites-DC October 26-27, 2016 IHS TSGAC Quarterly Meeting Convention Center

IHS TRIBAL SELF-GOVERNANCE ADVISORY COMMITTEE c/o Self-Governance Communication and Education P.O. Box 1734, McAlester, OK 74501 Telephone (918) 302-0252 ~ Facsimile (918) 423-7639 ~ Website: www.tribalselfgov.org MEMBERSHIP LIST (July 27, 2015) AREA MEMBER (name/title/organization) STATUS CONTACT INFORMATION Alaska Jaylene Peterson-Nyren Executive Director, Kenaitze Indian Tribe Primary 150 N Willow St. Kenai, AK 99611 P: (907) 335-7200 Gerald Jerry Moses Senior Director, Intergovernmental Affairs, Alaska Native Tribal Health Consortium Alternate Email: Jaylene@kenaitze.org 4000 Ambassador Drive, LIGA Department Anchorage, AK 99508 P: (907) 729-1900 Email: gmoses@anthc.org Albuquerque Bemidji Billings California Nashville Luis Romero, Governor Pueblo of Taos Raymond Loretto, DVM, Governor Pueblo of Jemez Greg Matson, Vice Chairman Oneida Tribe of Wisconsin VACANT Beau Mitchell, Council Member Chippewa Cree Tribe Shelly Fyant, Tribal Council Member The Confederated Salish and Kootenai Tribes of the Flathead Nation Ryan Jackson, Council Member Hoopa Valley Tribe Robert Smith, Chairman Pala Band of Mission Indians Marilynn (Lynn) Malerba, Chief Mohegan Tribe of Connecticut TSGAC Chairwoman Casey Cooper, Chief Executive Officer Eastern Band of Cherokee Indians Hospital Primary PO Box 1846 Taos, NM 87571 P: 575-758-9593 ~ F: 575-758-4604 Alternate PO BOX 100 Jemez Pueblo, NM 87024 P: 575-834-7359 ~ F: 575-834-7331 Email: Raymond.loretto.dvm@jemezpueblo.org Primary PO Box 365 Oneida, WI 54155 P: (920) 869-4403 Email: gmatson@oneidanation.org Alternate Primary PO Box 544 Box Elder, MT 59521 Email: beau@cct.rockyboy.org Alternate PO BOX 278 Pablo, MT 59855 P: (406) 275-2700 ~ F: (406) 275-2806 Email: Primary PO Box 1348 Hoopa, CA 95546 Email: cbfdistrict@gmail.com Alternate 35961 Pala-Temecula Rd. Pala, CA 92059 P: 760-891-3519 ~ F: 760-891-3584 Email: rsmith@palatribe.com Primary 5 Crow Hill Road Uncasville, CT 06382 P: 860-862-6192 ~ F: Email: lmalerba@moheganmail.com Alternate 43 John Crowe Hill Rd. PO Box 666 Cherokee, NC 28719 Email: Casey.Cooper@cherokeehospital.org Page 1 of 6

TSGAC & Technical Work Group Membership List July 27, 2015 Navajo Oklahoma Oklahoma Phoenix Jonathan Nez, Vice President Navajo Nation Nathaniel Brown, Honorable Delegate of the 23 rd Navajo Nation Council John Barrett, Jr., Chairman Rhonda Butcher, Director Citizen Potawatomi Nation George Thurman, Principal Chief Sac and Fox Nation Jefferson Keel, Lt. Governor Chickasaw Nation Gary Batton, Chief Mickey Peercy, Executive Director Choctaw Nation of Oklahoma Lindsey Manning Chairman, Shoshone-Paiute Tribes of the Duck Valley Indian Reservation VACANT Primary PO BOX 7440 Window Rock, AZ 86515 P: (928) 871-7000 Email: jonmnez@yahoo.com Alternate PO BOX 3390 Window Rock, AZ 86515 P: (928) 871-6380 Email: nbrown@navajo-nsn.gov Primary Proxy 1601 S. Gordon Cooper Dr. Shawnee, OK 74801 P: 405-275-3121 x 1157 F:405-275-4658 Email: rbutcher@potawatomi.org Alternate Route 2, Box 47 Stroud, OK 74079 P: 918-968-3526 Email::chief@sacandfoxnation-nsn.gov Primary PO Box 1548 Ada, OK 74821 P: 580-436-7232 ~ F: 580-436-7209 Email: lt.gov@chickasaw.net Alternate Proxy PO Box 1210 Durant, OK 74702 P: 580-924-8280 ~ F: 580-920-3138 Email: mpeercy@choctawnation.com Primary PO BOX 219 Owyhee, Nevada 89832 P: 208-759-3100 ~ F: 208-759-3102 Email: manning.lindseyw@shopai.org Alternate Portland W. Ron Allen, Tribal Chairman/CEO Jamestown S Klallam Tribe TSGAC Vice-Chairman Primary 1033 Old Blyn Highway Sequim, WA 98382 P: 360-681-4621 ~ F: 360-681-4643 Email: rallen@jamestowntribe.org Tyson Johnston, Council Member Quinault Indian Nation Alternate P.O. Box 189 (1214 Aalis Drive) Taholah, WA 98587 P: 360-276-8211 ~ F: 360-276-4191 Email: tjohnston@quinault.org Page 2 of 6

IHS TRIBAL SELF-GOVERNANCE ADVISORY COMMITTEE c/o Self-Governance Communication and Education P.O. Box 1734, McAlester, OK 74501 Telephone (918) 302-0252 ~ Facsimile (918) 423-7639 ~ Website: www.tribalselfgov.org TSGAC TECHNICAL WORKGROUP AREA MEMBER (name/title/organization) STATUS CONTACT INFORMATION Alaska Dave Mather, Ph.D Mather & Associates Tech Rep 1569 Northfield Rd Fairbanks, AK 99709 P: 907-455-6942 ~ F: 907-455-7391 Brandon Biddle Alaska Native Tribal Health Consortium Alberta Unok Deputy Director Alaska Native Health Board Tech Rep Tech Rep Email: mather.david@gmail.com 4000 Ambassador Drive Anchorage, Alaska 99508 P: 907-729-4687 Email: bbiddle@anthc.org 4000 Ambassador Drive Anchorage, Alaska 99508 P: 907-562-6006 Email: aunok@anhb.org Albuquerque Shawn Duran Tech Rep P.O. Box 1846 Taos, N.M. 87571 Office: 575.758.8626 ext. 115 Fax: 575.758.8831 Mobile: 575.741.0208 Email: SDuran@taospueblo.com Bemidji Billings John Mojica Mille Lacs Band of Ojibwe Ed Parisian Chippewa Cree Tribe Tech Rep 43408 Oodena Drive Onamia, MN 56359 P: 320-532-7479 ~ F: 320-532-7505 Email: john.mojica@millelacsband.com Tech Rep PO Box 544 Box Elder, MT 59521 Email: eparisian@rbclinic.org California D.C. (National) Jody Jeffers Chief Financial Officer North Fork Rancheria of Mono Indians of California C. Juliet Pittman SENSE Incorporated Cyndi Ferguson SENSE Incorporated Mim Dixon Doneg McDonough Tech Rep P.O. Box 929 North Fork, CA 93643-0929 P: 559-877-2461 ~ F: 559-877-2467 Email: jjeffers@nfr-nsn.gov Tech Rep Upshaw Place 1130-20 th Street, NW; Suite 220 Washington, DC 20036 P: 202-628-1151 ~ F: 202-638-4502 Email: pitt@senseinc.com Tech Rep Upshaw Place 1130-20 th Street, NW; Suite 220 Washington, DC 20036 P: (202) 628-1151 ~ F: (603) 754-7625 C: (202) 638-4502 Email: cyndif@senseinc.com Tech Rep (Health Reform) Tech Rep (Health Reform) 4139 Dietz Farm Circle NW Albuquerque, NM 87107 Phone (505)345-2221 Fax (505)345-2960 Email: mimdixon@hotmail.com Phone: 202-486-3343 (cell) Fax: 202-499-1384 Email: d.mcdonough@yahoo.com Page 3 of 6

TSGAC & Technical Work Group Membership List July 27, 2015 Nashville Dee Sabattus United South and Eastern Tribes Tech Rep 711 Stewarts Pike Ferry, Suite 100 Nashville, TN 37214 Email: dsabattus@usetinc.org Hillary Andrews United South and Eastern Tribes Tech Rep 400 North Capitol Street, NW Suite 585 Washington, DC 20001 Email: HAndrews@USETINC.ORG Navajo Oklahoma Portland Carolyn Drouin Navajo Nation Washington Office Mickey Peercy Choctaw Nation Rhonda Farrimond Choctaw Nation Melanie Fourkiller Choctaw Nation Tribal Technical Co-Chair Theodore Scribner Chickasaw Nation Vickie Hanvey Cherokee Nation Kasie Nichols Citizen Potawatomi Nation Jennifer McLaughlin Jamestown S Klallam Tribe Jim Roberts Northwest Portland Area Indian Health Board Eugena R Hobucket Quinault Indian Nation 750 First Street NE, Suite 1010 Washington, D.C. 20002 P: 202.682.7390 ~ F: 202.682.7391 E-mail: cdrouin@nnwo.org Tech Rep PO Box 1210 Durant, OK 74702 P: 580-924-8280 ~ F: 580-920-3138 Email: mpeercy@choctawnation.com Tech Rep PO Box 1210 Durant, OK 74702 P: 580-924-8280 ~ F: 580-920-3138 Email: rfarrimond@choctawnation.com Tech Rep PO Box 1210 Durant, OK 74702 P: 580-924-8280 ~ F: 580-920-3138 C: 918-453-7338 Email: mfourkiller@choctawnation.com Tech Rep PO Box 1548 Ada, OK 74821-1548 P: 580-436-7214 ~ F: 580-310-6461 Email:theodore.scribner@chickasaw.net Tech Rep PO Box 948 Tahlequah, OK 74465 P: 918-456-0671 ~ F: 918-458-6157 Email: Vickie-Hanvey@cherokee.org Tech Rep 1601 S. Gordon Cooper Dr. Shawnee, OK 74801 P: 405.275.3121 ~ F: 405.275.0198 C: 405-474-9126 kasie.nichols@potawatomi.org Tech Rep 1033 Old Blyn Highway Sequim, WA 98382 P: (360) 681-4612 ~ F: (360) 681-4648 Email: jmclaughlin@jamestowntribe.org Tech Rep 527 SW Hall #300 Portland, OR 97201 P: (503) 228-4185 ~ F: (503) 228-8182 Email: jroberts@npaihb.org Tech Rep PO BOX 189 Taholah WA 98587 P: (360) 276-8211 ~ F: (360) 276-8201 Email: ehobucket@quinault.org Page 4 of 6

IHS TRIBAL SELF-GOVERNANCE ADVISORY COMMITTEE c/o Self-Governance Communication and Education P.O. Box 1734, McAlester, OK 74501 Telephone (918) 302-0252 ~ Facsimile (918) 423-7639 ~ Website: www.tribalselfgov.org FEDERAL TECHS AREA MEMBER (name/title) STATUS CONTACT INFORMATION HQ Jennifer Cooper Deputy Director, OTSG (Federal Tech Co-Chair) OTSG Rep 801 Thompson Ave, Suite 240 Rockville, MD 20852 P: 301-443-7821 ~F: 310-443-1050 Jennifer.Cooper@ihs.gov Aberdeen Alaska Jeremy Marshall, Policy Analyst, OTSG OTSG Rep 801 Thompson Ave, Suite 240 Rockville, MD 20852 P: 301-443-7821 ~F: 310-443-1050 Jeremy.Marshall@ihs.gov Jessica Smith-Kaprosy, Policy Analyst, OTSG OTSG Rep 801 Thompson Ave, Suite 240 Rockville, MD 20852 P: 301-443-7821 ~F: 310-443-1050 Jessica.Smith-Kaprosy@ihs.gov Sandy Nelson (POC) Director, Office of Tribal Programs Evangelyn Dotomain (POC) Director, Office of Tribal Programs Area Rep 115 4th Avenue, SE, Suite 309 Aberdeen, SD 57401 P: 605-226-7276 ~F: 605-226-7541 Sandy.Nelson@ihs.gov Area Rep 141 Ambassador Drive Anchorage, AK 99508-5928 P: 907-729-3677 ~F: 907-729-3678 Evangelyn.Dotomain@ihs.gov California Nashville Navajo Oklahoma Portland Tucson Travis Coleman IHS Agency Lead Negotiator Lindsay King IHS Agency Lead Negotiator Floyd Thompson Executive Officer/ IHS Agency Lead Negotiator Alva Tom (POC) Director, Indian Self-Determination Max Tahsuda Director, Tribal Self-Determination IHS Agency Lead Negotiator (Acting) IHS Agency Lead Negotiator (Alaska) Denise Imholt IHS Agency Lead Negotiator Robert L. Price (POC) Public Health Advisor Office of Tribal Affairs Page 5 of 6 Area Rep 650 Capitol Mall, Ste 7-100 Sacramento, CA 95814 P: 916-930-3927 ~F: 916-930-3952 Travis.Coleman@ihs.gov Area Rep 711 Stewarts Ferry Pike Nashville, TN 37214-2634 P: 615-467-1521 ~F: 615-467-1625 Lindsay.King@ihs.gov Area Rep Area Rep Area Rep Hwy 264 (St. Michael, AZ) Window Rock, AZ 86515-9020 P: 928-871-1444 ~F: 928-871-5819 Floyd.Thompson@ihs.gov Hwy 264 (St. Michael, AZ) Window Rock, AZ 86515-9020 P: 928-871-1444 ~F: 928-871-5819 Alva.Tom@ihs.gov 701 Market Drive Oklahoma City, OK 73114 P: 405-951-3761 ~F: 405-951-3868 Max.Tahsuda@ihs.gov Area Rep 1414 NW Northrup Street, Suite 800 Portland, OR 97209 P: 503-414-7792 ~F:503-414-7791 Denise.Imholt@ihs.gov Area Rep 7900 South J Stock Road Tucson, AZ 85746 P: 520-295-2403 ~F:520-295-2540 Robert.Price@ihs.gov

TSGAC & Technical Work Group Membership List July 27, 2015 OTHER RESOURCES MEMBER (name/title) ORGANIZATION CONTACT INFORMATION Laura Bird Policy Analyst National Congress of American Indians 1516 P ST NW Washington, DC Email: Lbird@ncai.org Caitrin Shuy Director of Congressional Relations National Indian Health Board P: 202-507-4085 Email: cshuy@nihb.org TSGAC Mailing Address: c/o Self-Governance Communication and Education P.O. Box 1734, McAlester, OK 74501 Telephone (918) 302-0252 ~ Facsimile (918) 423-7639 ~ Website: www.tribalselfgov.org Page 6 of 6

TRIBAL SELF-GOVERNANCE ADVISORY COMMITTEE DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE ORGANIZATIONAL PROTOCOLS Originally Adopted: July 10, 1996 Updated: July 12, 2006 Amended: July 19, 2010 Amended: July 30, 2014 1. PREAMBLE At the recommendation of the Self-Governance Tribes, representatives from the Self- Governance Tribes and Indian Health Service staff developed guidelines for establishment of a Tribal Self-Governance Advisory Committee. After review and revision, the guidelines were approved by the Director, Indian Health Service, on April 23, 1996. The Tribal Self- Governance Advisory Committee (TSGAC) will provide information dissemination, education, advocacy and policy guidance for implementation of Self-Governance within the Indian Health Service. The passage of Title V, The Tribal Self-Governance Amendments of 2000 (P.L. 106-260) and the subsequent promulgation of the Title V regulations, published in the Federal Register on Friday, May 17, 2002, further strengthen the role of the TSGAC in implementing this Act. The Committee will operate in good faith and within the guidelines established. 2. MEETINGS A. Participation Meetings are open. Non-committee attendees at the meetings may be recognized by the TSGAC Chair at various times throughout each meeting to make comments, raise questions, or submit materials for the record. Any materials submitted must be provided by the unofficial attendees. B. Agenda Self-Governance Tribes who want items included on the agenda should forward their suggestions either to their regional TSGAC member, the TSGAC Chairperson and TSGAC Tribal Technical Workgroup Members. Forty-five calendar days prior to each Quarterly Meeting, The TSGAC, the Technical Workgroup, and the Self-Governance Communication and Education (SGCE) will work with the Office of Tribal Self- Governance (OTSG) to compile a draft agenda. Two weeks prior to each quarterly meeting, the Agenda and accompanying materials will be provided to the TSGAC Members. When appropriate, materials may be available and accessed on the Tribal Self- Governance website; www.tribalselfgov.org. C. Minutes The Self-Governance Communication and Education (SGCE) office will maintain minutes, records and documents. Approved minutes will be distributed to the TSGAC by the SGCE Office. A meeting report including issues discussed and actions taken will be available for distribution to all Self-Governance Tribes following approval by the TSGAC.

D. Caucus A caucus can be requested by any TSGAC Member and declared by the Chair. E. Meeting Schedule Meetings will be held quarterly. Special Meetings may be called at the discretion of the Chair upon request by a Member of the TSGAC. F. Quorum A quorum shall consist of six (6) Members. Once a quorum is established, the Committee may conduct business not withstanding the loss of a quorum. 3. COMMITTEE ACTIVITIES The TSGAC will: 1) Maintain communication with Self-Governance Tribes in their respective region, with assistance of the Self-Governance Communication and Education office (SGCE) to collect and advance priority issues to the TSGAC to include on the Quarterly Meeting Agenda; 2) Supplement the government-to-government consultation by coordinating with the Self-Governance Tribes in their respective regions, to include gathering input from on priority issues addressed at the TSGAC Quarterly Meetings; 3) Report back to Tribes in their respective regions following TSGAC Quarterly Meetings on issues identified and follow-up discussions and strategies; 4) Provide advice to the IHS Director and OTSG Director, on policy, legislative, budget and program issues prior to final decisions that impact Self-Governance Tribes; 5) Represent Self-Governance in forums as requested by the TSGAC Chairperson and/or the OTSG Director when Self-Governance issues are discussed; 6) Review, evaluate and recommend refinements for directives that define the relationship between Self-Governance Tribes and the U.S. Government; 7) Review Self-Governance issues and make recommendations as appropriate and participate in evaluating progress in meeting the goals of Self-Governance 8) Provide representation, as feasible, on all Tribal/Federal committees and workgroups, including ad hoc workgroups to provide a Self-Governance perspective; address Self-Governance issues; 9) Appoint subcommittees and/or workgroups as necessary to meet the goals of the TSGAC; and 10) Assist in coordinating meetings with Congress and the Administration within the nonadvocacy authority as an Advisory Committee to the IHS Director. Otherwise lobbying and actions to influence Congress can only be performed as independent Tribal Nations not as TSGAC members. 4. DECISION MAKING A. Consensus The TSGAC will operate by consensus. B. Representation on Other Committees Participation in other HHS/IHS/Tribal Committees, Workgroups, Task Forces and Subcommittees. On August 23, 2001, the TSGAC adopted protocols regarding TSGAC participation in such other Committees, etc. (See attachment). C. Constituents Interests TSGAC Members are expected to represent the concerns and interests of their constituents. 5. TSGAC OFFICERS

The Chair and Vice-Chair will be elected by the TSGAC on an annual basis during the last quarter of each calendar year. The role of the Officers includes developing draft agendas, chairing the TSGAC and Workgroup discussions, working to resolve any impasses that may arise, preparing meeting summaries/minutes, assisting in the site selection of meetings and the circulation of background materials as well as other materials the TSGAC develops, and other functions the TSGAC requests. The Officers will represent positions of the full TSGAC. The Chairperson and Vice Chairperson may serve multiple and consecutive terms. If the Chairperson or Vice Chairperson is unable to continue to serve in that capacity for any reason, a new Officer shall be elected at the next scheduled TSGAC Quarterly Meeting by majority vote of the TSGAC to fulfill that term of office. 6. MEMBERSHIP The TSGAC shall consist of a Primary and an Alternate representative from each of the Indian Health Service (IHS) regions that have a Self-Governance Tribe. A. Membership Requirements Primary and alternate representatives to the TSGAC shall be elected Tribal officials or their designee with written authority to represent their respective area. B. Selection of Members 1) Self-Governance Tribes in each Area will establish a process to nominate two Tribal representatives to serve on the TSGAC (one Primary and one Alternate). At the Tribes choice, the IHS Area Director may help facilitate the nomination process. 2) The TSGAC Primary and Alternate members should not be from the same Tribe unless there are no other Self-Governance Tribes or no other nominees from Self- Governance Tribes in the Area. 3) Nominations to the Committee shall be made in the form of written notification to the Chairperson of the TSGAC. 4) The name(s) of the nominated individual(s) shall be advanced to the TSGAC Chairperson c/o SGCE, P.O. Box 1734, McAlester, OK 74501 20036-5303. 5) The Primary and Alternate nominees will be confirmed at the next scheduled TSGAC Quarterly Meeting. C. Proxy 1) Temporary Proxy: In the event that neither the Primary nor Alternate member is available to attend a regular TSGAC Quarterly Meeting, a written proxy is required on a meeting-by-meeting basis for a temporary designee to represent the region. 2) Formal Proxy: a) Tribal officials may formally designate an individual to serve as their proxy by written notification to the TSGAC Chairperson. b) The proxy can continue to serve in this capacity, as long as, the proxy has not missed more than three consecutive meetings. c) These designees must be renewed on an annual basis. D. Term of Membership 1) TSGAC Primary and Alternate Committee members shall serve three year terms. 2) TSGAC Committee members may serve multiple and consecutive terms. 3) If a confirmed TSGAC member misses three consecutive Quarterly Meetings of the TSGAC, said member shall be removed from the TSGAC and notified in writing of their removal by the TSGAC Chairperson.

4) If a confirmed TSGAC member cannot fulfill his or her term of service, for any reason, a new member shall be nominated to complete the current term and selected as identified under Selection of Members. 5) The nominee will be confirmed by the TSGAC at the next scheduled TSGAC Quarterly Meeting. E. Oklahoma Membership Although there is only one Area Office for the Oklahoma Area within IHS, there are two Regional Bureau of Indian Affairs Offices covering the same geographic area. In order to reflect the diversity in Oklahoma and maintain consistency between the Department of Interior s Self-Governance Advisory Committee and TSGAC, TSGAC will recognize two Primary and two Alternate members from Oklahoma selected as identified under Section 7B. Selection of Members. 7. TECHNICAL WORKGROUP A. Membership The Primary and Alternate TSGAC members from each area will select up to two persons to serve as Official Members of the TSGAC Technical Workgroup. 1) The two persons should not be from the same Tribe unless there are no other Self- Governance Tribes from in the Region. 2) If a confirmed Technical Workgroup Member misses three consecutive Quarterly Meetings of the TSGAC, this will be cause for removal from the Technical Workgroup and will be notified in writing of their removal by the TSGAC Chairperson. 3) If a confirmed Technical Workgroup Member cannot fulfill his or her responsibilities, TSGAC Primary and Alternate Members from that region will be asked to identify a replacement. 4) If there are no other replacements from that area, the TSGAC Primary and Alternate Members will: a) Recommend someone to fill the Technical Workgroup Member vacancy; or b) Approve someone from the expert resource pool until a replacement is identified. B. Activities and Roles of the Technical Workgroup Official Members of the Technical Workgroup shall: 1) Attend the TSGAC Quarterly Meetings and provide input as subject matter experts on issues addressed by the TSGAC. The Technical Workgroup shall advise and recommend to the TSGAC. 2) Convene meetings immediately following the TSGAC Quarterly Meetings to discuss issues and directives assigned to the Technical Workgroup from the TSGAC. 3) As directed by the TSGAC, assume authority and responsibility for specific tasks, such as, drafting summaries, letters, emails or other correspondence, perform research, analyze issues, develop recommendations and draft workgroup reports that address issues raised at the TSGAC Quarterly Meetings. 4) Actively participate and contribute in Technical Workgroup activities and assignments necessary to assist in the planning of the agendas and developing work products in preparation for TSGAC Quarterly Meetings, the Annual Self-Governance Conference and Annual Tribal Strategy Session. 5) Represent the TSGAC in forums absent of Self-Governance representation as designated by the Chairperson or the TSGAC. C. Co-Chairs

1) Tribal Co-Chair On an annual basis, the TSGAC shall appoint a Technical Workgroup Member to serve as the Tribal Co-Chair of the Technical Workgroup during the last quarter of each calendar year. 2) Federal Co-Chair On an annual basis, the Office of Tribal Self-Governance shall appoint a Federal Co- Chair to serve on the Technical Workgroup during the last quarter of the calendar year. D. Technical Workgroup Meetings Technical Workgroup meetings are open and other Tribal and technical resource representatives may participate in meetings. E. Oklahoma Membership In order to reflect the diversity in Oklahoma and maintain consistency between the Department of Interior s Self-Governance Advisory Committee and TSGAC, TSGAC will recognize a total of four technical workgroup members from Oklahoma selected as defined under Section 7A. Membership. 8. REIMBURSEMENT Funds will be provided to TSGAC to reimburse Government Services Administration (GSA) approved travel and per diem expenses of the official TSGAC members and Official Technical Workgroup Members. At the designation and approval of the TSGAC Chairperson, TSGAC Official and Tribal Technical members will be reimbursed for travel and per diem expenses to represent the TSGAC at meetings other than the TSGAC Quarterly meetings. Other Tribal and Technical Representatives who are not official members or designees may attend meetings at their own expense. 9. CONFLICTS OF INTEREST The members of the TSGAC will speak on issues for the general benefit of Self-Governance Tribes. TSGAC members will not present proposals that will create an unfair advantage for one particular agency, Tribe or region over another. 10. AMENDMENTS The TSGAC reserves the right to amend the protocols as needed to reflect the changing representation of Self-Governance Tribes. 11. HOLD HARMLESS Nothing in these protocols establishes a right to legal action against the TSGAC, the Indian Health Service, any Tribe with representation on the TSGAC, or Official Technical Workgroup Member. ATTESTED: These Organizational Protocols are adopted by the Tribal Self-Governance Advisory Committee on July 10, 1996, by consensus with no objection.

These Organizational Protocols are further amended by the Tribal Self-Governance Advisory Committee on July 12, 2006, by consensus with no objection. These Organizational Protocols are further amended by the Tribal Self-Governance Advisory Committee on July, 2010, by consensus with no objection. These Organizational Protocols are further amended by the Tribal Self-Governance Advisory Committee on July, 2014, by consensus with no objection. Marilynn Malerba TSGAC Chair Chief, The Mohegan Tribe W. Ron Allen TSGAC Vice Chair Chairman/CEO, Jamestown S Klallam Tribe