Page 2 Spilyay Tymoo, Warm Springs, Oregon IHS outlines clinic expansion plan The Warm Springs Indian Health Service clinic opened 25 years ago. Since that time, as the tribes have grown, the number of patients and other users, and the number of employees at the clinic have also grown. The Warm Springs Joint Health Commission—the health care partnership be- tween the tribes and IHS— is developing a plan for the first major expansion of the clinic. Two years ago the Joint Health Commission created the clinic Modernization Committee, including IHS employees, other community members, and the War m Springs Health and Human Services. The committee developed three options for expansion of the clinic. The options were the Consolidated Cam- pus option, the Two Campus Option, and the Re-Use Ex- isting Option. After weighing the pros and cons of each option, the parties concluded the Con- solidated Campus Option would be the best. The com- mittee, IHS and Health and D.McMechan/Spilyay Area on the clinic campus identified for the new administrative services building. Health and Human Services last week presented the op- tions, and the recommended option to Tribal Council. The Consolidated Cam- pus option involves the con- struction of two new clinic wings, built off each end of the existing clinic. There will also be a new administration building, and a new facility management building, both on the clinic campus. The new administration building would be across the parking lot from the clinic, and the new facility manage- ment building would be near Aspirations profiles The Warm Springs summer youth workers are now back at school. In this Spilyay are some final Youth Worker Profiles from the 2018 Native Aspirations season (see pages 4 and 6). Gerald Tufti text & photos the new west wing expan- sion. The Primary Care ser- vices will be housed in one of the new wings. Some other positive points include: All services are located on one campus. The priorities of Primary Care, Pharmacy, Dental and Rehabilitation services all can be imple- mented in the first phase of project. The direct patient admin- istrative services will remain in the Health and Wellness building, while the rest of the administrative staff would be in the separate adminis- tration building. The cost of the work will be clear when more detailed architectural and engineering plans are developed, said Yvonne Iverson, IHS budget analyst at the clinic. The clinic already has $4 million for the project, and is expecting to have closer to $7 million by the end of the fis- cal year. The building fund is generated by billing of pa- tients, such as to the Oregon Health Plan, and by a new reimbursement formula at the clinic Pharmacy. If all goes as planned, con- struction could begin in 2020. Community notes... A new free legal clinic will be taking intakes on Oc- tober 8 at the Warm Springs Community Action Team Office. They will be taking intakes from 10 a.m. to 3 p.m. Eligible clients will receive a free 45-60 minute consul- tation with an attorney to dis- cuss any legal issues. To find out if you qualify call Rayven at 971-703-7108. The clinic is being provided by Karnopp Petersen LLP and Legal Aid Services of Oregon. Bureau of Indian Affairs Law Enforcement from Port- land on Thursday and Friday, September 20-21 plans to visit War m Springs to tour the jail. The Warm Springs Jail and dispatch building is BIA property, op- erated by the tribes through the Public Safety Branch. Condition of the Warm Springs Jail has been an is- sue with the tribes for years. The facility was built in 1985 with a projected useful life of 25 years. Tribal officials have suggested a new jail and tribal justice center as an op- tion. Bend Film will show films at the Madras Performing Arts Center in October. This is part of the Fif- teenth Annual Bend Film Fes- tival. Tickets are $5. The filmmakers will be present for each film. And special guests will be attending: The only two-time Sundance Film Festival Win- ner Ondi Timoner, and ac- tor Adam Beach. The dates are October 12-14. September 12, 2018 Elections: (Continued from page 1) Individuals who do not meet the automatic one- quarter blood quantum re- quirement may get en- rolled through the adop- tion process. To be eligible for adoption, individuals must have one-eighth In- dian blood, descend from a current or former tribal member, meet the resi- dency requirement, not be enrolled in another tribe, and receive the majority of the vote in an adoption referendum. Tribal Council added the baseline census year concept for automatic en- rollment purposes in 1975. Adding the census baseline meant that all ap- plicants for enrollment would have blood quan- tum determined by exam- ining the parent/grandpar- ent whose name appears on the 1940 census. For those on the 1940 census list, all their Indian blood would be consid- ered Confederated Tribes blood for the purposes of enrollment. Tribal Council later added the 1960 baseline for enrollment purposes in 2008. 3 in 2019 For example, consider the child of a biological tribal member parent born in 1958 who was one-quarter War m Springs, one-quarter Na- vajo, one-quarter Choctaw and one-quarter white, and whose name appears on the 1960 cen- sus. Using only the 1940 census as the baseline, the child would only be one- eighth Confederated Tribes blood, and not eli- gible for automatic enroll- ment. However, using the 1960 census as the baseline, the tribal mem- ber parent has a total of three-quarter Indian blood, all of which would be considered Confeder- ated Tribes blood. Thus, the child could be auto- matically enrolled as hav- ing one-quarter or more Confederated Tribes blood. The February 2019 referendum will ask tribal voters to add the 1980 census to the list of baseline census years for determining Confeder- ated Tribes blood quan- tum.