Why Should Tulalip Tribal Members Care About the Affordable Care Act?

By Kyle Taylor Lucas

The Affordable Care Act (ACA), signed into law in 2010, became effective January 2014. Many questions continue to roil in the minds of American Indians about just what the new health care law means to them.

The law helps make health insurance coverage more affordable and accessible for millions of Americans, including American Indians. Importantly, the law addresses inequities, increases access to affordable health coverage and prevention medicine for tribal members. The ACA is important to American Indians because it provides greater access to care and coverage unmet by the Indian Health Service (IHS).

The ACA requires all Americans to have health care insurance coverage. However, American Indians and Alaska Natives have the option to file a lifetime exemption. They are encouraged by the state Health Care Exchange to file the exemption regardless of their current insurance status in case their insurance should ever lapse.

There are numerous state and federal agencies working to implement and manage ACA health care delivery. Tulalip members can most directly obtain enrollment process advice from clinic staff members who have received specialized training as Tribal Assisters. They can help members through the enrollment process and refer you to a broker who is licensed to provide information and advice on qualified health insurance plans and policies. Tulalip Resource Advocate, Rose Iukes, has received intensive training on the ACA. She and Brent Case can answer questions and help enroll members. Fortunately, for Tulalip members, the Board of Directors contracted with a licensed broker, Jerry Lyons, to assist members in understanding and selecting the best-qualified health insurance plan for themselves.

 

Contact Information:

 

Tribal Assisters:

Rose Iukes, Resource Advocate – (360) 716-5632 / RoseIukes@tulaliptribes-nsn.gov

Brent Case, Resource Specialist – (360) 716-5722 /  BCase@tulaliptribes-nsn.gov

 

Broker:

Jerry Lions, American Senior Resources – (206) 999-0317

 

Asked about the greatest impediment to enrolling tribal members, Rose Iukes said many tribal members assume IHS coverage is sufficient, so have been disinterested in the ACA. Even so, she noted, “We had almost 800 people apply. We got probably about 250 on qualified health plans and about 150-180 on Apple.” She said efforts were hampered by the state system “going down,” which required many tribal enrollments to be done in-person. “There were so many flaws that we started having people do paper applications here at the clinic. Now, we need to have them do follow-up. We didn’t get to do a test-run on the site. We thought we could go in and enroll them, but there were additional security questions. So, now we’re asking members who completed paper applications to come in and complete their application processes.”

Even with the challenges, Washington State fared better with its overall ACA rollout than other states, leading the nation in early enrollment numbers.

Rose Iukes noted significant confusion due to the state’s failure to provide clarifying information on special tribal provisions and exemptions on its websites and call centers. She said, “I’m hoping these call centers get educated on the tribal provisions and exemptions.” She could not say why there is little detail about income, age and other special provisions posted on state websites. Publicizing details of special federal poverty level provisions and exemptions for tribal members may be confusing to the general public. The result is that the rollout for American Indians, especially urban Indians without easy access or even referral to a Tribal Assister, has been challenging. However, despite the state’s system inadequacies, Iukes praised the American Indian Health Care Commission staff and Sheryl Lowe at the Washington Health Care Exchange whose support she felt was invaluable.

“The bottom line for tribal members, if they have ACA health care they can be taken care of. And they can get the help they need. That’s what drives me and why I advocate the way, I do. I don’t want somebody to go through the heartache,” said Iukes.

Tribal members often inquire about alcohol and chemical dependency treatment options, especially as many have a history of unsuccessful treatment attempts. Iukes said that beyond the Tribe’s one treatment option, “With qualified health plans, there is unlimited treatment, but we need to find a way to help them pay their premium. For example, a young man was ready to go to treatment, but his premium was $4. It must be paid with a debit card, but he didn’t have one. Ultimately, he didn’t go to treatment. I’ve asked the Board about setting up a way for the premium to come out of per capita, then we can issue them a card to use” to pay their premiums.

Broker, Jerry Lyons, is licensed with eighty (80) different insurance companies said, “In my brief time working with Tulalip, we feel confident in our efforts. We are being successful as we have been instrumental in assisting members with questions and we have enrolled more Native Americans into the ACA than any other tribe.” He added that never in his career has he been involved in a more “disorganized” insurance roll-out, but emphasized it was not due to the tribal efforts, but rather the bureaucracy. “Even so, we have helped about 250 people obtain insurance in one way or another.” Asked if he is available to all members many of whom reside off-reservation, Lyons replied, “We assist all members. There are also many special plans that most tribes are unaware of. Just have them call me.”

Several state, public/private, federal, and non-profit organizations are supporting tribal ACA implementation and enrollment. They are the Washington Health Benefit Exchange, the Health Care Authority, the Centers for Medicare and Medicaid Services (CMS) Region 10 office in Seattle, and the American Indian Health Commission.

 

Washington Health Benefit Exchange (HBE)

The Washington Health Benefit Exchange was created in 2011 state law as a “public-private partnership” separate and distinct from the state. The Exchange is responsible for the creation of Washington Healthplanfinder–the online marketplace to assist Washingtonians to find, compare, and enroll in qualified health insurance plans.

Many tribal members who rely upon IHS for their health care needs question the need to apply for ACA coverage. They also question the need to go outside treaty guaranteed health care services. Unfortunately, as most trust responsibilities, health care for American Indians/Alaska Natives has been historically and woefully underfunded and continues to be so today.

When asked why the ACA is important to tribal members, Sheryl Lowe, tribal liaison with the Washington Health Benefit Exchange, said, “Individual coverage offers tribal members more access to specialty care and even if the member uses their own tribal clinic, the tribe can then bill the health insurance company rather than the Indian Health Service. She emphasized that the basic tribal contract dollars can then be utilized for other urgent and uncovered care.

Lowe said the ACA benefits both individuals and tribes. “For most tribes, IHS only provides direct care and tribes have to pay Contract Health Care. And the IHS continues to be funded at less than fifty percent of need, so the ACA is another way for individuals and tribes to access health care. Also, most tribal clinics are Priority One clinics offering basic care and provide referrals only for life and limb.”

After working out many of the bugs and training, there are 93 Tribal Assisters, at least one in each of the federally recognized tribes in Washington, the state and the Tribal Assisters are now able to focus upon a more comprehensive effort to enroll tribal members. Lowe praised the Tribal Assisters who she credits with outstanding efforts to learn a complicated enrollment process to become certified as Tribal Assisters. She said Tulalip has four Tribal Assisters and she exclaimed, “Rose Iukes is so dedicated!” The HBE shared the following statewide training statistics:

– HBE-Certified Tribal Assisters:  93

– Tribal Staff in the process of becoming Certified:  34

– 66 Active Tribal Assisters helped 10,000 people enroll through the HPF (through 2/15/14)

– Tribal Assisters represented 25 Tribes, 2 Urban Indian Organizations, and SPIPA

The Health Benefit Exchange reports that statewide, of the 26,378 who answered “yes” to “Are you an American Indian/Alaska Native [AI/AN]?” on the ACA enrollment site, 21,201 of “enrolled tribal members” have enrolled in the Healthplanfinder. Significantly, 17,350 enrolled in Washington Apple Health (expanded Medicaid). Unfortunately, of the 3,885 AI/ANs eligible for Qualified Health Plans, only 1,110 actually enrolled even though many would likely have zero to low premiums and no cost shares.

Lowe said she couldn’t emphasize enough the importance of tribal members considering enrollment because those whose income falls in 138 – 300 percent of federal poverty level have no cost-sharing which means no co-pay or deductibles, “which is a huge benefit.” She added, “Depending upon household size and other factors, some may even have a premium that is zero. They can take the tax credit to lower their monthly premium or take it at the end of the year.           Those in the 138 – 400% of poverty level are eligible for premium tax credits. Depending upon income or household size you can get tax credits which will reduce your overall costs.” She pointed out that some plans have deductibles for $5000 for a family before they’ll pay anything, so the cost-sharing benefit is one of the biggest things for tribal members.” It is clearly worthwhile for tribal members to speak to a tribal assister and/or broker.

Those whose income is below 100 – 138 percent of federal poverty level qualify for expanded Medicaid or Apple Health as it is now called. However, children are eligible for Apple Health in households whose income is up to 300% of the federal poverty level. Therefore, although the adults may not qualify for Apple Health, it is important to consider that children may.

Unlike Apple Health, the Qualified Health Plans do not provide dental. Yet, the ACA does require that all children be covered by dental insurance. The HBE indicates there are two low-cost children’s plans available. Sheryl Lowe indicates there is also discussion about the potential of adult dental plans to be introduced in 2016. Broker, Jerry Lyons, encourages tribal members to ask him about low-cost and special plans that most tribes are unaware.

 

Washington Health Care Authority (HCA)

The HCA oversees Washington expanded Medicaid or Apple Health plan for low-income residents. Washington is one of 27 states implementing expanded Medicaid. Of the many benefits for American Indians from the new health care law, expanded Medicaid seems most significant. Eligibility for Apple Health (expanded Medicaid) is the same for tribal members and the general public–that is household income below 100 – 138 percent of the federal poverty level. Tribal members in the Apple Health Program would not be eligible for tax credit that is offered tribal members in the Qualified Health Plans. However, one important benefit is that effective January; dental coverage for adults was restored.

Through expanded Medicaid in Washington, countless low-income American Indians and Alaska Natives can now receive specialty care. As of March 25, 2014, of all who identified as AI/ANs at enrollment, 17,350 have enrolled in Washington Apple Health (or expanded Medicaid). Staff at the Tulalip Tribes health clinic is working to update Tulalip enrollment numbers. Rose Iukes reported it is difficult because many are in process of updating enrollment after the glitches in the state system caused the Tribe to revert to paper applications.

Tribal members can enroll monthly by the 23rd, and then the plan starts the first of next month.

Big changes in Medicaid/Apple Health became effective January 2014. Because of the ACA, more people are able to get preventive care, like check-ups and cancer screenings, treatment for diabetes and high blood pressure, and many other health care services they need to stay healthy.

 

Apple Health (Medicaid) Benefit Changes Effective January 2014

Dental Services for Adults:  Dental health benefits were restored for individuals 21 years of age and older in January. Ensure that your dentist is enrolled as a Medicaid provider.

Mental Health Services Unlimited Number of Visits: Beginning in 2014, there are no limits on the number of visits for mental health services in a calendar year.

Expanded Pool of Licensed Providers:  Previously, psychiatrists were the sole mental health provider approved for adults, but effective January 2014, mental health services can be sought from a variety of providers. Coverage is expanded to services by Licensed Advanced Social Workers, Licensed Independent Social Workers, Licensed Mental Health Counselors, Licensed Marriage and Family Therapists and Psychologists. Just ensure your provider is enrolled with Medicaid.

Preventative Care Shingles Vaccine: Beginning January 2014, Apple Health shall will cover the shingles vaccination for clients 60 years of age and older. Age 60 or older is considered the most effective time to receive the vaccine.

Oral Contraception: Effective 2014: Apple Health now allows eligible clients the option to fill birth control prescriptions for a 12-month period.

Early Intervention Screening for Substance Abuse: Apple Health will cover services provided by trained, certified medical providers who conduct screening, brief intervention, and referral for treatment for individuals who may present as facing challenges with substance abuse, including alcohol, drugs and tobacco.

Screening of Children for Autism: Funding has been approved so that Apple Health’s enrolled primary care physicians can screen your child, if they are under three years of age to assess for autism.

Licensed Naturopathic Physicians serving as Primary Care Doctors: Beginning in 2014, licensed naturopathic physicians are able to provide primary care services. Given there are a limited number of primary care physicians, individuals possessing a Washington Department of Health Naturopathic Physician license shall be able to provide care in the scope of care outlined by Department of Health, including diagnosing, administering vaccines and immunizations, provide referrals to specialists, conduct minor office procedures, and write limited Food and Drug Administration-approved prescriptions.

Vendors that Provide Wheelchairs and Accessories: In 2014, Apple Health will provide coverage of wheelchairs and accessories from vendors Medicare certified to provide Complex Rehabilitation Technology items.

Centers for Medicare and Medicaid Services (CMS) & Indian Health Care (IHS)

The federal CMS has a Region 10 office to assist tribes with questions about expanded Medicaid and Medicare services. They were unable to be reached for comment. Per the CMS website statement, “Within the vast reforms in PPACA, AI/AN populations will be affected not only by the general provisions, but through specific, explicit provisions, including the permanent reauthorization of the Indian Health Care Improvement Act.”

A question unanswered by both CMS and IHS is how the federal trust responsibility intersects with tribal elders no longer qualifying for expanded Medicaid or Apple Health once they reach age 65. The Washington Health Benefit Exchange is attempting to secure answers to the inquiry. Ideally, those elders would be covered by treaty guaranteed programs created through IHS in their federal trust responsibility and expanded Medicaid that continues beyond age 65.

Though the IHS did not respond to questions about its continuing federal trust responsibility for tribal health care, according to its website, IHS states “it will continue to provide quality, culturally appropriate services to eligible American Indians and Alaska Natives.” Both the CMS and IHS websites also point to the ACA as benefiting Indian elders with strengthened Medicare, affordable prescriptions, and free preventive services regardless of their provider.

The IHS website notes that if tribal members buy private insurance in the Health Insurance Marketplace, they will not have to pay out-of-pocket costs like deductibles, copayments, and coinsurance if their “income is up to around $70,650 for a family of 4.” The IHS assures members of federally recognized they are eligible to continue receiving services from the Indian Health Service, tribal health programs, or urban Indian health programs even if they have obtained insurance in the marketplace.

The Native American Contact (NAC) for CMS Region 10 is Deborah Sosa. Deb is the agency’s main contact for questions or clarification on:

  • health policies related to the Medicare, Medicaid, and CHIP programs
  • policies and programs under the Affordable Care Act, such as the new health insurance exchanges/marketplaces, and
  • emerging health policies and issues that arise in your community.

She can be reached directly at Deborah.Sosa@cms.hhs.gov or by telephone at (206) 615-2267.

Basic ACA Details for Tribal Members

Exemption

American Indian and Alaska Native consumers who are members of federally recognized tribes have access to a Tribal Membership Exemption from the shared responsibility requirement payment. The exemption applies to American Indian and Alaska Natives who are members of federally recognized tribes and are unable to maintain minimum essential coverage for any time during the year.
To receive an exemption, members may apply through the Marketplace, through their tax return submitted to the Internal Revenue Service by April 2015, or members can receive assistance from either Rose Iukes or Brent Case whose contact information is provided earlier in this story. Alternatively, members can access the form at the following website: http://marketplace.cms.gov/getofficialresources/publications-and-articles/tribal-exemption.pdf

If you have health insurance coverage from your employer or if you have other health care coverage (through Medicare, Medicaid, CHIP, VA Health Benefits, or TRICARE), you are covered and don’t need to worry about paying the shared responsibility payment or enrolling for health coverage available through the Health Insurance Marketplace. However, tribal members are encouraged to complete the tribal lifetime exemption regardless of current coverage.

 

Enrollment

            A frequent question arises about enrollment periods. There is no enrollment period or deadline for members of federally recognized tribes and Alaska Native shareholders who can enroll in Marketplace coverage any time of year. Plans can be changed as often as once per month. Be sure to apply no later than the 23rd of the month for benefits to become effective on the first of the following month. Again, see Rose Iukes at the clinic for assistance. Otherwise, information can also be found at the Health Benefit Exchange – Health Plan Finder website: https://www.wahealthplanfinder.org

 

Insurance Premiums

            Premium payment is due by the 23rd of each month for coverage beginning the following month. Payment can be made by echeck or debit card. Recurring payments can only be setup by echeck. Autopay requires an email address. Rose Iukes can assist you with this during enrollment.

 

Urban Tulalip Tribal Members

The Health Care Authority tribal liaison, Karol Dixon, recommends that enrolled Tulalip tribal members who reside off-reservation, but within Washington state, can access enrollment assistance by telephoning the Tribal Assister at their tribal clinic (Rose Iukes), but if it is more convenient–they can enroll through the HCA website. In fact, all tribal members can enroll there if they choose. At the website, they can locate a Navigator or Broker who can assist them with the process and in selecting a plan.  Select the question mark in the top right of the web page to see links to Navigator or Broker at: https://www.wahealthplanfinder.org

Unfortunately, Tulalip members residing outside of Washington are not eligible to enroll through the Washington Healthcare Exchange. They will need to enroll in the state in which they reside. This is disappointing for any members who may be residing in one of the 24 states that have not expanded Medicaid.

 

Summary

Many American Indians/Alaska Natives are taking advantage of expanded Medicaid as demonstrated by enrollment data reported by the Health Care Exchange. However, enrollment in the Qualified Health Plans, which offer tribal members many tax credits and cost-share exemptions, could be improved. Moreover, the ACA offers American Indians many advantages expanded access and coverage in both Apple Health and the Qualified Health Plans.

Some political and policy questions remain unanswered such as the federal trust responsibility and how that extends to care for tribal elders 65 and over who have no Medicare coverage. One would hope that the ACA’s permanent reauthorization of the Indian Health Care Improvement Act, extending and authorizing new programs and services within the IHS will find a means to address that void in care for our dear elders.

Early enrollment reports from the Health Care Exchange indicate American Indians/Alaska Natives have taken advantage of expanded Medicaid in Washington State. Many of those tribal members were urban Indians who formerly had little access to any health care, so the ACA is proving itself critical to the health services of urban Indians. Those same individuals can also now receive what for many is urgent dental care.

From early indications, the ACA is fulfilling some of its promise in that it is reducing the number of uninsured Americans with more than 8 million Americans enrolling to date. And the number (17,350) of AI/AN enrolled in Washington’s Apple Health (Medicaid) plan as of March 25 seems to indicate the ACA is fulfilling some of its promise to low-income AI/AN and children. Increased tribal enrollment in the marketplace and in expanded Medicaid will free  IHS tribal contract dollars for the tribe to utilize for other urgent care needs.

Many political and policy questions remain unanswered relative to trust responsibility and treaty guaranteed expectations. The possibilities of tribal sponsorship have not yet been fully explored. However, in Washington, and at Tulalip, there is a determined effort by many dedicated individuals and organizations to right some of the historic federal oversights in Indian health care.

 

Kyle Taylor Lucas is a freelance journalist and speaker. She is a member of The Tulalip Tribes and can be reached at KyleTaylorLucas@msn.com / Linkedin: http://www.linkedin.com/in/kyletaylorlucas

 

Preparing for storms and natural disasters-NBSM Week 2

 

week-2

By Monica Brown, Tulalip New Writer

Tulalip, WA-As we move through the seasons sometimes we experience severe weather that can be exciting to watch but can also cause major property damage and put lives at risk. National Building Safety Month’s week two focuses ways to prepare your family and home for natural disasters such as earthquakes, flooding, wildfires, tornadoes, hurricanes and strong winds.

Tulalip is situated in a highly seismic area. The USGS data estimates there is a 76.62 percent chance of a major earthquake within 50km of Snohomish, within the next 50 years.And, Snohomish county data has found that Snohomish County earthquake activity is just above the Washington State average and is 268 percent greater than the U.S. average overall.

Earthquake Tips

  • Make sure your home is securely anchored to its foundation
  • Strap water heaters, appliances and TVs to wall studs.
  • Anchor bookshelves, heavy furniture, appliances and televisions to wall studs.
  • Secure pictures, mirrors and ornaments to the wall with appropriate fasteners.
  • Know where and how to shut off electricity, gas, and water services.

Washington is one of the more flood-prone states in the nation.  According to the Department of Ecology Washington State, from 1980 to 2011, Washington had 22 Presidentially-declared flood disasters.

Flooding Tips

  • Elevating your home above the base flood elevation (the elevation associated with the “100-year flood”) is the best method of protecting your home, and is a requirement for new homes. Visit flash.org for more information.
  • Wet flood proofing your home allows flood water to flow through the structure. An example of wet flood proofing is installing flood vents that create permanent openings in the foundation.
  • Dry flood proofing your home prevents floodwaters from entering the building. An example of dry flood proofing is installing new brick veneer over asphalt coating and applying polyethylene film over existing walls.

According to the Washington Military Department Emergency management Division, an average of 900 wildfires are started annually throughout Washington state with 70% of them occurring in eastern Washington.

Wildfire Tips

  • Prevent wildfire damage by developing a defensible space in your landscaping by clearing at least 30 feet around your home, or 50 feet around your home if you reside in a heavily wooded area.
  • Plant fire-resistant, native vegetation and remove any dead or dying trees. Properly prune shrubs, and trim tree branches so they don’t extend over a roof or near the chimney. Mow your grass and control the height and spread of ground covering vegetation. Keep plants at least 12 to 18 inches away from the house.
  • When putting on a new patio deck, build from fire-resistant materials. On new and existing decks, create fire barriers around the deck base and clear vegetation at least 100 to 300 feet downhill from the deck base.
  • Install only burning-brand, exposure rated (Class A, B or C) roof assemblies using materials such as asphalt shingles, slate or clay tile or metal roof coverings.

Hurricanes are a tropical storm and most likely will never happen in Washington State, unless there is a major climate shift that places the state in a tropical zone. But, tornadoes and strong winds comparable to hurricane winds can and do happen in Washington. Tornadoes happen once or twice a year in Washington yet have weak winds that are barely strong enough to do much damage. But it is still a good idea to make sure your home, roof and windows can withstand strong winds.

Hurricanes, Tornadoes and Strong Winds Tips

  • The best place to start is with a Do-It-Yourself Wind Inspection (can be found on Flash.org) to find out what is ok with your house and what needs attention.
  • Improve your roof’s resistance to uplift by applying a 1/4 -inch bead of caulk of along the intersection of the roof deck and the roof support element (rafter or truss chord) on both sides with a caulking gun.
  • If your home is not protected by impact-resistant windows and doors or impact-resistant shutters or panels, consider building your own temporary emergency panels.

To help Homeowners weather a severe storm or natural disaster, NBSM suggests that you:

  • Develop a family disaster plan that includes a list of food and water supplies needed for each member of your family and supplies for your pets. Make copies of important documents like insurance policies, the deed to your home, and other personal papers, important phone numbers and a home inventory. Create a checklist of important things to do before, during and after a disaster.
  • Review your evacuation route and emergency shelter locations with your family. Options for evacuation would include staying with friends and relatives, seeking commercial lodging, or staying in a mass care facility operated by disaster relief groups in conjunction with local authorities.
  • Taking shelter is critical in times of disaster. Sheltering in place is appropriate when conditions require that you seek protection in your home, place of employment, or other location where you are when disaster strikes.

Tulalip Community Development has detailed informational handouts that can be picked up at the Tulalip Administration building or contact Orlando Raez at 360-716-4214.

For more information about NBSM or Disaster Preparedness please visit www.iccsafe.org and www.flash.org. All tips from the National Building Safety Month.

10 Important Tips to remember for disaster safety and mitigation

Develop a family action plan and share with everyone in your family, so you will know where to go if an evacuation is called. Review at least two exit routes from your home or neighborhood to a designated meeting place for your family. Plan ahead for your pets as many shelters will not accept them.

Create a disaster supply kit that will allow you to remain in your home after a disaster or for use after evacuating to a safer location. Be sure the necessities in your kit are fresh and restored every six months.

Stay tuned to radio, TV and NOAA Weather Radio for official updates and critical lifesaving weather information. Remember, reception is usually best if placed near a window.

Flooded roads could have significant damage hidden by floodwaters. Never drive through floodwaters or on flooded roads. Do not attempt to cross a flowing stream. It takes only six inches of fast flowing water to sweep you off your feet and two feet of water to move an SUV-sized vehicle.

If you live in a high wind or hurricane prone area and do not have tested and code approved shutters for protection from windborne debris, temporarily protect your doors and windows by mounting exterior grade, 5/8″ minimum thickness plywood and fastening it into place. Visit www.flash.orgfor detailed instructions on how to use plywood for emergency board up.

Secure lawn furniture and any other loose outdoor items that can become windborne and can cause injury or damage during storms with high winds. Don’t forget trash cans, grills, toys and potted plants.

Consider building or retrofitting to create a tornado safe room in your home. Follow ICC/NSSA 500 Standard for detailed construction information and to ensure you achieve the highest level of protection for your family.

Use Surge Protective Devices (SPD) in your home to protect electronic appliances from all but the most severe electrical surges or direct strikes. The devices should be installed to afford the highest level of protection.

In wildfire prone areas, remove fine (dead grass, leaves, etc.) and coarse fuels (dead twigs, branches, etc.) within 30 feet of a building to create a survivable space in case of wildfire. Be sure to remove dry leaf and pine litter from roofs, rain gutters, decks and walkways. Follow ICC’s International Wildland-Urban Interface Code for detailed requirements.

Before a winter storm, insulate all exposed water pipes outside the home. It is important to allow a slow trickle of water to flow during a winter freeze especially if the faucet is on an exterior wall. Remember, wrap and drip your pipes for the ultimate protection in a freeze.

Source: www.iccsafe.org

 

 

Walking for a cause: local women join the Warriors in Pink

 

Tawyna Cortez and Trisha Montero-Higginbotham of Kindred Spirits will walk the Seattle Komen 3-day event on September 19-21. Photo/ Brandi N. Montreuil, Tulalip News
Tawyna Cortez and Trisha Montero-Higginbotham of Kindred Spirits will walk the Seattle Komen 3-day event on September 19-21.
Photo/ Brandi N. Montreuil, Tulalip News

By Brandi N. Montreuil, Tulalip News

TULALIP – Donning pink with a purpose! Tulalip citizen Tawyna Cortez, and teammate Trisha Montero-Higginbotham, will participate in the Susan G. Komen 3-Day event, Walk for a Cure.

On September 19-21 they will tackle 60 miles in 3 days. Their walk begins at the Seattle Center, finishing at the Memorial Stadium at Seattle Center. Their motivation? Women close to their heart.

“I joined this adventure for two women that touched my life,” said Cortez, who is currently fundraising for the three-day walk. “My high school friend was diagnosed [with breast cancer] right after graduation. She didn’t survive her battle. The other is my grandmother who is a survivor of 17 years. She is an amazing woman to me. These two women are the reason I walk and hope to find a cure. Because no child should have to be raised without a mother, grandmother, aunt, friend, or family member that has been taken by this horrible disease. So I walk for those that are not with us or unable to walk.”

Montero-Higginbotham, whose family history includes cancer in a variety of forms, is walking in support of her aunts.

“In January I decided I would take this journey in memory of my Auntie Sylvia Montero. She was an advocate, patient educator and role model for Alaska Natives and Native Americans living with cancer. She lost her battle with the disease in October 2003.  In February of this year I found out my Auntie Pat Antioquia, who has been a survivor, has had her cancer return. There isn’t a reason I shouldn’t walk this walk, so I signed up,” explains Montero-Higginbotham in her Susan G. Komen fundraising page.

Cortez and Montero-Higginbotham, are joined by Montero-Higginbotham’s husband Rob, are each trying to raise $2,300 for a total of $6,900, for the Kindred Spirits team they will be walking with. So far they are halfway there, but are still in need of donations. The money raised will go to support breast cancer research, training, and education outreach.

Last year $3.3 million was raised at the Seattle Komen 3-day walk. According to BreastCancer.org in 2013, an estimated 232,340 new cases of invasive breast cancer were expected to be diagnosed in women in the U.S., along with 64,640 new cases of non-invasive (in situ) breast cancer.

So far Kindred Spirits have put in 70 miles of training with an average of 6.5 to 8.5 miles walked a day. By the time of the 3-day walk the team will have walked an approximate 580 training miles.

You can donate to Cortez and Montero-Higginbotham by going to their individual pages at www.the3day.org. To find their pages, click on the “Donate Today” tab and search Tawnya Cortez or Trisha Montero-Higginbotham.

 

Brandi N. Montreuil: 360-913-5402; bmontreuil@tulaliptribes-nsn.gov

New old way of learning

 

 Participants to the Wednesday, May 7, Lushootseed Family Night learned the Little Prayer and basic home phrases.Photo/ Brandi N. Montreuil, Tulalip News
Participants to the Wednesday, May 7, Lushootseed Family Night learned the Little Prayer and basic home phrases.
Photo/ Brandi N. Montreuil, Tulalip News

A family approach to Lushootseed language

By Brandi N. Montreuil, Tulalip News

TULALIP – Tulalip Lushootseed Family Night began their summer series on Wednesday, May 7.  The informal classes, held weekly until July at the Hibulb Cultural Center are designed to encourage daily Lushootseed use in the home via basic words or phrases, such as “good morning, how are you” and “clean your room.”

Curriculum is based on participant requests and sections of the Lushootseed Language 101 college course through Northwest Indian College.

Natosha Gobin, Tulalip Lushootseed teacher, will be teaching this summer's Lushootseed Family Night series. Photo/ Brandi N. Montreuil, Tulalip News
Natosha Gobin, Tulalip Lushootseed teacher, will be teaching this summer’s Lushootseed Family Night series.
Photo/ Brandi N. Montreuil, Tulalip News

“Anyone is welcome to attend whether Tulalip tribal member or not. There is no age limit and although we call it Family Night, anyone is welcome to attend,” said Natosha Gobin, Tulalip Lushootseed teacher.

Through the use of crafts, storytelling, songs and games, kids are able to learn the same curriculum as the adult participants, this helps encourage fluency in the household.

“The classes are laid back and intended to empower the speakers within ourselves,” said Gobin, who stresses that participants needn’t fear mispronunciation or fear of learning the language. “Our goal is to find the best ways to bring Lushootseed into the home.”

Lushootseed Family Nights are held Wednesday’s at 5:00 p.m. to 7:00 p.m. in the Hibulb Cultural Center classrooms. Materials and lessons are free of cost, and dinner is provided.

For more information on the Family Nights or the Lushootseed language, please contact Natosha Gobin at 360-716-4499 or ngobin@tulaliptribes-nsn.gov, or visit the website www.tulaliplushootseed.com. You can also download the Lushootseed Phrases app on Android devices on the Play Store.

 

 

Brandi N. Montreuil: 360-913-5402; bmontreuil@tulaliptribes-nsn.gov

Photo/ Brandi N. Montreuil, Tulalip News
Photo/ Brandi N. Montreuil, Tulalip News

 

Photo/ Brandi N. Montreuil, Tulalip News
Photo/ Brandi N. Montreuil, Tulalip News

 

Communicating through melodies

Photo/ Brandi N. Montreuil, Tulalip News
Self-taught Tulalip flutist, Cary Micheal Williams finds inspiration for his melodies from birds such as the water bird, owl and eagle. Photo/ Brandi N. Montreuil, Tulalip News

 

By Brandi N. Montreuil, Tulalip News

TULALIP – Drummer and singer, 24 year-old Tulalip artist Cary Micheal Williams, is among a handful of Native American flute players paving the way in Tulalip for the instrument. As a self-taught flutist he is working on his first music album featuring original melodies. His overall goal is not to become commercialized, but rather to teach the craft and sacredness of the flute to the next generation.

Recently, Tulalip News/See-Yaht-Sub was able to sit down with Williams and discuss his music, teaching, and current music project.

SYS: How long have you been playing the flute?

Williams: I would say a solid seven years. I will be playing for the rest of my life, and teaching it too.

SYS: You are also a drummer so how did you get into playing the flute?

Williams: Yes and I also sing. It first started with me going to my grandpa. He was upstairs in his art room and I said, “I want to play the flute.” He said, one second, and went downstairs. My grandma and grandpa had already bought a flute and he brought it upstairs and gave me that flute. He said, “Your grandma said you better take care of it. It’s a really expensive flute.” Right when he handed me the flute I played a song. Instantly I knew how to play and it was amazing. I went downstairs and played a song for my grandma. The song has changed over time because the flute is different. I was going up a hill after playing on a cliff side and I fell and the flute broke. I recently bought this new flute and it sounds similar to that one.

SYS: How did you choose your flute?

Williams: This flute fits to me naturally. When I was in a prayer ceremony, I kind of felt this change. I was playing my other flute and a different note came out of it as I was playing. Later on down the road I bought this current flute. That connection was just there, so I picked it up. It is made of really high quality; it is yellow cedar, red wood, and turquoise. It has a yellow cedar borough too, so it has a different tone that will come out of it with different melodies.

Cary-Micheal-Williams_3SYS: It sounds like the flute is more than just an instrument to you, and there is a sacredness to be being a flutist.

Williams:  Yes, because it is like its own life. I am honored to give the life into it and the melodies come from the birds. Every now and then I will just get a melody flowing through me and I will start playing it. The flute is very versatile, it can send out a message without much interaction. I noticed if you beat a drum, you shake everything up, but if you were to play the flute you would attract way more people, and unity is what we need. That is what I stand behind with my flute, is bringing people together. I’ve always been that guy off to the side playing my flute.

SYS: You mentioned a difference between playing the flute and the drum; how do you go from hitting a drum to controlling your breathing in order to play the flute?

Williams: Singing really helps. It really opens up my diaphragm. My singing diaphragm is way lower so I am allowed to get more air out through the flute to my songs. When I stand up my diaphragm is more open, but also when I sit, I have more control over it. From being a singer from a young age my uncle taught me how to do techniques, he would make me lay on the floor and put books on my stomach and tell me to breath.

SYS: How often do you practice?

Williams: There’s just times where I will get this feeling and I’ll go grab my flute and start playing. I make sure I always have it with me wherever I go, even if I am in the city. If there is someone Cary-Micheal-Williams_4I run into, it’s like, “Hey I want to play you a flute song.” It’s not only healing for them but for me too.

SYS: Do you have a favorite melody so far?

Williams: I think all my songs are my favorite. I remember all my songs from my first flute to the one that I just received. I have this library of songs that run through my head.

SYS: Do you have a name for your album yet?

Williams: I think it would be named Sounds of the Birds, because every time I play I see birds on my flute, just bouncing around and I connect with them. I can hear all the birds singing with me.

SYS: Is there a particular bird that you draw inspiration from?

Williams: There isn’t one particular bird, more like a couple of birds. There is the eagle, woodpecker, blue jay, hummingbird, owl and I can’t forget the water bird. I get a lot of my songs from the birds and from the trees too. My favorite noise is when I tap on my flute keys. I don’t know why, but it is settling. Sometimes I have to play in front of a whole bunch of people and it is my way of grounding myself before I play.

SYS: Do you use sheet music for your songs?

Williams: No, it is all in my head. I have a friend that knows how to transfer the music into the periodic table and is working on putting it onto sheet music.

Some children have it [musical talent] naturally and some children have to learn it a different way. If I can master both the teachings [styles] then I will be able to hand it over. That’s what I am aiming for. I have been working on it for a long time. I didn’t know it would become my personal mission, but the flute is a gift for all people.

Cary-Micheal-Williams
Photo/ Brandi N. Montreuil, Tulalip News

SYS: There aren’t a lot of Tulalip flute players; there are mainly drummers and singers. Do you feel like you are helping to create a space for flutists in Tulalip?

Williams: Yes, for future flutists most definitely. My nephews are going to be flutists. I have them blow in the flute and I will push the keys for them. They are literally using their air, so it shows them that their air that is booting through the flute can do it.

SYS: Where do you want to take your music?

Williams: I believe I can take flutist of the year. I just have to keep moving down that road. My main drive is to allow the next generation to pick up the flute, because everyday it is there for me. I think it could be there for our children too, or whoever wants to learn. It is really good medicine for yourself and I found also it is good medicine for others, so I am always willing to share it. I was told that the melodies, harmonic tones and vibrations from the flute have healing power. It can heal wounds and feelings. Don’t limit it.

Cary Micheal Williams from Brandi Montreuil on Vimeo.

Brandi N. Montreuil: 360-913-5402; bmontreuil@tulaliptribes-nsn.gov

Second Appraisal Day at Hibulb a success

Brill Lee an accredited member of the International Society of Appraisers, appraises a basket brought in by Tulalip citizen Lois Landgrebe, during the Hibulb Appraisal Day on May 3. Photo/ Brandi N. Montreuil, Tulalip News
Brill Lee an accredited member of the International Society of Appraisers, appraises a basket brought in by Tulalip citizen Lois Landgrebe, during the Hibulb Appraisal Day on May 3.
Photo/ Brandi N. Montreuil, Tulalip News

By Brandi N. Montreuil, Tulalip News

TULALIP – It was basket extravaganza at the second Hibulb Appraisal Day on Saturday, May 3, when the center welcomed Brill Lee, an accredited member of the International Society of Appraisers and independent appraiser, for the second time.

Almost a dozen guests attended the event, bringing more than a dozen items to be appraised. Items, unlike the first Hibulb Appraisal Day, were mainly baskets made by local Native American artists and Alaska Native weavers.  The baskets displayed a wealth of weaving skill and tribal history.

Brill Lee examines a basket brought in by a tribal fisherman. The basekt-like structure was rescued from the Nooksack River and features weaving patterns and materials no indigenous to this area. Photo/ Brandi N. Montreuil, Tulalip News
Brill Lee examines a basket brought in by a tribal fisherman. The basekt-like structure was rescued from the Nooksack River and features weaving patterns and materials no indigenous to this area.
Photo/ Brandi N. Montreuil, Tulalip News

The surprise of the day was a basket-like item rescued from the Nooksack River by a tribal fisherman. The basket featured weaving patterns and material not indigenous to this area and was referred to the Seattle Burke Museum for further study.

The center was gifted a pair of leather beaded gauntlet gloves, donated by guest Troy Jones. The gloves were a trade item in 1930 to a service station in Granite Falls for work completed on a vehicle. The gloves have been in his family since the trade. Lee appraised the item at $3,000 to $3,500 due to the current market value, condition, material used, and artist skill.

Troy-Jones-gauntlet-gloves
A pair of leather beaded gantlet gloves, commonly used in rodeos, were donated by guest Troy Jones. The gloves are appraised at $3,000 to $3,500 due to current market value, condition, material used, and artist skill.
Photo/ Brandi N. Montreuil, Tulalip News

Combined value of items appraised during event totaled more than $8,600.

If you are interested in having an item appraised, you can check out Brill Lee’s website at www.brillleeappraisals.com or by telephone at 425-885-4518. For more information about events happening at Hibulb or the next Hibulb Appraisal Day, please visit their website at www.hibulbculturalcenter.org.

 

Brandi N. Montreuil:360-913-5402; bmontreuil@tulaliptribes-nsn.gov

 

A basket featuring the "rolling logs" pattern, which is sometimes confused with a swastika, was brought in by Bothell resident, Jim Freese to the May 3, Hibulb Appraisal Day. The unique weaving and emblem was considered good luck and used in the early 1900s. The basket was appraised at $125- $175. Photo/ Brandi N. Montreuil, Tulalip News
A basket featuring the “rolling logs” pattern, which is sometimes confused with a swastika, was brought in by Bothell resident, Jim Freese to the May 3, Hibulb Appraisal Day. The unique weaving and emblem was considered good luck and used in the early 1900s. The basket was appraised at $125- $175.
Photo/ Brandi N. Montreuil, Tulalip News

 

Snohomish resident, Bart Marzolf, brought in a sign that hung over a main road entering the town of Snohomish in 1920. the carving features a fish similiar to a salmon and features a clam shell pearl for the fish's eye. The carver is unknown and the item was valued over $1,000. Photo/ Brandi N. Montreuil, Tulalip News
Snohomish resident, Bart Marzolf, brought in a sign that hung over a main road entering the town of Snohomish in 1920. The carving features a fish similar to a salmon and features a clam shell pearl for the fish’s eye. The carver is unknown and the item was valued over $1,000.
Photo/ Brandi N. Montreuil, Tulalip News

 

Jim Freese learns how his parents' basket collection demonstrates a wealth of weaving skill and tribal history from tribes located in Washington. One of the baskets was appraised at $1,000 for its rarity.Photo/ Brandi N. Montreuil, Tulalip News
Jim Freese learns how his parents’ basket collection demonstrates a wealth of weaving skill and tribal history from tribes located in Washington. One of the baskets was appraised at $1,000 for its rarity.
Photo/ Brandi N. Montreuil, Tulalip News