The purpose of this chapter is to establish a fund to support
operations of the Menominee Tribal Clinic in the event of an interruption
in federal or other funding and set requirements for growing and accessing
the fund.
The Menominee Tribal Legislature has the responsibility for
creating laws that enhance the governance, social, and economic well-being
of the Tribe and its members. The Menominee Tribal Legislature acts
through motion, resolution, or ordinance. The Menominee Tribal Legislature,
as the governing body, has the responsibility for all assets of the
Menominee Indian Tribe to assure appropriate management and protection
of all assets to obtain for the Tribe the highest and best benefit
from all Tribal assets. The Menominee Tribal Legislature recognizes
the need to fully fund health-related activities of tribal government
in accordance with allowable uses set by federal contracts and regulations.
The Menominee Tribal Legislatures considers its responsibility to
protect the medical and other health care services provided to tribal
members by the Menominee Tribal Clinic from service interruptions
related to funding as a high priority. This chapter codifies that
responsibility into tribal law.
There is hereby established the Tribal Clinic Operations Restricted
Fund of the Menominee Indian Tribe. The fund shall be utilized to
provide a sustainable fund balance to support the short-term and long-term
operations of the tribal clinic when federal funding for the clinic
operations is delayed or interrupted.
The fund may be used for the following purposes:
A. Unbudgeted capital purchases of an emergency nature. The reserve
fund may be used when unbudgeted and unexpected capital expense which
cannot be absorbed by the current year budget arises. The Health Administrator
must justify the need for the expense, justify the emergency nature
and why the purchase cannot be delayed, and provide the request to
the Tribal Administrator, who is authorized to approve the use of
restricted funds for this purpose. The use of funds for these emergency
purposes will not require a return of cash to the restricted fund,
unless qualified reimbursable funds are available.
B. Short-term cash for operations. The reserve fund may be used to provide
cash to cover the operating costs of the clinic when receipt of anticipated
federal funds is expected to be delayed for three months or less.
The Health Administrator, Tribal Administrator, and Finance Manager
are authorized to transfer funds from this reserve into the operating
account(s) of the Tribal Clinic, provided that any short-term funds
transferred are used for budgeted expenditures and the full amount
of short-term funds transferred are returned to the restricted fund
immediately upon the receipt of any federal funds that were delayed.
The Finance manager shall report the funds transfers to the Menominee
Tribal Legislature as part of the monthly financial report.
C. Long-term cash for operations. The reserve fund may be used to provide
cash to cover the operating costs of the clinic when the receipt of
anticipated federal funds is expected to be delayed for more than
three months or if there is no receipt of federal funds expected for
a specific fiscal year. The Health Administrator shall prepare a request
to access the restricted fund for review by the Tribal Administrator
and the Finance Manager. The request shall be specific about the delay
or interruption of federal funding, shall include a detailed budget
for the funds requested from reserves, and shall include any cost
containment or alternate revenue the Health Administrator will use
to supplement the restricted funds being requested. The Tribal Administrator
shall forward the request and a recommendation to the Menominee Tribal
Legislature for approval or disapproval, following the appropriation
process.
It is the policy of the Tribe to provide for the establishment,
growth, prudent management, planned contributions, and access to the
Menominee Tribal Clinic Operations Restricted Fund as follows:
A. Contributions. Immediately upon approval of this chapter, the Menominee
Tribal Clinic Operations Restricted Fund will be created by the Tribe's
Finance Manager using the current fund balance from the Tribal Clinic.
B. The restricted funds will be deposited into interest-bearing accounts
or invested in accordance with the Tribe's current investment
policy.
C. The initial transfer into the restricted fund shall equal one year
of average total operating costs for the Menominee Clinic, which at
the time of the writing of this chapter is $22,600,000.
D. Each year, the annual budget of the Menominee Tribal Clinic shall
include a minimum contribution to the restricted fund equal to the
rate of inflation on January 1 of the year during which the budget
is prepared; for example, the FY2023 contribution shall be based on
the rate of inflation on January 1, 2022.
E. The contributions to the restricted fund shall be made on at least
a biannual basis (twice yearly) each fiscal year.
F. The interest earned by the fund shall count toward the annual contribution
required and shall remain in the fund unless the Health Administrator
opts to utilize the interest earned in any one fiscal year for operating
purposes in the next fiscal year and requests such use through the
budget process.
G. The funds shall be restricted to use by the Menominee Tribal Clinic
for operating costs in accordance with the uses of funds as defined
by this chapter.
H. When the fund is accessed for long-term cash operations, the Health
Administrator, Tribal Administrator, and Tribal Finance Manager shall
develop a plan to replenish the restricted fund over time.
This chapter shall be effective upon approval by the Menominee
Tribal Legislature.