The mission of the Urban Indian Health Institute (UIHI), a division of the Seattle Indian Health Board, is to support the health and well-being of urban Indian communities through information, scientific inquiry, and technology. Therefore, as President-elect Donald Trump selects individuals to serve in his administration and health policy changes, it is important to understand the potential impact on issues affecting the health of American Indians and Alaska Natives. To best serve the AI/AN community in this shifting political climate, UIHI will be publishing briefings on individuals and issues with potential impact on changes to the Affordable Care Act and on the IHS, Tribal, and urban Indian health (I/T/U) system.

Trump Administration Nominee Briefs

Policy Brief: Arizona State Sen. Carlyle Begay
Presented-elect Donald Trump selected Carlyle Begay to serve on his White House staff, potentially to fill a position currently held by Karen Diver as the Special Assistant to the President for Native American Affairs, under the Obama administration. This briefing on Carlyle Begay provides an overview to his professional expertise, political record, and potential actions he may take on key issues in the future. (December 2016) Download »
Policy Brief: Rep. Mick Mulvaney
Rep. Mick Mulvaney has been picked as President-elect Donald Trump’s director of the Office of Management and Budget (OMB). This briefing provides an overview of his professional expertise, political record, and potential actions he may take on key issues if confirmed by the Senate. (December 2016) Download »
Policy Brief: Tom Price, M.D.
This briefing on U.S. Rep. Tom Price M.D., the nominee for secretary of health and human services, provides an overview of his professional expertise, political record, and potential actions he may take on key issues in the future if confirmed by the Senate. (December 2016) Download »
Policy Brief: Rep. Ryan Zinke
This briefing on Montana U.S. Rep. Ryan Zinke, the nominee for secretary of the Department of Interior, provides an overview of his professional expertise, political record, and potential actions he may take on key issues if confirmed by the Senate. (December 2016) Download »

Legislative Updates

Legislative Update: Patient Freedom Act of 2017
On January 23, 2017, Senators Cassidy (LA-R) and Collins (ME-R) introduced the Patient Freedom Act of 2017, to partially replace the Affordable Care Act (ACA). This bill, S. 191, has left the Indian Health Care Improvement Act (IHCIA)untouched, as it only repeals Title 1 of the ACA. We must be diligent to make sure that the congressional delegations of all Urban Indian Health Programs (UIHPs) protect the IHCIA and key American Indian and Alaska Native (AI/AN) provisions created by the ACA at the state and federal levels.(January 2017) Download »
Legislative Update: Udall and Young Introduce Legislation to Protect I/T/U Presented-elect Donald Trump selected Carlyle Begay to serve on his White House staff, potentially to fill a position currently held by Karen Diver as the Special Assistant to the President for Native American Affairs, under the Obama administration. This briefing on Carlyle Begay provides an overview to his professional expertise, political record, and potential actions he may take on key issues in the future. (January 2017) Download »

Health Policy Briefs

Policy Brief: Political Shifts Impacting the ACA
President-elect Donald Trump, House Speaker Paul Ryan, and Representative Tom Price, MD each have health insurance approaches that will present challenges to the IHS, Tribal, and Urban Indian health services (I/T/U) system. This policy brief examines the possible impacts of the upcoming political shifts on the Affordable Care Act and the I/T/U system. (December 2016) Download »
Policy Brief: The Need for Urban AI/AN Voice & Opportunity
Because urban AI/ANs dwell outside the areas where federally recognized tribes have jurisdiction, they are left voiceless in informing policy created for the wellbeing of the entire AI/AN population. This brief discusses the need for urban AI/AN voices in health policy, the Indian Health Care Improvement Act, and possible upcoming legislative changes. (December 2016) Download »