Health Policy Resources

There are policies and legislation that need to be addressed that impact the health and wellness of our American Indian/Alaska Native community or Indian Health Care Providers in our IHS, tribal, and urban Indian health program (I/T/U) system of care.

UIHI develops policy briefings and resources for stakeholders among our tribal, community, and government partners regarding policies, legislation, or planning.

For more information about policy impacting urban American Indians and Alaska Natives, please contact our Government Affairs Officer, Aren Sparck, MUP, at 206-812-4032 or arens@uihi.org.

Most recent policy bulletins

Addressing the Missing and Murdered Indigenous Women and Girls Data Crisis
Addressing the Missing and Murdered Indigenous Women and Girls Data Crisis
Updated: March 27, 2019

In November 2018, Urban Indian Health Institute, the research division of Seattle Indian Health Board, released a report titled Missing and Murdered Indigenous Women & Girls: a nationwide data crisis, that provides a comprehensive snapshot of the MMIWG crisis throughout the country. The report highlights the barriers to obtaining data needed to address the MMIWG crisis. Based on the findings of the report, this document outlines overarching policy recommendations designed to address the MMIWG data crisis.

2020 State Health Priorities
2020 State Health Priorities
Updated: March 27, 2019

Learn about Seattle Indian Health Board's 2020 State Health Priorities in the following categories:

  • Healthcare and Housing
  • Indian Healthcare Transformation
  • Foundational Public Health Services Budget
  • Missing and Murdered Indigenous Women and Girls
2020 Federal Health Priorities
2020 Federal Health Priorities
Updated: March 27, 2019

Find out more about Seattle Indian Health Board's 2020 Federal Health Priorities in the following categories:

  • Urban Indian Health Appropriations
  • Healthcare Systems
  • Missing and Murdered Indigenous Women and Girls
  • American Indian and Alaska Native Status
Sexual Violence Among Native Women: A Public Health Emergency
Sexual Violence Among Native Women: A Public Health Emergency
Updated: September 14, 2018

American Indian and Alaska Native (AI/AN) women are 2.5 times more likely to be raped or be victims of sexual assault compared to the rest of the country. This public health emergency encompasses verbal, domestic, physical, and sexual violence that has lifelong effects on women and their extended community. A report released by the Urban Indian Health Institute (UIHI), a division of Seattle Indian Health Board, titled Our Bodies, Our Stories: Sexual Violence Among Native Women in Seattle, WA, details results from a survey of 148 predominantly homeless or low-income urban AI/AN women In Seattle, WA and revealed much higher rates of sexual violence than was previously known.

Tribal Sovereignty and Medicaid Work Requirements for American Indians and Alaska Natives
Tribal Sovereignty and Medicaid Work Requirements for American Indians and Alaska Natives
Updated: May 17, 2018

The Seattle Indian Health Board (SIHB) strongly objects to the Centers for Medicare and Medicaid Services’ (CMS) recent actions and statements regarding the imposition of work requirements and other restrictive conditions on Medicaid eligibility for American Indians and Alaska Natives (AI/AN). CMS’s position that tribes are not eligible for exemptions to these Medicaid work requirements runs contrary to long-settled issues of Constitutional law and Congressional intent. In order to carry out the federal government's Trust Responsibility to AI/AN, CMS is obligated to exempt AI/AN people from these community engagement requirements.

Policy update: 2018-2019 Seattle Indian Health Board Health Priorities
Policy update: 2018-2019 Seattle Indian Health Board Health Priorities
Updated: March 16, 2018

Seattle Indian Health Board is pleased to share our policy one pager for the 2018 and 2019 fiscal years that we shared recently in Washington D.C. We also included health priorities that we hope to see addressed as Congress considers legislation and policy that affects American Indian and Alaska Native health. (March 2018)

Legislative Update: Appropriations Update
Legislative Update: Appropriations Update
Updated: January 18, 2018

Congress must pass a Continuing Resolution (CR) by this Friday, January 19th, or otherwise face a government shutdown. The House of Representatives’ latest CR includes a six-year extension to the Children’s Health Insurance Program, but does not include extensions for the Special Diabetes Program for Indians or the Community Health Center Fund. (January 2018)

Legislative Update - Community Health Center Fiscal Cliff
Legislative Update - Community Health Center Fiscal Cliff
Updated: December 13, 2017

Funding for the Community Health Center Fund expired on October 1, 2017. Without action by Congress, health programs within the IHS, Tribal 638, and Urban Indian Health Program system of care could face a 70% cut in Community Health Center grant funds creating unprecedented challenges to providing care to our American Indian and Alaska Native community. (Dec 2017)

Legislative Update: Championing Healthy Kids Act & Continuing Resolution
Legislative Update: Championing Healthy Kids Act & Continuing Resolution
Updated: December 7, 2017

While the Championing Healthy Kids Act presents an opportunity continue the Special Diabetes Program for Indians, and restore of the Community Health Centers Fund, some provisions will be harmful to the I/T/U system of care. Additionally, the Continuing Resolution must be passed to maintain funding for federal programs. (Dec 2017)

Legislative Update: Tax Reform Bill
Legislative Update: Tax Reform Bill
Updated: December 1, 2017

The Senate Republican’s tax reform bill is expected to pass today, presenting the most sweeping change to the federal tax system since 1986, and significant impacts on our community. (Dec 2017)