Health Policy Home

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. 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.

For more information about policies 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

Legislative Update: Graham-Cassidy Repeal and Replace Proposal
Legislative Update: Graham-Cassidy Repeal and Replace Proposal
Updated: September 19, 2017

Senate Republicans are approaching the 50 votes needed to pass the Graham-Cassidy proposal, which would be devastating to the I/T/U system of care. This update outlines the effects these bills may have on multiple programs for American Indians and Alaska Natives. (September 2017)

Legislative Update: Congress Back in Session
Legislative Update: Congress Back in Session
Updated: September 1, 2017

On Tuesday, September 5, 2017, Congress will be back in session to consider many bills that may impact the IHS, Tribal 638, and Urban Indian Health Program (I/T/U) system of care. This update outlines the effects these bills may have on multiple programs. (September 2017)

Legislative Update: Urban Indian Health Programs Appropriations
Legislative Update: Urban Indian Health Programs Appropriations
Updated: July 19, 2017

On Tuesday July 18, 2017, the House Appropriations Committee released their full committee report to accompany their appropriations bill, which recommends $47,943,000 for Urban Indian Health Programs, an increase of $265,000 over FY 2017. This legislative update reviews additional details and includes a chart of IHS budgets requested and enacted for Urban Indian Health Programs over the last four years. (July 2017)

Legislative Update: Better Care Reconciliation Act of 2017
Legislative Update: Better Care Reconciliation Act of 2017
Updated: July 14, 2017

On July 13, 2017, Senate Republicans released the amended Better Care Reconciliation Act of 2017 (BCRA), which repeals parts of the Affordable Care Act and reforms Medicaid. This quick legislative update describes the primary impacts of the bill. The UIHI will offer a full analysis of the bill once it is formally filed. (July 2017)

Legislative Update: Status on Senate Republicans’ Better Care Reconciliation Act
Legislative Update: Status on Senate Republicans’ Better Care Reconciliation Act
Updated: June 23, 2017

On June 22, 2017, the Senate Republicans revealed the discussion draft of the Better Care Reconciliation Act of 2017, their plan to repeal and replace the Affordable Care Act. This legislative update describes the next steps in the process. The UIHI will publish in-depth analysis after the bill is formally filed. (June 2017)

Legislative Update: American Health Care Act
Legislative Update: American Health Care Act
Updated: May 9, 2017

On Thursday, May 4, 2017, the U.S. House of Representatives passed the American Health Care Act (AHCA). The primary impacts of the bill are outlined in this update. The ACHA will go before the Senate where it will undergo review and the next steps in the legislative process. (May 2017)