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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

Policy Brief: 100% FMAP for Urban American Indians and Alaska Natives

Policy Brief: 100% FMAP for Urban American Indians and Alaska Natives

Urban Indian Health Programs (UIHP) are currently attempting to gain eligibility for Medicaid’s 100% Federal Medical Assistance Percentage (FMAP) payment for their IHS eligible patients receiving services at UIHPs. Confusion about 100% FMAP exists due to the complexity of the administration of 100% FMAP and constraints around the methods available to add UIHPs as qualifying facilities eligible for 100% FMAP. This policy brief serves to clarify the facts and to challenge some misconceptions about 100% FMAP eligibility for UIHPs. (March 2017)Download»

Legislative Update: Indian Health Care Improvement Act of 2017

Legislative Update: Indian Health Care Improvement Act of 2017

Early in March 2017, a bill entitled, H. R. 1369 To Amend the Indian Health Care Improvement Act (IHCIA), was introduced to the U.S. House of Representatives to revise and extend that Act, and for other purposes. In the beginning of this bill, it appears that 10 provisions are repealed from IHCIA, but almost all of these provisions are later replaced in the bill. Please view our complete legislative update with a table outlining which IHCIA provisions were repealed and replaced within the IHCIA of 2017. (March 2017) Download»

Legislative Update: Patient Freedom Act of 2017

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 level. (January 2017)Download»

Legislative Update: Udall and Young Introduce Legislation to Protect I/T/U

Legislative Update: Udall and Young Introduce Legislation to Protect I/T/U

Sen. Tom Udall (NM) has proposed an amendment to protect Medicaid payments for Amerian Indians and Alaska Natives (AI/ANs) receiving care through the IHS, Tribal, and uban Indian health (I/T/U) system. This update discusses this amendment. (January 2017) Download»

Political Shifts Impacting the Affordable Care Act

Political Shifts Impacting the Affordable Care Act

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/U/T system. (December 2016) Download»