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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

Legislative Update: American Health Care Act

Legislative Update: American Health Care Act

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)Download»

Budget Update - FY 2017 Consolidated Appropriations Act

Budget Update - FY 2017 Consolidated Appropriations Act

This statement provides information on the FY 2017 funding level for the Indian Health Services, including the amount earmarked for Urban Indian Health Programs. (May 2017)Download»

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»