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: 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)

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)