All Health Policy Publications

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)

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)

Budget Update - FY 2017 Consolidated Appropriations Act
Budget Update - FY 2017 Consolidated Appropriations Act
Updated: May 3, 2017

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)

Policy Brief: 100% FMAP for Urban American Indians and Alaska Natives
Policy Brief: 100% FMAP for Urban American Indians and Alaska Natives
Updated: March 28, 2017

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)

Legislative Update: Indian Health Care Improvement Act of 2017
Legislative Update: Indian Health Care Improvement Act of 2017
Updated: March 21, 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)

Legislative Update: Patient Freedom Act of 2017
Legislative Update: Patient Freedom Act of 2017
Updated: January 25, 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)

Legislative Update: Udall and Young Introduce Legislation to Protect I/T/U
Legislative Update: Udall and Young Introduce Legislation to Protect I/T/U
Updated: January 13, 2017

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)

Political Shifts Impacting the Affordable Care Act
Political Shifts Impacting the Affordable Care Act
Updated: December 22, 2016

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)

Policy Brief: The Need for Urban AI/AN Voice & Opportunity
Policy Brief: The Need for Urban AI/AN Voice & Opportunity
Updated: December 22, 2016

Because urban AI/ANs dwell outside the areas where federally recognized tribes have jurisdiction, they are left voiceless in informing policy created for the wellbeing of the entire AI/AN population. This brief discusses the need for urban AI/AN voices in health policy, the Indian Health Care Improvement Act, and possible upcoming legislative changes. (December 2016)

Policy Brief: Rep. Tom Price, M.D.
Policy Brief: Rep. Tom Price, M.D.
Updated: December 21, 2016

This briefing on U.S. Rep. Tom Price M.D., the nominee for secretary of health and human services, provides an overview of his professional expertise, political record, and potential actions he may take on key issues in the future if confirmed by the Senate. (December 2016)

Policy Brief: Rep. Ryan Zinke
Policy Brief: Rep. Ryan Zinke
Updated: December 21, 2016

This briefing on Montana U.S. Rep. Ryan Zinke, the nominee for secretary of the Department of Interior, provides an overview of his professional expertise, political record, and potential actions he may take on key issues if confirmed by the Senate. (December 2016)

Policy Brief: Rep. Mick Mulvaney
Policy Brief: Rep. Mick Mulvaney
Updated: December 21, 2016

Rep. Mick Mulvaney has been picked as President-elect Donald Trump’s director of the Office of Management and Budget (OMB). This briefing provides an overview of his professional expertise, political record, and potential actions he may take on key issues if confirmed by the Senate. (December 2016)

Policy Brief: Arizona State Sen. Carlyle Begay
Policy Brief: Arizona State Sen. Carlyle Begay
Updated: December 21, 2016

Presented-elect Donald Trump selected Carlyle Begay to serve on his White House staff, potentially to fill a position currently held by Karen Diver as the Special Assistant to the President for Native American Affairs, under the Obama administration. This briefing on Carlyle Begay provides an overview to his professional expertise, political record, and potential actions he may take on key issues in the future. (December 2016)