PRESS RELEASE: NCUIH Honors Councilman Andy Joseph Jr., Carmelita Skeeter, Martin Waukazoo, Sonya Tetnowski, Ralyn Montoya, The Pew Charitable Trusts, and W.K. Kellogg Foundation

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NCUIH recognized seven leaders and health advocates for their work in advancing the health of Native people.

FOR IMMEDIATE RELEASE
NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org, 202-417-7781

WASHINGTON, D.C. (May 1, 2024) – The National Council of Urban Indian Health (NCUIH) presented seven awards to leaders and advocate organizations for their efforts to advance urban Indian health during its 2024 Annual Conference: Sustaining Traditions: Culture, Identity, Health. NCUIH thanks the awardees for their dedication to upholding the federal trust and treaty obligation to provide the highest level of health to all American Indian and Alaska Native people, regardless of where they reside.

Tribal Leader Impact Award – Councilman Andy Joseph Jr. (Confederated Tribes of the Colville Reservation)

The Tribal Leader Impact Award was presented to Councilman Andy Joseph, Jr. (Confederated Tribes of the Colville Reservation), Veterans Chair and District Representative of the Colville Business Council, who has demonstrated exceptional leadership, dedication, and impact in addressing health disparities and improving the well-being of Native populations, and has a proven track record of advocating for policies, programs, or initiatives that have positively influenced health outcomes, cultural preservation, and community resilience within their tribal communities and beyond.

Urban Indian Organization Visionary Award –  Carmelita Skeeter (Citizen Nation Potawatomi)

The Urban Indian Organization Visionary Award was awarded to Carmelita Skeeter (Citizen Nation Potawatomi), CEO of the Indian Health Care Resource Center in Tulsa, Oklahoma, who has demonstrated visionary leadership and innovation in addressing challenges and opportunities within urban Native communities and has a track record of developing and implementing innovative programs, initiatives, or strategies that have significantly contributed to the advancement of urban Indian health and well-being.

Pictured: NCUIH Board Member Natalie Aguilera, NCUIH CEO Francys Crevier, NCUIH President-Elect Robyn Sunday-Allen, Carmelita Skeeter, CEO of the Indian Health Care Resource Center in Tulsa, Oklahoma, NCUIH President Walter Murillo, NCUIH Outgoing President Sonya Tetnowski

Distinguished Service Award – Sonya Tetnowski (Makah Tribe)

The Distinguished Service Award was given to Sonya Tetnowski (Makah Tribe) as a heartfelt tribute to our esteemed Board President, in recognition of her profound dedication and unwavering commitment to NCUIH and, by extension, to Native American communities across the nation. Sonya’s tenure has been marked by an extraordinary blend of passion, vision, and tireless advocacy, which have propelled NCUIH to new heights of impact and relevance. Through her leadership, Sonya has been a beacon of hope and empowerment for Native peoples, championing initiatives that uplift health equity, cultural preservation, and community resilience. Her legacy is woven into the fabric of our organization and echoes in the lives she has touched and transformed. This award celebrates Sonya Tetnowski’s profound impact, embodying the spirit of service, compassion, and solidarity that defines her remarkable leadership journey.

Pictured: NCUIH Outgoing President Sonya Tetnowski with NCUIH CEO, Francys Crevier and NCUIH Board President Walter Murillo

Urban Indian Legacy Award – Martin Waukazoo (Lakota)

The Urban Indian Legacy Award was presented to Martin Waukazoo (Lakota), Former CEO of the Native American Health Center, who has made enduring and significant contributions to the urban Indian health movement over the years, dedicating their careers to advocating for urban Native health, preserving cultural heritage, and fostering community empowerment.

Pictured: NCUIH Board Member, Natalie Aguilera, and Native American Health Center accepting on behalf of Martin Waukazoo

Urban Indian Organization Staff Member of the Year Award – Ralyn Montoya (Diné)

The UIO Staff Member of the Year Award was given to Ralyn Montoya (Diné), Public Relations & Marketing Specialist at the Urban Indian Center of Salt Lake, who has demonstrated exceptional dedication, leadership, and service in advancing her organization’s mission and goals.

Pictured: NCUIH Board President Walter Murillo with Public Relations & Marketing Specialist at the Urban Indian Center of Salt Lake, Ralyn Montoya

Native Health Rising Ally Award – The Pew Charitable Trusts

The Native Health Rising Ally Award was presented to The Pew Charitable Trusts, a vital partner in NCUIH’s efforts to improve the health and well-being of American Indian and Alaska Native people who has shown exceptional dedication and effectiveness in partnering with urban Native communities to improve health care outcomes. NCUIH is grateful to The Pew Charitable Trusts’ demonstrated commitment to culturally competent healthcare delivery, collaboration with urban health organizations, and innovative approaches to addressing health disparities.

Pictured: NCUIH VP of Policy and Communications, Meredith Raimondi, with Alaina McBournie, Pew Senior Manager, Substance Use Prevention and Treatment Initiative, and Chris Lipson, Manager, Pew, Strategy and Compliance

Native Health Partnership Excellence Award – W.K. Kellogg Foundation

The Native Health Partnership Excellence Award was presented to the W.K. Kellogg Foundation, an organization that has demonstrated outstanding support, advocacy, and allyship in advancing urban Native American health initiatives. NCUIH is appreciative of W.K. Kellogg Foundation’s active engagement in promoting health equity, amplifying indigenous voices, fostering culturally sensitive healthcare practices, and fostering partnerships with Urban Indian Organizations.

Pictured: NCUIH VP of Policy and Communications, Meredith Raimondi, with Caroline Brunton, W.K. Kellogg Foundation Program Officer

About NCUIH

The National Council of Urban Indian Health is a national non-profit organization devoted to the support and development of quality, accessible, and culturally competent health and public health services for American Indians and Alaska Natives living in urban areas. NCUIH is a national organization advocating for the 41 Title V Urban Indian Organizations under the Indian Health Service in the Indian Health Care Improvement Act.

NCUIH respects and supports Tribal sovereignty and the unique government-to-government relationship between our Tribal Nations and the United States. NCUIH works to support those federal laws, policies, and procedures that respect and uplift Tribal sovereignty and the government-to-government relationship. NCUIH does not support any federal law, policy, or procedure that infringes upon or in any way diminishes Tribal sovereignty or the government-to-government relationship.

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NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org, 202-417-7781

PRESS RELEASE: NCUIH CEO and Helena Indian Alliance Honored with IHS Director’s Special Recognition Awards in Urban Leadership

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FOR IMMEDIATE RELEASE

WASHINGTON, D.C. (December 13, 2023) – On December 8, 2023, the Indian Health Service’s Director’s Award Committee honored the National Council of Urban Indian Health’s (NCUIH) CEO, Francys Crevier J.D. (Algonquin) and the Helena Indian Alliance with the 2022 Director’s Special Recognition Award in Urban Leadership.

Pictured L to R: Andrea Palm, Deputy Secretary of the Department of Health and Human Services (HHS), Francys Crevier, NCUIH CEO, and Roselyn Tso, Director of the Indian Health Service

Pictured L to R: Andrea Palm, Deputy Secretary of the Department of Health and Human Services (HHS), Francys Crevier, NCUIH CEO, and Roselyn Tso, Director of the Indian Health Service

“I am grateful for the 2022 Director’s Special Recognition Award, which recognizes the tireless efforts of the National Council of Urban Indian Health in advocating for the health and rights of Indigenous communities. This award is not just a personal achievement but a symbol of the collective impact we can make when we work together. Our Urban Indian Organizations, Tribes, and Tribal organization partners have been integral to our movement. I share this honor with our partners, our dedicated team, and the entire Native community living in urban areas as we continue our mission to foster positive change and ensure equitable access to health care.” – NCUIH CEO Francys Crevier (Algonquin)

The Urban Leadership Award recognizes Ms. Crevier’s dedication to advocating for the rights of Indigenous people, better health care in Indian Country, and previously representing Tribes as an in-house counsel. Francys has been instrumental in steering NCUIH’s mission forward for the betterment of health care in Indian Country and championing the rights of Indigenous communities to ensure a healthier seven generations. The award highlights the significance of urban Native advocacy and marks a milestone in the ongoing journey towards equitable health care and justice for Indigenous communities.

Alongside Francys, Todd Wilson (Crow), a distinguished NCUIH board member and executive director of the Helena Indian Alliance in Montana, accepted an Urban Leadership Award on behalf of the Helena Indian Alliance for its outstanding contributions to urban leadership. Mr. Wilson has played a pivotal role in advocating for the rights and well-being of Indigenous communities, demonstrating exceptional dedication to improving health care in Indian Country. His leadership at the Helena Indian Alliance showcases a commitment to improving health care for urban Native populations. Kevin Sandoval, HIM/IT coordinator at the Helena Indian Alliance, won an IHS Director’s Special Recognition Award.

Pictured: Mike Touchette, Helena Indian Alliance (HIA) board chair, Francys Creier, NCUIH CEO, Todd Wilson, HIA executive director, Renee Parsley, HIA board vice chair, and Jason Smith, HIA board treasurer

Pictured: Mike Touchette, Helena Indian Alliance (HIA) board chair, Francys Creier, NCUIH CEO, Todd Wilson, HIA executive director, Renee Parsley, HIA board vice chair, and Jason Smith, HIA board treasurer

Pictured: Kevin Sandoval, Health Information Management/ IT Coordinator at Helena Indian Alliance

Pictured: Kevin Sandoval, Health Information Management/ IT Coordinator at Helena Indian Alliance

This prestigious award follows the recognition bestowed upon Carmelita Skeeter, CEO of the Indian Health Care Resource Center of Tulsa, in 2018. NCUIH remains steadfast in its dedication to enacting positive change and advocating for the rights and well-being of urban Native populations across the United States.

The Director’s Special Recognition Award serves as both validation and inspiration, propelling NCUIH to continue its unwavering commitment to transformative advocacy and enhancing health care access for all Indigenous communities. NCUIH extends its congratulations to Ms. Crevier, Mr. Sandoval, and the Helena Indian Alliance for this well-deserved recognition and significant contributions to Indian country!

About NCUIH

The National Council of Urban Indian Health (NCUIH) is the national non-profit organization devoted to the support and development of quality, accessible, and culturally competent health and public health services for American Indians and Alaska Natives (AI/ANs) living in urban areas. NCUIH is a national representative advocating for the 41 Title V Urban Indian Organizations (UIOs) under the Indian Health Service (IHS) in the Indian Health Care Improvement Act (IHCIA). NCUIH strives to improve the health of the over 70% of the AI/AN population living in urban areas, by supporting their access to high-quality, culturally-competent care. 

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NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org, 202-417-7781

PRESS RELEASE: NCUIH Applauds Bipartisan Reintroduction of the Urban Indian Health Parity Act

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FOR IMMEDIATE RELEASE

WASHINGTON, D.C. (November 30, 2023) – On November 30, 2023, Representative Ruiz (D-CA-25) and Representative Bacon (R-NE-02) reintroduced the bipartisan Urban Indian Health Parity Act, which would amend the Social Security Act to set the federal medical assistance percentage (FMAP) at 100% for services provided to Medicaid beneficiaries at urban Indian organizations (100% FMAP for UIOs). This vital provision will help expand access to necessary health services for American Indian and Alaska Native families and children and ensure the federal government is better fulfilling its trust responsibility.

States have received 100% FMAP for services provided to IHS/Medicaid beneficiaries at Indian Health Service and Tribal facilities for decades, and UIOs have advocated for parity through legislation since 1999. Extending 100% FMAP to UIOs will require the federal government to bear the cost of Medicaid services provided to AI/ANs no matter which facet of the Indian health system they utilize, as is required by the trust responsibility. Parity for UIOs will support UIOs in working with their states to improve the Medicaid program for the 46% of Native patients seen at UIOs who are Medicaid beneficiaries.

“We applaud Representatives Ruiz and Bacon for this bipartisan effort to ensure that the federal government honors its trust responsibility to Native people and improves health outcomes that are desperately needed. With broad support from Indian Country, we are hopeful that Congress will move forward with ending this inequity to expand resources for communities that benefit from the necessary services provided by urban Indian organizations and all Indian Health Care Providers,” said Francys Crevier, CEO of NCUIH.

NCUIH recently released a report highlighting the importance of 100% FMAP, which includes case studies of two states, Washington and Montana, that successfully utilized the American Rescue Plan Act’s (ARPA) temporary authorization of 100% FMAP for UIOs to increase funding support for their UIOs. It also provides an extensive history of 100% FMAP in the Indian health care system.

Read the Press Release from Rep. Ruiz and Rep. Bacon here: Congressman Ruiz, Bacon Introduce Legislation to Address the Health Disparities in Native American Communities

About NCUIH 

The National Council of Urban Indian Health (NCUIH) is the national non-profit organization devoted to the support and development of quality, accessible, and culturally competent health and public health services for American Indians and Alaska Natives (AI/ANs) living in urban areas. NCUIH is the only national representative of the 41 Title V Urban Indian Organizations (UIOs) under the Indian Health Service (IHS) in the Indian Health Care Improvement Act (IHCIA). NCUIH strives to improve the health of the over 70% of the AI/AN population that lives in urban areas, supported by quality, accessible health care centers.

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NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org, 202-417-7781

PRESS RELEASE: NCUIH Welcomes Not Invisible Act Commission Report to Congress and Administration

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Commission Urges Immediate Action to Address Missing and Murdered Indigenous Persons and Human Trafficking Crises

FOR IMMEDIATE RELEASE

WASHINGTON, D.C. (November 17, 2023) – At the start of National Native American Heritage Month, the Not Invisible Act Commission released its report entitled “Not One More” urging Congress and the Biden Administration to take immediate action to address the related crises of Missing and Murdered Indigenous Persons (MMIP) and human trafficking of Indigenous persons (HT). The National Council of Urban Indian Health (NCUIH) endorsed and advocated for the passage of the legislation which created the Commission and NCUIH’s Board President, Sonya Tetnowski (Makah), served on the Commission.

“It was an honor to serve on this commission with so many tribal leaders from across Indian Country.  We as a commission heard from over 260 survivors, families, advocates, government agencies, and law enforcement to understand the impact from as many perspectives as possible. This 200-plus page report should be the beginning of this process as we know that each recommendation will require specific work to accomplish,” said Ms. Tetnowski.

The Commission’s report is a resounding call to the United States to fulfill its trust responsibility to American Indians and Alaska Natives and address the public health and public safety in Native communities caused by centuries of policies designed to attack Tribal Nations and Native ways of living. The Commission specifically recognized the impact of federal policies on Native people living in urban areas, highlighting the testimony of one witness who told the Commission “We can’t forget the urban relocation programs in the 50s; I hope this Commission doesn’t forget those relatives that are living off rez.”

Background

NCUIH along with other National Native Organizations worked in support of the Not Invisible Act legislation, which was enacted in October 2020. The Act required the Secretary of the Interior, in coordination with the Attorney General to establish and appoint a joint commission on violent crime against American Indians and Alaska Natives. Secretary of the Interior Haaland was the lead sponsor of the Not Invisible Act when she served in Congress. The bill was passed unanimously by voice vote in both chambers of Congress.

Commissioner Sonya Tetnowski is a citizen of the Makah Tribe and CEO of the Indian Health Center of Santa Clara Valley. She currently serves as the president of both NCUIH and the California Consortium of Urban Indian Health (CCUIH). Ms. Tetnowski works daily in support of the health and wellness services to American Indians and Alaska Natives living in urban areas. Violence against American Indians and Alaska Natives is a public health crisis and is considered a social determinant of health (SDOH). Both NCUIH and CCUIH are committed to the reduction of violence impacting Native communities.

Next Steps

The Not Invisible Act requires the Secretary of the Interior and the Attorney General to make publicly available and submit a written response to the recommendations within 90 days to the Commission and Congress. NCUIH will continue to uplift the work of the Commission and analyze the federal government’s response for further action once released.

PRESS RELEASE: Vice President Harris Applauds Urban Indian Organization, NATIVE HEALTH, as First Pilot Site for Indian Health Service Voter Registration Program

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FOR IMMEDIATE RELEASE

NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org

WASHINGTON, D.C. (November 3, 2023) – In response to barriers that have prevented Native communities from participating in elections, the Biden-Harris Administration announced new agency actions to improve voting access. In March, a pilot program through the Indian Health Service was announced, where five facilities would serve as voter registration pilot sites by the end of 2023. Recently, NATIVE HEALTH in Phoenix, Arizona, became the first of these pilot sites to be designated through the National Voter Registration Act.

“Native American voters often face significant barriers to accessing the right to vote. We are working to change that. For the firsttime ever, Tribal members can now register to vote at an Indian Health Service facility, Native Health of Phoenix.” – Vice President Kamala Harris

“Our Native communities routinely face barriers not only with access to voting, but with registering to vote itself. The IHS Voter Registration Pilot Program will help address and eliminate these barriers. We are honored that one of our Urban Indian Organizations is leading the way as the first site to launch this program. NATIVE HEALTH has made civic engagement a priority. We look forward to seeing what other sites are selected for this program and will continue to uplift this work.” – NCUIH CEO, Francys Crevier (Algonquin).

“Voting is a social determinant of health, and we are critical access point to enable our communities to participate in the fundamental civic duty of voting. We are honored to be the first pilot site for this essential program that will make it easier for eligible Native Americans to exercise our right to vote.” Walter Murillo (Choctaw), NCUIH Board President-Elect and CEO of NATIVE HEALTH.

At a recent event, IHS Deputy Director Benjamin Smith (Navajo) stated, “President Biden pledged to designate five Indian Health Service voter registration pilot sites by the end of this calendar year. We are honored to be here and celebrate NATIVE HEALTH as the first to gain National Voter Registration Act designation under the Indian Health Service in alignment with the president’s vision.”

Native Health

About NCUIH
The National Council of Urban Indian Health (NCUIH) is the national non-profit organization devoted to the support and development of quality, accessible, and culturally competent health and public health services for American Indians and Alaska Natives (AI/ANs) living in urban areas. NCUIH is the only national representative of the 41 Title V Urban Indian Organizations (UIOs) under the Indian Health Service (IHS) in the Indian Health Care Improvement Act (IHCIA). NCUIH strives to improve the health of the over 70% of the AI/AN population living in urban areas, by supporting their access to high-quality, culturally-competent care.

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NCUIH Joins National Native Organizations In Urgent Opposition To Federal Shutdown

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Organizations Also Call on Congress to Protect Tribal Programs from Any Budget Cuts

FOR IMMEDIATE RELEASE 

WASHINGTON, D.C. (September 22, 2023) – Amid a looming federal government shutdown, the National Council of Urban Indian Health (NCUIH) joins the National Congress of American Indians (NCAI), National Indian Health Board (NIHB), and a group of national Native organizations in a joint press statement opposing any reductions in funding for vital Indian Country programs and reminding Congress that Native lives should never be used as political pawns.

Status of FY 2024 Funding

Annual funding for federal programs ends this September 30. If Congress does not pass a budget by this time, they must either pass a Continuing Resolution (CR) to provide short-term funding for the federal government, or the federal government will shut down and go into emergency operating plans. House Republicans have struggled to come to a consensus on any funding legislation. Earlier this week, House Republicans proposed a CR that included an overall 8% funding cut to the federal budget. Senate Democrats have signaled they will automatically oppose this CR proposal. Congress must commit to protecting the Indian Health Service (IHS) from any across-the-board cuts to agencies in accordance with the trust responsibility. 

Government Shutdown Effect on the Indian Health Service

Thanks to the tremendous advocacy by national Native and partner organizations, IHS will have advance appropriations, which will ensure a greater continuity of operations if the government shuts down. The timing of the enactment of the first-ever advance appropriation for IHS in last year’s omnibus could not be more significant in the prevention of needless deaths during any discontinuation in government operations.

Even with advance appropriations for Fiscal Year (FY) 2024, IHS will still be impacted by a government shutdown. Several IHS accounts were not included in this appropriation such as Electronic Health Record Modernization, Indian Health Care Improvement Fund, Health Care Facilities Construction, Sanitation Facilities Construction, Contract Support Costs, and Section 105(l) Leases. As a result, those accounts will be unfunded in the event of a government shutdown.

Call on Congress to Protect IHS and Tribal Programs from Funding Cuts!

Contact your Members of Congress and urge them to avoid a government shutdown and support Indian Country in budget negotiations.

  • Find your Member of Congress here. 

Raise your voice on Social Media!

  • Example post: Dear [@Member’s handle], please urge Congressional leadership to protect the Indian Health Service and Tribal programs from dangerous cuts! #TrustResponsibility

NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org

NCUIH Applauds CMS Action to Protect Health Care Coverage for Children and Families

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PRESS RELEASE

National Council of Urban Indian Health
Meredith Raimondi, Vice President of Policy and Communications
mraimondi@ncuih.org

 

FOR IMMEDIATE RELEASE

NCUIH Applauds CMS Action to Protect Health Care Coverage for Children and Families

WASHINGTON, D.C. (September 19, 2023) – Today, the National Council of Urban Indian Health (NCUIH) issued a statement from its CEO, Francys Crevier, addressing the recent proactive steps the Centers for Medicare & Medicaid Services (CMS) took to safeguard the health care coverage of children and families.

“The swift and decisive actions undertaken by CMS, instructing states to promptly reinstate Medicaid and CHIP coverage for children and families who may have been inadvertently disenrolled due to systems and operational errors, are nothing short of lifesaving. Preserving and expanding health care access for Native communities disproportionately impacted by these changes should be a paramount concern for all.”

CMS recently communicated with all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands, urging them to investigate potential eligibility system issues that could lead to the unjust disenrollment of individuals, particularly children, from Medicaid or the Children’s Health Insurance Program (CHIP), even when they remain eligible. States are now obligated to rectify these issues promptly and reinstate coverage for all affected individuals. Further details can be found here.

Medicaid and CHIP provide essential health care coverage for American Indian and Alaska Native (AI/AN) communities. In 2020, over 1.8 million AI/ANs were enrolled in Medicaid, meaning almost 1/5 of the AI/AN population is covered by Medicaid. Of these, 46.2% of Medicaid enrollees are AI/ANs from 0-18, and 46.5% are from 19-64.

The Medicaid Unwinding process is projected to disproportionately impact AI/ANs. Some estimates show that 12% of AI/AN children will lose Medicaid coverage. NCUIH is actively monitoring the Medicaid Unwinding and continues to work to ensure that policy makers are informed regarding appropriate strategies to ensure all eligible AI/ANs remain enrolled in Medicaid and CHIP.

About NCUIH

The National Council of Urban Indian Health (NCUIH) is the national non-profit organization devoted to the support and development of quality, accessible, and culturally competent health and public health services for American Indians and Alaska Natives (AI/ANs) living in urban areas. NCUIH is the only national representative of the 41 Title V Urban Indian Organizations (UIOs) under the Indian Health Service (IHS) in the Indian Health Care Improvement Act (IHCIA). NCUIH strives to improve the health of the over 70% of the AI/AN population that lives in urban areas, supported by quality, accessible health care centers.

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PRESS RELEASE: Report Finds States Again Shoulder the Cost of an Unmet Federal Trust Responsibility

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Congress Must Reauthorize 100% FMAP for Urban Indian Health Care

FOR IMMEDIATE RELEASE

NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org

WASHINGTON, D.C. (September 15, 2023) – Today, the National Council of Urban Indian Health (NCUIH) announced the release of a policy report on the importance of setting the federal medical assistance percentage (FMAP) at 100% for services provided to Medicaid beneficiaries at urban Indian organizations (100% FMAP for UIOs).  With Medicaid beneficiaries making up 46% of the UIO Native patient population, 100% FMAP for UIOs is critical to expanding community health programming and youth services, ultimately leading to improved long-term health outcomes.

“This report showcases what we already knew: when the federal government faithfully honors its Trust responsibility to Native people, health access in our communities improves,” said Francys Crevier, CEO of NCUIH. “This provision has broad support across Indian Country because it directly impacts our people. Congress must act now to permanently reauthorize 100% FMAP for UIOs.”

The report reflects the findings from case studies of two states, Washington and Montana, that successfully utilized the American Rescue Plan Act’s (ARPA) temporary authorization of 100% FMAP for UIOs to increase funding support for their UIOs. The reports’ findings demonstrate that 100% FMAP for UIOs results in:

  • Increased services at UIOs;
  • Significant cost savings for states; and,
  • Flexibility for states to support UIOs in their health care delivery.

The report also provides an extensive history of 100% FMAP in the Indian health care system. The Indian Health Service and Tribal facilities have been extended 100% FMAP for decades, and UIOs have advocated for parity through legislation since 1999. Parity for UIOs allows patients to seek care closer to their homes and access community-focused and culturally competent care.

The full report is available at this link.

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About NCUIH 

The National Council of Urban Indian Health (NCUIH) is the national non-profit organization devoted to the support and development of quality, accessible, and culturally competent health and public health services for American Indians and Alaska Natives (AI/ANs) living in urban areas. NCUIH is the only national representative of the 41 Title V Urban Indian Organizations (UIOs) under the Indian Health Service (IHS) in the Indian Health Care Improvement Act (IHCIA). NCUIH strives to improve the health of the over 70% of the AI/AN population that lives in urban areas, supported by quality, accessible health care centers.

NCUIH Applauds Supreme Court Decision to Uphold Indian Child Welfare Act

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FOR IMMEDIATE RELEASE

WASHINGTON, D.C. (June 15, 2023) – The National Council of Urban Indian Health released the following statement on the Supreme Court’s decision to reject all challenges to the Indian Child Welfare Act (ICWA) in Haaland v. Brackeen.

“ICWA was enacted over 40 years ago to protect the best interests of Native children, by keeping them with their families and communities, and promote the stability and security of Tribes and Native families. ICWA requires state courts to respect Tribal sovereignty and to account for a child’s culture and community in child welfare proceedings. Today’s decision is a major win for all of Indian Country because it ensures that these protections remain in place. We applaud the tireless efforts of the Stand with ICWA campaign and the countless advocates who joined to fight for our children and for tribal sovereignty,” said NCUIH CEO Francys Crevier (Algonquin).

ICWA was created in 1978 by the federal government to re-establish Tribal authority over the adoption of Native American children. The Act aimed to strengthen and preserve Native American family structure and culture. Studies conducted in advance of ICWA’s drafting showed that between 25% and 35% of all Native children were being removed from their homes by state child welfare and private adoption agencies. Of those, 85% were placed with non-Native families, even when fit and willing relatives were available.

American Indian and Alaska Native children are overrepresented in state foster care systems. According to NICWA, AI/AN children are in foster care at a rate 2.7 times greater than their proportion in the general population. This means that while AI/AN children represent 0.9% of all children in the United States, they are 2.1% of all children placed in foster care. Because more than 70% of AI/AN people live in urban settings, this overrepresentation undoubtedly has an impact on urban AI/AN communities. Many health problems arise for AI/ANs living in urban settings because of mental and physical hardships due to the lack of family and the traditional cultural environments. Additionally, urban Indian youth are at a greater risk for serious mental health and substance abuse problems, suicide, increased gang activity, teen pregnancy, abuse, and neglect.

On August 19, 2022, NCUIH and five urban Indian organizations (UIOs) (Nebraska Urban Indian Health Coalition, Inc., Sacramento Native American Health Center, Fresno American Indian Health Project, All Nations Health Center, and Oklahoma City Indian Clinic) signed on to the National Indigenous Women’s Resource Center’s (NIWRC) amicus brief to the Supreme Court in support of the constitutionality of ICWA in the  Haaland v. Brackeen case. NCUIH worked directly with NIWRC to engage with UIOs to ensure that the submitted brief was inclusive of urban AI/ANs.

A full archive of our coverage on ICWA is available at: https://ncuih.org/policy-resource-center/#icwa.

NCUIH Contact: Meredith Raimondi, Vice President of Policy and Communications, mraimondi@ncuih.org, 202-417-7781

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PRESS RELEASE: NCUIH Honors 2023 Indian Health Care Warriors and Native Veteran Health Allies

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Congressional Awards | Indian Health Care Warrior Awards | Native Veterans Health Ally Awards

NCUIH recognized Tribal partners, Members of Congress, and federal partners for their work in securing advance appropriations for Indian Health Service and in advancing the health of Native veterans.

Robyn Sunday-Allen (NCUIH VP), Francys Crevier (NCUIH CEO), Darren Benjamin (Relation Strategy LLC), Representative Betty McCollum (D-MN), Senator Jeff Merkley (D-OR), Representative Sharice Davids (D-KS), Stacy Bohlen (NIHB CEO), Larry Wright (NCAI ED), Meredith Raimondi (NCUIH VP of Policy and Communications), Walter Murillo (NCUIH Board President).

Robyn Sunday-Allen (NCUIH VP), Francys Crevier (NCUIH CEO), Darren Benjamin (Relation Strategy LLC), Representative Betty McCollum (D-MN), Senator Jeff Merkley (D-OR), Representative Sharice Davids (D-KS), Stacy Bohlen (NIHB CEO), Larry Wright (NCAI ED), Meredith Raimondi (NCUIH VP of Policy and Communications), Walter Murillo (NCUIH Board President).

Washington, D.C.- On May 17, 2023, the National Council of Urban Indian Health (NCUIH) presented fifteen Indian Health Care Warrior Awards for Advance Appropriations for the Indian Health Service (IHS) to Tribal partners, Congressional advocates, federal advocates, as well as three Native Veterans Health Ally Awards during its 2023 Annual Conference: Honoring Our Ancestors & Preparing for the Next Seven Generations: NCUIH Celebrates 25 Years of Health Leadership. NCUIH thanks the awardees for their dedication to upholding the federal trust and treaty obligation to provide the highest level of health to all American Indians/Alaska Natives (AI/ANs), regardless of where they reside.

Indian Health Care Warrior Award for Advance Appropriations

Tribal Partners: National Indian Health Board and the National Congress of American Indians 

Larry Wright (NCAI ED), Stacy Bohlen (NIHB CEO), Walter Murillo (NCUIH Board President).

Larry Wright (NCAI ED), Stacy Bohlen (NIHB CEO), Walter Murillo (NCUIH Board President).

NCUIH’s president-elect, Walter Murillo (Choctaw), presented the Indian Health Care Warrior Award for Advance Appropriations to Stacy Bohlen (Sault Ste. Marie Tribe of Chippewa Indians), CEO of the National Indian Health Board, and Larry Wright Jr. (Ponca Tribe of Nebraska), Executive Director of the National Congress of American Indians, for their tireless efforts in fighting for advance appropriations for the Indian Health Service. In their acceptance speech, Bohlen succinctly captured the spirit of unity and triumph in her statement, “[w]hen we stand together, we win.” Her powerful quote embodies the essence of collective action and highlights the importance of solidarity in achieving positive outcomes for Native communities.

Indian Health Care Warrior Award for Advance Appropriations: Members of Congress

The Congressional Awards were given to Members of Congress for their work in achieving advance appropriations

The Congressional Awards were given to Members of Congress for their work in achieving advance appropriations.

Representative Betty McCollum

Representative Betty McCollum (D-MN).

Representative Betty McCollum (D-MN).

Representative Betty McCollum delivered a powerful address emphasizing the urgent need for comprehensive legislation to support the Indian Health Service. She remarked, “Until we pass this legislation to permanently authorize advance appropriations for the Indian Health Service and until we provide mandatory funding to IHS, this will always be a fight. It will be a fight to make sure that the US government honors its sacred treaty obligations – we must continue this fight and make sure it is included.”

Representative McCollum’s impassioned words resonated deeply with the audience, highlighting the critical importance of addressing healthcare disparities and ensuring equitable access to quality care for Native communities. Her unwavering commitment to championing the cause of the IHS and advancing the rights of Native communities has been a driving force behind numerous initiatives aimed at securing the necessary support and funding to uphold the sacred treaty obligations of the United States government.

Representative Sharice Davids 

Robyn Robyn Sunday-Allen (NCUIH VP), Representative Sharice Davids (D-KS), Francys Crevier (NCUIH CEO).

Robyn Robyn Sunday-Allen (NCUIH VP), Representative Sharice Davids (D-KS), Francys Crevier (NCUIH CEO).

Representative Sharice Davids, a trailblazing voice in Congress and an influential member of the Native American caucus attended the conference in person and emphasized the importance of education in her address, stating, “One of the main priorities for the Native American caucus has been to educate. We need to educate not just our colleagues, but also ensure that our staff and everyone on the Hill has an understanding of how complex and diverse the issues that exist in Indian Country are.” Davids’s voice serves as a powerful catalyst for change, shedding light on the multifaceted challenges faced by Native communities across the country, and actively works to bridge gaps and promote meaningful dialogue in pursuit of equitable solutions.

Senator Jeff Merkle

Robyn Sunday-Allen (NCUIH VP), Senator Jeff Merkley (D-OR), Francys Crevier (NCUIH CEO).

Robyn Sunday-Allen (NCUIH VP), Senator Jeff Merkley (D-OR), Francys Crevier (NCUIH CEO).

During his acceptance speech, Senator Merkley delivered a compelling message regarding the critical need for advance appropriations for the Indian Health Service. He stated, “The Indian Health Service, which 2.5 million people rely on for their wellbeing, should have never been dependent on the whims of a budget cycle. The rhythm of healthcare means that when you need that care, it is there – not a week later or after Congress figures it out. This provision must be reinstated and reaffirmed forever more.”

Senator Merkley’s words underscored the urgent necessity of ensuring consistent and reliable funding for the IHS, which plays a vital role in providing healthcare services to millions of Native Americans. His unwavering commitment to reinstating the provision for advance appropriations reflects his recognition that healthcare should not be subject to uncertainties and delays caused by the budgetary process.

Majority Leader Chuck Schumer

In his virtual address, Majority Leader Chuck Schumer expressed his gratitude for being awarded the Indian Healthcare Warrior Award for Advance Appropriations. He acknowledged the federal government’s historical neglect of its obligations to support Native communities, particularly in helping them access quality, affordable, and culturally competent healthcare services. However, he expressed pride in the Senate’s historic provision of advance appropriations for the Indian Health Service in the 2023 Omnibus spending package, stating that “IHS was the only federal health care provider that lacked guaranteed funding from year to year- so for the first time in history, we bring Indian Health Services into parity with other health providers.” He promised to continue fighting for Indian Country and hopes to work together to bring more success.

Speaker Emerita Nancy Pelosi

During her virtual acceptance speech, Speaker Emerita Nancy Pelosi highlighted recent policy accomplishments, stating, “Powered by Native voices and your powerful advocacy, we achieved a landmark victory last Congress by securing critical funding for the Indian Health Service.” She added, “Your voices continue to be essential for promoting health and economic justice for tribal communities.”

Senator Lisa Murkowski

Senator Lisa Murkowski expressed gratitude for receiving the Indian Healthcare Warrior award during her virtual acceptance speech but credited the accomplishment to the collective efforts of her fellow advocates. She highlighted her 2013 introduction of legislation to provide Advance Appropriations for IHS and praised the tireless work of tribal organizations in realizing this goal. Senator Murkowski ended by emphasizing that “no matter where Native people live, whether on tribal lands or in urban areas, you deserve quality health care and the federal government has a duty to uphold its trust responsibility.”

Representative Mike Simpson 

In his virtual address, Rep. Simpson, the Chairman of the Interior Subcommittee, highlighted the crucial responsibility of his subcommittee to ensure the protection of Native Americans who receive Health Care through IHS funding, particularly from budget uncertainties. He further emphasized that providing funding for Indian Health Care is “not just a trust responsibility, but also a moral one.”

Representative Tom Col

As Representative Tom Cole was unable to attend the NCUIH conference in person, Robyn Sunday-Allen (Cherokee), Chief Executive Officer of the Oklahoma City Indian Clinic and NCUIH Vice President, was able to meet with Representative Cole to recognize his exceptional dedication to Indian healthcare. As a token of appreciation, Sunday-Allen presented Representative Cole with a specially designed blanket created by NCUIH. This award served to acknowledge Representative Cole’s tireless advocacy for Advance Appropriations in Indian healthcare, demonstrating his unwavering commitment to ensuring consistent and sufficient funding for Native communities. The meeting was an opportunity to honor Representative Cole as an Indian healthcare warrior and express gratitude for his outstanding contributions to improving the lives of Native people.

Indian Health Care Warrior Award for Advance Appropriations: federal partners

Three Indian Health Care Warrior Awards for Advance Appropriations were presented to federal partners for their work in achieving advance appropriations:   

  • Tracy Goodluck, Senior Advisor to the Assistant Secretary for Indian Affairs, U.S. Department of the Interior;
  • Daron Carriero, Former Senior Policy Advisor for Native Affairs for the White House Domestic Policy Council
  • The Office of Management and Budget (OMB): Shalanda Young, Director; Liz Carr, Tribal Advisor to Director; and Topher Spiro, Associate Director of Health.

Tracy Goodluck

Robyn Robyn Sunday-Allen (NCUIH VP), Francys Crevier (NCUIH CEO), Tracy Goodluck, Lauren W. Yowelunh McLester-Davis.

Robyn Robyn Sunday-Allen (NCUIH VP), Francys Crevier (NCUIH CEO), Tracy Goodluck, Lauren W. Yowelunh McLester-Davis.

Tracy Goodluck’s role as Senior Advisor to the Assistant Secretary for Indian Affairs at the US Department of the Interior is of immense importance in advancing the cause of urban Native issues. With her expertise and dedication, she plays a pivotal role in bringing these often overlooked concerns to the forefront of policy decision-making. Tracy’s deep understanding of the complex challenges faced by urban Native communities enables her to effectively advocate for their unique needs and amplify their voices within the government. Her ability to bridge the gap between policy development and the lived experiences of urban Native populations helps ensure that their perspectives are heard and integrated into meaningful policy reforms.

Daron Carriero

Daron Carriero, a dedicated advocate for Native healthcare, was recognized for his exceptional efforts and awarded for his significant contributions. As a Choctaw Nation citizen and former Senior Policy Advisor for Native Affairs for the White House Domestic Policy Council under President Biden, Mr. Carriero played a crucial role in securing Advance Appropriations for the Indian Health Service. Through his work at the Department of Justice and later at the White House, he actively supported Tribes across the nation by advocating for increased funding and facilitating crucial conversations between key stakeholders. Although unable to attend the ceremony, Mr. Carriero’s unwavering commitment and substantial achievements in advancing Indian healthcare were acknowledged and celebrated.

The Office of Management and Budget: Shalanda Young, Topher Spiro, and Liz Carr

The Office of Management and Budget (OMB), represented by Director Shalanda Young, Associate Director Topher Spiro, and Ms. Liz Carr, Tribal Advisor to Director, were honored for their instrumental contributions to advancing Indian healthcare. Despite being unable to attend the Award Ceremony, their unwavering dedication and tireless efforts played a pivotal role in achieving this momentous milestone. As essential figures in this achievement, their leadership and commitment were crucial in navigating the complex landscape of healthcare funding and policy. The OMB’s invaluable support and partnership have laid the groundwork for future collaborations.

Darren Benjamin

Robyn Sunday-Allen (NCUIH VP), Darren Benjamin, Francys Crevier (NCUIH CEO).

Robyn Sunday-Allen (NCUIH VP), Darren Benjamin, Francys Crevier (NCUIH CEO).

NCUIH also awarded our Ally in Indian Country, Darren Benjamin, for his work within Tribal organizations and in Congress to advance the healthcare of all Native people. While accepting his award, Benjamin noted the crucial role of bipartisan policymaking in saving Native lives. Effective solutions require the support and cooperation of lawmakers from both sides of the aisle, and transcending partisan divides is essential for securing the necessary resources and funding to address pressing issues impacting Native communities, ultimately ensuring their well-being and promoting positive health outcomes.

Native Veterans Health Ally Award

The Native Veterans Health Ally Awards were given to individuals for their commitment to advocating on behalf of Native American veterans:

  • Councilman Nick Lewis (Lummi Nation)
  • Chief William Smith (Valdez Native Tribe)
  • The Honorable Denis McDonough, Secretary of Veterans Affairs
Robyn Sunday-Allen (NCUIH VP), Francys Crevier (NCUIH CEO), Honorable Denis McDonough, Roslyn Tso (IHS Director), Councilman Nicklaus Lewis.

Robyn Sunday-Allen (NCUIH VP), Francys Crevier (NCUIH CEO), Honorable Denis McDonough, Roslyn Tso (IHS Director), Councilman Nicklaus Lewis.

NCUIH board member Robyn Sunday-Allen (Cherokee) presented the Native Veterans Health Ally Award to Chief William Smith (Valdez Native Tribe), Councilman Nicklaus Lewis (Lummi Nation), and the Honorable Denis McDonough, in recognition of their work to advance the health and well-being of American Indian and Alaska Native veterans. Chief Smith and Councilman Lewis serve on the Department of Veterans Affairs Advisory Committee on Tribal and Indian Affairs with NCUIH’s Board President Sonya Tetnowski, where they are fierce advocates for Native veterans and secure funding and support for tribal veteran services. Chief William Smith has worked tirelessly to address the disproportionate health challenges faced by Native veterans, particularly those related to mental health. Although unable to attend the ceremony, Chief Smith’s achievements were acknowledged and celebrated. The Honorable Denis McDonough, Secretary of Veterans Affairs, has been instrumental in securing resources for Native veterans, pushing for increased funding for Native health care, and advocating for policies that support Native veteran access to care. In his acceptance speech, Secretary McDonough stated that “If you fight for us, we’ll fight for you. If you take care of us, we’ll take care of you. If you have our backs, we’ll have your backs when you leave the service. Native Veterans have kept their part of that promise. Now, it’s time for us—as a country and at VA—to uphold our end of the bargain. We will not rest until every Veteran gets access to equitable, world-class care and benefits.” Together, these three individuals have made significant contributions to improving the lives of Native veterans and their families.

NCUIH Contact: Meredith Raimondi, Vice President of Public Policy, mraimondi@ncuih.org