Letter from National Council of Urban Indian Health (NCUIH) to Senators M. Baucus and C. Grassley of the Senate Committee on Finance 11-23-09 (Express Lane Agency)

Authors: National Council of Urban Indian Health
Publication Year: 2009
Last Updated: 2016-04-05 18:05:16
Journal: NCUIH
Keywords: express lane, ncuih, national council of urban indian health, Medicaid, CHIP, Childrens health insurance program

Short Abstract:

The fundamental goal of the Express Lane Agency language is to reduce barriers for enrollment into critical programs such as Medicaid for American Indians and Alaska Natives (AI/ANs). AI/ANs suffer from disproportionately high poverty rates.  Based on the 2000 Census, 25.7 percent of AI/ANs live in poverty in comparison with 12.4% of the general U.S. population. Additionally, in the recently released Census report on health insurance coverage, 31.7 percent of AI/ANs are reported to be uninsured based on a 3-year average (2006-2008).  Despite this high rate of poverty and lack of insurance, AI/ANs are severely under-enrolled in Medicaid and CHIP. The consistent under-enrollment in Medicaid and CHIP has been a topic of frequent discussion in Tribal consultation, testimony to Congress, and policy debates. The reasons for this under-enrollment are numerous and Indian health care providers are uniquely situated to overcome these obstacles.

Abstract:

The fundamental goal of the Express Lane Agency language is to reduce barriers for enrollment into critical programs such as Medicaid for American Indians and Alaska Natives (AI/ANs). AI/ANs suffer from disproportionately high poverty rates.  Based on the 2000 Census, 25.7 percent of AI/ANs live in poverty in comparison with 12.4% of the general U.S. population. Additionally, in the recently released Census report on health insurance coverage, 31.7 percent of AI/ANs are reported to be uninsured based on a 3-year average (2006-2008).  Despite this high rate of poverty and lack of insurance, AI/ANs are severely under-enrolled in Medicaid and CHIP. The consistent under-enrollment in Medicaid and CHIP has been a topic of frequent discussion in Tribal consultation, testimony to Congress, and policy debates. The reasons for this under-enrollment are numerous and Indian health care providers are uniquely situated to overcome these obstacles.

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