National Congress of American Indians–Examination and Overview of Eligibility Requirements in Indian Health Service 08-24-09

Authors: National Congress of American Indians
Publication Year: 2009
Last Updated: 2010-08-11 13:49:02
Journal: NA
Keywords: eligibility, NCAI, National Congress of American Indians, IHS, Indian Health Services, recognition

Short Abstract:

In the 1980s, changes to the Indian Health Service (IHS) eligibility criteria were proposed, including a new blood quantum requirement. In response to strong protest from tribes, Congress imposed a moratorium on the implementation of these revised eligibility criteria and required IHS to conduct a study on the potential impacts of the proposed eligibility changes. That study, released in 1996, concluded that implementation of the proposed eligibility changes would have catastrophic impacts on American Indian and Alaska Native communities. The following paper presents background information on eligibility requirements for American Indians and Alaska Natives (AI/AN) receiving health care services through the Indian Health Service (IHS), which remained unchanged after the 1980s debate, as well as a detailed account of that debate. Past debates hold important lessons for current policy discussions about IHS eligibility requirements.

Abstract:

In the 1980s, changes to the Indian Health Service (IHS) eligibility criteria were proposed, including a new blood quantum requirement. In response to strong protest from tribes, Congress imposed a moratorium on the implementation of these revised eligibility criteria and required IHS to conduct a study on the potential impacts of the proposed eligibility changes. That study, released in 1996, concluded that implementation of the proposed eligibility changes would have catastrophic impacts on American Indian and Alaska Native communities. The following paper presents background information on eligibility requirements for American Indians and Alaska Natives (AI/AN) receiving health care services through the Indian Health Service (IHS), which remained unchanged after the 1980s debate, as well as a detailed account of that debate. Past debates hold important lessons for current policy discussions about IHS eligibility requirements.

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