Urban Indian Health Care 101

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Publication Year: 2017
Last Updated: 2018-02-01 11:35:27
Journal: NCUIH
Keywords: Urban indian Health Care, NCUIH, AI/AN, UIHP,

Short Abstract:

What is the federal government’s trust responsibility for Indian health care?

Under law, tribal governments are treated as “domestic dependent nations”—similar to states in terms of sovereignty but with a trust obligation from the federal government. The federal government is considered to be the trustee with responsibility for the 567 federally-recognized tribes.

The trust responsibility means that the government has a fiduciary duty to act in the best interest of Tribes and American Indians / Native Alaskans (AI/AN). That responsibility is not restricted to the borders of reservations, and it includes issues related to health care.

Abstract:

What is the federal government’s trust responsibility for Indian health care? 

Under law, tribal governments are treated as “domestic dependent nations”—similar to states in terms of sovereignty but with a trust obligation from the federal government. The federal government is considered to be the trustee with responsibility for the 567 federally-recognized tribes. 

The trust responsibility means that the government has a fiduciary duty to act in the best interest of Tribes and American Indians / Native Alaskans (AI/AN). That responsibility is not restricted to the borders of reservations, and it includes issues related to health care.

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