Upholding the Highest Health Status for All American Indians
and Alaska Natives (AI/ANs)
- Fully Fund the Indian Health Service (IHS) and Urban Indian Health at the Amounts Requested by Tribes
- FY 2023 Request for IHS: $49.8 billion.
- FY 2023 Request for the Urban Indian Line Item: $949.9 million.
- Improving Behavioral Health for All American Indians and Alaska Natives
- Enact the Native Behavioral Health Access Improvement Act (H.R. 4251/S. 2226) to Provide at Least $200 million
Annually to Indian Health Care Providers.
- Enact the State Opioid Response Grant Authorization Act of 2021 (H.R. 2379) to Provide Critical Investments to Tribes,
Tribal Organizations, and UIOs to Fight the Opioid Epidemic.
- Attain Advance Appropriations for Indian Health and Improve Funding Certainty
- Enact the Indian Programs Advance Appropriations Act (H.R. 5567/S. 2985) and Indian Health Service Advance
Appropriations Act (H.R. 5549) to Insulate Indian Health Care Providers from Shutdowns.
- Allow UIOs to Receive all Funds at the Start of a Continuing Resolution (Exception Apportionment)
- “Nothing About Us Without Us”: Improving Health Outcomes Through Dialogue
- Enact the Urban Indian Health Confer Act (H.R. 5221) to Establish an Urban Confer for the Department of Health and
Human Services (HHS).
- Include UIOs in Advisory Committees that Focus on Indian Health.
- Establish an Urban Indian Interagency Work Group to Identify the Needs and Develop Strategies to Better Serve Urban
- Improving Native Veteran Health Outcomes
- Establish an Urban Confer for the Department of Veterans Affairs (VA).
- Enact the STRONG Veterans Act of 2022 (H.R.6411).
- Special Diabetes Program for Indians: A Proven Case of Decreased Diabetes Prevalence and Improved
Health Outcomes for AI/AN People
- Permanently Reauthorize Special Diabetes Program for Indians (SDPI) at a Minimum of $250 Million Annually.
- Healing from Federal Boarding Schools
- Enact the Truth and Healing Commission on Indian Boarding School Policies in the United States Act
- Ending the Pandemic of Missing and Murdered Indigenous Peoples (MMIP)
- Enact the Violence Against Women Act Reauthorization Act of 2022 (S. 3623).
- Improving Data in Indian Health
- Enact the Tribal Health Data Improvement Act (H.R. 3841).
- Improving the Response to the COVID-19 Pandemic for AI/ANs
- Enact the Tribal Medical Supplies Stockpile Access Act of 2022 (H.R. 6372/S. 3444).
- Tackling the Stigma and Advancing HIV Efforts in AI/AN Communities
- Increase Innovative Resources to Reduce Stigma and Fear Around HIV in AI/AN Communities.
- Increase Behavioral Health Support Resources at UIOs for AI/ANs Living with HIV.
Parity in the Indian Health System
- Increasing Resources Supporting Medicaid-IHS Beneficiaries
- Enact the Urban Indian Health Parity Act (H.R. 1373 or H.R. 1888) to Ensure Permanent Full (100%) Federal Medical
Assistance Percentage (FMAP) for Services Provided at UIOs.
- Improving the Indian Health Workforce
- Inclusion of UIOs in National Community Health Aide Program (CHAP).
Improving the Indian Health Service
- Data is Dollars: Ensuring Accurate Data Collection in the Indian Health System
- Health IT/Electronic Health Record (EHR) Improvement and IHS National Data Warehouse Reporting
- Continuity in the Indian Health System
- Improve Area Office Consistency.
- Elevate the Health Care Needs of Native Americans Within the Federal Government
- Enact the Stronger Engagement for Indian Health Needs Act (H.R. 6406) to elevate the IHS Director to Assistant
Secretary for Indian Health.
- Increase Funding for the Indian Health Service and the Urban Indian Line Item ($200.5 million for FY22)
- Advance Appropriations to Insulate Indian Health Care Providers from Shutdowns and Allow for Long-Term Planning
- Fund Behavioral Health for Urban Indian Organizations (UIOs)
Parity for Urban Indian Health
- Extend Full (100%) Federal Medical Assistance Percentage (FMAP) to services provided at UIOs (H.R. 1373, H.R. 1888)
- Remove Facilities Restrictions on UIOs
- Establish an Urban Confer Policy for HHS
- Inclusion of UIOs in National Community Health Aide Program (CHAP)
- Inclusion of UIOs in Advisory Committees with Focus on Indian Health
- Add UIOs to Federal Advisory Committee Act (FACA) Exemptions
- UIO Representation for Facilities Appropriation Advisory Board (FAAB)
- Reauthorize the Special Diabetes Program for Indians (SDPI) through 2025 and increase funding to $200 million annually
- Unfunded Provisions in the Indian Health Care Improvement Act (IHCIA)
- Establish an Urban Indian Health Community Health Representatives fund at $3.05 million
- Establish a UIO urban confer policy
- Preserve behavioral health initiatives for Urban Indian Organizations