Welcome to the National Indian Health Board Tribal Health Care Reform Resource Center!

This site is the national resource center for Tribes, Tribal Health Director, policymakers and others invested in implementation of the Affordable Care Act and the Indian Health Care Improvement Act.

Implementation of this new health care reform law, which includes the IHCIA, will take several years: however, several provisions are self implementing and many more provide opportunity for Indian Country to engage, guide and comment on policy as it is being made. It is important for American Indians and Alaska Natives to be well-informed on the law's effects on Native health, and the rights, responsibilities and opportunities presented in the health care reform law.

That is why the National Indian Health Board created this site.

If you have any questions or suggestions for the site, please contact Liz Heintzman at lheintzman@nihb.org.

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Health Exchanges Timeline

Health Exchanges Timeline

June, 2013

Call Center Launched

July 31, 2013

Deadline for Partnership States to Submit Plan Management Partnership Activiites with Qualified Health Plan Certification process

Consumer Assistance Training Starts

August 15, 2013

Deadline for Level One and Level Two Establishment Grants Applications

Web Portal Loaded/Tested

October 1, 2013

Open Enrollment for Health Insurance Exchanges

November 15, 2013

Deadline for Level One and Level Two Establishment Grants applications

November 18, 2013

Deadline for states wishing to alter their exchange model in 2015 must submit exchange blueprint to HHS

January 1, 2014

Exchanges become operational

Check out:state implementation on health exchanges and medicaid expansion with regards to AINA Updated: March 11, 2013 “To learn which state is planning on implementing a state or partnership exchange and expanding Medicaid, please view our excel track sheet, which also includes each state’s statistics on American Indian/Alaska Native (AI/AN) populations and federal poverty levels.”