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.


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Health Exchanges Timeline

Health Insurance Marketplace Timeline

October 15, 2014

Open enrollment on the marketplace begins again

NOTE: American Indians and Alaska Natives have special enrollment periods, which means they can enroll onto the exchanges on any month. 


Check out:state implementation on health exchanges and medicaid expansion with regards to AINA Updated: August 28, 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.”


What do American Indians and Alaska Natives need to know in order to be prepared and ready for open enrollment? Learn more by visiting http://Healthcare.gov/Tribal

Need health coverage? The Health Insurance Marketplace is open! Apply Now