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 Jennifer Cooper at jcooper@nihb.org.

News

December 17, 2012

8 states (and D.C) have been Conditionally Approved for a State Exchange from HHS Secretary:

Colorado, Connecticut, District of Columbia, Kentucky, Massachusetts, Maryland, New York, Oregon, and Washington

Gary Cohen, Director of The Center for Consumer Information and Insurance Oversight (CCIIO) said “The states with conditional approval have demonstrated good progress, and they have a plan and a path that we believe will get them to full operation of the exchange by Oct. 1.”

10 states have Sent Letters to HHS Indicating their Intent to Establish a State Exchange:

California, Hawaii, Idaho, Minnesota, Mississippi, Nevada, New Mexico, Rhode Island, Vermont, and Utah



December 7, 2012

What's at stake if they build state-based exchanges, partner with the federal government -- or let federal regulators run everything?

To partner with the federal government or not. That is the question facing many of the nation's governors as crunch time approaches to carry out the 2010 health care law.

Their decisions about whether to set up state-run online markets to offer health insurance will affect whether millions of individual consumers and small businesses shop for coverage on state or federally operated websites starting in 2014....

Read More (PDF)



December 7, 2012

Obama administration moves forward to implement health care law, ban discrimination against people with pre-existing conditions

The Obama administration moved forward today to implement provisions in the health care law that would make it illegal for insurance companies to discriminate against people with pre-existing conditions. The provisions of the Affordable Care Act also would make it easier for consumers to compare health plans and employers to promote and encourage employee wellness...

Read More (PDF)



December 7, 2012

Q&A: What would it mean to raise Medicare's eligibility age?

Raising the age for starting Medicare is among the leading proposals to slow the program's spending — key to a federal budget deal. But how would it work?

Read Article



November 30, 2012

EXCHANGE UPDATE: Arizona Decides NOT to Implement Health Exchange and Will Deter to the Federally Facilitated Exchange



TTAG Strategic Plan has been approved at the TTAG November Face to Face Meeting this Week

November 16, 2012

View AIAN Strategic Plan (PDF)



Obama Administration Extends Deadline For State Exchanges --Again

By Phil Galewitz
KHN Staff Writer

Nov 15, 2012
For the second time in a week, the Obama administration gave states more time to decide whether to build online insurance marketplaces that will help millions of people buy health coverage starting next fall...

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Obama Administration Extends Deadline For State Exchanges

By Phil Galewitz
KHN Staff Writer

Nov 09, 2012
The Obama administration on Friday gave states more time to submit plans to set up state-based health insurance exchanges, a concession to the reality that many states had delayed planning until they saw who won the presidential election...

Read More



» View More News Articles

Health Exchanges Timeline

February 15, 2013

Deadline for Level One and Level Two Establishment Grants applications

May 15, 2013

Deadline for Level One and Level Two Establishment Grants applications

August 15, 2013

Deadline for Level One and Level Two Establishment Grants applications

October 1, 2013

Open Enrollment for Health Insurance Exchanges begins providing additional funding for the Children’s Health Insurance Program- states will receive two more years of funding to continue coverage for children not eligible for Medicaid

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

Deadline for state health exchanges to become operational