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Rural Tribal Health – Resources

Selected recent or important resources focusing on Rural Tribal Health.

CY 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Proposed Rule (CMS 1809-P)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) proposed rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2025. Summarizes provisions regarding changes to Intensive Outpatient Program (IOP) and partial hospital program rate setting; a proposal to include an add-on payment to the Medicare outpatient hospital all-inclusive rate (AIR) for certain high-cost drugs for people with Medicare who receive care at Indian Health Service (IHS) or tribal hospitals; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; a proposal for new Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services; Medicaid and CHIP continuous eligibility; Medicaid clinic services "four walls" exceptions; and more.
Date: 07/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Tribal Broadband: Additional Assistance to Recipients Would Better Support Implementation of $3 Billion in Federal Grants
This provides an overview of Tribal Broadband Connectivity Program (TBCP) grants, including recipients who had not received prior funding from key federal broadband programs and recipients' plans for network ownership and financial sustainability. Examines the extent to which the National Telecommunications and Information Administration (NTIA) provided technical assistance to recipients regarding financial sustainability and navigating the environmental review process. Presents recommendations to NTIA on technical assistance and reporting to Congress on the resources necessary to ensure the financial sustainability of TBCP projects.
Additional links: Full Report
Date: 06/2024
Type: Document
Sponsoring organization: Government Accountability Office
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American Indian and Alaska Natives in Tribal Areas Have Among Lowest Rates of High-Speed Internet Access
Highlights the gaps in access to high-speed internet in American Indian and Alaska Native (AI/AN) communities. Details rates of broadband access by AI/AN households and on tribal lands in general, by state, and by year.
Author(s): Daniela Mejía
Date: 06/2024
Type: Document
Sponsoring organization: U.S. Census Bureau
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Health Insurance Coverage and Access to Care among American Indians and Alaska Natives: Recent Trends and Key Challenges
Issue brief presenting data on rates of insurance coverage, Medicaid coverage, and access to healthcare for American Indians and Alaska Natives (AI/AN) using American Community Survey data. Discusses the impacts of health disparities, coverage expansions under the Affordable Care Act, and state Medicaid expansions on AI/AN populations.
Date: 06/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Traditional Food Security and Food Sovereignty in the Coastal Region of South-Central Alaska
Features a study on traditional food security and sovereignty for the Alutiiq and Eyak peoples of the Chugach Region of Alaska. Breaks down results by community food resources, diet and health, culture, organization and governance, food resources, and natural resources and environment. Makes recommendation on overcoming barriers and improving food systems.
Author(s): Joseph Nyholm, Amanda Walch, Leslie Redmond
Citation: International Journal of Circumpolar Health, 83(1), 2359161
Date: 05/2024
Type: Document
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Health Coverage Options for American Indians and Alaska Natives
Fact sheet details the healthcare coverage options for American Indian and Alaska Native populations. Provides guidance for accessing healthcare coverage through the Marketplace, Medicaid, and the Children's Health Insurance Program (CHIP) and breaks down the various verification and eligibility requirements.
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Assisting American Indian and Alaska Native Consumers
Presentation slides discuss the ACA health insurance marketplace, the Indian Health Services, and provides information for American Indian and Alaska Native people pertaining to healthcare coverage. Presents guidance for AI/AN people to ensure they have consistent healthcare coverage.
Date: 05/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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USDA Rural Utilities Service's Support for Tribes and Other Indigenous Entities
Provides an overview of U.S. Department of Agriculture (USDA) Rural Utilities Service (RUS) programs that help offset the costs of building and repairing utility systems in rural areas. Describes the types of tribal and other Indigenous entities eligible to apply for RUS programs. Highlights two USDA Rural Development authorities that can help tribes and other Indigenous entities access RUS programs. Outlines issues Congress may consider if it chooses to constrict, maintain, or expand the laws governing these programs.
Date: 04/2024
Type: Document
Sponsoring organization: Congressional Research Service
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U.S. Department of Veterans Affairs and Indian Health Service Memorandum of Understanding - Annual Report, Fiscal Year 2023
Annual report details the accomplishments of the U.S. Department of Veterans Affairs (VA) and the Indian Health Service (IHS) via their memorandum of understanding. Highlights the ways the VA and IHS have worked together to deliver healthcare to American Indian and Alaska Native veterans and discusses future collaborations.
Date: 04/2024
Type: Document
Sponsoring organizations: Indian Health Service, U.S. Department of Veterans Affairs
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Indian Health Service Health Equity Report
Reports on efforts to advance health equity in the Indian Health Service (IHS). Discusses strategies and funding supporting access to facilities and services, quality of care, cultural appropriateness, wellness and disease prevention, and more.
Date: 04/2024
Type: Document
Sponsoring organization: Indian Health Service
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Last Updated: 7/11/2024