indianz.com your internet resource indianz.com on facebook indianz.com on twitter indianz.com on Google+ indianz.com on soundcloud
phone: 202 630 8439
Sovereignty and E-Commerce:  Innovating and Reshaping the  Borders of Indian Country - Arizona State University Third Annual Tribal Government E-Commerce CLE Conference
Advertise on Indianz.Com
Home > News > Headlines
Print   Subscribe
Tribes working to protect Indian health with Donald Trump in office

Filed Under: Health | National | Politics
More on: 115th, aca, andrew bremberg, congress, donald trump, hhs, ihcia, ihs, lester secatero, nihb, paul ryan, republicans
     
   

The Alaska Native Medical Center in Anchorage, Alaska. Photo from Facebook

With Republican Donald Trump headed to the White House and Republicans in control of the U.S. Congress, a major threat looms over the Indian health care system.

During his campaign, the president-elect repeatedly called the Affordable Care Act a "disaster." Come January 2017, he plans to join Republicans in the House and in the Senate in repealing the historic 2010 law that allowed millions of American citizens to obtain health insurance for the first time.

"Let us be clear: President-Elect Trump has put forth a plan to revoke the Affordable Care Act on his first day in office," Lester Secatero, the chairman of the National Indian Health Board, said in a statement on Thursday.

A devastating side effect of that effort would be the loss of the Indian Health Care Improvement Act. The law, which updates crucial programs to address the unique and pressing health needs of the first Americans, was included in the ACA.

The IHCIA also was made permanent, a significant achievement, considering that tribes spent more than a decade trying to get it passed during the Bush era.

But Republican lawmakers have voted to repeal the ACA, defund it, or delay it more than 50 times since 2010, according to Democrats. Even the only two tribal citizens in Congress -- Rep. Tom Cole (R-Oklahoma), who is from the Chickasaw Nation, and Rep. Markwayne Mullin (R-Oklahoma), who is from the Cherokee Nation -- have joined those efforts on different occasions.

At the same time, Republicans have never acknowledged or explained how their actions will impact the Indian Health Service So Secatero, who is a citizen of the Navajo Nation from To'hajiilee, said his organization will be working with lawmakers to "ensure the Indian Health Care Improvement Act remains intact."

"In addition, NIHB is analyzing the potential impact on Native health and access to care that will happen as a result of ACA repeal," Secatero said. "We will provide that analysis on an ongoing basis and it will serve as the foundation for future action."

Secatero also said the organization will be reaching out to the Trump transition team -- dubbed greatagain.gov, a reflection of the candidate's campaign slogan -- to recommend tribal citizens to serve at the IHS and the Department of Health and Human Services, its parent agency. A meeting will take place in Washington, D.C., on December 8 to prepare for the new administration.

"NIHB will convene tribes across the nation and lead a national, tribal discussion to create a strategic path forward that stands on sovereignty, self-governance, treaties, the Constitution and policy," Secatero said.


NCAI on YouTube: Post Election Analysis Webinar

When the 115th Congress convenes in January, the bill to repeal the ACA and the IHCIA is expected to be among the first in line. The effort is part of A Better Way, the conservative agenda being advanced by Rep. Paul Ryan (R-Wisconsin), the Speaker of the House, who incidentally had abandoned Trump in the weeks before Tuesday's election.

"No one can really speak to what's in it or not in it at this time," Jacqueline Pata, the executive director of the National Congress of American Indians, said during a post-election webinar on Thursday, adding that her organization also will work with Congress to protect Indian health care.

The Affordable Care Act requires all Americans to carry health insurance. In most situations, coverage is provided by employers but others are required to purchase it.

Tribal citizens who receive their care through the Indian Health Service, however, are exempt from the mandate so repealing the law would not have an effect on that front.

But in addition to a permanent reauthorization of the Indian Health Care Improvement Act, the law helps Indian Country in other ways. One provision, for example, prevents tribal benefits from being taxed by the Internal Revenue Service, an issue that was affecting tribes nationwide.

Another provision, however, penalized tribes with million of dollars in fines for failing to provide health coverage to their employees. Republicans are supporting a bill to address the issue, to the opposition of Democrats.

Trump has tapped Andrew Bremberg, a former HHS staffer and former Republican Congressional staffer, as his lead for the department. He also served on the Republican Party's platform committee staff.

"Republicans reject a one-size-fits-all approach to federal-tribal-state partnerships and will work to expand local autonomy where tribal governments seek it," the 2016 platform reads. "Better partnerships will help us to expand Republicans reject a one-size-fits-all approach to federal-tribal-state partnerships and will work to expand local autonomy where tribal governments seek it. Better partnerships will help us to expand."

Related Stories:
Tribes brace for change with Republicans in control in Washington (11/10)
Doug George-Kanentiio: The war on Natives and our Earth begins (11/9)
Navajo Nation leaders congratulate Donald Trump on big victory (11/9)
Quinault Nation calls for tribal inclusion in Trump transition team (11/9)
Republican Donald Trump secures huge victory in stunning upset (11/9)
Navajo veteran who once worked for Donald Trump praises Republican presidential nominee (11/04)
Navajo Republicans host Donald Trump campaign for event in New Mexico (11/02)
Donald Trump touts Indian Country supporters but offers no policy (11/2)
Indian Health Service hires deputy medical officer in Great Plains (10/17)
NCAI President: A 'terrible job' at health care for the first Americans (10/14)
Kristi Noem: Addressing the many challenges in Indian Country (10/10)
Investigation confirms problems at Indian Health Service facilities (10/07)
Indian Health Service names new medical officer in Great Plains (09/23)
Indian Health Service awards large contract in Great Plains Area (09/20)
Native Sun News Today: Urban Indians lose emergency services at Indian Health Service facility (09/20)
House committee considers bill to reform Indian Health Service (09/14)
Indian Health Service crisis continues with shutdown at hospital (09/14)

Copyright © Indianz.Com
More headlines...
Stay Connected:
On Facebook

On Twitter

On Google+

On SoundCloud
Local Links:
Federal Register | Indian Gaming | Jobs & Notices | In The Hoop | Message Board
Latest News:
Standing Rock Sioux Tribe focuses on battles as Trump takes office (1/23)
Tim Giago: Rapid City mayor points the finger at Native community (1/23)
Mark Trahant: Prepare for tribal budget cuts under President Trump (1/23)
Lakota Country Times: New group takes action for Pine Ridge youth (1/23)
Denver American Horse: Ringing in a new year with our sovereignty (1/23)
Ivan Star Comes Out: Unresolved trauma affects Lakota way of life (1/23)
Deron Marquez: Electoral College protects the Indian voter's voice (1/23)
Lakota Country Times: New Oglala Sioux leader encourages youth (1/20)
Native Sun News Today: A new leader for Great Plains tribal group (1/20)
Native Sun News Today Editorial: It's a new era for Indian Country (1/20)
Mark Charles: Decoding Trump's bid to 'Make America Great Again' (1/19)
Lakota Country Times: Another year of big news in Lakota territory (1/19)
Native Sun News Today: DefundDAPL billboard goes up in New York (1/19)
Vi Waln: Let's kick our smoking and tobacco habit in Indian Country (1/19)
Terese Mailhot: Native women care what happens to all our sisters (1/19)
Leonard Peltier remains behind bars as Obama rejects clemency (1/19)
Department of the Army takes the lead on Dakota Access Pipeline (1/18)
Dakota Access executive confirms crude already placed in pipeline (1/18)
Bureau of Indian Affairs releases annual listing of recognized tribes (1/18)
Lakota Country Times: Rosebud Sioux Tribe opens homeless shelter (1/18)
Native Sun News Today: Northern Cheyenne focuses on foster care (1/18)
Brandon Ecoffey: Be safe and be prepared as winter hits the plains (1/18)
Disenrollment epidemic affects dozens of tribes across the nation (1/18)
New battle opens as Dakota Access disputes environmental review (1/17)
Judge declines to block publication of Dakota Access Pipeline notice (1/17)
Standing Rock Sioux Tribe responds quickly to Dakota Access threat (1/17)
President Obama names first members of Native youth commission (1/17)
Tim Giago: Discovering a love for food at an Indian boarding school (1/17)
Lakota Country Times: Historic decision for Indian Child Welfare Act (1/17)
Native Sun News Today: Pine Ridge teams fight it out at the buzzer (1/17)
Delphine Red Shirt: Tournament is a testament to our Native youth (1/17)
Native Sun News Today Editorial: News for ranchers in the new year (1/17)
Gyasi Ross: Let's divest from DAPL and support Native owned banks (1/17)
Jeffrey Ostler/Nick Estes: Treaties and the Dakota Access Pipeline (1/17)
Mary Annette Pember: Bad River Band takes stand on oil pipeline (1/17)
Steve Russell: Resolutions for tribal leaders and even the Donald (1/17)
Craig Tribal Association celebrates 'historic' trust land acquisition (1/16)
Mark Trahant: Congress moves forward with repeal of Obamacare (1/16)
more headlines...

Home | Arts & Entertainment | Business | Canada | Cobell Lawsuit | Education | Environment | Federal Recognition | Federal Register | Forum | Health | Humor | Indian Gaming | Indian Trust | Jack Abramoff Scandal | Jobs & Notices | Law | National | News | Opinion | Politics | Sports | Technology | World

Indianz.Com Terms of Service | Indianz.Com Privacy Policy
About Indianz.Com | Advertise on Indianz.Com

Indianz.Com is a product of Noble Savage Media, LLC and Ho-Chunk, Inc.