HR4722-119

In Committee

Urban Indian Health Parity Act

119th Congress Introduced Jul 23, 2025

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

The bill exempts extends full Federal Medical Assistance Percentage (100% federal reimbursement) to urban Indian organizations providing Medicaid services, placing them on equal footing with tribal organizations. It relies on exemptions. The main policy areas are Healthcare.

Who Benefits and How

Urban Indian organizations providing healthcare under IHS grants/contracts could gain revenue opportunities, Urban Native American healthcare consumers could see lower costs, and State Medicaid programs could see lower costs.

Who Bears the Burden and How

Federal government (CMS/HHS) could face higher costs.

Key Provisions

  • Exempts extends full Federal Medical Assistance Percentage (100% federal reimbursement) to urban Indian organizations providing Medicaid services, placing them on equal footing with tribal organizations.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

The bill exempts extends full Federal Medical Assistance Percentage (100% federal reimbursement) to urban Indian organizations providing Medicaid services, placing them on equal footing with tribal organizations.

Key Policy Areas

Healthcare

Primary Purpose

The bill exempts extends full Federal Medical Assistance Percentage (100% federal reimbursement) to urban Indian organizations providing Medicaid services, placing them on equal footing with tribal organizations.

Policy Domains

Healthcare

Section 2 - Full Federal medical assistance percentage for urban Indian organizations

Identified Gains
  • Urban Indian organizations providing healthcare under IHS grants/contracts
  • Urban Native American healthcare consumers
  • State Medicaid programs
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
State Medicaid programs:
Urban Native American healthcare consumers:
Urban Indian organizations providing healthcare under IHS grants/contracts:
Identified Costs
  • Federal government (CMS/HHS)
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Federal government (CMS/HHS):

Legislative Progress

In Committee
Introduced Committee Passed
Jul 23, 2025

Mr. Ruiz (for himself and Mr. Bacon) introduced the following …

Jul 23, 2025

Referred to the House Committee on Energy and Commerce.

Jul 23, 2025

Introduced in House

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Healthcare
1 mention across 1 clause
+1 positive

Urban Indian organizations providing healthcare under IHS grants/contracts

Healthcare Beneficiaries
1 mention across 1 clause
+1 positive

Urban Native American healthcare consumers

Government
1 mention across 1 clause
-1 negative

Federal government (CMS/HHS)

State & Local Government
1 mention across 1 clause
+1 positive

State Medicaid programs

1/2
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare

Key Definitions

Terms defined in this bill

1 term
"urban Indian organization" §2

As defined in section 4 of the Indian Health Care Improvement Act - organizations operating pursuant to grants or contracts with the Indian Health Service

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology