To amend title XIX of the Social Security Act to require a Federal medical assistance percentage of 100 percent for urban Indian organizations, and for other purposes.
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
This bill amends the Social Security Act to provide urban Indian organizations with the same 100% federal Medicaid reimbursement rate currently given to Indian tribes and tribal organizations. It expands healthcare funding parity for Native American healthcare providers.
Who Benefits and How
Urban Indian organizations benefit by receiving full federal reimbursement (100% FMAP) for Medicaid services instead of the standard state-shared rate, significantly increasing their funding. Urban Native Americans benefit through better-funded healthcare facilities serving their communities.
Who Bears the Burden and How
The federal government bears increased costs by assuming the full Medicaid reimbursement burden for services provided through urban Indian organizations, which would otherwise be split with states. State governments see no increased costs and may see marginal savings.
Key Provisions
- Extends 100% Federal Medical Assistance Percentage to urban Indian organizations
- Applies to organizations operating under grants or contracts with the Indian Health Service
- Amends Section 1905(b) of the Social Security Act
Evidence Chain:
This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.
At a Glance
What This Bill Does
Extends full Federal Medical Assistance Percentage (100% federal reimbursement) to urban Indian organizations providing Medicaid services, matching the treatment already given to tribal organizations.
Key Policy Areas
Healthcare, Indian Affairs, Medicaid
Primary Purpose
Extends full Federal Medical Assistance Percentage (100% federal reimbursement) to urban Indian organizations providing Medicaid services, matching the treatment already given to tribal organizations.
Policy Domains
Section 2 - Full Federal medical assistance percentage for urban Indian organizations
Identified Gains
Contextual inference, no direct clause citation- Urban Indian organizations
- Urban Native American healthcare consumers
- Indian Health Service contractors
Contextual inference, no direct clause citation
Identified Costs
Contextual inference, no direct clause citation- Federal government (increased Medicaid costs)
Contextual inference, no direct clause citation
Sponsors
Raul Ruiz
D-CA | Primary Sponsor
Legislative Progress
IntroducedMr. Ruiz (for himself and Mr. Bacon) introduced the following …
Stakeholder Effects
cui bono?How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.
Urban Indian organizations providing healthcare under IHS grants/contracts
Urban Native American healthcare consumers
Bill Structure & Actor Mappings
Who is "The Secretary" in each section?
Key Definitions
Terms defined in this bill
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