HR4722119th CongressWALLET

Urban Indian Health Parity Act

Sponsored By: Representative Ruiz

Introduced

Summary

Extends Medicaid matching funds to urban Indian organizations. This bill would add urban Indian organizations that operate under Indian Health Service grants or contracts to the list of entities eligible for the Federal Medical Assistance Percentage (FMAP) for Medicaid medical assistance.

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  • Urban Indian organizations: Would be able to claim Medicaid matching funds for medical services provided under IHS grants or contracts, giving city-based Native clinics a clearer path to federal support.
  • Urban Native families and patients: Could see more stable access to Medicaid-covered care in urban clinics as those clinics gain eligibility for FMAP-funded reimbursements.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

More Medicaid funding for urban Indian care

If enacted, states could claim federal Medicaid matching when care is provided through a qualifying urban Indian health organization. The organization must have an Indian Health Service grant or contract. This would not change who qualifies for Medicaid, but it could support access at these clinics. The bill does not set an effective date or dollar amounts.

Sponsors & CoSponsors

Sponsor

Ruiz

CA • D

Cosponsors

  • Bacon

    NE • R

    Sponsored 7/23/2025

  • Davids (KS)

    KS • D

    Sponsored 8/15/2025

Roll Call Votes

No roll call votes available for this bill.

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