# 2026-12791: Kewa Pueblo Gains Bernalillo County Health-Care Access

2026-12791, Notice of Proposed Purchased/Referred Care Delivery Area Redesignation for the Kewa Pueblo, is a Federal Register notice from Health and Human Services Department, Indian Health Service published 2026-06-25, effective Comments must be submitted by July 27, 2026.; PRIA reads it as touching household money (as of 2026-07-02).

- Canonical: https://policyrisk.com/federal-register/2026-12791
- As of: 2026-07-02
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Document number: 2026-12791
- Title: Notice of Proposed Purchased/Referred Care Delivery Area Redesignation for the Kewa Pueblo
- Type: Notice
- Agencies: Health and Human Services Department; Indian Health Service
- Citation: 91 FR 38449
- Published: 2026-06-25
- Effective: Comments must be submitted by July 27, 2026.
- Comments close: 2026-07-27
- Significant: no
- Touches household money: yes
- Regulation identifier numbers: none
- Last updated: 2026-07-02

## In one line

Kewa Pueblo Gains Bernalillo County Health-Care Access

## Summary

The Indian Health Service wants to expand the area where Kewa Pueblo Tribal members can get special health care services called Purchased/Referred Care to include Bernalillo County, New Mexico. Right now, only members in Sandoval and Santa Fe counties get these extra benefits. This change means more Tribal members can access important health care, and the public can share their thoughts by July 27, 2026.

## Abstract

This Notice advises the public that the Indian Health Service (IHS) proposes to expand the geographic boundaries of the Purchased/ Referred Care Delivery Area (PRCDA) for the Kewa Pueblo ("Kewa Pueblo" or "Tribe") to include the New Mexico county of Bernalillo. The current PRCDA for the Kewa Pueblo includes the New Mexico counties of Sandoval and Santa Fe. The Kewa Pueblo's Tribal members who reside outside of the PRCDA are eligible for direct care services; however, they are not eligible for Purchased/Referred Care (PRC) services. The sole purpose of this expansion would be to authorize additional Kewa Pueblo Tribal members and beneficiaries to receive PRC services.

## Effects PRIA read

- Kewa Pueblo PRCDA Expanded to Bernalillo: benefit, high. The Indian Health Service proposes to expand the Purchased/Referred Care Delivery Area (PRCDA) for the Kewa Pueblo to include Bernalillo County, New Mexico. This change would authorize about 200 additional Kewa Pueblo Tribal members to become eligible for Purchased/Referred Care (PRC) services; the…
- No Additional IHS Funding Needed: benefit, low. The Kewa Pueblo requested the expansion and stated the PRC program can continue providing the same level of care to the expanded eligible population without requiring additional Indian Health Service funding or lowering current medical priority levels. The IHS relied on that representation in propo…

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## Sources
- [2026-12791 on federalregister.gov](https://www.federalregister.gov/documents/2026/06/25/2026-12791/notice-of-proposed-purchasedreferred-care-delivery-area-redesignation-for-the-kewa-pueblo)
- [2026-12791 as published (PDF)](https://www.govinfo.gov/content/pkg/FR-2026-06-25/pdf/2026-12791.pdf)

## Related
- [Previous: 2026-12790, Order Under Sections 362 and 365 of the Public Health Service Act Continuing th…](https://policyrisk.com/federal-register/2026-12790)
- [Next: 2026-12795, Agency Information Collection Activity: CFM Stakeholder Feedback Survey](https://policyrisk.com/federal-register/2026-12795)
- [All Federal Register documents](https://policyrisk.com/federal-register)

Source: PRIA, https://policyrisk.com/federal-register/2026-12791 (as of 2026-07-02).