# 2026-23036: Kewa Pueblo's Purchased-Care Map Expands Into Bernalillo County

2026-23036, Notice of 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 2026-11-12, effective 2026-11-12; PRIA reads it as touching household money (as of 2026-11-12).

- Canonical: https://policyrisk.com/federal-register/2026-23036
- As of: 2026-11-12
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Document number: 2026-23036
- Title: Notice of Purchased/Referred Care Delivery Area Redesignation for the Kewa Pueblo
- Type: Notice
- Agencies: Health and Human Services Department; Indian Health Service
- Citation: 91 FR 72881
- Published: 2026-11-12
- Effective: 2026-11-12
- Comments close: not stated
- Significant: no
- Touches household money: yes
- Regulation identifier numbers: none
- Last updated: 2026-11-12

## In one line

Kewa Pueblo's Purchased-Care Map Expands Into Bernalillo County

## Summary

The Indian Health Service is expanding the care area for Kewa Pueblo to now include Bernalillo County, New Mexico, along with Sandoval and Santa Fe Counties. This means more Kewa Pueblo members can get health services through the Purchased/Referred Care program starting immediately. No extra costs are mentioned, but this change opens up more health support options for the tribe.

## Abstract

Notice is hereby given that the Indian Health Service (IHS) has decided to expand the geographic boundaries of the Purchased/ Referred Care Delivery Area (PRCDA) for the Kewa Pueblo ("Kewa Pueblo" or "Tribe") to include Bernalillo County, New Mexico. The final PRCDA includes Bernalillo, Sandoval, and Santa Fe Counties, New Mexico. This expansion will authorize additional Kewa Pueblo Tribal members and beneficiaries to receive Purchased/Referred Care (PRC) services.

## Effects PRIA read

- Kewa Pueblo PRCDA Expanded to Bernalillo County: benefit, medium. If you are a Kewa Pueblo Tribal member living in Bernalillo County, New Mexico, you are now within the Tribe's Purchased/Referred Care Delivery Area (PRCDA). The final PRCDA now includes Bernalillo, Sandoval, and Santa Fe Counties, and the change is effective as of November 12, 2026; the Tribe esti…
- Inclusion Creates Potential Eligibility, Not Entitlement: mixed, low. Being inside the PRCDA makes you potentially eligible for Purchased/Referred Care services, but it does not create a legal entitlement. Whether services are provided depends on availability of IHS funds, the relative medical priority of the needed services, and the availability and accessibility of…
- IHS Finds No Additional Funding Needed: benefit, low. The Kewa Pueblo indicated that the PRC program can continue providing the same level of care to the expanded PRC-eligible population without requiring additional funding from the Indian Health Service or reducing current medical priority levels.

## Related documents

- [2026-21644](https://policyrisk.com/federal-register/2026-21644): Request for Public Comment: 60-Day Notice for Reinstated Collection: Division of Urban Indian Affairs Uniform Data System and Budget Formul…, 2026-10-23
- [2026-20984](https://policyrisk.com/federal-register/2026-20984): Request for Public Comment: 60-Day Notice for Proposed Information Collection: Indian Health Service Purchased/Referred Care Proof of Resid…, 2026-10-14
- [2026-20685](https://policyrisk.com/federal-register/2026-20685): Removal of Obsolete Portion of Regulation Relating to Care and Treatment of Ineligible Individuals, 2026-10-08
- [2026-13288](https://policyrisk.com/federal-register/2026-13288): Notice of Proposed Purchased/Referred Care Delivery Area Redesignation for Ysleta Del Sur Pueblo, 2026-07-01
- [2026-12791](https://policyrisk.com/federal-register/2026-12791): Notice of Proposed Purchased/Referred Care Delivery Area Redesignation for the Kewa Pueblo, 2026-06-25
- [2025-21314](https://policyrisk.com/federal-register/2025-21314): Catastrophic Health Emergency Fund (CHEF) Threshold, 2025-11-26

## Sources
- [2026-23036 on federalregister.gov](https://www.federalregister.gov/documents/2026/11/12/2026-23036/notice-of-purchasedreferred-care-delivery-area-redesignation-for-the-kewa-pueblo)
- [2026-23036 as published (PDF)](https://www.govinfo.gov/content/pkg/FR-2026-11-12/pdf/2026-23036.pdf)

## Related
- [Previous: 2026-23035, TRICARE; Calendar Year (CY) 2027 TRICARE Prime and TRICARE Select Out-of-Pocket…](https://policyrisk.com/federal-register/2026-23035)
- [Next: 2026-23037, Agency Information Collection Activities: Proposed Collection; Comment Request](https://policyrisk.com/federal-register/2026-23037)
- [All Federal Register documents](https://policyrisk.com/federal-register)

Source: PRIA, https://policyrisk.com/federal-register/2026-23036 (as of 2026-11-12).