# 119-hr-4722: Urban Indian Health Parity Act

119-hr-4722, Urban Indian Health Parity Act, is a 119th Congress bill sponsored by Rep. Ruiz, Raul [D-CA-25] (D-CA); status introduced; PRIA reads it as touching household money (as of 2026-09-02).

- Canonical: https://policyrisk.com/legislation/119-hr-4722
- As of: 2026-09-02
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4722
- Congress: 119
- Title: Urban Indian Health Parity Act
- Status: introduced
- Introduced: 2025-07-23
- Sponsor: Rep. Ruiz, Raul [D-CA-25] (D-CA)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-02

## 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. - 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.

## Cosponsors (3)

- Rep. Bacon, Don [R-NE-2] (R-NE), 2025-07-23T00:00:00.000Z
- Rep. Davids, Sharice [D-KS-3] (D-KS), 2025-08-15T00:00:00.000Z
- Rep. Smith, Adam [D-WA-9] (D-WA), 2026-08-31T00:00:00.000Z

## Provisions PRIA read

- More Medicaid funding for urban Indian care: benefit, low. 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…

## Related bills

- 119-hr-8800: National Defense Authorization Act for Fiscal Year 2027
- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-3838: Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fiscal Year 2026
- 119-hr-7977: Energy Bills Relief Act
- 119-hr-7973: Momnibus Act
- 119-hr-4206: CONNECT for Health Act of 2025

## Sources
- [119-hr-4722 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4722)

## Related
- [119-hr-8800: National Defense Authorization Act for Fiscal Year 2027](https://policyrisk.com/legislation/119-hr-8800)
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-3838: Streamlining Procurement for Effective Execution and Delivery and National Defe…](https://policyrisk.com/legislation/119-hr-3838)
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4722 (as of 2026-09-02).