Daniel Derksen Associate Vice President at Arizona Center for Rural Health | Official website
Daniel Derksen Associate Vice President at Arizona Center for Rural Health | Official website
The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), has approved section 1115 demonstration amendments, marking a significant development in health care access. This approval allows Medicaid and Children’s Health Insurance Program (CHIP) coverage for traditional health care practices at Indian Health Service (IHS) facilities, Tribal facilities, and urban Indian organizations (UIO). The initiative is aimed at enhancing culturally appropriate health care and improving outcomes for tribal communities in Arizona, California, New Mexico, and Oregon.
HHS Secretary Xavier Becerra emphasized the importance of these practices, stating: “Traditional health care practices have been a way of life in many communities. And they are extremely important for American Indian and Alaska Native populations.” He noted that health insurance often does not cover such practices but with this inclusion, "we are extending access to culturally appropriate, quality health care in Tribal communities."
CMS Administrator Chiquita Brooks-LaSure highlighted the administration's commitment to equitable health care access across the nation. “Today’s announcement continues the work of the Biden-Harris Administration to make health care more accessible and more equitable across the country, including for American Indian and Alaska Native communities,” she said. Brooks-LaSure pointed out that strengthening access to traditional practices can play a crucial role in reducing disparities.
IHS Director Roselyn Tso expressed her excitement about the announcement: “The Indian Health Service is the 17th largest health care system in the nation, and as director, I am thrilled by today’s announcement.” She acknowledged the ancestral knowledge embedded in traditional healing practices which continue to serve as a vital link between culture and wellness.
American Indians and Alaska Natives face significant health disparities compared to the general population, with higher rates of obesity, diabetes, cancer, mental illnesses, substance use disorders, and suicide. Studies indicate that traditional practices can improve outcomes for various conditions. Tribes view these practices as essential elements of healthcare that address specific physical and mental ailments.
The section 1115 demonstration approvals aim to enhance access to culturally suitable care for Tribal citizens. This move is part of broader efforts by the Biden-Harris Administration to support Indigenous communities nationwide.
Learn more at CMS website
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