Unique Features of AIHP
American Indians and Alaska Natives are born with this
Legal right to healthcare
This Act established the I/T/U system?
Snyder Act
Define each letter of the I/T/U system.
Indian Health Service (federally run)
Tribally run
Urban
Less than 1%
This Act was permanently reauthorized as part of the ACA.
IHCIA
Number of federally recognized Tribal Nations in the US?
570+
This Supreme Court Case referred to Tribal Nations as "domestic dependent nations".
Cherokee Nation v Georgia
The new name for Contract Health Services is this.
Purchased and Referred Care
This federal insurance program is the largest percentage of 3rd party reimbursement for IHS.
Medicaid
Individuals were no longer discriminated against by health insurance companies for having this.
Pre-existing conditions.
Approximately this percentage of AI/ANs live in Urban areas.
60%+
This Act moved Indian Health to the Department of Health, Education, and Welfare (now Department of Health and Human Services)
Transfer Act
This study identified that IHS was funded at approximately 59% of what it actually needs to operate.
Level of need study
This formula determines the federal government's share of Medicaid benefit costs. Hint: it is an important acronym.
FMAP - Federal Medical Assistance Percentage
The 3-legged stool of the ACA refers to this three elements.
Individual Mandate
Premium/Cost Sharing Subsidies
Insurance Marketplace Reform
Health policy is defined as this
Determines who gets healthcare, what services are delivered, and how the services are delivered.
This part of the Constitution allows for Indian affairs to be handled by Congress.
Commerce Clause (Article 1, Section 8)
This term best describes the type of funding IHS receives from the US Congress.
Non-defense, discretionary
What percentage of the IHS budget is under 638 compacts or contracts?
60%
AIs up to this poverty level percentage are now eligible for health insurance access at virtually no cost.
300% FPL
These are the five phases of Indian Policy
Removal, Reservation/Assimilation, Indian Reorganization, Termination, and Self-Determination
This Act provides Tribes the authority to operate Tribal health programs.
The Indian Self-Determination and Education Assistance Act
Tribes can use PL-638 to take over PFSA's - which are?
Programs, Functions, Services, Activities
Payor of Last Resort
The ACA is one example of authorization for IHS to provide services like long term care. However, authorization does not mean _____________.
Spending or actual monetary amounts to expend on these services. Authorization in health policy does not always mean actual dollars. This is due to the unique nature of being a Non-defense discretionary program.