Sponsors

CA
Mark Takano
Mark Takano
AK
Don Young
Don Young
OR
Earl Blumenauer
Earl Blumenauer
CA
Karen Bass
Karen Bass
WA
Derek Kilmer
Derek Kilmer
OK
Tom Cole
Tom Cole
KS
Sharice Davids
Sharice Davids
FL
Darren Soto
Darren Soto
AZ
Tom O’Halleran
Tom O’Halleran

House

Senate

President

REFERRED TO COMMITTEES

hr-1888

To amend title XIX of the Social Security Act to require a Federal medical assistance percentage of 100 percent for Indian health care providers, and for other purposes.

Improving Access to Indian Health Services Act

This bill permanently extends certain Medicaid flexibilities relating to Indian health care providers.

Specifically, the bill permanently expands coverage to include clinical services that are furnished outside of a clinic by an Indian Health Service (IHS) facility, a tribe or tribal organization, or an Urban Indian Organization (UIO). Current guidance from the Centers for Medicare & Medicaid Services allows IHS and tribal facilities to receive payment for clinical services provided outside of clinics through October 31, 2021; facilities are expected to work with their state Medicaid programs to transition to other, more permanent payment options for these services.

The bill also permanently establishes a 100% federal matching rate, also known as the Federal Medical Assistance Percentage (FMAP), for UIO services. Current law provides a 100% FMAP for UIO services during the eight fiscal quarters after March 11, 2021.