The Medicaid program is a critical component of the Indian health system.

Medicaid resources now account for nearly 13 percent of total funding for the Indian Health Service (IHS), and an even greater amount for Tribally-operated health programs. Yet, total IHS Medicaid reimbursements account for only a fraction of a percent of total Medicaid spending nationwide.

Congress intended that Medicaid resources serve “as a much-needed supplement to a health care program which for too long has been insufficient to provide quality health care to the American Indian.” Tribes and IHS providers bill Medicaid for services which supplements very limited IHS appropriations.

But, access to Medicaid has been uneven across Indian country.

Medicaid is a jointly funded federal-state program that is managed by the individual states under certain federal parameters. Depending on the state they are located, IHS and Tribal programs have varying levels of access to Medicaid resources and services. This means that the Medicaid program is not providing equal access to Medicaid services for Indian people.

The proposed Equal Access to Medicaid for All American Indians and Alaska Natives Act (Act) is intended to provide greater access to and responsiveness of the Medicaid program for the Indian health system, while at the same time reducing regulatory burdens and costs on the states.

For more information:

Overview of Legislative Proposal

Tribal Resolutions of Support

Presentation to TSGAC

NIHB Resolution (SAMPLE)

Background Research on Cost Estimate

Status of Congressional Outreach


Thursday, August 4

Download Day 4 Agenda


Wednesday, August 3

Download Day 3 Agenda Here


Tuesday, August 2

Download Day 2 Agenda

7:30 am
Registration (Location: Sequoia)

9:00 am
Posting of Colors (Location: Grand Peninsula Ballroom)

9:05 am
Welcome & Opening Prayer

9:10 am
Time of Reflection

9:25 am
Welcome & Opening Message from SGCETC Board of Directors 

9:30 am
Welcome from Tribal Nations within California and Discussion of Hot  Topics

10:15 am
Discussion with Assistant Secretary – Indian Affairs Bryan Newland

10:30 am

10:45 am
Establishing the Bay Area American Indian Cultural District

11:00 am
COVID Update and Indian Health Service Initiatives to Improve Health and Wellbeing

11:30 am
International Decade (2022 – 2032) of Indigenous Language Preservation

11:45 am
Lunch Break

1:00 pm – 2:00 pm
Breakout Sessions

 2:00 pm – 2:15 pm
Networking Break

2:15 pm – 3:30 pm
Breakout Sessions

3:30 pm- 3:45 pm

3:45 pm
Threats to Tribal Sovereignty: Protecting the Indian Child Welfare Act

(Location: Grand Peninsula Ballroom)

4:05 pm
Self-Governance Updates from DOI, IHS, and DOT

4:45 pm
Tiwahe Initiative – Federal Updates


Additional Meetings and Activities

11:30 am – 5:00 pm
DOI SGDB Training Room (Sand Pebble D)

11:30 am – 5:00 pm
Individual Meetings with OSG Staff- Open (Board Rooms 3 & 4)

6:00 pm – 7:00 pm
Tribal Caucus for the Food Distribution Program for Indian Reservations Consultation Meeting (Cypress A)