The affordable care act and implications for health care services for American Indian and Alaska native individuals

Raven E. Ross, Lauren D. Garfield, Derek S. Brown, Ramesh Raghavan

Research output: Contribution to journalArticle


American Indian and Alaska Native (AI/AN) populations report poor physical and mental health outcomes while tribal health providers and the Indian Health Service (IHS) operate in a climate of significant under funding. Understanding how the Patient Protection and Affordable Care Act (ACA) affects Native American tribes and the IHS is critical to addressing the improvement of the overall access, quality, and cost of health care within AI/AN communities. This paper summarizes the ACA provisions that directly and/or indirectly affect the service delivery of health care provided by tribes and the IHS.

Original languageEnglish (US)
Pages (from-to)1081-1088
Number of pages8
JournalJournal of health care for the poor and underserved
Issue number4
StatePublished - Nov 2015



  • Affordable care act
  • American indian/Alaska native
  • Health
  • Services

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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