title: The Affordable Care Act and Implications for Health Care Services for American Indian and Alaska Native Individuals.
abstract: 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.
authors.forename: Raven E
authors.initials: RE
authors.lastname: Ross
authors.forename: Lauren D
authors.initials: LD
authors.lastname: Garfield
authors.forename: Derek S
authors.initials: DS
authors.lastname: Brown
authors.forename: Ramesh
authors.initials: R
authors.lastname: Raghavan
mesh_terms: D000072957:Alaska Natives; D054624:Health Status Disparities; D006801:Humans; D007198:Indians, North American; D058991:Patient Protection and Affordable Care Act; D014481:United States; D016549:United States Indian Health Service / Q000331:legislation & jurisprudence*