WASHINGTON, D.C. — The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), has approved amendments to section 1115 demonstrations. This move marks the first time Medicaid and the Children’s Health Insurance Program (CHIP) will cover traditional health care practices provided by Indian Health Service (IHS) facilities, Tribal facilities, and urban Indian organizations (UIO). This initiative aims to enhance access to culturally relevant medical care and improve health outcomes for tribal communities in Arizona, California, New Mexico, and Oregon.
HHS Secretary Xavier Becerra emphasized the cultural significance of traditional health practices, noting, “Traditional health care practices have been a way of life in many communities. And they are extremely important for American Indian and Alaska Native populations.” The approval of these amendments is set to bridge a critical gap in health coverage, offering tribal populations access to culturally appropriate and comprehensive health care services.
This groundbreaking decision is part of a broader effort by the Biden-Harris Administration to promote health equity and accessibility across the United States. CMS Administrator Chiquita Brooks-LaSure highlighted the potential of the state demonstrations to reduce health disparities, stating that strengthening access to traditional health care practices can play a pivotal role in enhancing health outcomes for tribal communities.
The Indian Health Service, recognized as the 17th largest health care system in the nation, welcomed this development. IHS Director Roselyn Tso expressed enthusiasm, acknowledging the invaluable traditional healing knowledge passed down through generations. These practices, she noted, are integral to the well-being of tribal communities, serving as a vital connection between cultural heritage and modern health care.
American Indians and Alaska Natives face severe health disparities compared to the general population, with higher incidences of obesity, diabetes, cancer, mental illnesses, substance use disorders, and suicide. Research indicates that traditional health practices can significantly improve outcomes for various health conditions, particularly mental health and substance use disorders. This approval represents a critical step in recognizing and integrating the role of traditional healers and practitioners in the healing process.
The broader implications of this decision extend to advancing health equity and supporting the resilience of Indigenous communities. By endorsing traditional health care practices within Medicaid and CHIP frameworks, the federal government reinforces its commitment to investing in the health and cultural preservation of American Indian and Alaska Native populations. As these communities continue to face significant health challenges, the inclusion of traditional practices in mainstream health coverage is a promising stride toward a more inclusive and equitable health care system.
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