Video: Treaty or Not? The Affordable Care Act & Indian Country Ep. 4

Mark Trahant

As the Supreme Court upheld the Affordable Care Act, the second half of the decision is the area that directly impacts Indian country the most.

That piece was that the government can not force all 50 states to expand their Medicaid coverage.

Mark Trahant discusses the “odd marriage” that is Medicaid and Indian country as the federal government picks up 100 percent of the costs, though states set the rules on who or what will be covered.

As Trahant says, “This means that hundreds of thousands of American Indians and Alaska Natives will lose out on expanded insurance coverage that was supposed to happen under the Affordable Care Act.”


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