Cherokee Nation Emphasizes Federal Health Insurance Impact on Tribal Healthcare

The article highlights the critical role of federal health insurance policies in strengthening healthcare access for the Cherokee Nation and other federally recognized tribes. While the Cherokee Nation provides extensive healthcare services through its state-of-the-art facilities and tribal health system, many Cherokees living outside these areas rely heavily on private health insurance for basic and specialty care. Additionally, insurance coverage is essential for non-Indian family members within Cherokee households, emphasizing the broader community impact of health policies. The Cherokee Nation's health system funding hinges on three sources: federal funds, tribal business revenue, and third-party revenue from insurance billing. Despite growing business revenue, federal funds remain insufficient, making third-party insurance revenue crucial for expanding and maintaining healthcare services. Approximately 75% of Cherokee Nation patients have some form of health coverage, including Medicaid, Medicare, VA benefits, private insurance, and ACA marketplace plans. Key legislative considerations currently debated at the federal level, such as the possible repeal or modification of the Affordable Care Act (ACA), directly impact tribal health funding and services. The ACA's Indian Health Care Improvement Act and Medicaid expansion have contributed to financial resources that enhance tribal healthcare programs, including behavioral health and elder care. The article stresses the potential negative consequences of losing these provisions, both for individual tribal members and the sustainability of tribal health systems. Rising health insurance premiums in regions like Eastern Oklahoma further complicate access, with significant increases predicted without congressional action to extend ACA premium tax credits. Such changes could reduce insurance coverage rates among tribal citizens, leading to a decline in third-party revenue essential for the Cherokee Nation's health infrastructure. The piece advocates for awareness and engagement among tribal citizens and stakeholders regarding ongoing federal health policy debates. Maintaining and advancing comprehensive health insurance coverage is portrayed as integral to the sovereignty and well-being of the Cherokee Nation and broader Native American communities. The article closes with a call to support journalism dedicated to Indigenous issues and tribal sovereignty.