Indian Health Care Improvement Act Reauthorization
On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act into law. It included a provision that permanently reauthorizes the Indian Health Care Improvement Act (IHCIA).
IHCIA authorizes:
- Specific Indian Health Service (IHS) activities
- Sets national policy for IHS
- Sets goals to reduce preventable illnesses and premature deaths
For American Indians and Alaska Natives, the reauthorization:
- Expands programs that seek to augment the health care workforce
- Increases services available at facilities funded by IHS
- Increases programs that provide behavioral health and substance abuse treatment
Click here to read the full December 14, 2011 report by the Congressional Research Service (PDF).


The mission of NICOA is to advocate for improved comprehensive health, social services and economic well-being for American Indian and Alaska Native Elders.