Indian Country politics and public policy

Commentary by Mark Trahant

Mark Trahant / Trahant Reports I wrote a couple of days ago that the House bill doesn’t mention a word about the Indian Health Care Improvement Act. True enough. Because, it turns out, the proposed replacement for Affordable Care Act is not a complete repeal. The current law would remain in tact. “The two proposed bills …

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Trahant Reports There’s a  bad joke that goes like this: What’s your plan to pay for the high cost of health care? No worries. I’ll win the Powerball. Except the new Republican plan to repeal and replace the Affordable Care Act ends that option (and somehow takes it seriously). There are detailed instructions to prevent lottery …

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It’s impossible to defy gravity #NativePolicy Mark Trahant / Trahant Reports Federal Indian programs have been added to the “high-risk” category by the Government Accountability Office. That designation could not come at a worse time. The details. This is how the GAO defines its high risk identification: “The federal government is one of the world’s largest …

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Trahant Reports Rep. Tom Cole, R-Oklahoma, speaking on C-SPAN Friday morning, said any replacement of the Affordable Care Act should include keeping the Indian Health Care Improvement Act. Cole said this was included in Obamacare as an incentive for Democrats to support the measure. That’s an interesting interpretation. The reauthorization of the Indian Health Care …

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    Mark Trahant / TrahantReports It’s time for the Republican Party and its soon-to-be nominee Donald J. Trump making their best case for winning the White House and Congress. This will not be an election where the color gray will be debated. The differences on issues between Republicans and Democrats are stark. On Monday …

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Once again Congress is finding it impossible to pass spending bills — and time is running out. The federal government appropriates money and runs its programs from October 1st through the end of September. The House and the Senate are supposed to enact appropriations and then pass on that legislation to the president for his signature. That …

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One more state adds “new money” to the Indian health system via Medicaid MARK TRAHANT These days “new” money is hard to find. That’s the kind of money that’s added to a budget, money that allows programs to expand, try out new ideas, and look for ways to make life better. Most government budgets are doing …

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MAKING THE LAW WORK BEYOND MEDICAID EXPANSION MARK TRAHANT The Supreme Court once again affirmed the legality of the Affordable Care Act. This time the court’s answer is unambiguous.  As Chief Justice John Roberts wrote: “Congress passed the Affordable Care Act to improve health insurance markets, not to destroy them.” The 6-3 ruling means that people …

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