Legislation & Policy Tools- Archive

Since its foundation in 1998, NCUIH has been devoted to providing policy education, training and assistance to its member health programs.

Through its Policy and Legislation Center, NCUIH has devoted special efforts to ensuring that urban health care support is based on the input of UHIPs through a broad-based consumer network; representing the main operational needs and concerns of Urban Indian Organizations, supporting members in their engagement in national initiatives and policies; fostering a better-informed membership to achieve a greater impact on policy and legislation processes as well as strengthening communication betweenthe Indian Health Service, the Department of Health and Human Services, other Federal Agencies, and Urban Indian leadership to confer on national public health initiatives and partnership opportunities.

NCUIH Policy and Legislative Achievements
(in chronological order)

Conferring Policy—Effective Implementation- November 18, 2014
The Conferring Policy as established in the re-Authorization of the Indian Health Care Improvement Act, mandates that the Indian Health Service sets a policy and procedures for conferring with Urban Indian Organizations (Urban Indian Health Programs) when the health care needs of the Urban Indian population are considered at the local, Area, and national levels. More...

Re-authorization of the Indian Health Care Improvement Act as part of the Health Care Reform- March, 2010
For a decade the Indian community, NCUIH, and the National Indian Health Board (NIHB) worked with Congress to re-authorize IHCIA. More…

Challenges Stemming from the Implementation of the 2010 Health Care Reform
UIHPs have to implement innovative strategies in order to attain specialty care services because, unlike tribal health programs, they do not have access to contract health service funds. More…


Spearheading the Mobilization of Urban Communities to support the UN Declaration of Indigenous Rights (UNDRIP) 2007-2010

From 2007 through 2010 NCUIH led the national efforts for the US to support the endorsement of the United Nations’ Declaration on Indigenous Peoples Rights. NCUIH built consensus among Native American leaders on how important it was for the United States to join the rest of the world on recognizing and acknowledging that its Indigenous populations have and are fully entitled to preserve a different cosmology of their own. NCUIH contacted the US Department of State’s Ambassador Rice in 2007 and Secretary Clinton in 2009 recommending both to designate a permanent representative to the Forum and the endorsing of the UN Declaration of Indigenous Rights. More…

Overcoming the Elimination of the Urban Indian Health Program Funding 2006-2008

From 2006-2008 the Administration proposed the elimination (zeroing out of the budget) of the funding for the Urban Indian Health Programs that served more than 100,000 American Indians and Alaska Natives with contracts and grants from the Indian Health Service. NCUIH worked with its leadership in order to devise a strategy that would support our member programs while securing steady growth for NCUIH. More…