American Indian Health Policy: Historical trends and contemporary issues

Donald Warne, Linda Bane Frizzell

Research output: Contribution to journalReview articlepeer-review

166 Scopus citations


The United States has a trust responsibility to provide services to American Indians and Alaska Native (AI/AN) persons. However, a long-standing history of underfunding of the Indian Health Service (IHS) has led to significant challenges in providing services. Twentieth century laws, including the Snyder Act, Transfer Act, Indian Self-Determination and Education Assistance Act, and Indian Health Care Improvement Act (IHCIA) have had an effect on the way health services are provided. IHCIA was reauthorized as part of the Patient Protection and Affordable Care Act (ACA). Several provisions in ACA allow for potential improvements in access to services for AI/AN populations and are described herein. Although policy developments have beenpromising, IHS underfunding must be resolved to ensure improved AI/AN health.

Original languageEnglish (US)
Pages (from-to)S263-S267
JournalAmerican journal of public health
Issue numberSUPPL. 3
StatePublished - Jun 2014


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