H.R. 4443 – Urban Indian Health Parity Act

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Updated April 15, 2026 at 7:14 PM UTC

The Urban Indian Health Parity Act would extend the full Federal medical assistance percentage (FMAP) to health programs run by urban Indian organizations. By changing the Social Security Act, the bill treats these urban organizations the same as tribal health programs for federal funding, helping improve health services for Native Americans living in urban areas.

Key Provisions

Amends the Social Security Act to add urban Indian organizations (as defined in the Indian Health Care Improvement Act) that receive grants or contracts from the Indian Health Service to the list of entities eligible for the full Federal medical assistance percentage.

Legislative Activity

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2 earlier actions

HouseCommittee Latest Action

Referred to the Subcommittee on Health.

Health Subcommittee

November 17, 2017

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HouseIntro Referral

Introduced in House

November 16, 2017

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

November 16, 2017

HouseCommittee

Referred to the Subcommittee on Health.

Health Subcommittee

November 17, 2017

Bill Text

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Introduced in HouseIssued November 16, 2017

I

115th CONGRESS

1st Session

H. R. 4443

IN THE HOUSE OF REPRESENTATIVES

November 16, 2017

Mr. Ben Ray Luján of New Mexico (for himself, Mr. Young of Alaska, Mr. Ruiz, Mr. Cole, Mrs. Torres, Mr. Cárdenas, Ms. McCollum, Ms. DelBene, Mrs. Dingell, Mr. Smith of Washington, Ms. Eshoo, Ms. Moore, Mr. Blumenauer, Mr. Grijalva, and Ms. Matsui) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To extend the full Federal medical assistance percentage to Urban Indian organizations.

1.

Short title

This Act may be cited as the Urban Indian Health Parity Act.

2.

Extension of full Federal medical assistance percentage to urban Indian organizations

Section 1905(b) of the Social Security Act (42 U.S.C. 1396d(b)) is amended by striking Indian Health Care Improvement Act) and inserting Indian Health Care Improvement Act) or through an Urban Indian organization (as defined in section 4 of the Indian Health Care Improvement Act) pursuant to a grant or contract with the Indian Health Service under title V of the Indian Health Care Improvement Act.