This Minnesota House bill (H.F. No. 1878), introduced by Representatives Keeler and SencerMura, aims to expand medical assistance coverage to include traditional health care practices for Indigenous populations. Key provisions include:

1. Waiver Request: By October 1, 2025, the Commissioner of Human Services must apply for a waiver from the Centers for Medicare and Medicaid Services (CMS). This would allow Minnesota’s medical assistance program to cover traditional health practices when provided at Indian Health Service (IHS) facilities, Tribe- or Tribal organization-operated facilities, or urban Indian health organizations.

2. Eligibility and Providers: A qualified provider must determine whether a medical assistance enrollee is eligible for traditional health care services. Eligible providers are practitioners employed by or under contract with:

   • The Indian Health Service (IHS),
   • Tribal clinics (operating under the Indian Self-Determination and Education Assistance Act),
   • Title V urban Indian organizations.

Each facility is responsible for ensuring that providers have the necessary experience and training.

1. Reimbursement: Payments for traditional health care services will be set at the outpatient per-visit rate determined by the Indian Health Service under the Public Health Service Act. Reimbursement is limited to one payment per enrollee per day.

The bill seeks to integrate Indigenous traditional medicine into the state's medical assistance program, enhancing healthcare accessibility for Native American populations.