{"id":1515,"date":"2020-09-28T14:21:50","date_gmt":"2020-09-28T19:21:50","guid":{"rendered":"https:\/\/www.indianz.com\/News\/?p=1515"},"modified":"2020-09-28T14:27:57","modified_gmt":"2020-09-28T19:27:57","slug":"montana-free-press-affordable-care-act-deemed-essential-for-indian-country","status":"publish","type":"post","link":"https:\/\/indianz.com\/News\/2020\/09\/28\/montana-free-press-affordable-care-act-deemed-essential-for-indian-country\/","title":{"rendered":"Montana Free Press: Affordable Care Act deemed essential for Indian Country"},"content":{"rendered":"<div class=\"fb-video\" data-href=\"https:\/\/www.facebook.com\/ProtectOurCareMT\/videos\/668521107121881\/\" data-show-text=\"false\" data-width=\"auto\"><blockquote cite=\"https:\/\/developers.facebook.com\/ProtectOurCareMT\/videos\/668521107121881\/\" class=\"fb-xfbml-parse-ignore\"><a href=\"https:\/\/developers.facebook.com\/ProtectOurCareMT\/videos\/668521107121881\/\">Protect Our Care Montana: Health Disparities in Indigenous Communities During the COVID-19 Crisis<\/a><p>Join us for a virtual press call with Representative Barbara Bessette (D HD-24), Dr. Damion Killsback, Senior Advisor for Tribal Affairs at the U.S. Department of Health and Human Services, Anna Whiting Sorrell, former head of Montana DPHHS, and Representative Sharon Stewart Peregoy (D HD-21) to discuss the importance of Medicaid, the Affordable Care Act, and access to quality care during the COVID-19 pandemic in Indigenous communities, in addition to health disparities and barriers to quality health care that the Indigenous communities faces.<\/p>Posted by <a href=\"https:\/\/www.facebook.com\/ProtectOurCareMT\/\">Protect Our Care Montana<\/a> on Wednesday, September 23, 2020<\/blockquote><\/div>\r\n<figcaption class=\"figure-caption\">Protect Our Care Montana: <a href=https:\/\/www.facebook.com\/ProtectOurCareMT\/videos\/668521107121881\/>Health Disparities in Indigenous Communities During the COVID-19 Crisis &#8211; September 23, 2020<\/a>\r\n<\/figcaption>\r\n<div class=\"h3-responsive font-weight-bold\">ACA meets COVID in Indian Country<\/div>\r\n<div class=\"h5-responsive sub\">Advocates says continuance of the Affordable Care Act \u2014 which is headed to the Supreme Court in November \u2014 is vital to the health of tribes in Montana.<\/div>\r\n<div class=\"date\">Monday, September 28, 2020<\/div>\r\n<div class=\"byline\">By Chris Aadland<\/div>\r\n<DIV class=\"source\">Montana Free Press<\/DIV>\r\n<DIV class=\"source-website\"><A \r\nhref=\"https:\/\/montanafreepress.org\/\">montanafreepress.org<\/A><\/DIV>\r\n<p><\/p>\r\nAs COVID-19 continues to disproportionately affect Montana\u2019s Indigenous population, and as tribal governments continue to enact strict measures to slow the spread of the coronavirus, tribal leaders and health care advocates say a repeal of the Affordable Care Act would devastate health care in Indian Country.\u00a0<p><\/p>\r\n\r\nThe ACA is set to be argued before the U.S. Supreme Court in November, with one possible outcome being essentially a repeal of the law.\u00a0<p><\/p>\r\n\r\n\r\nAs of last week, 37% of the deaths attributed to <a href=\/covid19\/>COVID-19<\/a> in Montana were people who identify as Native American, even as Native Americans account for about 7% of the state\u2019s population, \r\n<a href=\"https:\/\/dphhs.mt.gov\/Portals\/85\/publichealth\/documents\/CDEpi\/DiseasesAtoZ\/2019-nCoV\/Epi%20Analysis%20of%20COVID_09182020_WEB.pdf?ver=2020-09-22-085437-327\">according to the most recent state analysis<\/a>.\u00a0\r\n<p><\/p>\r\n\r\n\u201cIt\u2019s a tsunami impact upon our people across the nation,\u201d said Rep. Sharon Stewart-Peregoy, D-Crow Agency. \u201cWe have lost generations to this disease.\u201d\u00a0<p><\/p>\r\n\r\nHigher rates of pre-existing conditions like diabetes, historically underfunded health care\u00a0services \u2014 which citizens of federally recognized tribes have a legal right to \u2014 and a pandemic disproportionately affecting many tribes make the ACA especially important for Indigenous people, panelists said Wednesday during a discussion about health care inequities and COVID-19 in Indian Country. The discussion was hosted by the Montana chapter of Protect Our Care, a group advocating for the continuance of the ACA.\u00a0<p><\/p><figure>\r\n<img loading=\"lazy\" decoding=\"async\" width=\"1154\" height=\"647\" data-attachment-id=\"1516\" data-permalink=\"https:\/\/indianz.com\/News\/2020\/09\/28\/montana-free-press-affordable-care-act-deemed-essential-for-indian-country\/montanaacaindiancountry\/\" data-orig-file=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2020\/09\/montanaacaindiancountry.jpg\" data-orig-size=\"1154,647\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"montanaacaindiancountry\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2020\/09\/montanaacaindiancountry-1024x574.jpg\" src=\"https:\/\/indianz.com\/News\/wp-content\/uploads\/2020\/09\/montanaacaindiancountry.jpg\" alt=\"montanaacaindiancountry\"  class=\"alignnone img-fluid wp-image-1516\" \/>\r\n<figcaption class=\"figure-caption\">Screenshot of a Sept. 23, 2020, panel discussion about the impacts of the Affordable Care Act and COVID-19 in Indian Country in Montana.<\/figcaption><\/figure>\r\n<p><\/p>\r\nLast week Montana registered a \u201cremarkable increase\u201d of new COVID-19 cases, said Jim Murphy, the epidemiologist and chief of Montana\u2019s Communicable Disease and Prevention Bureau, earlier this week during a press conference. Of the six counties accounting for most of the increases, two \u2014 Roosevelt and Rosebud \u2014 encompass reservations and significant populations of Native Americans.<p><\/p>\r\n\r\nOn the Northern Cheyenne Reservation, tribal leaders have mandated a reservation-wide lockdown from Friday morning to Monday morning to help slow the spread of the virus. The order allows residents to leave their homes only for essential business or for safety or health reasons. The order also requests that privately owned businesses close during the lockdown, and mandates closure of tribally owned businesses.\u00a0<p><\/p>\r\n\r\n\r\nAs of Monday, the Northern Cheyenne Reservation had recorded 188 confirmed active cases, 8 presumed positive test results and 12 hospitalizations among reservation residents. Twenty deaths of tribal citizens have been attributed to COVID-19, \r\n<a href=\"https:\/\/www.facebook.com\/nctccbn\/photos\/pcb.1224244304599867\/1224244167933214\">the tribe said<\/a>.\u00a0\r\n<p><\/p>\r\n\r\n\u201cThe Tribe is at a crossroads and is faced with enforcing mandatory compliance with emergency measures to stop or reduce the spread of the Coronavirus,\u201d Northern Cheyenne tribal leaders said in the lockdown order. \u201cAll of our families have been impacted by the COVID-19 pandemic.\u201d<p><\/p>\r\n<div class=\"mt-1 mb-1\"><ins class=\"adsbygoogle\"\r\n     style=\"display:block; text-align:center;\"\r\n     data-ad-layout=\"in-article\"\r\n     data-ad-format=\"fluid\"\r\n     data-ad-client=\"ca-pub-8411603009680747\"\r\n     data-ad-slot=\"6394965691\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n  <\/script><\/div><p><\/p>\r\n\r\nOther tribes in the state have taken similarly aggressive steps to contain transmission of the virus, like extending stay-at-home orders even after the state lifted its own similar directive and instituting travel restrictions and operating checkpoints on tribal lands. In June, the Blackfeet Nation \r\n<a href=\"https:\/\/indianz.com\/News\/2020\/09\/21\/montana-free-press-popular-national-park-deals-with-covid-19-challenges\/\">closed the eastern entrances to Glacier National Park<\/a>, which borders the Blackfeet Reservation, over concern about visitors spreading the virus to tribal citizens.\u00a0\r\n<p><\/p>\r\n\r\nAnd with a decision about the fate of the Affordable Care Act on the horizon, some in Indian Country are pleading that it remain in place, saying the program has improved health care options for Indigenous people, and that a repeal of the law would worsen the impact of the coronavirus pandemic in Indian Country or delay recovery.\u00a0<p><\/p>\r\n\r\nAt Wednesday\u2019s event, panelists discussed COVID-19\u2019s impact in tribal communities and longstanding health inequities in Indian Country. Those disparities have only exacerbated the pandemic\u2019s effect on tribal communities, the panelists said.\u00a0<p><\/p>\r\n\r\nIn addition to high rates of preexisting conditions, many Indigenous people already faced social conditions like crowded housing and lack of access to healthy food or water \u2014 conditions that make it more likely for an Indigenous person to suffer serious consequences, including death, from the sickness caused by the coronavirus, said Damion Killsback, senior advisor for tribal affairs at the U.S. Department of Health and Human Services.\u00a0<p><\/p>\r\n\r\n\u201cAll these social determinants of health can really magnify the impact of COVID,\u201d he said. Killsback is a member of the Northern Cheyenne Nation.\u00a0<p><\/p>\r\n<blockquote class=\"twitter-tweet\"><p lang=\"en\" dir=\"ltr\">The Confederated Salish and Kootenai Tribes Economic Development Office is accepting applications for <a href=\"https:\/\/twitter.com\/hashtag\/Coronavirus?src=hash&amp;ref_src=twsrc%5Etfw\">#Coronavirus<\/a> business relief grants. The deadline is November 15, 2020, or until the $1 million fund is exhausted. <a href=\"https:\/\/twitter.com\/hashtag\/CSKT?src=hash&amp;ref_src=twsrc%5Etfw\">#CSKT<\/a> <a href=\"https:\/\/twitter.com\/hashtag\/COVID19?src=hash&amp;ref_src=twsrc%5Etfw\">#COVID19<\/a> <a href=\"https:\/\/twitter.com\/hashtag\/Montana?src=hash&amp;ref_src=twsrc%5Etfw\">#Montana<\/a> <a href=\"https:\/\/t.co\/NNZ9nfZVWf\">https:\/\/t.co\/NNZ9nfZVWf<\/a><\/p>&mdash; indianz.com (@indianz) <a href=\"https:\/\/twitter.com\/indianz\/status\/1310638675303247885?ref_src=twsrc%5Etfw\">September 28, 2020<\/a><\/blockquote> <script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><p><\/p>\r\nDue to the political standing of tribes in the U.S., Indigenous people are the only group in the U.S. with a codified right to health care, according to a 2017 report by a group of researchers from the University of North Dakota, the National Indian Health Board and the Native American Rights Fund.\u00a0<p><\/p>\r\n\r\n \r\n\r\n\r\nBut the Indian Health Service, which provides services to insured and uninsured tribal citizens, has been underfunded for decades, the report said. It has also faced \r\n<a href=\"https:\/\/energycommerce.house.gov\/sites\/democrats.energycommerce.house.gov\/files\/documents\/IHS.2019.3.7.pdf\">criticism for poor care and facilities<\/a>, among other inadequacies, in recent years.\r\n<p><\/p>\r\n\r\nThe ACA permanently reauthorized legislation governing the Indian health system, according to the 2017 report. It also improved access to health care and the level of care available to patients.\u00a0<p><\/p>\r\n\r\n\r\nThe law has led to IHS and tribally owned health care facilities collecting more from insurance companies for their services, allowing them to offer more services, hire more staff and upgrade equipment and facilities, \r\n<a href=\"https:\/\/www.gao.gov\/products\/GAO-19-612\">the Government Accountability Office said last year<\/a>. The law also created better access to specialized care at non-IHS and tribal facilities.\u00a0\r\n<p><\/p>\r\n\r\n\u201cNow we see more than ever how important it is for people to have access to treatment of any kind, and how important it is to push prevention and to make sure that we can get rid of these health disparities among our vulnerable populations,\u201d said Rep. Barbara Bessette, D-Great Falls, a member of the Chippewa Cree Tribe of the Rocky Boy\u2019s Reservation.<p><\/p>\r\n<blockquote class=\"twitter-tweet\"><p lang=\"en\" dir=\"ltr\">The increase in COVID-19 cases we are seeing in Montana is concerning, and now more than ever, we need every Montanan to do their part to protect our loved ones and communities. <a href=\"https:\/\/twitter.com\/hashtag\/MaskUpMT?src=hash&amp;ref_src=twsrc%5Etfw\">#MaskUpMT<\/a>, social distance, and follow guidelines from your local public health.<\/p>&mdash; Steve Bullock (@GovernorBullock) <a href=\"https:\/\/twitter.com\/GovernorBullock\/status\/1310647220400656385?ref_src=twsrc%5Etfw\">September 28, 2020<\/a><\/blockquote> <script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><p><\/p>\r\nIn 2012, 40% of Montana resident American Indians and Indigenous Alaskans were uninsured \u2014 the highest percentage in the country, according to the 2017 report. Medicaid expansion in states including Montana has also led to many Indigenous people becoming insured.\u00a0<p><\/p>\r\n\r\nWith ACA and Medicaid expansion, tribal citizens have also been able to access improved preventative care and education to help alleviate conditions like diabetes and heart disease, said Peregoy, who is a member of the Crow Nation.\u00a0<p><\/p>\r\n\r\n\u201cIf ACA is repealed, we are going to go back 30 years in terms of health, because right now Indian Health Service is able to provide us the preventative care, which we need to roll back the disparities,\u201d she said.\u00a0<p><\/p>\r\n<HR><EM>\r\nChris Aadland covers tribal affairs in Montana as a Report for America corps member based in Billings. Before moving to Montana he covered the Wind River Reservation in Wyoming for the Casper Star-Tribune, and has also reported for the Wisconsin State Journal. Contact Chris at caadland@montanafreepress.org and follow <a href=https:\/\/twitter.com\/cjaadland?lang=en>@cjaadland on Twitter<\/a>.<\/eM><HR>\r\n<p><\/p>\r\n<strong>Note: This story originally <a href=\"https:\/\/montanafreepress.org\/2020\/09\/24\/aca-meets-covid-in-indian-country\/\">appeared on Montana Free Press<\/a>. It is published under a <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/us\/\">Creative Commons license<\/a>.<\/strong>","protected":false},"excerpt":{"rendered":"Advocates says continuance of the Affordable Care Act is vital to the health of tribes in Montana.","protected":false},"author":1,"featured_media":1516,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"_vp_format_video_url":"","_vp_image_focal_point":[],"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[19,20,13,1,14],"tags":[385,250,5,389,386,210,387,249,194,268,388,84],"class_list":["post-1515","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-indian-trust","category-law","category-national","category-politics","tag-aca","tag-blackfeet","tag-coronavirus","tag-damion-killsback","tag-gao","tag-ihs","tag-medicaid","tag-montana","tag-montana-free-press","tag-northern-cheyenne","tag-sharon-stewart-peregoy","tag-supreme-court","no-wpautop"],"jetpack_featured_media_url":"https:\/\/indianz.com\/News\/wp-content\/uploads\/2020\/09\/montanaacaindiancountry.jpg","jetpack_shortlink":"https:\/\/wp.me\/pcoJ7g-or","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/posts\/1515","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/comments?post=1515"}],"version-history":[{"count":0,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/posts\/1515\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/media\/1516"}],"wp:attachment":[{"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/media?parent=1515"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/categories?post=1515"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/indianz.com\/News\/wp-json\/wp\/v2\/tags?post=1515"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}