Trudel Pare

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Ensuring Sovereignty in Healthcare: A Comparison of Tribal Healthcare Compacts and Medicaid

Medicaid faces an uncertain future. This Note looks to the Indian Health Service (IHS) for ways to buoy the nation’s largest healthcare program. Comparing Medicaid state plans with tribal contracting/compacting documents reveals how IHS administrators overcame distrust to create a robust tribal healthcare network, showing one path forward for Medicaid.