H.R. 1888: Improving Access to Indian Health Services Act

117th Congress · introduced 2021-03-12 · Native Americans · Latest: Referred to the Subcommittee on Health.

federal

Follow this bill, step by step

Where it came from: introduced 2021-03-12 · official record
Who proposed it: Rep. Ruiz, Raul [D-CA-36] · what a sponsor is
What happened next: no floor votes in our records yet. Why?
Where it stands now: Referred to the Subcommittee on Health. Not final yet: this can still change. We check for updates every day.
If it becomes law and spends money: follow the money to money laws, then agencies and contracts and grants.

What does this mean?

Official title

Improving Access to Indian Health Services Act

Plain summary

Improving Access to Indian Health Services Act This bill permanently extends certain Medicaid flexibilities relating to Indian health care providers. Specifically, the bill permanently expands coverage to include clinical services that are furnished outside of a clinic by an Indian Health Service (IHS) facility, a tribe or tribal organization, or an Urban Indian Organization (UIO). Current guidance from the Centers for Medicare & Medicaid Services allows IHS and tribal facilities to receive payment for clinical services provided outside of clinics through October 31, 2021; facilities are expected to work with their state Medicaid programs to transition to other, more permanent payment options for these services. The bill also permanently establishes a 100% federal matching rate, also known as the Federal Medical Assistance Percentage (FMAP), for UIO services. Current law provides a 100% FMAP for UIO services during the eight fiscal quarters after March 11, 2021.

Congressional Research Service summary (Introduced in House), quoted unchanged (nonpartisan). Read the source.

What a vote does

A “Yea” vote

If it passes both chambers and is signed, it becomes law.

A “Nay” vote

If it is not passed, current law stays as it is.

PSI Sci description of the legislative step (not an opinion).

What does this mean? (plain words)

Official text

Improving Access to Indian Health Services Act

Source: Congressional Research Service summary (Introduced in House)

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The strongest published arguments

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How did my representative vote? · This bill's floor votes

Officials and money

Sponsor: Rep. Ruiz, Raul [D-CA-36] · 11 cosponsors

Cost estimate: No cost estimate published yet.

Cosponsors on this site

Darren Soto (D-FL), Sharice Davids (D-KS), Tom Cole (R-OK), Mark Takano (D-CA), Adam Smith (D-WA), Joe Neguse (D-CO)

Sponsor's campaign money: Rep. Ruiz, Raul [D-CA-36] reported raising $2.5 million (2025–2026). Details. Shown for context only; it does not mean any donor supported this bill.

No linked floor roll calls in our collected records yet. This does not mean the bill has never had a vote. Check the official bill history.

Words on this page, explained (1)

Bill: A proposed law. It becomes law only if it passes the legislature and is signed by the president or governor (or a veto is overridden).

Plain meanings written from linked sources. All words.

Sources

Congressional Research Service summary (Introduced in House)
Congress.gov
Data: GovInfo BILLSTATUS bulk data (Library of Congress), BILLSTATUS-117hr1888.xml <https://www.govinfo.gov/bulkdata/BILLSTATUS/117/hr>

Record fed-us-cong117-hr1888 · catalog fed-us-congress-bills-cong117 · updated 2026-11-15 by psicol fed-bills-cong117