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The Biden administration has expanded Medicaid and the Children’s Health Insurance Program (CHIP) to include coverage for traditional Native American healing practices in Arizona, California, New Mexico, and Oregon. This expansion, announced on October 16, is part of demonstration amendments to the Social Security Act, allowing traditional healing practices at certain Indian Health Service (IHS) facilities to be covered. In Arizona, coverage also extends to Urban Indian Organizations. Practices covered may include sweat lodges and music therapy.
This move aims to address health disparities in Native American communities, where higher rates of chronic diseases and mental health issues, such as suicide, persist. Traditional healing practices, which have been integral to Native cultures, are seen as a way to provide holistic care that incorporates spiritual, emotional, and physical health. This initiative also follows past issues in Arizona, including exploitation by fake rehab centers targeting Native Americans.
Tribal leaders support the expansion, citing its potential to improve health outcomes by integrating sacred healing practices into mainstream health systems. The coverage, part of a pilot program, is set to expire in 2027 unless extended. If successful, it could reduce health disparities in tribal communities by increasing access to culturally appropriate care.