Two states with large native populations, Montana and Alaska, continue to explore Medicaid expansion.
In Alaska the case for expansion is being made by Valerie Davidson, who’s Yupik, a longtime Native health advocate, and the former chair of a Medicare & Medicaid committee. In other words: She knows the process cold.
In Montana, the legislature has passed the legislation and Medicaid expansion will likely become law. The Kaiser Family Foundation estimates that one-third of IHS patients are uninsured and the cost to IHS for that care was at least $2.1 billion in 2013.