About Us

The National Indian Health Outreach and Education Initiative (NIHOE) is a national partnership between Indian Health Service (IHS), the National Congress of American Indians (NCAI), the National Indian Health Board (NIHB), and representatives from each of the 12 IHS Areas.  The partnership aims to develop effective, streamlined, consumer-oriented materials to assist American Indians and Alaska Natives in understanding their rights and new opportunities under the Affordable Care Act (ACA) and Indian Health Care Improvement Act (IHCIA). Together, we have provided local trainings, national marketing tools, and e-resources that clearly explain health reform changes and their impact on tribal communities.

Please use this website as a guide to keep updated on changes in 2018 to the ACA and the impact on Tribes. We will continue to provide consumer-oriented education materials and training tools for community representatives.  We encourage website users to share these materials with tribal offices, community centers, and schools to facilitate the education of others.  We know that not everyone has access to the internet and hope that by providing printer-friendly information these materials can still be used by every American Indian and Alaska Native.

If you cannot find the answer to your question, send it to us.  We will get back to you as soon as possible.


The primary purpose of this website is to educate consumers, but we know that there are different consumer groups affected by the changes included in the ACA and IHCIA.  Below is a description of how we have defined each consumer group and example of items you can find on their corresponding pages.

Stay Connected

Now more than ever, the daily news about the ACA is aggravating. We will keep you informed with updates and analysis on the impact to Tribes. Sign-up today at Tribalhealthcare.org to stay updated.

National Training Conference: To be announced.