From Ai today.
The “One Big Beautiful Bill Act” includes several exemptions and protections for American Indian and Alaska Native (AI/AN) tribal communities, particularly related to Medicaid and SNAP (food assistance) programs:
- Exemption from Medicaid and SNAP work/community engagement requirements: AI/AN beneficiaries, including those served by Indian Health Service (IHS), Tribal, Tribal Organization, and Urban Indian Organization programs, are exempted from new work requirements that apply to other Medicaid and SNAP recipients. This exemption recognizes the economic challenges and limited job opportunities in many tribal communities, especially on reservations[1][3][5].
- Protection of cost-sharing exemptions: The bill maintains existing exemptions for AI/AN individuals from Medicaid cost-sharing when they receive services directly from IHS or tribal health providers or through contract health services[3][5].
- Exemption from more frequent Medicaid eligibility redeterminations: AI/AN beneficiaries are exempt from the requirement that Medicaid expansion adults undergo eligibility redeterminations every six months, reducing administrative burdens on tribal members[5].
- Recognition of tribal governments for tax credit purposes: The bill grants tribal governments parity with state governments in determining whether a child has “special needs” for adoption tax credits, supporting tribal families[7].
- Delays and flexibilities for Alaska Native communities: The bill includes delayed cost-share penalties and additional flexibilities in SNAP for Alaska Native beneficiaries to ensure continued access to benefits[8].
These provisions aim to uphold federal trust and treaty obligations to tribal nations, recognizing the unique circumstances of tribal communities and their reliance on federal health and nutrition programs. The exemptions help protect thousands of Native Americans from losing critical benefits due to work requirements or administrative changes included in the broader bill[1][3][5][8].
Sources
[1] Big, Beautiful Bill Act passed, Native American benefits protected https://knpr.org/politics/2025-07-03/big-beautiful-bill-act-passed-native-american-benefits-protected
[2] Final Reconciliation Bill Permanently Expands LIHTC, NMTC and … https://www.novoco.com/notes-from-novogradac/final-reconciliation-bill-permanently-expands-lihtc-nmtc-and-oz-incentive-but-does-not-include-htc-provisions
[3] House Passes Reconciliation Bill, Including AI/AN Protections for … https://www.nihb.org/house-passes-reconciliation-bill-including-ai-an-protections-for-tribal-medicaid/
[4] [PDF] 1 This Act may be cited as the ”One Big Beautiful Bill 2 Act”. 3 4 The … https://rules.house.gov/sites/evo-subsites/rules.house.gov/files/documents/rcp_119-3_final.pdf
[5] Senate Passes Reconciliation Bill with Exemptions for American … https://ncuih.org/2025/07/02/senate-passes-reconciliation-bill-with-exemptions-for-american-indian-and-alaska-native-people-from-community-engagement-requirements-for-snap-and-medicaid/
[6] What’s in Trump’s Big Policy Bill? – The New York Times https://www.nytimes.com/interactive/2025/06/30/upshot/senate-republican-megabill.html
[7] [PDF] The One, Big, Beautiful Bill – House Ways and Means Committee https://waysandmeans.house.gov/wp-content/uploads/2025/05/The-One-Big-Beautiful-Bill-Section-by-Section.pdf
[8] U.S. Senate Votes to Approve ‘Big, Beautiful Bill’ – Native News Online https://nativenewsonline.net/currents/u-s-senate-vote-to-approve-big-beautiful-bill-heads-back-to-the-house-for-vote
[9] H.R.1 – 119th Congress (2025-2026): One Big Beautiful Bill Act https://www.congress.gov/bill/119th-congress/house-bill/1
[10] Senate GOP Passes Sweeping One Big Beautiful Bill Act | Insights https://www.hklaw.com/en/insights/publications/2025/07/senate-gop-passes-sweeping-one-big-beautiful-bill-act