A January report shows that in rural counties home to large numbers of American Indians, including in Montana, people are more likely to rely on Medicaid for health insurance across all age groups. About 23% of Montanans rely on Medicaid for their health coverage. But the four counties with the highest rates - roughly 40%- are all home to American Indian reservations. That's according to a report from the Georgetown Center for Children and Families on Medicaid's role in rural areas.

Joan Alker, executive director of the Georgetown Center for Children and Families, says that's a national pattern.

"This is important because if Congress moves ahead to make large cuts, these areas and Indian Country more generally will be in big trouble," she explained.

Alker added that documents leaked from the House Budget Committee show it's considering cuts to Medicaid between $200 -billion and $2.3 trillion. She added that the cuts are not a "foregone conclusion." This week, a Montana bill to start phasing out the state's Medicaid expansion was voted down by the Senate on Tuesday and a bill to remove the program's June sunset date passed the House on Monday.

Jason Smith, executive director of the Montana Consortium for Urban Indian Health, said Medicaid provides health coverage for individuals while being a critical source of revenue to the Urban Indian Organizations to help sustain their operations.

"I would say the UIOs, particularly, had a lot of revenue coming from Medicaid. So it's really a great secondary source of funding that has helped their organizations run and provide services for the communities," he contended.

As of January, more than 14,000 American Indians in Montana were enrolled in Medicaid expansion.


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Voter turnout from tribal communities in Wisconsin has increased in recent years, with historic numbers for the state Supreme Court election this month.

The Menominee reservation turnout increased by more than 80% from the spring 2023 election and both the Red Cliff and Bad River Bands of Lake Superior Chippewa saw turnout jump more than 60%, according to Wisconsin Conservation Voices, which works with tribal communities through its Wisconsin Native Vote program.

Maria Haskins, native regional tribal organizer for the group, said listening sessions, roundtables and regional dinners have been crucial in building relationships and getting people to the polls.

"With people seeing their peers being more active in the polls and becoming more informed about a lot of these issues, is what is really motivating them to go out and cast their ballot," Haskins observed. "Because I think that people are realizing their vote is their voice."

Haskins noted communities shared concerns at the events about issues like the opioid epidemic, which is severely affecting tribal communities, while drawing the connections of voting to their goal of tribal sovereignty.

The Menominee community has seen some of the most dramatic jumps in voter turnout. In 2023, community voting increased by 75% and has seen a 220% increase since 2019. Haskins believes the influx reflects the increase tribes are also seeing in representation, with more Native Americans running for office.

"I think that it's a huge movement," Haskins emphasized. "It's just something saying, 'Our people deserve to have a voice in what is happening, and we deserve to have the ability to be involved.'"

At a time when the country is seeing the rapid-fire dismantling of DEI initiatives and priorities, Haskins thinks it has never been more important to stay connected and involved.

"I'm super thankful for every community that we work in and I just can't express the importance enough of being in community and leaning on community right now," Haskins added. "I think that it's really important for all of us to have those connections and continue moving forward."


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The Jackson-based group Native American Jump Start has been providing grants to Native students, interns and young workers for decades and this year, has added an ambassador program.

Nine ambassadors across the country will help spread the word on Native American Jump Start opportunities, up to 100 microgrants per year to help, among others, students at any level of higher education.

Wicahpi Chaddlesone-Yankton, grant and operations coordinator for the group, said they want to highlight more student voices and half of ambassadors in the first cohort are current students.

"We wanted to have our ambassadors work with their Native student centers or organizations on their campus and just help bring NAJS's voice into a bigger light," Chaddlesone-Yankton explained.

The group is funded by private donations and therefore will be directly affected by cuts from the Trump administration. Meanwhile, the Native American Rights fund in March sued the U.S. Interior Department and the Office of Indian Affairs over the federal administration's cuts to the Bureau of Indian Education.

O'Shay Birdinground comes from the Great Apsaalooke Nation and will graduate this spring from the University of Montana. He first used Jump Start funding to attend a conference. Now as an ambassador, Birdinground encouraged "future Indigenous leaders" to take advantage of educational opportunities.

"There are a lot of opportunities out there for education and leadership development," Birdinground emphasized. "I wouldn't hesitate to jump on any one of those opportunities that is provided to you."

The application period for Native American Jump Start's education grant funding for this fall opens April 1.

Support for this reporting was provided by Lumina Foundation.

Indigenous people have made great contributions to the state of Wisconsin yet the alarming rates of violence against them remains a public health crisis.

A new study showed intimate partner violence disproportionately impacts Indigenous women more than any other ethnic or racial group in the U.S. The murder rate for Native American women and girls is up to 10 times higher than the national average, according to the U.S. Department of Justice, yet they account for less than 1% of the population.

Desiree Tody, outreach program coordinator at the Center Against Sexual and Domestic Abuse and a member of the Red Cliff Band of Lake Superior Chippewa, said violence against Native women is underreported and unaddressed.

"There's jurisdictional issues that come into play as to how things are investigated, how things are tried, and there's always racism," Tody observed. "There's less attention paid to the individuals that some of these things happen to."

The Wisconsin Department of Justice created a task force to combat violence against Native women across the state after legislation which would have addressed the issues failed to pass. There are currently no upcoming task force meetings listed on the newly updated DOJ website.

Poor tracking and data collection are among the many issues contributing to the epidemic among Indigenous women. During a multistate march last month, Tody read a list of names of Indigenous people from Minnesota who had died from domestic violence. No such list currently exists for Wisconsin and Tody noted she is working to change it.

She emphasized the great need to address the systems in place, which continue to fail Native people.

"I have three daughters that I want them to grow up as strong Native women and I want them to grow up safely as strong Native women," Tody explained. "This is their futures on the line. This is their ability to walk down a street safely."

Research shows Indigenous women also face significant barriers when seeking help after experiencing domestic violence. A survivor of domestic violence herself, Tody works with the Center Against Sexual and Domestic Abuse to provide resources for those affected in Bayfield and Ashland counties. Gov. Tony Evers has proposed a $20 million funding increase for domestic abuse services in his current executive budget.


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