The Affordable Care Act (ACA) and the Indian Health Care Improvement Act (IHCIA) provide a number of important benefits for urban Indian health providers.

Please see the Programs page for data on the number of American Indians and Alaska Natives in your service area.

Employer Shared Responsibility Payment


Under the Affordable Care Act, a business is considered "large business" if they have over 50 full-time employees. If you have 50 or less full-time employees, you are classified as a "small business." These classifications have an impact on health care options such as the Marketplace and available tax credits.

Large Businesses


Small Businesses

Small Business Health Care Tax Credits