A preliminary federal budget unveiled by Republicans this week includes cuts to Medicaid, which a recent study reveals would disproportionately impact New Mexico counties with high populations of Native people.

Research by Georgetown University found rural counties that are home to large numbers of American Indians are more likely to rely on Medicaid for health insurance across all age groups.

Joan Alker, executive director of the Georgetown University Center for Children and Families and research professor at the Georgetown McCourt School of Public Policy, said it's a national pattern.

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

Among the Lower 48 states, New Mexico has the fourth highest percentage of Native Americans. Overall, a higher percentage of the state's population is covered by Medicaid than the national average, with a high of 51% in McKinley County to a low of 21% in Los Alamos County.

G0P leaders have sought to reassure Medicaid states and recipients that changes under discussion don't include drastic cuts, but rather additional work requirements and fraud reduction. The budget is only a draft now, but Alker warned that significant cuts such as lowering the federal match for Medicaid-expansion states or instituting a per capita cap could have devastating consequences.

"Cuts of this magnitude would force states to make very painful choices about cutting services, cutting benefits, reducing payments to providers, cutting eligibility," she said.

Following release of the draft budget this week, Alker called the proposed 11% cut - $880-billion over 10 years - "punishing" and said they conflict with President Donald Trump's promise to protect Medicaid.

Tourism generates $3 billion annually in North Dakota but tribal officials say direct spending from visitors does not always reach their areas. Now, a new grant program aims to help Native American tribes promote their sites.

Gov. Kelly Armstrong recently signed a bill which sets aside $100,000 for North Dakota's five tribal nations to share for tourism-related projects.

Kiera Fox, acting tourism director for the Mandan, Hidatsa and Arikara Nation, said it might not seem like a lot of money but it is a foot in the door. She noted her team can use it to improve signage and other needs, while promoting their history in a culturally-appropriate way.

"We get to tell our stories with our own voices," Fox explained. "Reeducate a little bit, correct some of those misconceptions everybody has about Native Americans."

She pointed out the MHA Nation is off the beaten path More visibility with signs might convince drivers to take a detour and check out sites, including a local museum and the Crow Flies scenic overlook. The bill sailed through the Legislature with minor opposition; however, the final sum is lower than the proposed $500,000.

Bill sponsors said the initiative benefits regional economies, with promotion from tribal and non-tribal areas working hand-in-hand. As for Indigenous communities, Fox emphasized having more tourists spend money locally expands their revenue base.

"For these businesses, some these entrepreneurs, our Native artists, they benefit," Fox stressed. "And then (there are) more funds going into infrastructure, updating our amenities."

Other tribes submitting testimony said Native entrepreneurs have difficulty working through issues like land use regulations, putting them at a disadvantage in becoming a tourism draw. The state Commerce Department does have other grant programs for local areas to promote themselves but tribal advocates said they are often out of reach for Native entities.


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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.