HR 4722 Re-checks Congress.gov for new actions and updates the bill's status, and fills in any sponsors, committees, or related bills that are missing. It does not re-pull sponsors/cosponsors/committees/related — those rarely change — and it skips all work if nothing has changed upstream, so it's cheap to click.
Urban Indian Health Parity Act
To amend title XIX of the Social Security Act to require a Federal medical assistance percentage of 100 percent for urban Indian organizations, and for other purposes.
Summary
This bill amends Medicaid to provide urban Indian organizations with a 100 percent Federal Medical Assistance Percentage, matching the federal funding rate currently provided to Indian tribes and tribal organizations. Urban Indian organizations that receive grants or contracts with the Indian Health Service under the Indian Health Care Improvement Act would be eligible for this 100 percent federal funding rate for Medicaid services. Under this change, the federal government would cover the full cost of Medicaid services delivered through urban Indian health organizations, rather than sharing costs with states as is typical for most Medicaid providers.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
- Rep. Ruiz, Raul [D-CA-25] (D-CA)
2 cosponsors
- Rep. Bacon, Don [R-NE-2] (R-NE)
- Rep. Davids, Sharice [D-KS-3] (D-KS)
Money behind the sponsor
Top reported contributors to Raul Ruiz’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- NULL $112,200
- DAVITA $15,500
- US ACUTE CARE SOLUTIONS $14,100
- CHANDI GROUP USA, INC. $13,200
- ST. GEORGE'S UNIVERSITY $13,200
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Raul Ruiz → · Outside spending →
Actions (2)
- Jul 23, 2025 Referred to the House Committee on Energy and Commerce. · house
- Jul 23, 2025 Introduced in House
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Text versions (1)
Bills are re-published as they move (Introduced → Reported → Engrossed → Enrolled …). Each stage below is a separate text; pick two to see what changed. Data from Congress.gov.
Full text
IN THE HOUSE OF REPRESENTATIVES
July 23, 2025
Mr. Ruiz (for himself and Mr. Bacon) introduced the following bill; which was referred to the Committee on Energy and Commerce
A BILL
To amend title XIX of the Social Security Act to require a Federal medical assistance percentage of 100 percent for urban Indian organizations, and for other purposes.
Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the “Urban Indian Health Parity Act”.
SEC. 2. FULL FEDERAL MEDICAL ASSISTANCE PERCENTAGE FOR URBAN INDIAN ORGANIZATIONS.
Section 1905(b) of the Social Security Act (42 U.S.C. 1396d(b)) is amended by inserting after “by an Indian tribe or tribal organization (as defined in section 4 of the Indian Health Care Improvement Act)” the following: “, or through an urban Indian organization (as defined in section 4 of such Act) pursuant to a grant or contract with the Indian Health Service under the Indian Health Care Improvement Act”. <all>
Comments