The Supreme Court ruled that the federal government must reimburse Native American tribes for administrative costs incurred from Medicare, Medicaid, and private insurance spending on health care programs they manage. The 5-4 decision, authored by Chief Justice Roberts, emphasizes supporting tribal self-determination. Justice Kavanaugh’s dissent warns of significant financial implications and calls for Congress to handle such decisions. This ruling upholds the principles of the Indian Self-Determination and Education Assistance Act, ensuring tribes receive necessary funding for self-managed health programs.
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