End Notes
[1] Dottie Rosenbaum et al., “SNAP Tracker: People Are Losing Food Assistance as the Republican Megabill Is Implemented” CBPP, May 18, 2026, https://www.cbpp.org/research/federal-tax/republican-megabill-trades-essential-support-to-low-income-people-for-skewed.
[2] Laura J. Hales and Alisha Coleman-Jensen, “Household food insecurity across race and ethnicity in the United States, 2016–21,” U.S. Department of Agriculture (USDA), Economic Research Service, Report No. EIB-269, April 2024, https://www.ers.usda.gov/sites/default/files/_laserfiche/publications/108905/EIB-269.pdf?v=96292.
[3] While the Indian Health Care Improvement Act, 25 U.S.C. § 1602, defines “Urban Indian” as “any individual who resides in an urban center” and meets the criteria for the term “Indian“ in that act, the term is used more broadly in the context of Indian policy to refer to Tribal citizens who live off reservation. The term often indicates that individual Tribal citizens may not have active ties with the administration of the Tribe of their citizenship. The National Urban Indian Family Coalition, “Urban Indian America: The Status of American Indian & Alaska Native Children and Families Today,” January 8, 2008, https://www.aecf.org/resources/urban-indian-america.
[4] The Annie E. Casey Foundation, “A Look at the Latest Population Trends for Native Children,” August 22, 2023, https://www.aecf.org/blog/a-look-at-the-latest-population-trends-for-native-children.
[5] Sara Usha Maillacheruvu, “The Historical Detriments of Food Insecurity in Native Communities,” CBPP, October 4, 2022, https://www.cbpp.org/research/food-assistance/the-historical-determinants-of-food-insecurity-in-native-communities.
[6] Jay Tomkus, “States Should Protect Medicaid Funding in Indian Country,” CBPP, November 21, 2025, https://www.cbpp.org/blog/states-should-protect-medicaid-funding-in-indian-country.
[7] Food and Nutrition Service, USDA., “Supplemental Nutrition Assistance Program (SNAP) Provisions of the One Big Beautiful Bill Act of 2025 – ABAWD Exceptions – Implementation Memorandum,” October 3, 2025, https://www.fns.usda.gov/snap/obbb-abawd-exemptions-implementation.
[8] An Act To provide for reconciliation pursuant to title II of H. Con. Res. 14., 2025, P.L. 119-21, 139 Stat. 81; 25 U.S.C. § 1603(13).
[9] Indian Entities Recognized by and Eligible to Receive Services From the United States Bureau of Indian Affairs, 89 Fed. Reg. 944, January 8, 2024, https://www.federalregister.gov/documents/2024/01/08/2024-00109/indian-entities-recognized-by-and-eligible-to-receive-services-from-the-united-states-bureau-of.
[10] This statutory definition of the term “Urban Indian” applies to the exception under the provisions of the 2025 reconciliation law, though the term is used in Tribal policy discourse to refer more broadly to Tribal citizens who live away from the reservation of their Tribe. In most cases, a Tribal citizen who may refer to themselves as an “Urban Indian” will qualify for the exception under the definition of “Indian.”
[11] An “urban center” is defined as “any community that has a sufficient urban Indian population with unmet health needs to warrant assistance” as determined by the Secretary of Health and Human Services. 25 U.S.C. § 1603(27).
[12] An Act Authorizing the attorney general of the State of California to bring suit in the Court of Claims on behalf of the Indians of California, 1928, 45 Stat. 602, https://www.govinfo.gov/content/pkg/STATUTE-45/pdf/STATUTE-45-Pg602.pdf#page=1.
[13] An Act to Provide for the distribution of the land and assets of certain Indian rancherias and reservations in California, and for other purposes, 1958, P.L. 85-671, 72 Stat. 619, https://www.govinfo.gov/content/pkg/STATUTE-72/pdf/STATUTE-72-Pg619.pdf.
[14] See Food and Nutrition Service, USDA, “SNAP Provisions of the One Big Beautiful Bill Act of 2025: Time Limit Changes – QAs #1,” June 11, 2026, https://www.fna.usda.gov/obbb/snap/time-limit-changes-qas1.
[15] Indian Entities Recognized by and Eligible to Receive Services From the United States Bureau of Indian Affairs, 89 Fed. Reg. 944, January 8, 2024, https://www.federalregister.gov/documents/2024/01/08/2024-00109/indian-entities-recognized-by-and-eligible-to-receive-services-from-the-united-states-bureau-of.
[16] Tomkus.
[17] “Medicaid & CHIP for American Indians and Alaska Natives,” HealthCare.gov, accessed June 4, 2026, https://www.healthcare.gov/american-indians-alaska-natives/medicaid-chip/#:~:text=Verifying%20your%20tribal%20status.
[18] Agency Information Collection Activities; Certificate of Indian or Alaska Native Blood, 85 Fed. Reg. 61768, September 30, 2020, https://www.govinfo.gov/content/pkg/FR-2020-09-30/pdf/2020-21558.pdf.