---
kind: "section"
citation: "42 C.F.R. § 600.160"
title: "42"
number: "600.160"
heading: "Protections for American Indian and Alaska Natives."
url: "https://uscodex.org/cfr/42/600.160"
---

# §600.160. Protections for American Indian and Alaska Natives.

- (a) **Enrollment.** Indians must be extended the same special enrollment status in BHP standard health plans as applicable to enrollment in a QHP through the Exchange under [45 CFR 155.420(d)(8)](/cfr/45/155.420.md?p=d-8). Indians will be allowed to enroll in, or change enrollment in, standard health plans one time per month.
- (b) **Cost sharing.** No cost sharing may be imposed on Indians under the standard health plan.
- (c) **Payments to providers.** Equal to the protection extended to Indian health providers providing services to Indians enrolled in a QHP in the individual market through an Exchange at [45 CFR 156.430(g)](/cfr/45/156.430.md?p=g), BHP offerors may not reduce the payment for services to Indian health providers by the amount of any cost-sharing that would be due from the Indian but for the prohibition in [paragraph (b)](#b) of this section.
- (d) **Requirement.** Standard health plans must pay primary to health programs operated by the Indian Health Service, Indian tribes, tribal organizations, and urban Indian organizations for services that are covered by a standard health plan.

## Notes

### Authority

Authority: 42 U.S.C. 300gg, 1395, and 18051.

### Source

Source: 79 FR 14140, Mar. 12, 2014, unless otherwise noted.