76 pages. "While [Indian Health Service (IHS)] and CMS have reported providing basic training on expanded Medicaid and the Exchanges, most of the facilities and tribes GAO interviewed said they received little or no information from IHS or CMS, as of February 2013.... Although a Supreme Court decision had been issued and some state decisions had been made, IHS had not developed a plan to increase enrollment and billing capacity to accommodate the hundreds of thousands of American Indians and Alaska Natives potentially eligible for expanded and new coverage options." [GAO-13-553, Sept. 5, 2013]