In this photo taken Thursday, April 11, 2013 is Molin Malicay, director at the Sonoma County Indian Health Project in Santa Rosa, Calif. Under President Obama's health care overhaul, tens of thousands who identify as Native American will face a new reality, they will have to buy their own health insurance policies or pay a $695 fine from the Internal Revenue Service unless they can prove that they are "Indian enough" to claim one of the few exemptions allowed under the Affordable Care Act's mandate that all Americans carry insurance. “In the clinics in Central and Northern California, we see many of us Indians who are not considered Indians in the eyes of the federal government because the government itself terminated their tribes,” Malicay said. “We’re trying to get some of these people covered for care under Medicaid, but there is still so much confusion in the pamphlets and videos about who is Indian (that) it makes it hard to give advice.” (AP Photo/Eric Risberg)

Associated Press
In this photo taken Thursday, April 11, 2013 is Molin Malicay, director at the Sonoma County Indian Health Project in Santa Rosa, Calif. Under President Obama's health care overhaul, tens of thousands who identify as Native American will face a new reality, they will have to buy their own health insurance policies or pay a $695 fine from the Internal Revenue Service unless they can prove that they are "Indian enough" to claim one of the few exemptions allowed under the Affordable Care Act's mandate that all Americans carry insurance. “In the clinics in Central and Northern California, we see many of us Indians who are not considered Indians in the eyes of the federal government because the government itself terminated their tribes,” Malicay said. “We’re trying to get some of these people covered for care under Medicaid, but there is still so much confusion in the pamphlets and videos about who is Indian (that) it makes it hard to give advice.” (AP Photo/Eric Risberg)
In this photo taken Thursday, April 11, 2013 is Molin Malicay, director at the Sonoma County Indian Health Project in Santa Rosa, Calif. Under President Obama's health care overhaul, tens of thousands who identify as Native American will face a new reality, they will have to buy their own health insurance policies or pay a $695 fine from the Internal Revenue Service unless they can prove that they are "Indian enough" to claim one of the few exemptions allowed under the Affordable Care Act's mandate that all Americans carry insurance. “In the clinics in Central and Northern California, we see many of us Indians who are not considered Indians in the eyes of the federal government because the government itself terminated their tribes,” Malicay said. “We’re trying to get some of these people covered for care under Medicaid, but there is still so much confusion in the pamphlets and videos about who is Indian (that) it makes it hard to give advice.” (AP Photo/Eric Risberg)
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