Amends the Patient Protection and Affordable Care Act to define an "Indian" for purposes of title I (Quality, Affordable Health Care for All Americans) of that Act.

Includes within that definition an individual who is:

• a member of a federally-recognized Indian tribe;
• an Eskimo, Aleut, or other Alaska Native;
• considered by the Secretary of the Interior to be an Indian for any purpose, including eligibility for Indian health care services;
• a member of a tribe, band, or other organized group of Indians or who is a descendant, in the first or second degree, of any such member;
• determined to be an Indian under regulations promulgated by the Secretary;
• an urban center resident who fits any of the preceding categories;
• eligible for health services provided by the Indian Health Service (IHS); or
• of Indian descent and a member of an Indian community served by the IHS.