American Indian and Alaska Native children are separated from their families by state child welfare agencies at exceptionally high rates. This study connects contemporary trends in Native family separation to histories of Indian child removal, and provides insights into the geographies and institutional sites where inequalities emerge. We find that the total number of AIAN children in foster care or adoptive homes in states with large Native populations has increased since the passage of the Indian Child Welfare Act (1978). We find that risks of child welfare system contact are highest for AIAN infants, and that risk is highly variable across states. Our estimates show that in high risk states at 2014 - 2018 levels of risk, more than half of AIAN children will ever be investigated by a child welfare agency, more than one in five will experience a substantiated maltreatment case, and more than one in five will ever enter foster care. We further find that child welfare agency case processing exacerbates inequality. AIAN children are more likely than white children to enter foster care, conditional on experiencing a substantiated maltreatment case, than are white children. These exceptionally high levels of risk indicate that the crisis of Indian family separation is ongoing. For AIAN children in states like Minnesota, Alaska, South Dakota, North Dakota, and Oklahoma, contact with the child welfare system is a routine part of growing up.