The COVID-19 (coronavirus disease 2019) pandemic has the potential to worsen existing health inequalities faced by Aboriginal and Torres Strait Islander peoples in Australia . We aimed to assess the impact of the pandemic on First Nations people health assessments using an interrupted time series model utilizing data extracted from the Australian Medicare Benefits Schedule database . Additive triple exponential smoothing was used to model health assessments undertaken between January 2017 and December 2019 . The model was used to predict health assessments between January 2020 and June 2020 with 95% confidence (P <.05). There was no significant difference between observed and predicted First Nations people health assessments in January, February, and June 2020 . However, we found a statistically significant decrease in health assessments in March (16.5 %), April (23.1 %), and May (17.2 %) 2020 . The proportion of total health assessments delivered via telehealth was 0.5% , 23.6% , 17.6%, and 10.0% for March, April, May, and June 2020, respectively . The decrease in total First Nations people health assessments compounds the risk of poorer health outcomes in this population already vulnerable due to a high burden of chronic disease and considerable social, economic, and health inequalities . Strategies to improve the delivery of telehealth for First Nations people must be considered.