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Government Relations

Upholding the Sacred Trust: Honoring Tribal Sovereignty in Nation-to-Nation Relations

The relationship between Tribal Nations and the United States is political and it is a sacred trust, rooted in historic treaties and agreements that helped form the foundation of this country It is NIHB’s mission to ensure that the U.S. Government honors its obligations to Tribal Nations, both today and in the future. Central to this trust is the recognition and respect for Tribal sovereignty and self-determination. Every law and policy must uphold the right of Tribes to govern themselves, care for their people, and protect their lands. Our work focuses on ensuring these rights are not only acknowledged but actively supported by federal law and policy.

Key factors of Honoring Sovereignty and Advocacy for Tribal Health Rights

Indian Self-Determination and Education Assistance Act (ISDEAA)
Tribal Advisory Committees
IHS Funding
Centers for Medicare and Medicaid Services (CMS)

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Through collaboration with our Member Organizations, Tribal leaders, and allies, we advocate tirelessly to protect the rights and resources of Tribal Nations. Our goal is clear: to ensure that the sacred trust between the U.S. Government and Tribal Nations is honored and fulfilled, for the health, safety, and prosperity of future generations.

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FY 2028 NTBFWG Budget Book
2022 Medicaid Managed Care Report
Advocacy Letters
FY 2027 NTBFWG Budget Book
2025 LEGISLATIVE AND POLICY AGENDA FOR INDIAN HEALTH
TTAG Comment on Patient Protection and Affordable Care Act (ACA); Marketplace Integrity and Affordability (CMS-9884-P)
TTAG letter on Medicaid and Children’s Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request (90 FR 4744)
TTAG letter on the Solicitation of Proposals for New and Modified Safe Harbors and Special Fraud Alerts (88 FR 93545)
NIHB – Indian Health 101 – November 17, 2020
NIHB – Indian Health Care 101
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