The federal promise to provide Indian health services was made long ago. The United States made this promise in a series of treaties with Tribes, exchanging compensation and benefits for Tribal land and peace. Since that time, all branches of the federal government have acknowledged the nation’s obligations to the Tribes and the special trust relationship between the United States and American Indians and Alaska Natives.

The Trust Responsibility and Congress

Beyond acknowledgement, all branches of the federal government have the duty to uphold the trust obligation. As the lawmaking body of the federal government, Congress has a special responsibility to American Indians and Alaska Natives. Keeping in mind the trust responsibility, Congress is duty bound to authorize and fund the legislation necessary to fulfill the federal government’s promise and pledge to American Indians and Alaska Natives.