The document highlights the National Indian Health Board’s (NIHB) focus on addressing health equity for American Indian and Alaska Native (AI/AN) communities. It explores the unique drivers of health inequities in Tribal communities, emphasizing the importance of traditional values, federal trust responsibilities, and Tribal sovereignty. The report outlines past and ongoing efforts, such as strategic planning, environmental scans, and listening sessions, to shape health equity initiatives that integrate Indigenous perspectives and address systemic barriers like data access, funding, and culturally relevant resources.