WHEREAS, the National Indian Health Board (NIHB), established in 1972, serves all Federally recognized American Indian/Alaska Native (AI/AN) Tribal governments by advocating for the improvement of health care delivery to AI/ANs, as well as upholding the Federal government’s trust responsibility to AI/AN Tribal governments; and

WHEREAS, on December 6, 2023, President Biden signed an Executive Order on Reforming Federal Funding and Support for Tribal Nations To Better Embrace Our Trust Responsibilities and Promote the Next Era of Tribal Self-Determination (E.O. 14112); and

WHEREAS, E.O. 14112 marks the continuation and further advancement of the administration’s historic commitment to a simple promise – to uphold this Nation’s treaty and trust obligations to Tribal Nations and their citizens; and

WHEREAS, E.O. 14112 reiterates the United States’ commitment to protecting and supporting Tribal sovereignty and self-determination, while also recognizing the intentional role the United States played in creating the conditions we experience in our communities today; and

WHEREAS, E.O. 14112 calls on the head of each federal agency to design, revise, provide waivers for, and otherwise administer Federal funding and support programs for Tribal Nations that promote compacting, contracting, co-management, co stewardship, and other agreements with Tribal Nations that allow them to partner with the Federal Government to administer Federal programs and services; and

WHEREAS, E.O. 14112 directs agencies to identify programs that may allow for Tribal set-asides and establish these set asides when available in the law; and

WHEREAS, E.O. 14112 directs agencies to increase the flexibility of Federal funding for Tribal Nations by removing, where feasible, unnecessary limitations on Tribal spending, including by maximizing the portion of Federal funding that can be used for training, administrative costs, and additional personnel; and

WHEREAS, E.O. 14112 requires agencies to respect Tribal data sovereignty and