What Tribal Nations Need to Know About the FY 2027 President’s Budget Proposal for HHS

On April 3, 2026, the President released his Fiscal Year (FY) 2027 Budget Request to Congress. The FY 2027 Budget Request for the Department of Health and Human Services (HHS) proposes a budget of $111.062 billion, 12.5% decrease of $15.849 billion from FY 2026 enacted levels. Like the President’s Budget Request for FY 2026, the request for the upcoming fiscal year proposes major structural changes across HHS and the consolidation or elimination of many programs which could impact Tribal Nations and Tribal health systems. 

The National Indian Health Board (NIHB) has reviewed the proposed changes and offers the following summary of the key impacts on Tribal Nations and communities:

What Tribal Nations Need to Know About the FY 2027 President’s Budget Proposal for HHS

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