Health
Indian Country, including the citizens of USET SPF Tribal Nations, suffers from lower health status and lower health outcomes than the rest of the United States. As long as the Indian Health Service (IHS) is drastically underfunded, this reality will remain. As the federal government fails to uphold the trust responsibility to provide health care, USET SPF has continued to advocate for the full funding of IHS, the reauthorization of the Special Diabetes Program for Indians, and the expansion of self-governance, as well as innovative ways to stabilize and extend funding. In addition, USET SPF is working to ensure any health-related and other research directed at Tribal communities and citizens is conducted in a way that recognizes Tribal sovereignty and protects Tribal data. While USET SPF recognizes the importance of scientific discovery and advancement, we stress that the federal government must work to prevent ethical violations against our communities and our people.
Comments
2025
- Comments to USDA on SNAP Policy and Proposed Rules Implementing OBBBA – November 21, 2025
- Comments to HHS for 2025 Annual Tribal Budget Consultation – April 21, 2025
- Comments to CDC OPHDST on Tribal Implementation Center Program – September 5, 2025
- Comments on Proposed IHS Strategic Realignment – August 28, 2025
- Comments to HHS re: Tribal Listening Session on the HHS Reorganization – July 18, 2025
2024
- Comments to IHS on Bipartisan Infrastructure Law – January 4, 2023
- Comments on Regulations Regarding Application of Antidiscrimination Laws of General Applicability to HHS Grantees, RIN 0945-AA19 – January 18, 2024
- Comments on Revised IHS-VA Reimbursement Agreement – January 23, 2024
- Comments to IHS on Definition of Indian Tribe – February 23, 2024
- Comments to IHS on Supplemental Request for Fentanyl and Opioid Abuse Funding – March 4, 2024
- Comments on Draft HHS Tribal and Tribal Epidemiology Center Data Access Policy – March 5, 2024
- Comments to DOI, DOJ and HHS on Strengthening ICWA Implementation – June 14, 2024
- Comments to HHS re: 2024 HHS Annual Tribal Budget Consultation – April 19, 2024
- Comments on VA Policy on Consultation and Communication with Federally Recognized Tribes – April 22, 2024
- Comments to ACF re: Proposed AFCARS Regulations Amendments (RIN: 0970-AC98) – April 23, 2024
- Comments to HRSA re: Tribal Consultation Policy and HPSA Scoring – July 1, 2024
- Comments to IHS on Behavioral Health Funding Methodologies – July 22, 2024
- Comments to CMS on Part D Addendum – September 6, 2024
- Comments to CMS on Four Walls Exemption – September 9, 2024
- Comments to IHS on CSC Methodology for Program Income – October 9, 2024
- Redline and Comments to HHS on Draft Tribal and Tribal Epidemiology Center (TEC) Data Access Policies – October 31, 2024
- Comments to IHS on Health IT Modernization Program Site Readiness and Training – December 5, 2024
- Comments on SAMHSA Draft Tribal Consultation Policy – December 19, 2024
2023
- Comments on VA Proposed Rule on Copayment Exemption for Indian veterans – February 13, 2023
- Comments on HHS Tribal Consultation Policy – January 27, 2023
- Comments to OMB on IHS Mandatory Funding – June 29, 2023
- Comments to OMB on Revising Statistical Policy Directive No. 15, Docket ID No. OMB-2023-0001-0001 – April 27, 2023
- Comments to IHS re: IIJA Funding Year 2 – April 28, 2023
- Comments to HHS on Access to Federal Medical Supplies – April 24, 2023
- Comments to SAMHSA on Native American Behavioral Health and Substance Use Disorder Resources – September 28, 2023
- Comments to IHS on CHEF Proposed Rule – September 18, 2023
- Comments to IHS on Updated Draft Tribal Consultation Policy – September 8, 2023
- Comments to CDC/ATSDR on Environmental Justice Index Tool – December 1, 2023
- Comments to IHS on Health Information Technology (IT) Modernization – December 8, 2023
- Comments to SAMHSA on TOR Grant Methodology – November 21, 2023
- Comments to NIH re: “All of Us” Research Program – October 20, 2023
2022
- Comments to OSHA re: COVID Vaccination and Testing ETS – January 19, 2022
- Comments to the National Institutes of Health (NIH) re: Implementing a Maternal health and Pregnancy Outcomes Vision for Everyone (IMPROVE) Initiative – July 15, 2022
- Comments re: National Strategy Hunger, Nutrition, and Health – July 14, 2022
- Comments on SDPI FY23 Consultation – May 9, 2022
- Comments to IHS re: Health Information Technology (HIT) Modernization – April 8, 2022
- Comments on VA PRC Tribal Reimbursement Agreement – November 2, 2022
- Comments on HHS Data Sharing Policy – October 27, 2022
- Comments to HHS on ACA Section 1557 Notice of Proposed Rulemaking (NPRM) – October 2, 2022
2021
- Comments re: VA-IHS MOU Update – March 2, 2021
- Comments to IHS on Health IT Modernization – January 22, 2021
- Comments re: Coronavirus Response and Relief Supplemental Appropriations Act – January 8, 2021
- Comments to HHS Consultation Policy – March 26, 2021
- Comments to Treasury Regarding Coronavirus Fiscal Recovery Fund – April 9, 2021
- Comments on American Rescue Plan IHS Funding – March 19, 2021
- Comments to IHS on Consultation – June 15, 2021
- Comments to IHS re: RIN 0917-AA18, Notice of Proposed Rulemaking – Acquisition Regulations; Buy Indian Act; Procedures for Contracting – June 21, 2021
- Comments to NIH on Consultation – August 31, 2021
- Comments on Mandatory Funding Approaches for the Indian Health Service – September 1, 2021
- Comments to HHS in response to White House Council on Native American Affairs (WHCNAA) Nation-to-Nation Dialogue on COVID-19 – November 5, 2021
- Comments on CDC Tribal Consultation Policy – September 7, 2021
- Comments on DOI Indian Boarding School Initiative – December 16, 2021
- Comments to IHS on ARPA, IIJA, and BBBA Funding Allocations – December 16, 2021
- Comments to HHS on FY 2022-2026 Strategic Plan – November 22, 2021
2020
- Comments to CMS on Scope of Practice Medicare Regulations – January 17, 2020
- Comments to NIH – Draft Policy for Data Management and Sharing and Supplemental Guidance – January 10, 2020
- Comments re: Provider Relief Fund – May 8, 2020
- Comments to HRSA re: Definition of Rural – October 23, 2020
- Comments on IHS COVID-19 Pandemic Vaccine Draft Plan – October 21, 2020
- Comments to HHS on COVID-19 Vaccine Distribution in Indian Country – October 9, 2020
- Comments to NAS re: Draft Framework for COVID-19 Vaccine Allocation – September 4, 2020
- Comments re: Distribution of $30 Million in SDPI Funding – August 28, 2020
- Comments re: NIH Tribal Consultation on COVID-19 Research – June 5, 2020
- Comments to HHS Re: SUNSET Proposed Rule – December 4, 2020
- Comments on IHS Buy Indian Act Consultation – November 20, 2020
Testimony
2025
2023
- Testimony For the Record of the Senate Committee on Indian Affairs Oversight Hearing on “Native Communities’ Priorities for the 118th Congress” – March 22, 2023
- Testimony for the United States House of Representatives Committee on Natural Resources Indian and Insular Affairs Subcommittee for the Record of its Oversight Hearing on “Challenges and Opportunities for Improving Healthcare Delivery in Tribal Communities” – April 12, 2023
- Testimony for the Record of the House Subcommittee on Indian and Insular Affairs Legislative Hearing on “H.R.__, The Restoring Accountability in the Indian Health Service Act of 2023” – August 10, 2023
- Testimony Submitted to the Senate Committee on Indian Affairs for the Record of the November 8, 2023, Oversight Hearing “Fentanyl in Native Communities: Native Perspectives on Addressing the Growing Crisis” – November 8, 2023
2022
2020
Letters
2025
2024
2022
2021
2020
Joint Letters
2025
2024
2023
2022
- Joint Tribal Organization Letter to House Appropriations re: Amending the Indian Self-Determination Act CSC Provisions – February 4, 2022
- Joint Tribal Organization Letter in Support of Advance Appropriations for IHS – Subcommittee for the Indigenous Peoples of the United States – March 9, 2022
- Joint Tribal Organization Letter to House Natural Resources Committee and Subcommittee for Indigenous Peoples of the United States re: Amending the Indian Self-Determination Act CSC Provisions – February 4, 2022
- Joint Tribal Organization Letter in Support of Advance Appropriations for IHS – House Native American Caucus – March 9, 2022
- Joint Tribal Organization Letter to Senate Indian Affairs Committee and Subcommittee on Interior, Environment, and Related Agencies re: Amending the Indian Self-Determination Act CSC Provisions – February 4, 2022
- Joint Tribal Organization Letter in Support of Advance Appropriations for IHS – Appropriations Subcommittee on Interior – March 9, 2022
- Joint Tribal Organization Letter in Support of Advance Appropriations for IHS – House Committee on Appropriations – March 9, 2022
- Joint Tribal Organization Letter in Support of Advance Appropriations for IHS – Speaker of the House and House Minority Leader – March 9, 2022
- Joint Tribal Organization Letter in Support of Advance Appropriations for IHS – House Committee on Natural Resources – March 9, 2022
- Joint Tribal Organization Letter in Support of Advance Appropriations for IHS – Senate Majority Leader and Senate Minority Leader – March 9, 2022
- Joint Tribal Organization Letter in Support of Advance Appropriations for IHS – Senate Committee on Indian Affairs – March 9, 2022
- Joint Tribal Organization Letter in Support of Advance Appropriations for IHS – Senate Committee on Appropriations – March 9, 2022
- Joint Tribal Organization Letter to the President in Support of Indian Health Care Funding and Advance Appropriations – November 30, 2022
- Joint Tribal Organization Letter to Congressional Leadership in Support of Indian Health Care Funding and Advance Appropriations – November 30, 2022
- Joint Tribal Organization Letter to Senate HELP Committee in Support of Native Behavioral Health Provision – November 29, 2022
2021
- Inter-Tribal Organization Letter to Congress Re: COVID-19 Recovery Legislative Proposal – February 2, 2021
- USET SPF Signs Onto Inter-Tribal Organization Letter to Congress Re: COVID-19 Recovery Legislative Proposal – February 2, 2021
- Joint Tribal Organization Letter to Senate Leadership: Budget Reconciliation and Indian Health Care – September 30, 2021
- Joint Tribal Organization Letter: Medicaid Equity for American Indians and Alaska Natives – September 11, 2021
- Joint Tribal Organization Letter to Senate Leadership Requesting Advance Appropriations for Indian Health Care Services and Facilities – November 29, 2021
2020
- Joint Letter to Appropriators re: Indian Country COVID-19 Priorities – March 1, 2020
- Joint Association Letter on Public Health Extenders – Senate – February 12, 2020
- Joint Association Letter on Public Heath Extenders – House – February 12, 2020
- Joint Letter re: COVID-19 Recovery Legislative Proposal (Phase #4) – April 15, 2020
- Joint Letter re: Tribal Priorities for Health Education and Nutrition for COVID19 Stimulus Package – March 20, 2020
- Joint Letter re: COVID-19 Recovery Legislative Proposal (Phase #4) – April 8, 2020
- Joint Letter re: Guidance for Tribal Health Systems Accessing CARES Act Funding – April 3, 2020
- Tribal Inter-Org COVID Relief Letter – July 20, 2020
- Joint Letter to Make Clear the Policy Positions and Objectives of Tribal Nations Towards the Future of the Special Diabetes Program for Indians (SDPI) – November 13, 2020
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