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Our Work Strengthening American Indian Health

Expanding access to stable, high-quality, American Indian-led public health and health care.

We help Tribes and urban Indian health centers build and strengthen health care and public health programs. We also focus on strong business operations and helping develop stable revenue sources so that these programs grow and thrive beyond our grant and provide a long-lasting benefit to the community.

Tribes have built some of the best health systems in the U.S. However, many American Indian people, including in Montana, still lack access to quality preventive, primary, and specialty health care. Challenges include a lack of facilities and services, longstanding underfunding; shortages of trained health professionals; and complex state and federal regulations.

The principle of self-determination guides our work in this initiative. Tribes and urban Indians are in the best place to know their communities’ needs and build health systems to meet those needs. We work with Tribal leadership, urban Indian health centers, and Native-led nonprofits to support their goals. We offer grants, but we also provide support through our staff’s expertise or by finding consultants who can help with specific projects.

We supported 33 projects to develop new, financially sustainable American Indian-led services.

We help Tribes and urban Indian health centers implement new primary care services, school wellness centers, elder care programs and public health services.

Spotted Bull Resource Recovery Center opens a new residential treatment program for the Fort Peck community.

See all the grants we have funded under this initiative.

Our Support


We provide grants and contracts for projects that will strengthen American Indian health services. We also support select organizations engaged in Tribal health policy analysis. All funding under this initiative is by invitation only and is intended for the organizations participating in the American Indian Health Leaders group and Native-led nonprofits at the request of and in partnership with American Indian Health Leaders group members.

Selection Criteria

In addition to meeting our standard selection criteria, Tribal and urban Indian health programs or Native-led nonprofits that receive our grants will demonstrate:

  • A commitment to the project by Tribal or organizational leadership.
  • Organizational capacity to carry out the project.
  • A lead staff member with appropriate skills or a viable plan to recruit and hire one.
  • A viable plan for creating, strengthening, or assuming management from the Indian Health Services of a specific program or service that responds to a clearly identified health priority.
  • Source(s) or revenue to support the program beyond the term of the grant.


Need assistance?

Email Marias Quammen
Program Assistant