Dr. Yvette Roubideaux
To raise the physical, mental, social, and spiritual health of American Indians
and Alaska Natives to the highest level.
The Indian Health Service (IHS) provides a comprehensive health services delivery
American Indians and Alaska Natives with opportunity for maximum tribal involvement
in developing and
managing programs to meet their health needs. IHS serves a population of approximately 2.1 million American Indians and Alaska Natives who belong to more than 566 federally recognized tribes in 35 states.
Photo courtesy of the IHS.
The IHS goal is to ensure that comprehensive,
culturally acceptable personal and public health services are available and accessible
to all American Indian and Alaska Native people. The foundation of IHS is to uphold
the federal government obligation to promote healthy American Indian and Alaska
Native people, communities, and cultures and to honor and protect the inherent sovereign
rights of tribes.
IHS awarded over $1.8 billion in comprehensive health services to American Indian
and Alaska Native people.
The IHS manages Discretionary and “Compact” awards. Compacts are written agreements
consistent with the federal government’s
trust responsibility, treaty obligations, and the government-to-government relationship
between Indian tribes and the
United States and may only be amended by mutual agreement of the parties. Compacts
are usually awarded with an “indefinite term”
per the Indian Self-Determination and Education Assistance under Title V of the
statute and therefore
intended to be in place in perpetuity. Funding Agreements associated with Title
V compacts identify the
Programs, Functions, Services, and Activities (PFSAs) or portions thereof that will
be assumed by a tribe or
tribal organization and the funding that is related to those PFSAs. Each tribe has
a sole right to its share of IHS PFSAs.
Each tribe chooses whether to receive the funding and each tribe controls the timing
of the funding agreement and
the retention of the ongoing responsibility for so long as permitted by federal
law or until terminated by
mutual written agreement, retrocession, or resumption.