ETHIC Texas - Name of Applicant: Texas Native Health • Mailing Address: 1283 Record Crossing Road, Dallas, Texas 75235 • Contact Name and Title: Omer Tamir, Chief Executive Officer • Phone Number: (214) 941-1050 • Fax Number: (214) 946-4738 • Email: ceo@texasnativehealth.org Proposed Project Title: ETHIC Texas Area(s) served: Dallas County (primarily); Texas (statewide) Project Summary: Texas Native Health (TNH) proposes its ETHIC Texas project, a comprehensive initiative designed to address the significant health disparities faced by American Indian/Alaska Native (AI/AN) populations in Texas related to HIV, Hepatitis C Virus (HCV), and syphilis. As the only Urban Indian Organization in Texas, TNH is uniquely positioned to deliver culturally competent healthcare services tailored to the specific needs of AI/AN communities. The ETHIC Texas project adopts a dual approach, combining community-based programs and enhanced clinical services. The community-based component focuses on increasing awareness, screenings, and prevention measures through culturally relevant education and outreach activities. This includes deploying mobile units for routine screenings in traditional and non-traditional settings, such as pow wows and health fairs, and conducting annual pop-up clinics in remote and underserved areas. On the clinical side, TNH will expand its service offerings for AI/ANs at risk or diagnosed with HIV, HCV, or syphilis to include integrated behavioral health and dental care, extended clinic hours, and telehealth services. These enhancements aim to improve accessibility, ensure timely linkage to care, and support ongoing treatment adherence. By leveraging TNH’s existing infrastructure and culturally competent staff, the project seeks to provide holistic and continuous care to AI/AN individuals. The ETHIC Texas project is groundbreaking in its holistic, culturally sensitive approach that bridges the gap between community outreach and clinical care. By addressing both prevention and treatment in an integrated manner, the project aims to significantly reduce the incidence and improve the outcomes of HIV, HCV, and syphilis among AI/AN populations in Texas. This initiative not only aims to improve individual health outcomes but also seeks to build community trust and engagement with healthcare services, ultimately contributing to long-term health equity. Eligible Entity: Urban Indian Organization (UIO), as defined by 25 U.S.C. § 1603(29) Length of Project Period: 5 years Total Funds Requested: $1,500,000 (annually) - $7,500,000 total over 5 years