RBHC P4 - Name of Organization: Rocky Boy Health Center (RBHC) Organizational Unit: Health & Wellness Department The Rocky Boy’s Indian Reservation (RBIR) home to the Chippewa Cree Tribe was established by an Act of Congress on September 7, 1916. Our Tribal community’s geographical, natural, and socio-economic conditions create an atmosphere of despair for many Tribal members. Community-wide poverty inhibits access to family owned and operated vehicles and other basic needs including affordable healthy foods. Our high poverty rates contribute to severe housing shortages and overcrowding/substandard housing conditions on the reservation. The IHS goals of the Produce Prescription Pilot Program are: 1. To reduce food insecurity. 2. To Improve the overall dietary health of participants by increasing fruits, vegetables, and traditional food consumption; and 3. To improve health care outcomes. Our healthcare goals align perfectly with the goals of the pilot program, and we are proposing a coordinated effort to assist in reducing food insecurity and increasing healthy eating so fewer of our Tribal members experience diet related diseases. Therefore, the Chippewa Cree Tribe has authorized the Rocky Boy Health Center (RBHC) to apply for the Produce Prescription Pilot Program (P4). The RBHC has developed the following goal and objective for our project: Primary Goal: To reduce food insecurity and improve the overall health of the Rocky Boy community by increasing access to, and the consumption of healthy produce and traditional foods. Project Objective: During the proposed five-year Project Period (June 2023 through June 2028), the RBHC, in cooperation with the IHS will plan and implement a P4 program on the RBIR that will provide fresh fruits, vegetables, and traditional foods targeted to a minimum of 545 food insecure individuals (5-year total) who are diagnosed with diabetes or pre-diabetes as measured by participation records, internal evaluation data, and yearly reports. Our project will address the healthcare needs in our community by providing prescriptions for fresh fruits, vegetables, and traditional foods to a targeted cohort of Tribal members who are determined to be food insecure. The RBHC will implement the project in a manner that enables us to ramp up operations utilizing a phased approach over the course of the project period. A detailed description of how the above objective will address our food insecurity needs through an integrated approach between the RBHC, IHS, vendors, and participants is reflected in the work plan/timeline summary of project activities.