What to know
- In August 2024, CDC launched Year 2 of the 5-year cooperative agreement—CDC-RFA-TO-23-0001: Strengthening Public Health Systems and Services in Indian Country.
- Its purpose is to strengthen the infrastructure of tribal public health systems.
- The emphasis is on workforce, data and information systems, and programs and services.
Overview
- As of June 2025, CDC has provided nearly $58.9 million to tribal communities through this cooperative agreement.
- Recipients include 34 federally recognized American Indian and Alaska Native (AI/AN) Tribes and regional AI/AN tribally designated organizations.
Purpose of funding
The program’s purpose is to strengthen the quality, performance, and infrastructure of tribal public health systems. This includes workforce, data and information systems, and programs and services. Recipients work to improve their capacity to develop, implement, and evaluate public health programs and services in their communities.
Program priorities
- Implement Foundational Public Health Capabilities
- Implement Data Modernization activities.
- Develop and deploy scalable, flexible, and sustainable technologies, policies, and methods.
- Support data implementation and analytical capabilities related to the Essential Public Health Services.
- Implement Public Health Programs and Services to comprehensively meet tribal public health needs.
- Implement Workforce activities to maintain a diverse workforce with cross-cutting skills and competencies.
Recipients
CDC-RFA-TO-23-0001: Strengthening Public Health Systems and Services in Indian Country, updated as of 6/30/2025
| Recipient | Year 1 Funding 1 | Year 2 Funding 2 | Total Recipient Funding |
| Alaska Native Tribal Health Consortium | $1,684,000 | $1,458,000 | $3,142,000 |
| Albuquerque Area Indian Health Board, Inc. | $1,420,394 | $1,179,497 | $2,599,891 |
| *Bad River Tribe | $0 | $832,000 | $832,000 |
| California Rural Indian Health Board, Inc. | $933,000 | $933,000 | $1,866,000 |
| Cherokee Nation, The | $1,054,814 | $1,254,814 | $2,309,628 |
| Chickasaw Nation | $2,320,324 | $2,670,324 | $4,990,648 |
| Choctaw Nation of Oklahoma | $295,875 | $295,875 | $591,750 |
| Colusa Indian Community Council | $1,034,763 | $737,215 | $1,771,978 |
| Eastern Band of Cherokee Indians | $933,000 | $933,000 | $1,866,000 |
| Forest County Potawatomi Community | $930,837 | $930,837 | $1,861,674 |
| *Gila River Indian Community | $0 | $832,000 | $832,000 |
| Great Lakes Inter-Tribal Council, Inc. | $969,500 | $969,500 | $1,939,000 |
| *Ho-Chunk Nation | $0 | $832,000 | $832,000 |
| Indian Health Council Inc. | $208,000 | $208,000 | $416,000 |
| Inter Tribal Council of Arizona, Inc. | $686,980 | $686,980 | $1,373,960 |
| Kickapoo Tribe of Oklahoma | $208,000 | $208,000 | $416,000 |
| Muscogee Creek Nation | $208,000 | $431,293 | $639,293 |
| Northwest Portland Area Indian Health Board | $2,214,710 | $1,119,710 | $3,334,420 |
| *Osage Nation | $0 | $832,000 | $832,000 |
| Pueblo of Laguna | $208,000 | $208,000 | $416,000 |
| Rocky Mountain Tribal Leaders Council | $1,008,000 | $1,141,000 | $2,149,000 |
| Rosebud Sioux Tribe | $777,294 | $862,918 | $1,640,212 |
| *San Carlos Apache Tribal Council | $0 | $832,000 | $832,000 |
| *Seminole Tribe of Florida | $0 | $832,000 | $832,000 |
| Shoshone-Bannock Tribes | $208,000 | $208,000 | $416,000 |
| Southern Plains Tribal Health Board | $1,829,828 | $2,434,828 | $4,264,656 |
| *Southern Ute Indian Tribe | $0 | $832,000 | $832,000 |
| *Tule River Indian Health Center, Inc. | $0 | $832,000 | $832,000 |
| Turtle Mountain Band of Chippewa Indians | $1,269,372 | $1,619,372 | $2,888,744 |
| United South and Eastern Tribes, Inc. | $1,008,000 | $1,008,000 | $2,016,000 |
| Viejas Band of Kumeyaay Indians | $396,302 | $558,000 | $954,302 |
| Wabanaki Health And Wellness, NPC | $2,783,000 | $2,371,000 | $5,154,000 |
| White Earth Nation | $933,000 | $933,000 | $1,866,000 |
| Yukon-Kuskokwim Health Corporation | $380,825 | $1,024,513 | $1,405,338 |
| Totals | $25,903,818 | $33,040,676 | $58,944,494 |
*These eight new recipients were awarded for a period of performance from June 1, 2025, to August 30, 2028.
1 Recipients funded in Year 1 are awarded a base funding amount of approximately $208,000 annually for each 12-month budget period (August 31 - August 30) with a performance period spanning August 31, 2023, to August 30, 2028.
2 New recipients first funded in year 2 were awarded $832,000 in base funding, averaging $208,000 per year over a four-year budget and performance period from June 1, 2025, to August 30, 2028.
Funding Strategy
This program has a two-part funding strategy:
- Base Funding — Base funding supports people, services, and systems for tribal health protection and averages $208,000 annually.
- Supplemental Funding — Each year recipients can apply for supplemental funding to address priority public health issues in their community. Not all recipients apply for additional funding.
Funding Period:
- Period of performance: 5 years (August 31, 2023 – August 30, 2028)
- Budget period length: 12 months (August 31 – August 30)
