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CDC Tribal Consultation Policy

Federal law confirms the inalienable and inherent right of tribes to self-governance. The CDC Tribal Consultation Policy (TCP) was established in 2005 and is committed to

  • Recognizing and honoring tribal sovereignty.
  • Maintaining government-to-government relationships.
  • Upholding and supporting the federal trust responsibility.
  • Supporting tribal consultation at federal and state levels.

Federal Trust Responsibility is defined as "...The United States government’s moral obligation as defined in treaties. This responsibility is for the United States to honor its obligations, as agreed to in treaties, to represent the best interests of tribes and their members."

American Indian Policy Review Commission, 1997. GPO, p. 130.

CDC/ATSDR Tribal Consultation Policy—Excerpts

  • Federal Law (Article I, Section 8, U.S. Constitution), Executive Orders, and Presidential Memoranda require federal agencies to relate to federally recognized tribes and to consult with American Indian and Alaska Native (AI/AN) representatives on matters that may affect their communities.1
  • Aligning with these laws that confirm the inalienable and inherent right of tribes to self-governance, the CDC-TCP was established (2005). The TCP is committed to
    • Recognizing and honoring tribal sovereignty.
    • Maintaining government-to-government relationships.
    • Upholding and supporting the Federal Trust Responsibility.
    • Supporting tribal consultation at federal and state levels.
  • Health and Human Services (HHS) Tribal Consultation Policy calls for HHS agencies "to assist states in developing mechanisms for consultation with tribal governments and native populations before taking any actions that affect tribal governments and Native people. States will receive assistance in developing state plan assurances for the delivery of services to tribal governments and Native people. State consultation with tribal governments shall be done in a meaningful manner that is consistent with the definition of consultation as defined in this policy..."
  • Consultation is defined by the TCP as "an enhanced form of communication that emphasizes trust, respect, and shared responsibility. It is an open and free exchange of information and opinion among parties that leads to mutual understanding and comprehension. Consultation is integral to a deliberative process that results in effective collaboration and informed decision making with the ultimate goal of reaching consensus on issues."
  • The TCP strives to ensure "appropriate benefit to AI/AN populations from CDC funds awarded to states," (e.g., Diabetes Prevention and Control Program award).
  • If data or needs of AI/AN tribes are included in state proposals to justify funding requests, documentation of tribal involvement in design and implementation of proposed activities should be provided.
  • The CDC will provide DPCP Project Officers an orientation and training process, emphasizing cultural awareness of American Indian/Alaska Native populations.

Excerpts from the CDC/ATSDR TRIBAL CONSULTATION POLICY; Section V, para 2. Issued 10/18/05.

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Tribal/State Relationships Technical Assistance

The Native Diabetes Wellness Program provides technical assistance on state/tribal partnerships and diabetes care and prevention to State Diabetes Prevention and Control Programs (DPCP) through the Division of Diabetes Translation state consultation teams.

 

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