What to know
- In August 2025, CDC launched Year 3 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 February 2026, CDC has provided over $82.5 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.
![[thumbnail] (hidden)](/tribal-health/media/images/2026/02/CDC-Tribal-Cooperative-Agreement-Fact-Sheet-2026-thumb.png)
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 02/06/2026
| Recipient | Total Funds Awarded in FY 2023 & FY 2024 |
Total Funds Awarded in FY 2025 |
Total Recipient Funding |
| Alaska Native Tribal Health Consortium (ANTHC) | $3,142,000 | $1,348,000 | $4,490,000 |
| Albuquerque Area Indian Health Board, Inc. (AAIHB) | $2,599,891 | $1,079,497 | $3,679,388 |
| *Bad River Band of Lake Superior Tribe of Chippewa Indians (Bad River Tribe) | $0 | $832,000 | $832,000 |
| California Rural Indian Health Board, Inc. (CRIHB) | $1,866,000 | $933,000 | $2,799,000 |
| Cherokee Nation, The | $2,109,628 | $854,814 | $2,964,442 |
| Chickasaw Nation, The | $4,790,648 | $2,583,000 | $7,373,648 |
| Choctaw Nation of Oklahoma | $591,750 | $295,875 | $887,625 |
| Colusa Indian Community Council (CICC) | $1,771,978 | $737,215 | $2,509,193 |
| Eastern Band of Cherokee Indians (EBCI) | $1,866,000 | $933,000 | $2,799,000 |
| Forest County Potawatomi Community (FCPC) | $1,861,674 | $930,837 | $2,792,511 |
| *Gila River Indian Community (GRIC) | $0 | $832,000 | $832,000 |
| Great Lakes Inter-Tribal Council, Inc. (GLITC) | $1,939,000 | $969,500 | $2,908,500 |
| *Ho-Chunk Nation of Wisconsin (HCN) | $0 | $832,000 | $832,000 |
| Indian Health Council, Inc. (IHC) | $416,000 | $208,000 | $624,000 |
| Inter Tribal Council of Arizona, Inc. (ITCA) | $1,373,960 | $686,980 | $2,060,940 |
| Kickapoo Tribe of Oklahoma | $416,000 | $208,000 | $624,000 |
| Muscogee Creek Nation | $639,293 | $208,000 | $847,293 |
| Northwest Portland Area Indian Health Board (NPAIHB) | $3,334,420 | $1,114,710 | $4,449,130 |
| *Osage Nation | $0 | $832,000 | $832,000 |
| Pueblo of Laguna (POL) | $416,000 | $208,000 | $624,000 |
| Rocky Mountain Tribal Leaders Council (RMTLC) | $2,149,000 | $1,208,000 | $3,357,000 |
| Rosebud Sioux Tribe (RST) | $1,640,212 | $458,000 | $2,098,212 |
| *San Carlos Apache Tribal Council | $0 | $832,000 | $832,000 |
| *Seminole Tribe of Florida | $0 | $832,000 | $832,000 |
| Shoshone-Bannock Tribes | $416,000 | $208,000 | $624,000 |
| Southern Plains Tribal Health Board (SPTHB) | $4,064,656 | $2,179,828 | $6,244,484 |
| *Southern Ute Indian Tribe | $0 | $832,000 | $832,000 |
| *Tule River Indian Health Center, Inc. (TRIHCI) | $0 | $832,000 | $832,000 |
| Turtle Mountain Band of Chippewa Indians (TMBCI) | $2,688,744 | $1,623,263 | $4,312,007 |
| United South and Eastern Tribes, Inc. (USET) | $2,016,000 | $1,008,000 | $3,024,000 |
| Viejas Band of Kumeyaay Indians | $954,302 | $558,000 | $1,512,302 |
| Wabanaki Public Health And Wellness, NPC (WPHW) | $5,154,000 | $2,183,000 | $7,337,000 |
| White Earth Nation | $1,866,000 | $933,000 | $2,799,000 |
| Yukon-Kuskokwim Health Corporation (YKHC) | $1,205,338 | $901,688 | $2,107,026 |
| Totals | $51,288,494 | $31,215,207 | $82,503,701 |
*These eight new recipients were awarded in FY 2025 with FY 2024 funding, with a performance period spanning June 1, 2025, through 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)
![[thumbnail] (hidden)](/tribal-health/media/images/2026/02/FY-2025-Public-Health-Topic-Funding-Table-thumb.png)
Funds Awarded in FY 2025 by Public Health Topic
![[thumbnail] (hidden)](/tribal-health/media/images/2026/02/FY-2024-Public-Health-Topic-Funding-Table-thumb.png)
Funds Awarded in FY 2024 by Public Health Topic
![[thumbnail] (hidden)](/tribal-health/media/images/2026/02/FY-2023-Public-Health-Topic-Funding-Table-thumb.png)
Funds Awarded in FY 2023 by Public Health Topic
Content Source:
Public Health Infrastructure Center