What to know
- In August 2026, CDC launched Year 4 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 September 2026, CDC has provided over $116.5 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 September 18, 2026.
| Recipient | Total Funds Awarded in FY 2023-2025 |
Total Funds Awarded in FY 2026 |
Total Recipient Funding |
| Alaska Native Tribal Health Consortium (ANTHC)^ | $4,490,000 | $1,765,977 | $6,255,977 |
| Albuquerque Area Indian Health Board, Inc. (AAIHB)^ | $3,679,388 | $1,497,497 | $5,176,885 |
| Bad River Band of Lake Superior Tribe of Chippewa Indians (Bad River Tribe)^* | $832,000 | $318,000 | $1,150,000 |
| California Rural Indian Health Board, Inc. (CRIHB)^ | $2,799,000 | $1,351,000 | $4,150,000 |
| Cherokee Nation, The^ | $2,964,442 | $972,814 | $3,937,256 |
| Chickasaw Nation, The^ | $7,373,648 | $2,726,000 | $10,099,648 |
| Choctaw Nation of Oklahoma^ | $887,625 | $613,875 | $1,501,500 |
| Colusa Indian Community Council (CICC)^ | $2,509,193 | $1,155,215 | $3,664,408 |
| Eastern Band of Cherokee Indians (EBCI) | $2,799,000 | $933,000 | $3,732,000 |
| Forest County Potawatomi Community (FCPC)^ | $2,792,511 | $1,304,921 | $4,097,432 |
| Gila River Indian Community (GRIC)^* | $832,000 | $15,000 | $847,000 |
| Great Lakes Inter-Tribal Council, Inc. (GLITC)^ | $2,908,500 | $1,387,500 | $4,296,000 |
| Ho-Chunk Nation of Wisconsin (HCN)* | $832,000 | $0 | $832,000 |
| Indian Health Council, Inc. (IHC) | $624,000 | $208,000 | $832,000 |
| Inter Tribal Council of Arizona, Inc. (ITCA)^ | $2,060,940 | $1,104,980 | $3,165,920 |
| Kickapoo Tribe of Oklahoma^ | $624,000 | $526,000 | $1,150,000 |
| Muscogee Creek Nation^ | $847,293 | $526,000 | $1,373,293 |
| Northwest Portland Area Indian Health Board (NPAIHB)^ | $4,449,130 | $1,711,388 | $6,160,518 |
| Osage Nation^* | $832,000 | $318,000 | $1,150,000 |
| Pueblo of Laguna (POL) | $624,000 | $208,000 | $832,000 |
| Rocky Mountain Tribal Leaders Council (RMTLC)^ | $3,357,000 | $1,526,000 | $4,883,000 |
| Rosebud Sioux Tribe (RST)^ | $2,098,212 | $879,600 | $2,977,812 |
| San Carlos Apache Tribal Council^* | $832,000 | $318,000 | $1,150,000 |
| Seminole Tribe of Florida* | $832,000 | $0 | $832,000 |
| Shoshone-Bannock Tribes | $624,000 | $208,000 | $832,000 |
| Southern Plains Tribal Health Board (SPTHB)^ | $6,244,484 | $2,791,535 | $9,036,019 |
| Southern Ute Indian Tribe^* | $832,000 | $318,000 | $1,150,000 |
| Tule River Indian Health Center, Inc. (TRIHCI)^* | $832,000 | $318,000 | $1,150,000 |
| Turtle Mountain Band of Chippewa Indians (TMBCI)^ | $4,312,007 | $1,796,064 | $6,108,071 |
| United South and Eastern Tribes, Inc. (USET)^ | $3,024,000 | $1,326,000 | $4,350,000 |
| Viejas Band of Kumeyaay Indians | $1,512,302 | $558,000 | $2,070,302 |
| Wabanaki Public Health And Wellness, NPC (WPHW)^ | $7,337,000 | $3,046,750 | $10,383,750 |
| White Earth Nation^ | $2,799,000 | $1,351,000 | $4,150,000 |
| Yukon-Kuskokwim Health Corporation (YKHC)^ | $2,107,026 | $1,001,000 | $3,108,026 |
| Totals | $82,503,701 | $34,081,116 | $116,584,817 |
^ In Fiscal Year (FY) 2026, Congress required that 3% of CDC’s Public Health Infrastructure and Capacity (PHI+C) funding—$10.8 million—be designated specifically for Tribes and Tribal organizations. To meet this requirement, CDC offered supplemental awards through the Strengthening Public Health Systems and Services in Indian Country cooperative agreement.
Of the 34 cooperative agreement recipients, 27 applied for and received supplemental awards ranging from $15,000 to $318,000, totaling $8,283,000. This supplemental funding is in addition to the $25,798,116 in continuation funding awarded this fiscal year, bringing the total to more than $34 million. PHI+C funds are available over a two-year period, and the remainder of the $10.8 million requirement will be awarded in FY2027. Since 2023, more than $116.5 million has been awarded to Tribes and regional Tribally designated organizations through this cooperative agreement.
* These eight recipients were awarded in FY 2025 with FY 2024 funding with a performance period spanning June 1, 2025 - August 30, 2028.
Funding Strategy
This program has a two-part funding strategy:
- Strategy 1 Base Funding: Base funding supports people, services, and systems for tribal health protection and averages $208,000 annually.
- Strategy 2 Funding: Each year, recipients can apply for supplemental funding to address priority public health issues in their communities. 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/2026/09/FY-2026-Public-Health-Topic-Funding-Table-thumb.png)
![[thumbnail] (hidden)](/tribal-health/media/images/2026/02/FY-2025-Public-Health-Topic-Funding-Table-thumb.png)
![[thumbnail] (hidden)](/tribal-health/media/images/2026/02/FY-2024-Public-Health-Topic-Funding-Table-thumb.png)
![[thumbnail] (hidden)](/tribal-health/media/images/2026/02/FY-2023-Public-Health-Topic-Funding-Table-thumb.png)
This page was last updated on this date. Updates may include minor edits, image changes, or other modifications to page content.
The information on this page was last reviewed by subject matter experts to ensure accuracy.