SDPI Legislative Update

SDPI Legislative Update


GLATHB-logoFebruary 9th, 2018

The Great Lakes Area Tribal Health Board is pleased to announce that with the signing of today’s spending bill by President Trump, the Special Diabetes Program for Indians (SDPI) has been renewed at the current funding level of $150 million until the end of FY’ 19. We would like to thank all Tribal advocates across the country who helped to make this goal possible.

According to the CDC, Native American adults have higher rates of Type II Diabetes than any other race or ethnicity at roughly 16%. From 1996 to 2013, SDPI funds and services have contributed to a 54% decrease in diabetes-related kidney failure among Native Americans (Vital Signs, 2017). These SDPI funds are of critical importance to our Tribal communities in the fight against Diabetes and regaining our Health and Wellness.

The Great Lakes Area Tribal Health Board will continue to support and advocate for a more long-term approval of SDPI funds. For more information on legislative alerts please follow this link:




“Native Americans with Diabetes.” Vital Signs. Centers for Disease Control and Prevention, U.S. Department of Health & Human Services, 26 Jan 2017. Accessed 9 Feb 2018.

NIHB Board Member Sam Moose speaks up for Minnesota, Michigan and Wisconsin Tribal Health


Today in Washington, DC, NIHB Board members are on Capitol Hill advocating for the health of Tribal nations. Sam Moose, also a member of the Great Lakes Area Tribal Health Board, is there to ask legislators to preserve permanent reauthorization of the Indian Health Care Improvement Act. The Board members are bringing this message to the Senate Appropriations staff and the Committee on Indian Affairs.

Photo: Sam Moose speaking on behalf of Indian Health

Budget Formulation Meeting December 2016

The Bemidji Area Indian Health Service office held the I/T/U FY2019 Budget Formulation meeting December 6–8, 2016, in Minneapolis, MN. There were over 15 Tribes and Nations in attendance. The Great Lakes Area Tribal Health Board was invited to assist with the meeting facilitation, a key component of the budget formulation process. This is an important step that both the Bemidji Area Indian Health Service ­office and the GLATHB recognize—the importance of a tribally-owned process in the formulating their budget priorities. GLATHB partnered with IHS in November to hold an all-Tribes call and request input from Tribes and Health ­Directors on the content and process of the budget formulation meeting. While at the December meeting, GLATHB also hosted a Tribes-only Caucus (of Tribal leaders and Health Directors) to discuss feedback, input on the meeting and discussed topics such as priority health concerns, Clinic priorities, the “business of healthcare” and quality improvement.

The Tribes identified 20 items and through continued caucus, voted on a final list of 13 items. They are as follows: Hospitals & Clinics, Alcohol/Substance Abuse, Mental Health, Dental, PRC, Facilities Support, IT, Public Health Nursing, CHR, CSC, Urbans, Recruitment, and Health Education. The group agreed that although they put forward 13 budget priorities, they recommended that the Bemidji Area Representatives tell the story of and fully justify all 20 budget priorities  at the National meeting with the other IHS Areas.

As the collective voice of our tribal communities grows through the Great Lakes Area Tribal Health Board, opportunities like this to help lead the budget formulation process will be critical for our Area. We appreciate and support IHS’ interest in partnering with GLATHB and the Tribes and look forward to strengthening our agenda, and continuing to advocate around the health priorities affecting our people.

Next steps include the technical assistance meeting on January 31 in Minneapolis, which Area Representatives and the IHS Area office team will attend, and preparation for the National Budget meeting in Arlington, VA on February 16–17.

More information and updates can be found at or on Facebook/Great Lakes Area Tribal Health Board.