Developed by Seabourne Consulting, experts in State Tribal Relations on Health Care

State Tribal Relations on Health Care


The United States recognizes Indian tribes as sovereign nations. Executive Order 13175 requires federal agencies to engage in meaningful consultation with tribes. States are also held to certain requirements in their relationships with tribes, detailed on this page. An interactive map that shows the State Plan Amendments (SPAs) required for each state is provided for users to explore.

Data & Metrics

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BIPOC Health Equity Library
Published on 09/27/2022
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Indigenous Knowledge Library
Published on 08/04/2022