- All of Alaska. Nearly the entire budget goes to Tribal health organizations under the Alaska Tribal Health Compact, which serves all 228 federally recognized tribes in the state.
States: AK
Life expectancy · 2018–202069.5 years, vs. 78.8 for the U.S. (all races, 2019). IHS Life Expectancy report, 2018–2020
What’s workingAbout 99% of the Area budget goes to Tribes and Tribal organizations. The Area also has 148 tribal community health aide clinics. Alaska Area (IHS)
- 27 tribal groups, including 20 Pueblos, in New Mexico, Colorado, Texas and Utah.
States: NM, CO, TX, UT
Life expectancy · 2018–202074.6 years, vs. 78.8 for the U.S. (all races, 2019). IHS Life Expectancy report, 2018–2020
What’s workingThe Area takes part in national IHS initiatives including the Special Diabetes Program for Indians and the Meth and Suicide Prevention Initiative. Albuquerque Area (IHS)
- 34 Tribes and 4 urban Indian programs in Illinois, Indiana, Michigan, Minnesota and Wisconsin.
States: IL, IN, MI, MN, WI
Life expectancy · 2018–202069.0 years, vs. 78.8 for the U.S. (all races, 2019). IHS Life Expectancy report, 2018–2020
What’s workingTribal health services run through 11 Title V self-governance compacts and 23 Title I contracts. Bemidji Area (IHS)
- More than 70,000 people across Montana and Wyoming.
States: MT, WY
Life expectancy · 2018–202063.1 years, vs. 78.8 for the U.S. (all races, 2019). IHS Life Expectancy report, 2018–2020
What’s workingCare runs through five tribally operated health departments and five Urban Indian health programs, including the Billings Urban Indian Health and Wellness Center (opened 2018). Billings Area (IHS)
- Works with 104 of the state’s 109 federally recognized tribes. California has the largest American Indian and Alaska Native population in the country.
States: CA
Diabetes deaths · 2005–200748.5 per 100,000 (age-adjusted), vs. 23.3 for the U.S. (2006). IHS Regional Differences in Indian Health, 2012 Edition
What’s workingThe Area has two Youth Regional Treatment Centers, in Hemet and Davis. California Area (IHS)
- About 130,000 people in North Dakota, South Dakota, Nebraska and Iowa.
States: ND, SD, NE, IA
Life expectancy · 2018–202067.1 years, vs. 78.8 for the U.S. (all races, 2019). IHS Life Expectancy report, 2018–2020
What’s workingSeveral tribes have taken over management of their own health programs through contracts with IHS. Great Plains Area (IHS)
- 36 tribes spread across the eastern and southeastern United States.
States: Tribes in 15 eastern and southern states
Diabetes deaths · 2005–200752.2 per 100,000 (age-adjusted), vs. 23.3 for the U.S. (2006). IHS Regional Differences in Indian Health, 2012 Edition
What’s workingFourteen Title I and nine Title V programs are tribally administered, and Project TransAm has passed $33 million in equipment and supplies to Tribes over 10 years. Nashville Area: About Us (IHS)
- More than 244,000 people on and around the Navajo Nation, which covers more than 25,000 square miles of Arizona, New Mexico and Utah.
States: AZ, NM, UT
Life expectancy · 2018–202068.4 years, vs. 78.8 for the U.S. (all races, 2019). IHS Life Expectancy report, 2018–2020
What’s workingAlongside IHS, the Navajo Department of Health and five Tribal health care corporations, including Tséhootsooí Medical Center, deliver care. Navajo Area (IHS)
- Oklahoma, Kansas and parts of Texas.
States: OK, KS, part of TX
Life expectancy · 2018–202067.8 years, vs. 78.8 for the U.S. (all races, 2019). IHS Life Expectancy report, 2018–2020
What’s workingMany Tribes run their own health programs, from large hospitals to prevention and behavioral health programs. Oklahoma City Area (IHS)
- About 180,000 people from more than forty tribes in Arizona, Nevada and Utah.
States: AZ, NV, UT
Life expectancy · 2018–202075.1 years, vs. 78.8 for the U.S. (all races, 2019). IHS Life Expectancy report, 2018–2020
What’s workingCare runs through both IHS- and tribally operated facilities, plus three Urban Indian health programs. Phoenix Area (IHS)
- About 150,000 people in Oregon, Washington and Idaho.
States: OR, WA, ID
Life expectancy · 2018–202075.9 years, vs. 78.8 for the U.S. (all races, 2019). IHS Life Expectancy report, 2018–2020
What’s workingTribes administer more than 74% of the Area’s budget through self-determination contracts and self-governance compacts. Portland Area (IHS)
- Partners with the Tohono O’odham Nation and the Pascua Yaqui Tribe in southern Arizona.
States: AZ
Life expectancy · 2018–202074.0 years, vs. 78.8 for the U.S. (all races, 2019). IHS Life Expectancy report, 2018–2020
What’s workingSelf-governance compacts with the Tohono O’odham Nation (2016) and Pascua Yaqui Tribe (2017) brought self-governance into all 12 IHS Areas. Tucson Area: About Us (IHS)
