The Alaska Tribal Health System (ATHS) is a diverse and multifaceted healthcare system that has developed over the last 30 years. It represents the diversity of Alaska Native people. Alaska has 231 federally recognized tribes that live across 586,412 square miles of predominantly roadless land - the underlying reason for the creation of this innovative and essential statewide health system.
The rural Native health organizations not only serve a Native population in most areas they are the only healthcare providers available, and there- fore serve everyone in the area regardless of race. In 2000,the ATHS served 119,241 Alaska Natives, 19 percent of the state's population. At that time, 178 village clinics employed 468 community health aide/practitioners, although there were 32 practitioner vacancies. Alaska is the only state in which over 99 percent of health programs are managed by tribes and Native organizations. Such a large healthcare system involves sophisticated patterns of referral. Its size and reach are also reflected in its total annual budget of approximately $800 million, including federal and state funding, Medicaid and Medicare revenue, rural sanitation funding, and other smaller sources of funding.
The Alaska Tribal Health Compact ,which authorizes tribes and Native health organizations to operate health and health-related programs, was formed October 1,1994. The Compact is the umbrella agreement that sets forth the terms and conditions of the government-to-government relationship between Alaska Native tribes and/or tribal organizations, and the United States government through the Indian Health Service. The 21 tribes and tribal organizations that belong to the Compact include:
- Alaska Native Tribal Health Consortium
- Aleutian//Pribilof Islands Association Inc.
- Annette Island and SU--Metlakatla Indian Community
- Arctic Slope Native Association
- Bristol Bay Area Health Corporation
- Copper River Native Association
- Council of Athabascan Tribal Governments
- Eastern Aleutian Tribes Inc.
- Ketchikan Indian Community
- Kodiak Area Native Association
- Maniilaq Association
- Mt. Sanford Tribal Consortium
- Native Village of Eklutna
- Norton Sound Health Corporation
- Seldovia Village Tribe
- Southcentral Foundation
- SouthEast Alaska Regional Health Consortium
- Tanana Chiefs Conference Inc.
- Yakutat Tlingit Tribe
- Yukon--Kuskokwim Health Corporation
The Alaska Native Health Board is the statewide voice on Alaska Native health issues. It has been active for 38 years as an advocacy organization for the health needs and concerns of all Alaska Natives, and continues to emphasize the importance of self-determination in healthcare services and encourages wellness and healthy ways of life in Native communities through policy change.
Select a link to the left for the ANHB Board of Directors' annual policy priorities for consideration by policymakers.