Alaska Tribal Health Compact

The Alaska Tribal Health Compact (ATHC) which authorizes tribes and tribal health organizations to operate health and health-related programs, was formed on 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 ATHC was and is the only multi-party compact in the nation. It is a single compact covering multiple tribes and tribal organizations, known as Co-Signers, and now has 26 individual funding agreements for each Co-Signer. The ATHC was established early in the Self Governance process and has led the nation in resolving many difficult issues which have arisen in the process of implementing Self Governance Compacts

On behalf of the ATHC, ANHB facilitates Pre and Final Negotiations, tribal caucus, disseminates information and coordinates workgroups as needed.