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Office of the Tribal Liaison
States with the largest AI/AN populations as of the 2010 U.S. Census, were California (723,225), Oklahoma (482,760), and Arizona (353,386). The proportion of Oklahoma's population identified as AI/AN people was 12.9 percent.
AI/AN people suffer greater health disparities than others living in Oklahoma. The top leading causes of AI/AN death are heart disease, cancer, unintentional injuries and diabetes (Indian Health Service [IHS]).
It is understood that tribal members residing in the State of Oklahoma are citizens of the state and as such possess all the rights and privileges afforded by Oklahoma to its citizens. It is also understood that each Tribe has its own culture, beliefs, value system, and right to govern itself as a sovereign.
The Oklahoma State Department of Health (OSDH) recognizes the right of Tribal Governments to exercise sovereignty. It is beneficial for OSDH to partner with tribal governments on issues affecting all of Oklahoma as well as to ensure that services and resources are available to all eligible state citizens including tribal communities. Meaningful and timely consultation with Oklahoma Tribal Leaders will facilitate better understanding and informed decision making.
Tribal Consultation Policy:
When appropriate, the OSDH may seek input from appropriate elected or appointed tribal officials before undertaking any action or policy that will, or is reasonably believed to, have the potential to affect a tribal community or its members. Further, the OSDH may, to the fullest extent possible and to the best of their ability, integrate the input generated from tribal consultation into their decision-making processes to achieve mutually acceptable solutions (see OSDH Tribal Consultation Policy).
Affordable Care Act Tribal Listening Sessions:
Tribal listening sessions were offered in six communities from February 1 through March 1, 2013. Approximately 193 people attended the sessions, representing tribal nations, tribal serving entities, Indian Health Service and community representatives at large. Among the topics for discussion were an overview of the Affordable Care Act and the development of an Oklahoma Plan designed to reduce the number of uninsured, reduce health care costs and to improve health outcomes.
Participants were encouraged to make comments and ask questions throughout each listening session. Written comments were accepted in person during the listening the listening sessions or via e-mail or hard copy following the sessions through March 15, 2013 (see Executive Summary of Tribal Listening Sessions).
Tribal Health Facilities in Oklahoma:
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