Healthcare (Tribal Nations)

SB 378 establishes a Tribal Relations Management Team within Montana's Department of Public Health and Human Services (DPHHS), creating two specific roles: a Tribal Relations Manager and a Director of American Indian Health. The Tribal Relations Manager coordinates government-to-government consultations with tribal governments, facilitates policy development with tribes, and prepares annual reports to the governor. The Director of American Indian Health identifies health disparities between tribal and non-tribal populations and develops strategies to improve health equity. This bill directly affects DPHHS operations and tribal governments by mandating structured collaboration on health programs and reporting.

SB 526 establishes a grant program to fund tribal colleges in Montana developing community health aide and dental health aide training programs. The program provides up to $3 million per institution, including a $1 million startup grant and $500,000 annually for four years, to expand or create education programs qualifying graduates for federal certification. Tribal colleges receiving grants must report annually on program outcomes, including graduates, provider certifications, patient access metrics, and cost-effectiveness. The bill directly affects tribal colleges and aims to address healthcare disparities in American Indian and Alaska Native communities by increasing local provider capacity. It allocates $1.5 million from the general fund for the 2025-2027 biennium to support this initiative.