Partnering With Federally Recognized Tribes
The governmental public health system includes tribal nations and Indian health programs as primary partners with the Washington State Department of Health (DOH), the State Board of Health, and local health jurisdictions.
The Centennial Accord created a unique government-to-government relationship between many federally recognized tribal governments and the state of Washington. State agencies, including DOH, have responsibilities for their work with federally recognized tribes as outlined in RCW 43.376. To ensure we fulfill these responsibilities, DOH follows a consultation and collaboration procedure, which includes:
- Sending Dear Tribal Leader letters to elected tribal officials when developing and implementing policies, agreements, and programs that directly affect Indian tribes.
- Consulting with tribal nations to promote government-to-government partnerships and ensure effective health services for Indian people.
- Designating the tribal relations director as the liaison to tribal nations.
- Ensuring staff who work with tribal governments and public health partners receive training on tribal history and culture and tribal relationships with federal and state governments.
- Submitting an annual report to the governor for The Centennial Accord meeting.
Dear Tribal Leader Letters
|Informative – DOH 988 general population campaign (PDF)
|Informative – disadvantaged communities rulemaking follow up (PDF)
|Collaboration – tribal state plan for suicide prevention listening session (PDF)
|Informative – information on agency rulemaking for January 1-15, 2024 (PDF)
|Informative – series of four listening sessions for the Healthy Youth Survey revision (PDF)
For more information, call 360-819-7626 or email OTPHR@doh.wa.gov.