Tribal leaders cite hospital turnarounds and press Congress for funding certainty, technical assistance Witnesses from Cherokee Nation, Spokane and Winnebago described hospital and clinic turnarounds after assuming 638 authority and urged Congress to ensure funding stability (advanced or mandatory appropriations), more technical assistance for small tribes, and better area-office support.

Tribal leaders are transforming healthcare for their communities by taking control under the Indian Self-Determination Act, but they need Congress to step up with stable funding and support.

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