Yavapai Apache Nation leaders address healthcare and infrastructure challenges

The U.S. House Committee on Appropriations convened on February 7, 2025, for the second day of the American Indian and Alaska Native Public Witness sessions. The morning session focused on critical issues affecting Native communities, including healthcare, infrastructure, and law enforcement.

The meeting began with testimonies highlighting the healthcare challenges faced by tribes. A representative from the Yavapai Apache Nation discussed their clinic's patient population of approximately 1,200, noting that 300 of these patients are diabetic, many of whom are elderly. The representative emphasized the need for improved facilities and resources to manage chronic conditions effectively, as current limitations force referrals for essential care.

Discussions then shifted to infrastructure, particularly the state of roads in tribal areas. Committee members shared personal anecdotes about the poor conditions of roads on reservations, which pose safety risks for residents. The need for increased funding for road maintenance and construction was underscored, with a call for more attention to transportation needs in Indian communities.

Law enforcement issues were also addressed, with concerns raised about the retention of trained officers. It was noted that many law enforcement and emergency service personnel leave for better-paying positions in other communities after receiving training, creating gaps in local services.

The committee members acknowledged the long-standing issues with the Indian Health Service (IHS) facilities, some of which have been on waiting lists for upgrades for decades. The need for new facilities and renovations was highlighted, along with the importance of addressing the underlying causes of health disparities, such as diabetes. Members discussed initiatives to promote healthier diets and access to fresh foods, recognizing that many tribes are in food deserts.

The session concluded with a consensus on the necessity for continued funding for programs addressing diabetes and other health issues, as well as a commitment to advocate for improved infrastructure and healthcare services for Native communities. The discussions reflected a broader understanding of the interconnectedness of health, safety, and community well-being in Indian Country.