- Treaty Tribes have a Nation to Nation relationship with the U.S. government that was established by  treaties or federal recognition.

-Tribes are sovereign Nations that exist through treaties.  Each tribe has it’s own government and constitution, with a unique legislative process.

-States do not have jurisdiction on tribal lands.  In fact, states and Tribal governments are often in legal conflict over Tribal treaty rights.

-Through U.S. Congressional policy there is movement towards Tribal self-governance.   This means the U.S. government is allowing tribes to manage their own destiny- run their own programs, such a health programs

The movement towards tribal self-governance is changing the way Native health care is delivered.  Approximately forty percent of the tribes now operate their own health systems.