11/22/2025
The Department of Urban Indian Affairs (formerly known as the Office of Urban Indian Health Programs) plays a critical role in ensuring that American Indian and Alaska Native (AI/AN) people living in cities and metropolitan areas have access to culturally-competent health care, supportive services, and advocacy. Since about 70 % of Native peoples now live in urban settings, this federal-tribal partnership fills a vital, often overlooked gap in the U.S. health-care system.
As Francys Crevier, CEO of the National Council of Urban Indian Health, has stated: “The trust responsibility for Native people extends beyond the Indian Health Service.” This reminds us that urban Native communities are an essential part of Indigenous health and sovereignty—just because someone lives in a city doesn’t mean they are cut off from tribal identity or the federal trust obligation.
This Native American Heritage Month, let us remember that health equity for urban Indigenous peoples is about more than clinical care—it’s about culture, connection, identity and community in the places we live, work, and raise our families.