1996

Tribal Epidemiology Centers (TEC) Amid growing concern about a lack of data for disease control for AIANs, TECs are established under the reauthorization IHCIA.

1994

Tribal Self-Governance Act Amendments to ISDEAA enhance tribal self-governance by reducing federal bureaucratic control without abdicating the trust responsibility.

1994

American Indian Health and Services (AIHS) Founded American Indian Health and Services (AIHS) Founded: AIHS is established to provide healthcare services to Urban Indians living near Santa Barbara.

1992

IHCIA Reauthorized Reaffirms the government’s legal obligation to assure the highest possible health status for Indians. However, Congress fails to appropriate funding for IHS.

1988

ISDEAA Amendments The Tribal Self-Governance Demonstration Project provides a five-year project through which tribes use federal dollars to demonstrate self-governance. The law helps tribes administer the delivery of many services provided by IHS.