They will be included.

We don't want to have a silo, separate, program that looks at our prescriptions.

I just wanted to make sure because we would completely erode the underpinnings of how we provide for healthcare in these villages if we didn't have CHAP.

That would be a nonstarter.

I told them it's great to get that building, but you have to have the staffing that goes with it.

This budget does not help to address the true needs when it comes to so many who are in a very vulnerable place.

What is being provided to our Native people around the country is not adequate, and we must do better.

These tradeoffs are unacceptable, especially when we think about the work that remains to improve health outcomes in Indian Country.

What we're seeing with the opioid epidemic in Indian Country is just shocking.

I just have a couple more if I may. And I want to take it back to the facilities and facilities construction and maintenance and my concern.

I worry that as we're making headway, that we're going to cut back on the funding and we're going to lose that.

I would suggest that this is one of those issues that we need to engage as many of you within the agency that are involved from a policy perspective.

this administration views its relationship with Native Americans as trust-based, not race-based.

I don't understand how, in all good conscience, you can recommend such a significant reduction to this account, over 40 percent.

It seems to me that we know what the answer is here.

Certainly, IHS shares the concern about the opioid epidemic.

It seems to me that you have acknowledged that this is a valuable program; we need to do a little bit better job with regards to the data.

this administration needs to work with Congress and make funding for Tribal health programs a greater priority.

the budget before us is still wholly insufficient to meet this Nation's trust and treaty responsibilities and provide quality healthcare to American Indians and Alaska Natives.

we're still not providing all the resources on the ground we need to address preventive care or to attack the epidemic level of mental health and addiction issues that Native communities are fighting to overcome.

Let me ask what that good solution might be because it's my understanding that the budgetary impact of this decision nationwide is going to blow things out of the water.

Let me ask about staffing packages. Again this is kind of an annual question for me, just making sure that we're tracking.

I'm also concerned that the budget does not adequately address the opioid epidemic.

As you know, we have broadband in Alaska that is spotty at best.

Our reality is that we have not done right by American Indians, Alaska Natives, and Native Hawaiians.