President Donald Trump’s federal budget proposal includes a 75% funding cut to a diabetes prevention and treatment program specifically for Native Americans. It also calls for up to $65 million in cuts to Indian Health Care facilities improvements. The Republican-controlled Congress has a mixed record on supporting Trump’s budget cuts to Native health care, but the proposals are cause for concern for tribes like Acoma Pueblo in New Mexico that is contending with costly repairs for its aging health clinic. It also comes as the country faces the looming dropoff in Medicaid reimbursements that jeopardizes the future for hundreds of mainly rural hospitals across the country. We’ll assess the threats to Native health care as we know it and other potential challenges that the ongoing shift in federal priorities is bringing to the surface.