During a recent visit to tribal communities in Arizona and New Mexico this week, US Health Secretary Robert F Kennedy Jr emphasized the importance of preventing chronic disease among the Native American and Alaska Native population. Is it targeting them? Because behind the scenes, a crucial health initiative that had long served those very communities is being dismantled. This will leave many tribal leaders alarmed and confused.The initiative in question, Healthy Tribes, was part of the Centers for Disease Control and Prevention (CDC) and allocated $32.5 million annually to support culturally grounded programs focused on chronic disease prevention through traditional foods, medicine, and community engagement. As of early April, the program was also gutted due to workforce reductions at the CDC. Emails to tribal health organizations also confirmed that positions central to administering Healthy Tribes were in fact, being eliminated.A Silent Rollback That Said A LotKennedy’s public appearances, including a hike with the Navajo Nation president and a visit to a Native health center in Phoenix, made no mention of the program’s fate. He also moderated a panel at the Tribal Self-Governance Conference but avoided public questions. While he has said Native health is a top priority, his silence on the abrupt restructuring of Healthy Tribes has drawn criticism.Tribal leaders now fear the rollback is part of a broader effort by the Trump administration to dismantle diversity, equity, and inclusion (DEI) initiatives. However, Native leaders have pushed back against being categorized as such, asserting that tribal support is a legal obligation under treaties and federal law—not a diversity measure.'A Violation of Trust'The federal government has a trust responsibility to tribal nations, which includes ensuring access to healthcare, education, and public safety. Leaders like W. Ron Allen of the Jamestown S’Klallam Tribe call the recent cuts “a violation of trust.” He said he reminded Kennedy during their private conversation that tribes are already underfunded and rely heavily on supplementary programs like Healthy Tribes.One of the key concerns is the lack of tribal consultation—a legal requirement for federal actions affecting Native communities. Tribes were not consulted before the layoffs, echoing similar frustrations after mass terminations at the Indian Health Service earlier this year were temporarily rescinded following backlash.What Is The Ground-Level Reality?For tribal health facilities, these cuts have an immediate and grave implications.For instance, in Seattle, Healthy Tribes funded GATHER. This was a program that blended traditional medicine with modern care. Plants from community gardens were also used in this treatment, and traditional healers worked alongside clinical staff. However, now, he communication with the grant administrators has been broken down.In Los Angeles, Healthy Tribes funds youth-elder mentorship programs among Native and Alaska Native communities. The abrupt staffing changes have left administrators unclear about how or if these initiatives will at all continue.Native leaders stress that their status is political, not racial, a key legal distinction. “We are not DEI,” said Gila River Indian Community Governor Stephen Roe Lewis, warning new federal officials against viewing tribes through a racial equity lens rather than honoring treaty-based obligations.For now, tribal communities remain in limbo—concerned that Kennedy’s words on improving Native health aren’t matching federal actions that could ultimately set them back.