{"id":49,"date":"2024-05-29T14:44:18","date_gmt":"2024-05-29T14:44:18","guid":{"rendered":"https:\/\/triballive.wpenginepowered.com\/?page_id=49"},"modified":"2025-11-19T15:46:49","modified_gmt":"2025-11-19T15:46:49","slug":"data-is-essential","status":"publish","type":"page","link":"https:\/\/tribal.cste.org\/?page_id=49","title":{"rendered":"Data Collection"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Header&#8221; _builder_version=&#8221;4.27.0&#8243; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_stops=&#8221;rgba(255,255,255,0.4) 0%|#ffffff 90%&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_color_gradient_start=&#8221;rgba(255,255,255,0.4)&#8221; background_color_gradient_end=&#8221;#ffffff&#8221; background_color_gradient_end_position=&#8221;90%&#8221; background_image=&#8221;https:\/\/triballive.wpenginepowered.com\/wp-content\/uploads\/2024\/07\/GettyImages-1714788609-scaled.jpg&#8221; parallax=&#8221;on&#8221; custom_margin=&#8221;||||false&#8221; custom_padding=&#8221;40vw||0vw||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; custom_margin=&#8221;-407px|auto||auto||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; ul_font=&#8221;||||||||&#8221; ol_font=&#8221;||||||||&#8221; header_font=&#8221;Montserrat|500||on|||||&#8221; header_font_size=&#8221;18px&#8221; header_letter_spacing=&#8221;5px&#8221; header_line_height=&#8221;1.5em&#8221; header_2_font=&#8221;Merriweather|||on|||||&#8221; header_2_font_size=&#8221;70px&#8221; header_2_letter_spacing=&#8221;5px&#8221; header_2_line_height=&#8221;1.4em&#8221; header_3_font=&#8221;||||||||&#8221; header_4_font=&#8221;||||||||&#8221; header_5_font=&#8221;||||||||&#8221; header_6_font=&#8221;||||||||&#8221; text_orientation=&#8221;center&#8221; header_font_size_tablet=&#8221;&#8221; header_font_size_phone=&#8221;12px&#8221; header_font_size_last_edited=&#8221;on|desktop&#8221; header_2_font_size_tablet=&#8221;50px&#8221; header_2_font_size_phone=&#8221;30px&#8221; header_2_font_size_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2><span style=\"color: #374db2;\">Data Collection<\/span><\/h2>\n<h1><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW18981165 BCX0\" style=\"color: #374db2;\"><span class=\"NormalTextRun SCXW18981165 BCX0\" data-ccp-charstyle=\"Intense Emphasis\"><span class=\"NormalTextRun SCXW1727575 BCX0\" data-ccp-charstyle=\"Subtle Emphasis\">\u201cNothing about us without us<\/span><span class=\"NormalTextRun SCXW1727575 BCX0\" data-ccp-charstyle=\"Subtle Emphasis\">.<\/span><span class=\"NormalTextRun SCXW1727575 BCX0\" data-ccp-charstyle=\"Subtle Emphasis\">\u201d<\/span><\/span><\/span><\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|tablet&#8221; prev_background_color=&#8221;#ffffff&#8221; next_background_color=&#8221;#374db2&#8243; admin_label=&#8221;About Me&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#fafafa&#8221; min_height=&#8221;1044.3px&#8221; custom_margin=&#8221;-127px|||||&#8221; custom_padding=&#8221;5vw|0px|0vw|0px|false|false&#8221; custom_padding_tablet=&#8221;||10vw|&#8221; custom_padding_phone=&#8221;&#8221; top_divider_style=&#8221;curve&#8221; top_divider_height=&#8221;6vw&#8221; top_divider_flip=&#8221;vertical&#8221; bottom_divider_style=&#8221;curve&#8221; bottom_divider_height=&#8221;10vw&#8221; bottom_divider_repeat=&#8221;0.5x&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; _builder_version=&#8221;4.25.1&#8243; custom_padding=&#8221;||179px|||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; text_font=&#8221;||||||||&#8221; text_line_height=&#8221;2em&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Merriweather|700|||||||&#8221; header_2_font_size=&#8221;36px&#8221; header_2_line_height=&#8221;1.6em&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;20px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; inline_fonts=&#8221;Poppins&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2><span style=\"color: #374db2;\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW200252582 BCX0\"><span class=\"NormalTextRun SCXW200252582 BCX0\" data-ccp-charstyle=\"Heading 2 Char\">Data Sovereignty<\/span><\/span><span class=\"EOP SCXW200252582 BCX0\" data-ccp-props=\"{}\">\u00a0<\/span><\/span><\/h2>\n<p><span style=\"font-family: Poppins; font-weight: normal; font-size: large; color: #374db2;\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW79196791 BCX0\"><span class=\"NormalTextRun SCXW79196791 BCX0\">To honor <a href=\"https:\/\/triballive.wpenginepowered.com\/?page_id=52\" target=\"_blank\" rel=\"noopener\">data sovereignty<\/a><\/span><\/span><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Highlight SCXW79196791 BCX0\"><span class=\"NormalTextRun SCXW79196791 BCX0\">,<\/span><\/span><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW79196791 BCX0\"><span class=\"NormalTextRun SCXW79196791 BCX0\"> tribes need to be involved <\/span><span class=\"NormalTextRun SCXW79196791 BCX0\">in the decisions to collect, use, and <\/span><span class=\"NormalTextRun SCXW79196791 BCX0\">disseminate<\/span><span class=\"NormalTextRun SCXW79196791 BCX0\"> any data on tribal members <\/span><span class=\"NormalTextRun SCXW79196791 BCX0\">before data <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW79196791 BCX0\">are<\/span><span class=\"NormalTextRun SCXW79196791 BCX0\"> collected.<\/span><\/span><\/span><\/p>\n<p><span style=\"font-family: Poppins; font-weight: normal; font-size: large; color: #374db2;\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW1534402 BCX0\"><span class=\"NormalTextRun SCXW1534402 BCX0\">Data on tribal members are already collected by non-tribal public health entities (such as state and local health departments).<\/span><span class=\"NormalTextRun SCXW1534402 BCX0\"> <\/span><span class=\"NormalTextRun SCXW1534402 BCX0\">For the purposes of this toolkit, th<\/span><span class=\"NormalTextRun SCXW1534402 BCX0\">ese<\/span><span class=\"NormalTextRun SCXW1534402 BCX0\"> data are referred to as \u201cTribal data<\/span><span class=\"NormalTextRun SCXW1534402 BCX0\">\u201d.<\/span><span class=\"NormalTextRun SCXW1534402 BCX0\"> <\/span><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW1534402 BCX0\">Tribes have a special interest in this data and <\/span><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW1534402 BCX0\">have <\/span><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW1534402 BCX0\">particular rights to control the collection and use of this data<\/span><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW1534402 BCX0\">.<\/span><span class=\"NormalTextRun SCXW1534402 BCX0\"> <\/span><span class=\"NormalTextRun SCXW1534402 BCX0\">This is <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW1534402 BCX0\">not,<\/span><span class=\"NormalTextRun SCXW1534402 BCX0\"> however, the only data Tribes are able to receive for public health purposes. <\/span><\/span><a class=\"Hyperlink SCXW1534402 BCX0\" href=\"https:\/\/www.hhs.gov\/hipaa\/for-professionals\/privacy\/guidance\/minimum-necessary-requirement\/index.html\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"FieldRange SCXW1534402 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Underlined SCXW1534402 BCX0\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW1534402 BCX0\" data-ccp-charstyle=\"Hyperlink\">Tribes and TECs are able to receive any data they deem necessary to perform their public health functions \u2013 not only \u201cTribal data\u201d<\/span><\/span><\/span><\/a><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW1534402 BCX0\"><span class=\"NormalTextRun CommentHighlightPipeRestV2 SCXW1534402 BCX0\">. In other words, Tribes and TECs can receive data for non-Tribal members and for people living off the reservation if they believe it is necessary to perform their public health functions<\/span><span class=\"NormalTextRun SCXW1534402 BCX0\">.<\/span><\/span><span class=\"EOP SCXW1534402 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_image src=&#8221;https:\/\/triballive.wpenginepowered.com\/wp-content\/uploads\/2024\/07\/GettyImages-91778827-scaled.jpg&#8221; title_text=&#8221;Native American man calling on cell phone&#8221; align_tablet=&#8221;center&#8221; align_phone=&#8221;center&#8221; align_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;4.27.0&#8243; animation_style=&#8221;zoom&#8221; animation_intensity_zoom=&#8221;10%&#8221; animation=&#8221;top&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Call to Action&#8221; _builder_version=&#8221;4.25.1&#8243; background_color=&#8221;#374db2&#8243; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_stops=&#8221;#374db2 1%|#858ab2 100%&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_color_gradient_start=&#8221;#34545a&#8221; background_color_gradient_end=&#8221;rgba(52,84,90,0.8)&#8221; background_enable_image=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_toggle title=&#8221;Challenges to Collection and Use &#8221; open_toggle_text_color=&#8221;#374db2&#8243; open_toggle_background_color=&#8221;#FFFFFF&#8221; closed_toggle_text_color=&#8221;#374db2&#8243; closed_toggle_background_color=&#8221;#FFFFFF&#8221; icon_color=&#8221;#374db2&#8243; open_icon_color=&#8221;#FFFFFF&#8221; _builder_version=&#8221;4.27.0&#8243; title_text_color=&#8221;#374db2&#8243; title_font=&#8221;Poppins|700||on|||||&#8221; title_text_align=&#8221;center&#8221; title_font_size=&#8221;18px&#8221; title_letter_spacing=&#8221;1px&#8221; title_line_height=&#8221;2em&#8221; body_text_color=&#8221;#374db2&#8243; custom_padding=&#8221;24px||24px||true&#8221; animation_style=&#8221;zoom&#8221; animation_intensity_zoom=&#8221;10%&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;0px&#8221; box_shadow_style=&#8221;preset1&#8243; box_shadow_vertical=&#8221;10px&#8221; box_shadow_blur=&#8221;60px&#8221; box_shadow_color=&#8221;rgba(1,33,92,0.1)&#8221; inline_fonts=&#8221;Poppins&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p style=\"text-align: left;\"><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW258568115 BCX0\"><span class=\"NormalTextRun SCXW258568115 BCX0\">One of the biggest challenges when discussing the collection and use of Tribal <\/span><span class=\"NormalTextRun SCXW258568115 BCX0\">data <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW258568115 BCX0\">are<\/span><span class=\"NormalTextRun SCXW258568115 BCX0\"> what constitutes \u201cTribal data<\/span><span class=\"NormalTextRun SCXW258568115 BCX0\">\u201d.<\/span><span class=\"NormalTextRun SCXW258568115 BCX0\"> In the broadest sense, Tribal <\/span><span class=\"NormalTextRun SCXW258568115 BCX0\">data are<\/span><span class=\"NormalTextRun SCXW258568115 BCX0\"> data or information on members of a specific Tribe or that describes a specific Tribe<\/span><\/span><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Highlight SCXW258568115 BCX0\"><span class=\"NormalTextRun SCXW258568115 BCX0\">.<\/span><\/span><span class=\"EOP SCXW258568115 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span class=\"EOP SCXW258568115 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW35564730 BCX0\"><span class=\"NormalTextRun SCXW35564730 BCX0\">As noted <\/span><span class=\"NormalTextRun SCXW35564730 BCX0\">earlier<\/span><span class=\"NormalTextRun SCXW35564730 BCX0\">, <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW35564730 BCX0\">AI<\/span><span class=\"NormalTextRun SCXW35564730 BCX0\">\/AN race as collected by health departments is not always the same as Tribal members. People who identify as AI\/AN can be Tribal members, but they may not be. They could also live on Tribal lands of one Tribe but be members of a different Tribe. <\/span><\/span><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW35564730 BCX0\"><span class=\"NormalTextRun SCXW35564730 BCX0\">It can be difficult \u2013 or impossible \u2013 for non-Tribal public health entities to accurately <\/span><span class=\"NormalTextRun SCXW35564730 BCX0\">identify<\/span><span class=\"NormalTextRun SCXW35564730 BCX0\"> Tribal members.<\/span><\/span><span class=\"EOP SCXW35564730 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"font-weight: 400;\">\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW184992725 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW184992725 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW81492527 BCX0\"><span class=\"NormalTextRun SCXW81492527 BCX0\">Use of race only as a proxy for the political category of American Indian or Alaska Native <\/span><\/span><a class=\"Hyperlink SCXW81492527 BCX0\" href=\"https:\/\/www.brookings.edu\/articles\/why-the-federal-government-needs-to-change-how-it-collects-data-on-native-americans\/\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"FieldRange SCXW81492527 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Underlined SCXW81492527 BCX0\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW81492527 BCX0\" data-ccp-charstyle=\"Hyperlink\">can result in the aggregation of Tribal members data into non-AI\/AN racial categories, thereby erasing crucial AI\/AN data<\/span><\/span><\/span><\/a><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW81492527 BCX0\"><span class=\"NormalTextRun CommentHighlightPipeRestV2 SCXW81492527 BCX0\">. In the 2020 Census, only 23% of all AI\/ANs were classified as non-Hispanic single-race AI\/AN\u00a0<\/span><\/span><span class=\"EOP SCXW81492527 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW184992725 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW184992725 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW246136698 BCX0\"><span class=\"NormalTextRun SCXW246136698 BCX0\">However, <\/span><span class=\"NormalTextRun SCXW246136698 BCX0\">AI\/AN race is often the only way to <\/span><span class=\"NormalTextRun SCXW246136698 BCX0\">identify<\/span><span class=\"NormalTextRun SCXW246136698 BCX0\"> Tribal members as Tribal membership is not commonly collected by covered entities or public health entities.<\/span><\/span><span class=\"EOP SCXW246136698 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW184992725 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW184992725 BCX0\"><span class=\"EOP SCXW246136698 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><a class=\"Hyperlink SCXW236498102 BCX0\" href=\"https:\/\/www.uihi.org\/projects\/data-genocide-of-american-indians-and-alaska-natives-in-covid-19-data\/\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"FieldRange SCXW236498102 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Underlined SCXW236498102 BCX0\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW236498102 BCX0\" data-ccp-charstyle=\"Hyperlink\">Race, however, is often not collected or not completely reported<\/span><\/span><\/span><\/a><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW236498102 BCX0\"><span class=\"NormalTextRun CommentHighlightRest SCXW236498102 BCX0\">.<\/span><\/span><span class=\"EOP CommentHighlightPipeRestV2 SCXW236498102 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW215160157 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW215160157 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW11302734 BCX0\"><span class=\"NormalTextRun SCXW11302734 BCX0\">Public health authority<\/span><\/span><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW11302734 BCX0\"><span class=\"NormalTextRun SCXW11302734 BCX0\">: <\/span><span class=\"NormalTextRun SCXW11302734 BCX0\">An <\/span><span class=\"NormalTextRun SCXW11302734 BCX0\">entity that can receive PHI under HIPAA without patient authorization<\/span><span class=\"NormalTextRun SCXW11302734 BCX0\">.<\/span><span class=\"NormalTextRun SCXW11302734 BCX0\"> <\/span><span class=\"NormalTextRun SCXW11302734 BCX0\">I<\/span><span class=\"NormalTextRun SCXW11302734 BCX0\">ncludes state health departments, Tribes, and TECs.<\/span><\/span><\/span><\/span><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\" style=\"font-size: 18px; font-family: Poppins;\">\u00a0<\/span><\/li>\n<li data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"25\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:2160,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Courier New&quot;,&quot;469769242&quot;:[9675],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;o&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"2\"><span style=\"font-size: large; font-family: Poppins; font-weight: normal;\"><a href=\"https:\/\/hcup-us.ahrq.gov\/datainnovations\/raceethnicitytoolkit\/or26.pdf\" target=\"_blank\" rel=\"noopener\">AI\/ANs are also frequently misclassified as White or another race, which can lead to incomplete and incorrect data.<\/a>\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: left;\"><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span class=\"EOP SCXW258568115 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW35564730 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW158720029 BCX0\"><span class=\"NormalTextRun SCXW158720029 BCX0\">Even when reported, race and ethnicity can be inadequate to accurately <\/span><span class=\"NormalTextRun SCXW158720029 BCX0\">identify<\/span><span class=\"NormalTextRun SCXW158720029 BCX0\"> AI\/AN Tribal members. AI\/ANs are more likely to identify as mixed race and single-race AI\/AN are more likely to identify as Hispanic than other racial groups. Over 60% of AI\/ANs identified as more than one race in the 2020 Census and 31% were identified as Hispanic or Latino ethnicity<\/span><span class=\"NormalTextRun SCXW158720029 BCX0\">.<\/span><span class=\"NormalTextRun SCXW158720029 BCX0\">\u00a0<\/span><\/span><span class=\"EOP SCXW158720029 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #ffffff;\">\u00a0<\/span><\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=&#8221;Data Quality Improvements &#8221; open_toggle_text_color=&#8221;#374db2&#8243; open_toggle_background_color=&#8221;#FFFFFF&#8221; closed_toggle_text_color=&#8221;#374db2&#8243; closed_toggle_background_color=&#8221;#FFFFFF&#8221; icon_color=&#8221;#374db2&#8243; open_icon_color=&#8221;#FFFFFF&#8221; _builder_version=&#8221;4.27.4&#8243; title_text_color=&#8221;#374db2&#8243; title_font=&#8221;Poppins|700||on|||||&#8221; title_text_align=&#8221;center&#8221; title_font_size=&#8221;18px&#8221; title_letter_spacing=&#8221;1px&#8221; title_line_height=&#8221;2em&#8221; body_text_color=&#8221;#374db2&#8243; custom_padding=&#8221;24px||24px||true&#8221; animation_style=&#8221;zoom&#8221; animation_intensity_zoom=&#8221;10%&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;0px&#8221; box_shadow_style=&#8221;preset1&#8243; box_shadow_vertical=&#8221;10px&#8221; box_shadow_blur=&#8221;60px&#8221; box_shadow_color=&#8221;rgba(1,33,92,0.1)&#8221; inline_fonts=&#8221;Poppins&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW61236832 BCX0\"><span class=\"NormalTextRun SCXW61236832 BCX0\">Many are working to improve the identification of Tribal members and improve the quality of data. S<\/span><span class=\"NormalTextRun SCXW61236832 BCX0\">ome ways that have been used to <\/span><span class=\"NormalTextRun SCXW61236832 BCX0\">identify<\/span><span class=\"NormalTextRun SCXW61236832 BCX0\"> Tribal members include:<\/span><\/span><span class=\"EOP SCXW61236832 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"font-weight: 400;\">\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW184992725 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW184992725 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW186530995 BCX0\"><span class=\"NormalTextRun SCXW186530995 BCX0\">AI\/AN race plus geography<\/span><\/span><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW186530995 BCX0\"><span class=\"NormalTextRun SCXW186530995 BCX0\"> (ex: reservation zip codes). This method does not work well in urban areas, with tribes that do not have a reservation, and\/or with Tribes that have <\/span><span class=\"NormalTextRun SCXW186530995 BCX0\">a large number<\/span><span class=\"NormalTextRun SCXW186530995 BCX0\"> or members that live off the reservation.<\/span><\/span><span class=\"EOP SCXW186530995 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW215160157 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW215160157 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW11302734 BCX0\"><span class=\"NormalTextRun SCXW11302734 BCX0\"><a class=\"Hyperlink SCXW174190955 BCX0\" href=\"https:\/\/hcup-us.ahrq.gov\/datainnovations\/raceethnicitytoolkit\/or26.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"FieldRange SCXW174190955 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Underlined SCXW174190955 BCX0\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW174190955 BCX0\" data-ccp-charstyle=\"Hyperlink\">Tribes or TECs have the capability to perform linkages between Tribal registries and non-Tribal public health databases<\/span><\/span><\/span><\/a><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW174190955 BCX0\"><span class=\"NormalTextRun CommentHighlightRest SCXW174190955 BCX0\">. <\/span><span class=\"NormalTextRun CommentHighlightPipeRestV2 SCXW174190955 BCX0\">Linkages can help more accurately <\/span><span class=\"NormalTextRun SCXW174190955 BCX0\">identify<\/span><span class=\"NormalTextRun SCXW174190955 BCX0\"> Tribal members.<\/span><span class=\"NormalTextRun SCXW174190955 BCX0\"> <\/span><\/span><a class=\"Hyperlink SCXW174190955 BCX0\" href=\"https:\/\/www.cdc.gov\/national-program-cancer-registries\/about\/american-indian-alaska-native-data.html\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"FieldRange SCXW174190955 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Underlined SCXW174190955 BCX0\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW174190955 BCX0\" data-ccp-charstyle=\"Hyperlink\">Linkage is done at the federal level with cancer data at the CDC, where an Indian Health Service registry is linked with cancer registry data<\/span><\/span><\/span><\/a><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW174190955 BCX0\"><span class=\"NormalTextRun CommentHighlightRest SCXW174190955 BCX0\">.<\/span><\/span><span class=\"EOP CommentHighlightPipeRestV2 SCXW174190955 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW42723929 BCX0\"><span class=\"NormalTextRun SCXW42723929 BCX0\">Direct collection of affiliation.<\/span><\/span><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW42723929 BCX0\"><span class=\"NormalTextRun SCXW42723929 BCX0\">\u00a0<\/span><span class=\"NormalTextRun SCXW42723929 BCX0\">Some states, <\/span><\/span><a class=\"Hyperlink SCXW42723929 BCX0\" href=\"https:\/\/oregon.public.law\/rules\/oar_943-070-0020\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"FieldRange SCXW42723929 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Underlined SCXW42723929 BCX0\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW42723929 BCX0\" data-ccp-charstyle=\"Hyperlink\">such as Oregon<\/span><\/span><\/span><\/a><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW42723929 BCX0\"><span class=\"NormalTextRun CommentHighlightPipeRestV2 SCXW42723929 BCX0\">, ask Tribal affiliation specifically, which can help to <\/span><span class=\"NormalTextRun SCXW42723929 BCX0\">identify<\/span><span class=\"NormalTextRun SCXW42723929 BCX0\"> Tribal members regardless of their race. <\/span><\/span><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW42723929 BCX0\"><span class=\"NormalTextRun SCXW42723929 BCX0\">Note that this should only ever be done with the consent of the Tribe.<\/span><\/span><span class=\"EOP SCXW42723929 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"font-weight: 400;\"><\/ul>\n<p><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"EOP SCXW122290834 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW3464241 BCX0\"><span class=\"NormalTextRun SCXW3464241 BCX0\"><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<p style=\"text-align: left;\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"EOP SCXW122290834 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW3464241 BCX0\"><span class=\"NormalTextRun SCXW3464241 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW167468100 BCX0\"><span class=\"NormalTextRun SCXW167468100 BCX0\">Any attempts to <\/span><span class=\"NormalTextRun SCXW167468100 BCX0\">more accurately identify Tribal members<\/span><span class=\"NormalTextRun SCXW167468100 BCX0\"> should be done in partnership with the Tribes involved<\/span><span class=\"NormalTextRun SCXW167468100 BCX0\">.<\/span><span class=\"NormalTextRun SCXW167468100 BCX0\"> <\/span><span class=\"NormalTextRun SCXW167468100 BCX0\">A<\/span><span class=\"NormalTextRun SCXW167468100 BCX0\"> non-Tribal public health entity may have to have different processes for members of different Tribes, based on each Tribes\u2019 preferences. Tribes need to be actively involved in the decision making about their members\u2019 data collection and use.<\/span><\/span><\/span><\/span><span class=\"EOP SCXW3464241 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: left;\"><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<p style=\"text-align: left;\">[\/et_pb_toggle][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;67px|auto||auto||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.16&#8243; custom_margin=&#8221;-407px|auto||auto||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; ul_font=&#8221;||||||||&#8221; ol_font=&#8221;||||||||&#8221; header_font=&#8221;Montserrat|500||on|||||&#8221; header_font_size=&#8221;18px&#8221; header_letter_spacing=&#8221;5px&#8221; header_line_height=&#8221;1.5em&#8221; header_2_font=&#8221;Merriweather|||on|||||&#8221; header_2_font_size=&#8221;70px&#8221; header_2_letter_spacing=&#8221;5px&#8221; header_2_line_height=&#8221;1.4em&#8221; header_3_font=&#8221;||||||||&#8221; header_4_font=&#8221;||||||||&#8221; header_5_font=&#8221;||||||||&#8221; header_6_font=&#8221;||||||||&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;-123px|||||&#8221; custom_padding=&#8221;||58px|||&#8221; header_font_size_tablet=&#8221;&#8221; header_font_size_phone=&#8221;12px&#8221; header_font_size_last_edited=&#8221;on|desktop&#8221; header_2_font_size_tablet=&#8221;50px&#8221; header_2_font_size_phone=&#8221;30px&#8221; header_2_font_size_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2><span style=\"color: #374db2;\">Data Access And Sharing<\/span><\/h2>\n<h1><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW18981165 BCX0\" style=\"color: #374db2;\"><span class=\"NormalTextRun SCXW18981165 BCX0\" data-ccp-charstyle=\"Intense Emphasis\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW66937369 BCX0\"><span class=\"NormalTextRun SCXW66937369 BCX0\" data-ccp-charstyle=\"Intense Emphasis\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW181032154 BCX0\"><span class=\"NormalTextRun SCXW181032154 BCX0\">\u201c<\/span><\/span><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW181032154 BCX0\"><span class=\"NormalTextRun SCXW181032154 BCX0\" data-ccp-charstyle=\"Intense Emphasis\">Tribes and TECs are excluded from the full participation in the public health data system resulting in continuing health disparities experienced by AI\/AN communities.&#8221;<\/span><\/span><\/span><\/span><\/span><\/span><\/h1>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/tribal.cste.org\/wp-content\/uploads\/2024\/08\/8fec8674-0407-4091-8042-9f8f6249e175.gif&#8221; title_text=&#8221;8fec8674-0407-4091-8042-9f8f6249e175&#8243; align=&#8221;center&#8221; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; module_alignment=&#8221;center&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.25.1&#8243; custom_padding=&#8221;||34px|||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; text_line_height=&#8221;2em&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Merriweather|700|||||||&#8221; header_2_font_size=&#8221;36px&#8221; header_2_line_height=&#8221;1.6em&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;20px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; inline_fonts=&#8221;Poppins&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: center;\"><span style=\"color: #374db2;\">Data Access<\/span><\/h2>\n<p style=\"text-align: center;\"><span style=\"font-family: Poppins; font-weight: normal; font-size: x-large; color: #374db2;\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW121201852 BCX0\"><span class=\"NormalTextRun CommentHighlightPipeRestV2 SCXW121201852 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW207912471 BCX0\"><span class=\"NormalTextRun SCXW207912471 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW3526838 BCX0\"><span class=\"NormalTextRun SCXW3526838 BCX0\">Data access refers to the availability and retrievability of data from a database or data source. It includes both physical access and the laws and policies which govern access.<\/span><span class=\"NormalTextRun SCXW3526838 BCX0\"> <\/span><span class=\"NormalTextRun SCXW3526838 BCX0\">The current system for transmitting public health data <\/span><span class=\"NormalTextRun ContextualSpellingAndGrammarErrorV2Themed SCXW3526838 BCX0\">are<\/span><span class=\"NormalTextRun SCXW3526838 BCX0\"> outlined in the <\/span><span class=\"NormalTextRun SCXW3526838 BCX0\">image<\/span><span class=\"NormalTextRun SCXW3526838 BCX0\"> <\/span><span class=\"NormalTextRun SCXW3526838 BCX0\">above<\/span><span class=\"NormalTextRun SCXW3526838 BCX0\">. The image depicts the flow of data between health <\/span><span class=\"NormalTextRun SCXW3526838 BCX0\">care <\/span><span class=\"NormalTextRun SCXW3526838 BCX0\">and public health entities. <\/span><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW3526838 BCX0\">More simply it shows that data flows from health providers to what they call Local\/Regional\/State Public Health Authorities, and then to the CDC and beyond depending on the scope of the data.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-family: Poppins; font-weight: normal; font-size: x-large; color: #374db2;\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW121201852 BCX0\"><span class=\"NormalTextRun CommentHighlightPipeRestV2 SCXW121201852 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW207912471 BCX0\"><span class=\"NormalTextRun SCXW207912471 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW3526838 BCX0\"><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW3526838 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW150507413 BCX0\"><span class=\"NormalTextRun SCXW150507413 BCX0\">Tribes and TECs should be listed within the Local\/Regional\/State Public Health Authority but are not.<\/span><span class=\"NormalTextRun SCXW150507413 BCX0\"> There are <\/span><span class=\"NormalTextRun SCXW150507413 BCX0\">different ways<\/span><span class=\"NormalTextRun SCXW150507413 BCX0\"> to incorporate Tribal public health departments into a state or local <\/span><span class=\"NormalTextRun SCXW150507413 BCX0\">jurisdiction\u2019s<\/span><span class=\"NormalTextRun SCXW150507413 BCX0\"> data flow. <\/span><\/span><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW150507413 BCX0\"><span class=\"NormalTextRun SCXW150507413 BCX0\">The technical underpinnings of the access are less important than the commitment to regular and <\/span><span class=\"NormalTextRun SCXW150507413 BCX0\">timely<\/span><span class=\"NormalTextRun SCXW150507413 BCX0\"> access to needed public health data by Tribes.<\/span><\/span><span class=\"EOP SCXW150507413 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<p>[\/et_pb_text][et_pb_divider color=&#8221;#374db2&#8243; divider_style=&#8221;dotted&#8221; divider_weight=&#8221;10px&#8221; _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_toggle title=&#8221;Laws Governing Data Access &#8221; open_toggle_text_color=&#8221;#374db2&#8243; open_toggle_background_color=&#8221;#FFFFFF&#8221; closed_toggle_text_color=&#8221;#374db2&#8243; closed_toggle_background_color=&#8221;#FFFFFF&#8221; icon_color=&#8221;#374db2&#8243; open_icon_color=&#8221;#FFFFFF&#8221; _builder_version=&#8221;4.27.0&#8243; title_text_color=&#8221;#374db2&#8243; title_font=&#8221;Poppins|700||on|||||&#8221; title_text_align=&#8221;center&#8221; title_font_size=&#8221;18px&#8221; title_letter_spacing=&#8221;1px&#8221; title_line_height=&#8221;2em&#8221; body_text_color=&#8221;#374db2&#8243; custom_padding=&#8221;24px||24px||true&#8221; animation_style=&#8221;zoom&#8221; animation_intensity_zoom=&#8221;10%&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;0px&#8221; box_shadow_style=&#8221;preset1&#8243; box_shadow_vertical=&#8221;10px&#8221; box_shadow_blur=&#8221;60px&#8221; box_shadow_color=&#8221;rgba(1,33,92,0.1)&#8221; inline_fonts=&#8221;Poppins&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><a class=\"Hyperlink SCXW124884645 BCX0\" href=\"https:\/\/www.hipaajournal.com\/what-is-protected-health-information\/\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"FieldRange SCXW124884645 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Underlined SCXW124884645 BCX0\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW124884645 BCX0\" data-ccp-charstyle=\"Hyperlink\">Protected Health Information (PHI) is information that can be used to identify an individual<\/span><\/span><\/span><\/a><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW124884645 BCX0\"><span class=\"NormalTextRun CommentHighlightPipeRestV2 SCXW124884645 BCX0\">.<\/span><\/span><span class=\"EOP SCXW124884645 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"font-weight: 400;\">\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW184992725 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW184992725 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW21877560 BCX0\"><span class=\"NormalTextRun SCXW21877560 BCX0\">May include demographic information, medical records, test results, etc.<\/span><\/span><span class=\"EOP SCXW21877560 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW215160157 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW215160157 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW11302734 BCX0\"><span class=\"NormalTextRun SCXW11302734 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW46113890 BCX0\"><span class=\"NormalTextRun SCXW46113890 BCX0\">Also includes information that, while not identifiable on its own, may be combined with <\/span><span class=\"NormalTextRun SCXW46113890 BCX0\">other information to <\/span><span class=\"NormalTextRun SCXW46113890 BCX0\">identify<\/span><span class=\"NormalTextRun SCXW46113890 BCX0\"> a person<\/span><span class=\"NormalTextRun SCXW46113890 BCX0\">, such as name, Social Security Number, home address, and birth date<\/span><span class=\"NormalTextRun SCXW46113890 BCX0\">.<\/span><\/span><span class=\"EOP SCXW46113890 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: left;\"><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW207970870 BCX0\"><span class=\"NormalTextRun SCXW207970870 BCX0\"><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW207970870 BCX0\"><span class=\"NormalTextRun SCXW207970870 BCX0\">The Health Insurance Portability and Accountability Act (HIPAA) is the federal law that requires covered entities to protect PHI<\/span><span class=\"NormalTextRun SCXW207970870 BCX0\">\u2014the so-called \u201cPrivacy Rule.\u201d<\/span><span class=\"NormalTextRun SCXW207970870 BCX0\"> The following individuals or organizations are subject to the <\/span><span class=\"NormalTextRun SCXW207970870 BCX0\">P<\/span><span class=\"NormalTextRun SCXW207970870 BCX0\">rivacy <\/span><span class=\"NormalTextRun SCXW207970870 BCX0\">R<\/span><span class=\"NormalTextRun SCXW207970870 BCX0\">ule:<\/span><\/span><span class=\"EOP SCXW207970870 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"font-weight: 400;\">\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\" style=\"font-size: 18px; font-family: Poppins;\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW122290834 BCX0\"><span class=\"NormalTextRun SCXW122290834 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW211111529 BCX0\"><span class=\"NormalTextRun SCXW211111529 BCX0\">Covered entities include healthcare providers, health plans, or healthcare clearinghouses that <\/span><span class=\"NormalTextRun SCXW211111529 BCX0\">transmit<\/span><span class=\"NormalTextRun SCXW211111529 BCX0\"> health data electronically.<\/span><\/span><span class=\"EOP SCXW211111529 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\" style=\"font-size: 18px; font-family: Poppins;\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW122290834 BCX0\"><span class=\"NormalTextRun SCXW122290834 BCX0\"><span class=\"EOP SCXW211111529 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW196885634 BCX0\"><span class=\"NormalTextRun SCXW196885634 BCX0\">A business associate is an organization that does work that requires access to PHI on behalf of a HIPAA-covered entity.<\/span><\/span><span class=\"EOP SCXW196885634 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"EOP SCXW122290834 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span class=\"EOP SCXW3464241 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW193088128 BCX0\"><span class=\"NormalTextRun SCXW193088128 BCX0\">The HIPPA<\/span><span class=\"NormalTextRun SCXW193088128 BCX0\"> Privacy Rule allows for sharing PHI without individual consent for several purposes, including public health activities. <a href=\"https:\/\/triballive.wpenginepowered.com\/?page_id=52\" target=\"_blank\" rel=\"noopener\">Tribes and TECs<\/a>, like state and local health departments, can receive PHI because of th<\/span><span class=\"NormalTextRun SCXW193088128 BCX0\">is Privacy Rule<\/span><\/span><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Highlight SCXW193088128 BCX0\"><span class=\"NormalTextRun SCXW193088128 BCX0\">.<\/span><\/span><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW193088128 BCX0\"><span class=\"NormalTextRun SCXW193088128 BCX0\"> Specifically, PHI can be <\/span><span class=\"NormalTextRun SCXW193088128 BCX0\">disclosed<\/span><span class=\"NormalTextRun SCXW193088128 BCX0\"> without an individual\u2019s authorization or permission<\/span><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW193088128 BCX0\"> <\/span><\/span><a class=\"Hyperlink SCXW193088128 BCX0\" href=\"https:\/\/www.law.cornell.edu\/cfr\/text\/45\/164.512\" target=\"_blank\" rel=\"noopener noreferrer\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Underlined SCXW193088128 BCX0\"><span class=\"NormalTextRun CommentHighlightRest SCXW193088128 BCX0\" data-ccp-charstyle=\"Hyperlink\">for public interest and benefit activities related to the following 12 national priority benefit purposes<\/span><\/span><\/a><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW193088128 BCX0\"><span class=\"NormalTextRun CommentHighlightPipeRestV2 SCXW193088128 BCX0\">:<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<p><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"EOP SCXW122290834 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span class=\"EOP SCXW3464241 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW146983606 BCX0\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW146983606 BCX0\"><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul style=\"font-weight: 400;\">\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW158612968 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW158612968 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW240387449 BCX0\"><span class=\"NormalTextRun SCXW240387449 BCX0\">When required by law<\/span><\/span><span class=\"EOP SCXW240387449 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW158612968 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW158612968 BCX0\"><span class=\"EOP SCXW240387449 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW240253811 BCX0\"><span class=\"NormalTextRun SCXW240253811 BCX0\">Public health activities<\/span><\/span><span class=\"EOP SCXW240253811 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW158612968 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW158612968 BCX0\"><span class=\"EOP SCXW240387449 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW240253811 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW203347968 BCX0\"><span class=\"NormalTextRun SCXW203347968 BCX0\">Victims of abuse or neglect or domestic violence<\/span><\/span><span class=\"EOP SCXW203347968 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW158612968 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW158612968 BCX0\"><span class=\"EOP SCXW240387449 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW240253811 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW203347968 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW233599917 BCX0\"><span class=\"NormalTextRun SCXW233599917 BCX0\">Health oversight activities<\/span><\/span><span class=\"EOP SCXW233599917 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW158612968 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW158612968 BCX0\"><span class=\"EOP SCXW240387449 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW240253811 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW203347968 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW233599917 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW85873970 BCX0\"><span class=\"NormalTextRun SCXW85873970 BCX0\">Judicial and administrative proceedings<\/span><\/span><span class=\"EOP SCXW85873970 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW158612968 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW158612968 BCX0\"><span class=\"EOP SCXW240387449 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW240253811 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW203347968 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW233599917 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW85873970 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW38303685 BCX0\"><span class=\"NormalTextRun SCXW38303685 BCX0\">Law enforcement<\/span><\/span><span class=\"EOP SCXW38303685 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW158612968 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW158612968 BCX0\"><span class=\"EOP SCXW240387449 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW240253811 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW203347968 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW233599917 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW85873970 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW38303685 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW6129124 BCX0\"><span class=\"NormalTextRun SCXW6129124 BCX0\">Functions (such as identification) concerning deceased persons<\/span><\/span><span class=\"EOP SCXW6129124 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW158612968 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW158612968 BCX0\"><span class=\"EOP SCXW240387449 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW240253811 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW203347968 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW233599917 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW85873970 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW38303685 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW6129124 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW196670673 BCX0\"><span class=\"NormalTextRun SCXW196670673 BCX0\">Cadaveric organ, eye, or tissue donation<\/span><\/span><span class=\"EOP SCXW196670673 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW158612968 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW158612968 BCX0\"><span class=\"EOP SCXW240387449 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW240253811 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW203347968 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW233599917 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW85873970 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW38303685 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW6129124 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW196670673 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW130606934 BCX0\"><span class=\"NormalTextRun SCXW130606934 BCX0\">Research, under certain conditions<\/span><\/span><span class=\"EOP SCXW130606934 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW158612968 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW158612968 BCX0\"><span class=\"EOP SCXW240387449 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW240253811 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW203347968 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW233599917 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW85873970 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW38303685 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW6129124 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW196670673 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW130606934 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW90275881 BCX0\"><span class=\"NormalTextRun SCXW90275881 BCX0\">To prevent or lessen a serious threat to health or safety<\/span><\/span><span class=\"EOP SCXW90275881 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW158612968 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW158612968 BCX0\"><span class=\"EOP SCXW240387449 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW240253811 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW203347968 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW233599917 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW85873970 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW38303685 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW6129124 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW196670673 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW130606934 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW90275881 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW232406554 BCX0\"><span class=\"NormalTextRun SCXW232406554 BCX0\">Essential government functions<\/span><\/span><span class=\"EOP SCXW232406554 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"9\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:3240,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"4\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW158612968 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW158612968 BCX0\"><span class=\"EOP SCXW240387449 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW240253811 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW203347968 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW233599917 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW85873970 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW38303685 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW6129124 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW196670673 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW130606934 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW90275881 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW232406554 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW207166562 BCX0\"><span class=\"NormalTextRun SCXW207166562 BCX0\">Workers\u2019 compensatio<\/span><span class=\"NormalTextRun SCXW207166562 BCX0\">n<\/span><\/span><span class=\"EOP SCXW207166562 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul style=\"font-weight: 400;\"><\/ul>\n<p style=\"text-align: left;\"><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #ffffff;\">\u00a0<\/span><\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=&#8221;Public Data Release&#8221; open_toggle_text_color=&#8221;#374db2&#8243; open_toggle_background_color=&#8221;#FFFFFF&#8221; closed_toggle_text_color=&#8221;#374db2&#8243; closed_toggle_background_color=&#8221;#FFFFFF&#8221; icon_color=&#8221;#374db2&#8243; open_icon_color=&#8221;#FFFFFF&#8221; _builder_version=&#8221;4.27.0&#8243; title_text_color=&#8221;#374db2&#8243; title_font=&#8221;Poppins|700||on|||||&#8221; title_text_align=&#8221;center&#8221; title_font_size=&#8221;18px&#8221; title_letter_spacing=&#8221;1px&#8221; title_line_height=&#8221;2em&#8221; body_text_color=&#8221;#374db2&#8243; custom_padding=&#8221;24px||24px||true&#8221; animation_style=&#8221;zoom&#8221; animation_intensity_zoom=&#8221;10%&#8221; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;0px&#8221; box_shadow_style=&#8221;preset1&#8243; box_shadow_vertical=&#8221;10px&#8221; box_shadow_blur=&#8221;60px&#8221; box_shadow_color=&#8221;rgba(1,33,92,0.1)&#8221; inline_fonts=&#8221;Poppins&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-size: large; font-family: Poppins;\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW111931224 BCX0\"><span class=\"NormalTextRun SCXW111931224 BCX0\">T<span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW59943144 BCX0\"><span class=\"NormalTextRun SCXW59943144 BCX0\">here is a long history of data being used to characterize Tribes in a negative way and promote prejudice. These examples, among many, highlight the distrust between Native communities, researchers, and public health.<\/span><\/span><\/span><\/span><\/span><\/p>\n<ul>\n<li><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW158612968 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW158612968 BCX0\"><span class=\"EOP SCXW240387449 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW240253811 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW203347968 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW233599917 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW85873970 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW38303685 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW6129124 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW196670673 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW130606934 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW90275881 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW232406554 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW207166562 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><a class=\"Hyperlink SCXW145898454 BCX0\" href=\"https:\/\/coloradosph.cuanschutz.edu\/docs\/librariesprovider205\/journal_files\/vol2\/2_3_1989_7_foulks.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"FieldRange SCXW145898454 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Underlined SCXW145898454 BCX0\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW145898454 BCX0\" data-ccp-charstyle=\"Hyperlink\">Non-Native researchers have classified AI\/AN communities as alcoholic.<\/span><\/span><\/span><\/a><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun EmptyTextRun SCXW145898454 BCX0\"><\/span><span class=\"EOP CommentHighlightPipeRestV2 SCXW145898454 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<li><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW158612968 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW158612968 BCX0\"><span class=\"EOP SCXW240387449 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW240253811 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW203347968 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW233599917 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW85873970 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW38303685 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW6129124 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW196670673 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW130606934 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW90275881 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW232406554 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW207166562 BCX0\" data-ccp-props=\"{&quot;134233117&quot;:true,&quot;201341983&quot;:0,&quot;335557856&quot;:16777215,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP CommentHighlightPipeRestV2 SCXW145898454 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><a class=\"Hyperlink SCXW100884259 BCX0\" href=\"https:\/\/journalofethics.ama-assn.org\/article\/genetic-research-among-havasupai-cautionary-tale\/2011-02\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"FieldRange SCXW100884259 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Underlined SCXW100884259 BCX0\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW100884259 BCX0\" data-ccp-charstyle=\"Hyperlink\">Non-Native researchers have misused DNA samples.<\/span><\/span><\/span><\/a><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n<p><span style=\"font-size: large; font-family: Poppins;\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW67636098 BCX0\"><span class=\"NormalTextRun SCXW67636098 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW240294332 BCX0\"><span class=\"NormalTextRun SCXW240294332 BCX0\">Tribes and TECs can lawfully receive data that <\/span><span class=\"NormalTextRun SCXW240294332 BCX0\">contains<\/span><span class=\"NormalTextRun SCXW240294332 BCX0\"> PHI because they are PHAs. Concerns about privacy that apply to public data release (such as small numbers) should never be a consideration when releasing data to a Tribe requesting information for public health purposes. This type of release is not public and is allowed at the most specific (individual) level.<\/span><\/span><span class=\"EOP SCXW240294332 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/p>\n<p><span style=\"font-size: large; font-family: Poppins;\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW67636098 BCX0\"><span class=\"NormalTextRun SCXW67636098 BCX0\"><span class=\"EOP SCXW240294332 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW209900582 BCX0\"><span class=\"NormalTextRun SCXW209900582 BCX0\">Tribes and TECs are sometimes denied access to Tribal members\u2019 data because of concerns about \u201csmall numbers<\/span><span class=\"NormalTextRun SCXW209900582 BCX0\">\u201d.<\/span><span class=\"NormalTextRun SCXW209900582 BCX0\"> Aggregate case numbers are at times suppressed when given to Tribes because there are few cases of a given disease. Disclosure of aggregate public health data to Tribes or TECs, however, should never be subject to cell suppression due to small numbers. Tribes and TECs can legally receive PHI, making suppression because of small numbers unnecessary.<\/span><\/span><span class=\"EOP SCXW209900582 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/p>\n<p><span style=\"font-size: large; font-family: Poppins;\"><span class=\"EOP SCXW67636098 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW131811677 BCX0\"><span class=\"NormalTextRun SCXW131811677 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW202479661 BCX0\"><span class=\"NormalTextRun SCXW202479661 BCX0\">Data which can be used to characterize a single <\/span><span class=\"NormalTextRun SCXW202479661 BCX0\">T<\/span><span class=\"NormalTextRun SCXW202479661 BCX0\">ribe should be considered data that is <\/span><span class=\"NormalTextRun SCXW202479661 BCX0\">T<\/span><span class=\"NormalTextRun SCXW202479661 BCX0\">ribally owned, no matter the source of the data.<\/span><\/span><span class=\"EOP SCXW202479661 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/p>\n<p><span style=\"font-size: large; font-family: Poppins;\"><span class=\"EOP SCXW67636098 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW131811677 BCX0\"><span class=\"NormalTextRun SCXW131811677 BCX0\"><span class=\"EOP SCXW202479661 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><\/span><\/span><\/span><\/span><\/span><\/p>\n<p><span style=\"font-size: large; font-family: Poppins;\"><span class=\"EOP SCXW67636098 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW131811677 BCX0\"><span class=\"NormalTextRun SCXW131811677 BCX0\"><span class=\"EOP SCXW202479661 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><\/span><\/span><\/span><\/span><\/span><\/p>\n<p><span style=\"font-size: large; font-family: Poppins;\"><span class=\"EOP SCXW67636098 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW131811677 BCX0\"><span class=\"NormalTextRun SCXW131811677 BCX0\"><span class=\"EOP SCXW202479661 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><\/span><\/span><\/span><\/span><\/span><\/p>\n<p><span style=\"font-size: large; font-family: Poppins;\"><span class=\"EOP SCXW67636098 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW131811677 BCX0\"><span class=\"NormalTextRun SCXW131811677 BCX0\"><span class=\"EOP SCXW202479661 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><\/span><\/span><\/span><\/span><\/span><\/p>\n<p><span style=\"font-size: large; font-family: Poppins;\"><span class=\"EOP SCXW67636098 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW131811677 BCX0\"><span class=\"NormalTextRun SCXW131811677 BCX0\"><span class=\"EOP SCXW202479661 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><\/span><\/span><\/span><\/span><\/span><\/p>\n<p style=\"text-align: center;\"><em><span style=\"font-size: large; font-family: Poppins;\"><span class=\"EOP SCXW67636098 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW131811677 BCX0\"><span class=\"NormalTextRun SCXW131811677 BCX0\"><span class=\"EOP SCXW202479661 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW73033696 BCX0\"><span class=\"NormalTextRun SCXW73033696 BCX0\" data-ccp-charstyle=\"Intense Emphasis\">&#8220;Tribes should be consulted and give consent before publication <\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/em><\/p>\n<p style=\"text-align: center;\"><em><span style=\"font-size: large; font-family: Poppins;\"><span class=\"EOP SCXW67636098 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW131811677 BCX0\"><span class=\"NormalTextRun SCXW131811677 BCX0\"><span class=\"EOP SCXW202479661 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW73033696 BCX0\"><span class=\"NormalTextRun SCXW73033696 BCX0\" data-ccp-charstyle=\"Intense Emphasis\">of any information which characterizes them by name.&#8221;<\/span><\/span><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW73033696 BCX0\"><span class=\"NormalTextRun SCXW73033696 BCX0\">\u00a0<\/span><\/span><span class=\"EOP SCXW73033696 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/em><\/p>\n<p><span style=\"color: #ffffff;\">\u00a0<\/span><\/p>\n<p>[\/et_pb_toggle][et_pb_toggle title=&#8221;State-Tribe Partnership Examples&#8221; open_toggle_text_color=&#8221;#374db2&#8243; open_toggle_background_color=&#8221;#FFFFFF&#8221; closed_toggle_text_color=&#8221;#374db2&#8243; closed_toggle_background_color=&#8221;#FFFFFF&#8221; icon_color=&#8221;#374db2&#8243; open_icon_color=&#8221;#FFFFFF&#8221; _builder_version=&#8221;4.27.4&#8243; title_text_color=&#8221;#374db2&#8243; title_font=&#8221;Poppins|700||on|||||&#8221; title_text_align=&#8221;center&#8221; title_font_size=&#8221;18px&#8221; title_letter_spacing=&#8221;1px&#8221; title_line_height=&#8221;2em&#8221; body_text_color=&#8221;#374db2&#8243; custom_padding=&#8221;24px||24px||true&#8221; animation_style=&#8221;zoom&#8221; animation_intensity_zoom=&#8221;10%&#8221; hover_enabled=&#8221;0&#8243; border_radii=&#8221;on|10px|10px|10px|10px&#8221; border_width_all=&#8221;0px&#8221; box_shadow_style=&#8221;preset1&#8243; box_shadow_vertical=&#8221;10px&#8221; box_shadow_blur=&#8221;60px&#8221; box_shadow_color=&#8221;rgba(1,33,92,0.1)&#8221; inline_fonts=&#8221;Poppins&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p style=\"text-align: left;\"><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span class=\"EOP SCXW207970870 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW169885696 BCX0\"><span class=\"NormalTextRun SCXW169885696 BCX0\">Arizona<\/span><\/span><span class=\"EOP SCXW169885696 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span class=\"EOP SCXW207970870 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW169885696 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW215160157 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW215160157 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW11302734 BCX0\"><span class=\"NormalTextRun SCXW11302734 BCX0\"><span class=\"EOP SCXW46113890 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW8303152 BCX0\"><span class=\"NormalTextRun SCXW8303152 BCX0\">Arizona\u2019s <\/span><\/span><a class=\"Hyperlink SCXW8303152 BCX0\" href=\"https:\/\/www.azdhs.gov\/opioid\/documents\/medsis-user-guide-training.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"FieldRange SCXW8303152 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Underlined SCXW8303152 BCX0\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW8303152 BCX0\" data-ccp-charstyle=\"Hyperlink\">Medical Electronic Disease Surveillance Intelligence System (MEDSIS)<\/span><\/span><\/span><\/a><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW8303152 BCX0\"><span class=\"NormalTextRun CommentHighlightPipeRestV2 SCXW8303152 BCX0\"> is available for direct use by Tribal health departments in the state.<\/span><\/span><span class=\"EOP SCXW8303152 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<li><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW215160157 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW215160157 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW11302734 BCX0\"><span class=\"NormalTextRun SCXW11302734 BCX0\"><span class=\"EOP SCXW46113890 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW8303152 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW21006625 BCX0\"><span class=\"NormalTextRun SCXW21006625 BCX0\">MEDSIS includes fields for Reservation, Tribal Affiliation, and Tribal Public Health organization <\/span><\/span><a class=\"Hyperlink SCXW21006625 BCX0\" href=\"https:\/\/cste.confex.com\/cste\/2019\/meetingapp.cgi\/Paper\/11442\" target=\"_blank\" rel=\"noreferrer noopener\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Underlined SCXW21006625 BCX0\"><span class=\"NormalTextRun SCXW21006625 BCX0\" data-ccp-charstyle=\"Hyperlink\">to improve identification of cases of interest to Tribes<\/span><\/span><\/a><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW21006625 BCX0\"><span class=\"NormalTextRun SCXW21006625 BCX0\">.<\/span><\/span><span class=\"EOP SCXW21006625 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW215160157 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW215160157 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW11302734 BCX0\"><span class=\"NormalTextRun SCXW11302734 BCX0\"><span class=\"EOP SCXW46113890 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW8303152 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW21006625 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span class=\"EOP SCXW207970870 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW169885696 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW123004068 BCX0\"><span class=\"NormalTextRun SCXW123004068 BCX0\">New Mexico<\/span><\/span><span class=\"EOP SCXW123004068 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<ul>\n<li><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW215160157 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW215160157 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW11302734 BCX0\"><span class=\"NormalTextRun SCXW11302734 BCX0\"><span class=\"EOP SCXW46113890 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW8303152 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW21006625 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW237538817 BCX0\"><span class=\"NormalTextRun SCXW237538817 BCX0\">The New Mexico Department of health developed secure Tribal queries based on Tribal Sovereignty and Tribal Public Health Authority.<\/span><\/span><span class=\"EOP SCXW237538817 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<li><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW215160157 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW215160157 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW11302734 BCX0\"><span class=\"NormalTextRun SCXW11302734 BCX0\"><span class=\"EOP SCXW46113890 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW8303152 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW21006625 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW237538817 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><a class=\"Hyperlink SCXW262245076 BCX0\" href=\"https:\/\/ibis.doh.nm.gov\/resource\/TribalAreaMethods.html\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"FieldRange SCXW262245076 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Underlined SCXW262245076 BCX0\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW262245076 BCX0\" data-ccp-charstyle=\"Hyperlink\">New Mexico state policy<\/span><\/span><\/span><\/a><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW262245076 BCX0\"><span class=\"NormalTextRun CommentHighlightPipeRestV2 SCXW262245076 BCX0\"> considers cases \u2013 or any public health record \u2013 within a Tribal boundary to be under the <\/span><span class=\"NormalTextRun SCXW262245076 BCX0\">jurisdiction<\/span><span class=\"NormalTextRun SCXW262245076 BCX0\"> of that Tribe. <\/span><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW262245076 BCX0\">Tribes are able to receive this data from the state.<\/span><\/span><span class=\"EOP SCXW262245076 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<li><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW215160157 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW215160157 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW11302734 BCX0\"><span class=\"NormalTextRun SCXW11302734 BCX0\"><span class=\"EOP SCXW46113890 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW8303152 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW21006625 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW237538817 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW262245076 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW100249186 BCX0\"><span class=\"NormalTextRun SCXW100249186 BCX0\">The state also allows for identification of and analysis by Tribal affiliation for Tribal members who <\/span><span class=\"NormalTextRun SCXW100249186 BCX0\">reside<\/span><span class=\"NormalTextRun SCXW100249186 BCX0\"> outside of Tribal lands.<\/span><\/span><span class=\"EOP SCXW100249186 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW215160157 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW215160157 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW11302734 BCX0\"><span class=\"NormalTextRun SCXW11302734 BCX0\"><span class=\"EOP SCXW46113890 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW8303152 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW21006625 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span class=\"EOP SCXW207970870 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW169885696 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW123004068 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41448527 BCX0\"><span class=\"NormalTextRun SCXW41448527 BCX0\">Oregon\u00a0<\/span><\/span><span class=\"EOP SCXW41448527 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<ul>\n<li><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW215160157 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW215160157 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW11302734 BCX0\"><span class=\"NormalTextRun SCXW11302734 BCX0\"><span class=\"EOP SCXW46113890 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW8303152 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW21006625 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW237538817 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW262245076 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW100249186 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><a class=\"Hyperlink SCXW197576061 BCX0\" href=\"https:\/\/www.oregon.gov\/oha\/PH\/DISEASESCONDITIONS\/COMMUNICABLEDISEASE\/REPORTINGCOMMUNICABLEDISEASE\/Documents\/Orpheus\/OrpheusSecurity\/OrpheusPoliciesandProcedures.pdf\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"FieldRange SCXW197576061 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Underlined SCXW197576061 BCX0\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW197576061 BCX0\" data-ccp-charstyle=\"Hyperlink\">Oregon\u2019s Public Health Epidemiology User System (ORPHEUS) allows for use by Tribal public health officials<\/span><\/span><\/span><\/a><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW197576061 BCX0\"><span class=\"NormalTextRun CommentHighlightPipeRestV2 SCXW197576061 BCX0\">.\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW215160157 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW215160157 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW11302734 BCX0\"><span class=\"NormalTextRun SCXW11302734 BCX0\"><span class=\"EOP SCXW46113890 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW8303152 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW21006625 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\"><span class=\"EOP SCXW207970870 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW169885696 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW123004068 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW41448527 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW169818285 BCX0\"><span class=\"NormalTextRun SCXW169818285 BCX0\">Washington<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<ul>\n<li><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW215160157 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW215160157 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW11302734 BCX0\"><span class=\"NormalTextRun SCXW11302734 BCX0\"><span class=\"EOP SCXW46113890 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW8303152 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW21006625 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW237538817 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW262245076 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW100249186 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW197576061 BCX0\"><span class=\"NormalTextRun CommentHighlightPipeRestV2 SCXW197576061 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW103095798 BCX0\"><span class=\"NormalTextRun SCXW103095798 BCX0\">The Washington State Department of Health has a <\/span><\/span><a class=\"Hyperlink SCXW103095798 BCX0\" href=\"https:\/\/doh.wa.gov\/about-us\/washingtons-public-health-system\/tribal-public-health\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"FieldRange SCXW103095798 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun Underlined SCXW103095798 BCX0\"><span class=\"NormalTextRun CommentStart CommentHighlightPipeRestV2 CommentHighlightRest SCXW103095798 BCX0\" data-ccp-charstyle=\"Hyperlink\">formal Tribal \u201cconsultation and collaboration procedure\u201d to fulfill the state\u2019s responsibilities to Tribes<\/span><\/span><\/span><\/a><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW103095798 BCX0\"><span class=\"NormalTextRun CommentHighlightPipeRestV2 SCXW103095798 BCX0\">.<\/span><\/span><span class=\"EOP SCXW103095798 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<li><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW215160157 BCX0\" style=\"font-size: 18px; font-family: Poppins;\"><span class=\"NormalTextRun SCXW215160157 BCX0\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW11302734 BCX0\"><span class=\"NormalTextRun SCXW11302734 BCX0\"><span class=\"EOP SCXW46113890 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW8303152 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW21006625 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW237538817 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW262245076 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW100249186 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW197576061 BCX0\"><span class=\"NormalTextRun CommentHighlightPipeRestV2 SCXW197576061 BCX0\"><span class=\"EOP SCXW103095798 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW259478486 BCX0\"><span class=\"NormalTextRun SCXW259478486 BCX0\">The <\/span><span class=\"NormalTextRun SCXW259478486 BCX0\">WA-<\/span><span class=\"NormalTextRun SCXW259478486 BCX0\">DOH provides training on tribal issues; has a Tribal Relations Director; and conducts consultation sessions respecting the government-to-government relationship between the state and individual Tribes.<\/span><\/span><span class=\"EOP SCXW259478486 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n<ul style=\"font-weight: 400;\"><\/ul>\n<p><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\">Alaska<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<ul>\n<li><span style=\"font-family: Poppins; font-size: large;\"><span class=\"EOP SCXW190665478 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW129588857 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span class=\"EOP SCXW215160157 BCX0\" data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:0,&quot;335559740&quot;:240}\"><span data-contrast=\"none\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW188181469 BCX0\"><span class=\"NormalTextRun SCXW188181469 BCX0\"><span data-contrast=\"auto\" xml:lang=\"EN-US\" lang=\"EN-US\" class=\"TextRun SCXW41434076 BCX0\"><span class=\"NormalTextRun SCXW41434076 BCX0\">Alaska Department of Public Health created <a href=\"https:\/\/www.astho.org\/topic\/resource\/data-sharing-lessons-from-alaska\/\" target=\"_blank\" rel=\"noopener\">a groundbreaking umbrella data sharing agreement<\/a> with the Alaska Native Tribal Health Consortium that covers all the universal terms of data disclosures to ANTHC. Each subsequent data disclosure thus only has to cover terms specific to the data set being requested. This significantly speeds up the process and strengthens the relationship between the state of Alaska and ANTHC. <\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/li>\n<\/ul>\n<p style=\"text-align: left;\"><span style=\"color: #ffffff;\">\u00a0<\/span><\/p>\n<p>[\/et_pb_toggle][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-15px|auto||auto||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.25.1&#8243; text_font=&#8221;||||||||&#8221; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;2em&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Merriweather|700|||||||&#8221; header_2_font_size=&#8221;36px&#8221; header_2_line_height=&#8221;1.6em&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;20px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: center;\"><span style=\"color: #374db2;\">Continue The Toolkit<\/span><span style=\"font-size: 17px; color: #666666; font-family: 'Open Sans', Arial, sans-serif; font-weight: 500;\">\u00a0<\/span><\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_6,1_6,1_6,1_6,1_6,1_6&#8243; _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-54px|auto|8px|auto||&#8221; custom_padding=&#8221;||0px|||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_6&#8243; _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; text_line_height=&#8221;2em&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Merriweather|700|||||||&#8221; header_2_font_size=&#8221;36px&#8221; header_2_line_height=&#8221;1.6em&#8221; header_3_font=&#8221;Merriweather|700|||||||&#8221; header_3_text_color=&#8221;#ffc47c&#8221; header_3_font_size=&#8221;18px&#8221; header_3_line_height=&#8221;1.8em&#8221; text_orientation=&#8221;center&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;20px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;14px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2><span style=\"color: #374db2; font-size: small;\">Data Is Essential<\/span><\/h2>\n<h3><\/h3>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/triballive.wpenginepowered.com\/wp-content\/uploads\/2024\/05\/TribalCollaborationIcon.jpg&#8221; title_text=&#8221;TribalCollaborationIcon&#8221; url=&#8221;https:\/\/triballive.wpenginepowered.com\/?page_id=54&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-63px|||||&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_6&#8243; _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; text_line_height=&#8221;2em&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Merriweather|700|||||||&#8221; header_2_font_size=&#8221;36px&#8221; header_2_line_height=&#8221;1.6em&#8221; header_3_font=&#8221;Merriweather|700|||||||&#8221; header_3_text_color=&#8221;#ffc47c&#8221; header_3_font_size=&#8221;18px&#8221; header_3_line_height=&#8221;1.8em&#8221; text_orientation=&#8221;center&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;20px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;14px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2><span style=\"color: #374db2; font-size: small;\">Tribal Background<\/span><\/h2>\n<h3><\/h3>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/triballive.wpenginepowered.com\/wp-content\/uploads\/2024\/05\/TribalBackgroundIcon.jpg&#8221; title_text=&#8221;TribalBackgroundIcon&#8221; url=&#8221;https:\/\/triballive.wpenginepowered.com\/?page_id=50&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-63px|||||&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_6&#8243; _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.0&#8243; text_font=&#8221;||||||||&#8221; text_line_height=&#8221;2em&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Merriweather|700|||||||&#8221; header_2_font_size=&#8221;36px&#8221; header_2_line_height=&#8221;1.6em&#8221; header_3_font=&#8221;Merriweather|700|||||||&#8221; header_3_text_color=&#8221;#ffc47c&#8221; header_3_font_size=&#8221;18px&#8221; header_3_line_height=&#8221;1.8em&#8221; text_orientation=&#8221;center&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;20px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;14px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2><span style=\"color: #374db2; font-size: small;\">Cultural Humility<\/span><\/h2>\n<h3><\/h3>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/triballive.wpenginepowered.com\/wp-content\/uploads\/2024\/05\/TribalCollectionIcon.jpg&#8221; title_text=&#8221;TribalCollectionIcon&#8221; url=&#8221;https:\/\/triballive.wpenginepowered.com\/?page_id=51&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-63px|||||&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_6&#8243; _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; text_line_height=&#8221;2em&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Merriweather|700|||||||&#8221; header_2_font_size=&#8221;36px&#8221; header_2_line_height=&#8221;1.6em&#8221; header_3_font=&#8221;Merriweather|700|||||||&#8221; header_3_text_color=&#8221;#ffc47c&#8221; header_3_font_size=&#8221;18px&#8221; header_3_line_height=&#8221;1.8em&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;|-5px||-11px||&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;20px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;14px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2><span style=\"color: #374db2; font-size: small;\">Sovereignty &amp; Health\u00a0<\/span><\/h2>\n<h3><\/h3>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/triballive.wpenginepowered.com\/wp-content\/uploads\/2024\/05\/TribalSharingIcon.jpg&#8221; title_text=&#8221;TribalSharingIcon&#8221; url=&#8221;https:\/\/triballive.wpenginepowered.com\/?page_id=52&#8243; _builder_version=&#8221;4.27.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-62px|||||&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_6&#8243; _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; text_font=&#8221;||||||||&#8221; text_line_height=&#8221;2em&#8221; header_font=&#8221;||||||||&#8221; header_2_font=&#8221;Merriweather|700|||||||&#8221; header_2_font_size=&#8221;36px&#8221; header_2_line_height=&#8221;1.6em&#8221; header_3_font=&#8221;Merriweather|700|||||||&#8221; header_3_text_color=&#8221;#ffc47c&#8221; header_3_font_size=&#8221;18px&#8221; header_3_line_height=&#8221;1.8em&#8221; text_orientation=&#8221;center&#8221; custom_margin=&#8221;|-17px||-28px||&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;20px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;14px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2><span style=\"color: #374db2; font-size: small;\">Data Collection &amp; Access<\/span><\/h2>\n<h3><\/h3>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/triballive.wpenginepowered.com\/wp-content\/uploads\/2024\/05\/TribalLinkageIcon.jpg&#8221; 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Data on tribal members are already collected by non-tribal public health entities (such as state and local health departments). For the [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-49","page","type-page","status-publish","hentry"],"featured_image_src":null,"featured_image_src_square":null,"_links":{"self":[{"href":"https:\/\/tribal.cste.org\/index.php?rest_route=\/wp\/v2\/pages\/49","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tribal.cste.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/tribal.cste.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/tribal.cste.org\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/tribal.cste.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=49"}],"version-history":[{"count":0,"href":"https:\/\/tribal.cste.org\/index.php?rest_route=\/wp\/v2\/pages\/49\/revisions"}],"wp:attachment":[{"href":"https:\/\/tribal.cste.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=49"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}