The National Indian Health Board (NIHB)Board of Directors set forth the 2024NIHB Legislative and Policy Agenda to advance the organization’s mission and vision. This agenda provides a blueprint for ensuring that all American Indian and Alaska Native (AI/AN) people and communities can achieve the highest level of health and well-being. The 2024 Legislative and Policy Agenda guides the work of NIHB as we strive to identify and advance national Tribal health priorities. Our objectives are to educate policymakers about Tribal priorities, advocate for and secure resources, build Tribal health and public health capacity, and support Tribally led efforts to strengthen Tribal health and public health systems. Our goal is to ensure that AI/ANs receive the health care and public health services necessary to achieve the best possible health outcomes. Throughout this agenda, several key ideas remain foundational no matter the priority or subject area. All policy priorities adhere to these overarching principles: upholding the federal trust responsibility, promoting Tribal health equity, full funding for health services, advancing Tribal sovereignty and selfdetermination, and incorporating traditional healing practices.