Annual Performance Plan and Report

Through its programming and other activities, HHS works closely with state, local, and U.S. territorial governments.  The federal government has a unique legal and political government-to-government relationship with tribal governments and a special trust obligation to provide services for American Indians and Alaska Natives based on this association.  HHS works with tribal governments, urban Indian organizations, and other tribal organizations to facilitate greater consultation and coordination between states and tribes on health and human services issues.