This health policy course will focus on developing healthy Tribal and Urban Indian communities and the emerging changes in the public health system rooted in the Affordable Care Act, Indian Health Improvement Act, and the National Prevention Strategy 2011. Social and environmental factors have influence on our individual health behaviors and the overall health of people in our communities. We will examine predictors of health that fall outside the health care setting.  And explore comprehensive federal, tribal, state, and local initiatives that are moving us from a health care system based on sick care to one focused on wellness and prevention.  We will also examine the integration of western and Native epistemologies and emerging evidence-based practice to improve overall health of communities using a policy, environment, and systems change approach in Tribal and Urban Indian settings.