“On June 1, 2016, Ms. Mary Smith, Principal Deputy Director, Indian Health Service (IHS), issued a letter to Tribal Leaders to initiate a Tribal Consultation to seek input on a policy statement describing the intention of the IHS to create a national Community Health Aide Program (CHAP) similar to the Alaska model that could ultimately lead to greater numbers of dental providers (e.g., dental health aide therapists) and other community health aides.”