Some of the programs at greatest risk as this threat of funding loss looms are the 25 tribal organizations across the country. California is home to three such programs in Lake County, Alameda County and Riverside-San Bernardino counties.

“We do get nervous sometimes,” said Priscila Jensen, program director of the Riverside‐San Bernardino County Indian Health Home Visiting Program, which started running in 2012. “At the same time, here, we can’t stop programming, just waiting for that to get reauthorized, so we’ve been moving forward full steam ahead.”