Evelyn Espinoza, Rosebud Sioux tribal health administrator, speaks to Rosebud Sioux Tribal Council Representatives during a Tribal Council meeting Wednesday, April 27, 2016, at the Rosebud Sioux Tribe headquarters in Rosebud, S.D. Espinoza was part of a meeting between Indian Health Service officials, officials from the Centers for Medicare and Medicaid Services and other tribal officials the day before.