Tribal Leaders Diabetes Committee (TLDC)
The IHS Director established the Tribal Leaders Diabetes Committee (TLDC) in 1998. The TLDC makes recommendations to the IHS Director on broad-based policy and advocacy priorities for diabetes and related chronic conditions as well as recommends a process for the distribution of Special Diabetes Program for Indians (SDPI) funds.
The TLDC consists of the following members:- One elected or duly-appointed Tribal Leader from each of the 12 IHS Areas serves as the primary representative.
- Each Area also designates an alternate member to serve when the primary member is unavailable to do so.
- TLDC elects one of its members to serve as the Tribal Co-Chair
- One federal representative, who serves as the Federal Co-Chair
One technical advisor from each of the following organizations serves in an advisory (non-voting) capacity to the TLDC:
- National Congress of American Indians
- National Indian Health Board
- Tribal Self-Governance Advisory Committee
- Direct Service Tribes Advisory Committee
- National Council of Urban Indian Health
- Centers for Disease Control and Prevention
- American Diabetes Association
- Association of Diabetes Care & Education Specialists
TLDC Meeting

The TLDC meets quarterly. Meetings are open to the public and information on upcoming meetings will be posted here.
Upcoming Meeting
Quarterly Meeting (Virtual)
Tuesday, December 2, 2025 @ 1 – 5pm ET
9am – 1pm AKT | 10am – 2pm PT | 11am – 3pm MT | 12pm – 4pm CT
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TLDC Members
Leadership
Tribal Co-Chair
Connie Barker
Oklahoma City Area Representative
Federal Co-Chair
Carmen Licavoli
Director, IHS Division of Diabetes Treatment and Prevention
Tribal Leader Representatives
One primary member and one alternate from each IHS Area are selected by the respective IHS Area Director in consultation with Area Tribes.
Alaska Area
Evelyn Beeter, Primary
Alicia Andrew, Alternate
Albuquerque Area
Beverly Coho, Primary
Carlton Albert, Sr., Alternate
Bemidji Area
Primary Vacant
Debra Danforth, Alternate
Billings Area
Joseph Rosette, Jr., Primary
Ethan Broncho, Alternate
California Area
Rosemary Nelson, Primary
Dominica Valencia, Alternate
Great Plains Area
Ryman LeBeau, Primary
Peter Lengkeek, Alternate
Nashville Area
Chief Clarissa Sabattis, Primary
Cameron Chase, Alternate
Navajo Area
Buu Nygren, Primary
George Tolth, Alternate
Oklahoma City Area
Connie Barker, Primary and Tribal Co-Chair
Nancy Elliott, Alternate
Phoenix Area
Darlene Felix, Primary
Andrea Johnson Harper, Alternate
Portland Area
Sharon Stanphill, Primary
Kelle Little, Alternate
Tucson Area
Vivian Saunders, Primary
Adalberto Renteria, Alternate