The Seneca Nation of Indians (“Seneca” or “Nation”) has appealed an October 31, 2011, decision issued by the United States Department of Health and Human Services’ Indian Health Service (hereinafter, the “Department”) declining Seneca’s request to add $3,774,392 to Seneca’s health services funding for fiscal year (“FY”) 2012. For the reasons discussed below, this decision recommends that the Department’s October 31, 2011 decision be reversed and that the requested $3,774,392 be added to Seneca’s health services funding for FY 2012.