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Welcome to our Produce Prescription Pilot Program (P4), where we’re sowing the seeds of Indigenous Knowledge to develop lifeways to support Native Food Sovereignty movements to improve food security and health outcomes through incorporating Indigenous culture, food, nutrition, land management, and regenerative agriculture throughout Michigan tribal communities.
In a collaborative approach, the Michigan Department of Health and Human Services (MDHHS) Office of Policy and Planning has partnered with four Michigan Native American Tribes to support a Produce Prescription Pilot Program (P4). With an emphasis on food sovereignty, this community-led intervention is part of the greater SDOH Strategy to improve health outcomes for priority populations throughout the state of Michigan. Developed through the pursuit of community-sufficiency, and rooted firmly in the principle of cultural competence, the P4 Project aims to tackle nutrition-related health disparities in Michigan Tribal communities.
Program Objectives:
1. Reduce Food Insecurity.
2. Improve overall dietary health by increasing fruits, vegetables, and traditional food consumption.
3. Improve health outcomes for tribal communities in Michigan with a return to practices that have been passed down through generations.
Produce prescription programs help individuals and families who are experiencing food insecurity—or diet-related health problems—more easily obtain fresh fruits and vegetables by receiving a “prescription,” often in the form of a voucher, for produce from a health care provider. These programs allow us to ensure that we have culturally appropriate food available to address food insecurity with an emphasis on local, community-centric solutions.
Food Sovereignty is about re-introducing traditional processes of food production and practices that have existed for millennia throughout Indigenous nations. The P4 Project promotes the reclamation of tribal autonomy and restoration of indigenous foodways.
The P4 Inter-Tribal Consortium of Michigan (P4-ITC) was formed in June of 2023.
Members of the Inaugural P4 Inter-Tribal Consortium (P4-ITC) which launched in 2023 include: Tribal Seals
A key element to this collaborative initiative is that each Tribal community designed a P4 project that works for them, by them. This intentional approach ensures the preservation of Tribal autonomy and promotes the use of traditional foods and methods to address food security needs. This approach has allowed MDHHS to work alongside these Tribal communities to develop sustainable strategies to support statewide food security efforts. Funding for programming and training helped build infrastructure and sustainability of programming and educational opportunities to the community.
MDHHS continues to work with four tribal governments to co-develop a framework for produce prescription programs. The P4 Project provides the opportunity for tribal governments to learn from one another while maintaining autonomy. MDHHS serves as a neutral convenor to support collaboration and provide technical assistance as requested.
Through the SDOH Strategy, the MDHHS Policy and Planning Office is providing supplemental funding to extend existing P4 Project efforts. This current state-funded grant period is March 1, 2024, through September 30, 2025.
Current P4 Project FY24-25 Tribal Partners: Tribal Seals
MDHHS considers the entire well-being of both individuals and communities, including social and environmental factors to help people feel healthy and safe. They support policies and programs to ensure everyone has access to medical care when they need it and that families have the support they need to thrive. The P4 Project aims to close the disparity gap in food security and diet-related poor health outcomes among tribal communities—MDHHS is working with diverse partners to promote the importance of culturally appropriate solutions to support food security.
As a result, the P4 Project will:
Michigan Indigenous communities are empowered agents of change, actively shaping a brighter future for themselves, reclaiming their culture and traditions.
Since April 2024, the Produce Prescription Pilot Program (P4) has served more than 3,000 community members across all tribal partners. Tribal communities launched multiple programs focused on community engagement, food sovereignty, cultural connections, and healthy behaviors to improve chronic disease outcomes. Partnerships were also strengthened with schools, farms, universities, and community organizations to support long-term sustainability efforts.
Through the P4 Project, tribal partners invested in infrastructure needed to provide healthy traditional foods to their communities beyond the grant period, helping strengthen Indigenous food sovereignty efforts across Michigan.
Bay Mills Indian Community
Bay Mills expanded access to fresh, healthy foods by installing new refrigeration in their pharmacy to provide healthier food options and distributing 138 garden kits to support home growing. Community-led cooking classes strengthened cultural connections, while the Traditional Tea Station offered a healthier alternative to sugary drinks. Bay Mills also launched a CDC-approved Diabetes Prevention Program workshop to help residents learn practical tools for managing chronic conditions.
Nottawaseppi Huron Band of the Potawatomi
Nottawaseppi expanded Pine Creek Farms through investments in new farm infrastructure, including an outdoor kitchen and pavilion. A Lunch & Learn series and new tea and herb garden helped community members explore healthy and traditional foods. A youth internship program supported emerging leaders, and digital outreach efforts included videos such as Generational Curse Breakers. Participants reported healthier eating habits, including reduced sugar intake and increased fruit and vegetable consumption.
Pokagon Band of the Potawatomi
Pokagon installed eight hydroponic towers to support reliable weekly produce harvests. Cooking classes and early learning sessions with Michigan State University helped families prepare fresh, traditional meals. The expanded Food Farmacy program provided Healthy Meal Prep Kits to residents, and participants reported measurable health improvements, including reduced A1C levels and weight loss.
Hannahville Indian Community
Hannahville transformed its greenhouse into a hands-on teaching space and reached more than 300 residents through its Food Farmacy program. In 2025 alone, the market served 1,253 patrons, with 75% of voucher users returning weekly. Educational classes taught families how to grow produce, fish, and harvest foods, while nutrition sessions helped participants better manage diabetes and cholesterol.