The document contains transcripts of a Congressional hearing on providing health promotion and disease prevention services to American Indians. The bill under consideration would add the following programs to the Indian Health Care Improvement Act (25, U.S.C. 1603): reduction of drug, alcohol, and tobacco use; improvement of nutrition and physical fitness; immunization; control of stress, high blood pressure, sexually transmitted diseases, toxic and infectious agents, and accidental injuries; family planning; pregnancy and infant care; occupational health and safety; and water fluoridation. Witnesses include representatives from health committees and community-based health programs of New Mexico and Arizona tribes, and from the Navajo Council of Physicians, Navajo Nation Council on Aging, Indian Health Service, National Indian Health Board, and Bureau of Indian Affairs, as well as New Mexico and Arizona agency officials. Testimony focuses on Indian health problems, currently successful programs to improve Indian health, and problems encountered in establishing and administering Indian health programs. Included are papers on fetal alcohol syndrome among American Indians, and data on disease/mortality rates at specific Pueblos, adolescents in New Mexico, and New Mexico health education standards. (LFL)