This Project Grant award from the U.S. Department of Transportation Immediate Office of the Secretary in the amount of $1,966,345 supports the Three Affiliated Tribes SMART Grant Program. The purpose is to develop a plan and demonstrate the use of uncrewed aircraft systems (UAS) to improve access to medical care and equipment for historically underserved populations within the MHA Nation. Key activities include identifying use cases, building partnerships, and ensuring the required infrastructure is in place to enable beyond visual line of sight (BVLOS) UAS operations. This will create a blueprint for a scalable BVLOS system in rural areas, leveraging existing infrastructure from the Vantis network, a FAA-approved UAS test site. The expected outcome is a preliminary feasibility analysis demonstrating the ability to develop a safe, efficient, and scalable UAS network within the MHA Nation. The project is funded under the Strengthening Mobility and Revolutionizing Transportation (SMART) Grants Program (CFDA 20.941), which provides grants to demonstrate advanced smart city or community transportation technologies and systems.