In 2013, the American Indian Cancer Foundation (AICAF) received funding from the Center for Prevention at Blue Cross and Blue Shield of Minnesota through the Health Equity in Prevention (HEiP) initiative. Through its HEiP funding, AICAF is influencing the development of tribal policies and organizational practices using evidence-based and culturally relevant approaches and changing social norms around commercial tobacco use within the American Indian community. They will also foster coalitions and networks at the local, regional, and state levels and educate and empower tribal leadership related to tobacco, cancer prevention, and health equity. In January 2015, a group of 14 project stakeholders were invited to a Ripple Effect Mapping discussion about AICAF�s health equity work. The discussion was intended not only to provide the participants a chance to consider how successful the work has been in achieving its intended goals, but also to identify the indirect or unexpected project impacts. This report summarizes the results of the discussion.