The formal launch of Te Aka Whai Ora, the new Maori Health Authority, on 1 July 2022 marks one of the most significant health system changes in Aotearoa’s recent history. The new authority joins a suite of newly created central government institutions including Te Whatu Ora (Health NZ), and Whaikaha (Ministry of Disabled People). The Hauora Maori Ministerial Advisory Committee was also created to be positioned alongside a slimmed down Manatu Hauora (Ministry of Health) focused on stewardship and incorporating a re-established Public Health Agency. Replacing the community consultation elements of the country’s disestablished District Health Boards will be new Iwi Maori Partnership Boards. Significantly, Te Tiriti o Waitangi (Te Tiriti, the Maori text of the Treaty of Waitangi) forms the basis of the health reforms, framing both the problems to be addressed and the solutions.