Tribal Leader Letters
January 29, 2026
The IHS Chief of Staff writes to Tribal Leaders and Urban Indian Organization Leaders to share important news regarding the launch of an unprecedented Agency-wide hiring initiative vital to filling mission-critical health care positions at IHS facilities. [PDF - 156 KB]January 27, 2026
The IHS Chief of Staff writes to Tribal Leaders and Urban Indian Organization Leaders to announce an extension of the comment submission deadline for the Tribal Consultation and Urban Confer on the IHS Proposed Realignment until February 27, 2026. [PDF - 235 KB]January 26, 2026
The IHS Chief of Staff writes to Tribal Leaders and Urban Indian Organization Leaders to initiate Tribal Consultation and Urban Confer and announce newly scheduled Calendar Year 2026 IHS Health Information Technology (HIT) Modernization Program information sessions. [PDF - 252 KB]- Enclosure: IHS Calendar Year 2026 Health Information Technology Modernization Tribal Consultation and Urban Confer Sessions [PDF - 100 KB]
January 22, 2026
The IHS Chief of Staff writes to announce that the Federal Register Notice for the calendar year 2026 All-Inclusive Rates was published on January 22, 2026. This year's rates reflect increases compared to calendar year 2025. [PDF - 204 KB]December 18, 2025
The IHS Chief of Staff writes to Arizona Tribal Leaders to initiate Tribal Consultation and seek your recommendations on an updated feasibility study for creating a state-wide Purchased/Referred Care Delivery Area in Arizona. [PDF - 163 KB]December 18, 2025
The IHS Chief of Staff writes to announce the list of eligible degree programs for the Indian Health Service Scholarship Program in Academic Year 2026-2027. [PDF - 128 KB]December 5, 2025
The IHS Chief of Staff writes to Tribal Leaders and Urban Indian Organization Leaders to announce an expanded schedule of Tribal Consultations and Urban Confer to seek your engagement on the proposed IHS realignment. [PDF - 311 KB]- Enclosure 1: Executive Narrative [PDF - 125 KB]
- Enclosure 2: Draft Re-org Chart [PDF - 674 KB]
- Enclosure 3: Frequently Asked Questions [PDF - 138 KB]
December 2, 2025
The IHS Chief of Staff writes to Tribal Leaders and Urban Indian Organization Leaders to announce that HHS Secretary Robert F. Kennedy Jr. has delegated to him, in his capacity as Chief of Staff, all delegable authorities, duties, and functions of the IHS Director. This delegation will remain in place while the IHS Director position continues to be vacant. [PDF - 168 KB]November 19, 2025
The IHS Acting Director writes to announce the awards for the Fiscal Year 2025 IHS Joint Venture Construction Program. [PDF - 176 KB]November 13, 2025
The IHS Acting Director writes to Tribal Leaders and Urban Indian Organization Leaders to announce Tribal Consultation and Urban Confer to seek your recommendations on the next phase of the proposed IHS realignment. [PDF - 188 KB]October 1, 2025
The IHS Acting Director writes to Tribal Leaders and Urban Indian Organization Leaders to share information regarding the current status of fiscal year 2026 appropriations for the Indian Health Service. [PDF - 186 KB]September 29, 2025
The IHS Acting Director is pleased to announce the IHS National Supply Service Center's launch of LINK, a new IHS Enterprise Resource Planning system to strengthen the Agency's supply chain infrastructure in support of IHS, Tribal, and Urban health care facilities. [PDF - 260 KB]September 17, 2025
The IHS Acting Director writes to request your comments and recommendations on the combined Fiscal Years 2022 and 2023 Report to Congress on the Administration of the Indian Health Service Tribal Self-Governance Program. [PDF - 317 KB]- Enclosure 1: Combined Fiscal Years (FYs) 2022 and 2023 Report to Congress on the Administration of the Indian Health Service (IHS) Tribal Self-Governance Program [DRAFT] [PDF - 383 KB]
- Enclosure 2: Exhibit A–Fiscal Year 2022 Funds Associated with Programs, Services, Functions, and Activities Transferred to Tribes Under ISDEAA Title V [PDF - 166 KB]
- Enclosure 3: Exhibit B–Fiscal Year 2023 Funds Associated with Programs, Services, Functions, and Activities Transferred to Tribes Under ISDEAA Title V [PDF - 156 KB]
August 28, 2025
The IHS Acting Director writes to announce a new online payment system that will be available for use by Tribal Leaders and Urban Indian Organization Leaders. [PDF - 174 KB]August 20, 2025
The IHS Acting Director writes to reaffirm the Agency's commitment to strengthening the Purchased/Referred Care (PRC) program and share important program-related updates. [PDF - 221 KB]Search
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