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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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Tribal Leader Letters

January 7, 2016

The Principal Deputy Director writes to initiate a consultation on the Indian Health Service (IHS) Contract Support Costs (CSC) policy. [PDF - 172 KB]


December 14, 2015

The Principal Deputy Director writes to Tribal Leaders to inform them that effective December 13, 2015, the Indian Health Service (IHS) has established a new Deputy Director position to oversee and focus the agency on improving quality improvement practices across the IHS. [PDF - 34 KB]


October 16, 2015

The Principal Deputy Director writes to Tribal Leaders to inform them that the Indian Health Service Headquarters offices are moving. [PDF - 22 KB]


September 23, 2015

The Deputy Director writes Tribal Leaders to inform them of a major change to annual performance reporting for the Indian Health Service. In fiscal year 2016, the IHS plans to begin preparations to implement the Integrated Data Collection System Data Mart, a new reporting mechanism within the National Data Warehouse. [PDF - 48 KB]


July 29, 2015

The Deputy Director writes to Tribal Leaders to provide an update to a May 22 letter regarding a Settlement that Indian Health Service reached with Employee Unions.


June 29, 2015

Mr. McSwain provides Tribal Leaders with his decisions on the fiscal year 2016 funding distribution and formula for the Indian Health Service Special Diabetes Program for Indians. [PDF - 47 KB]


June 22, 2015

Mr. McSwain writes to Tribal Leaders to provide an update on how the IHS will move forward with MSPI and DVPI over the next five years. [PDF - 65 KB]


May 22, 2015

Mr. McSwain writes to Tribal Leaders to provide an update on Contract Support Costs. [PDF - 39 KB]


May 22, 2015

Mr. McSwain writes to inform Tribal Leaders of a settlement that the Indian Health Service (IHS) has reached with employee unions. [PDF - 84 KB]


April 8, 2015

Mr. McSwain writes Tribal Leaders to request input in identifying Tribe's top five health care facilities construction needs per the recommendation of the Facilities Appropriation Advisory Board (FAAB). [PDF - 28 KB]


March 19, 2015

Mr. McSwain writes to Tribal Leaders to initiate a Tribal Consultation on the distribution of funding for the Special Diabetes Program for Indians in fiscal year (FY) 2016. [PDF - 42 KB]


March 12, 2015

Mr. McSwain writes Tribal Leaders to review and comment on the Indian Health Service (IHS) Multi-Purpose Agreement (MPA). [PDF - 30 KB]


February 9, 2015

Dr. Roubideaux writes Tribal Leaders to initiate a Tribal consultation on the proposal to reclassify contract support costs funding as mandatory, rather than discretionary, starting with the fiscal year 2017 appropriation. [PDF - 52 KB]


February 6, 2015

Dr. Roubideaux writes Tribal Leaders to request input on the funding distribution for the Methamphetamine and Suicide Prevention Initiative and the Domestic Violence Prevention Initiative. [PDF - 108 KB]


February 6, 2015

Dr. Roubideaux writes to update Tribal Leaders on the status and plans for the International Classification of Disease, Revision 10 initiative for Indian Health Service, Tribal and Urban Indian health programs. [PDF - 49 KB]