Tribal Leader Letters
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 - 428 KB]
- Enclosure 2: Draft Re-org Chart [PDF - 674 KB]
- Enclosure 3: Frequently Asked Questions (to be posted soon)
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]August 14, 2025
The IHS Acting Director writes to Tribal Leaders and Urban Indian Organization Leaders to share resources that will assist Tribes, Tribal Organizations, and Urban Indian Organizations in identifying and reporting fraud, waste, abuse, and mismanagement. [PDF - 187 KB]- Enclosure No 1: HHS-OIG Fraud, Waste and Abuse Training Resources [PDF - 98 KB]
- Enclosure No 2: Selected HHS-OIG Developed Content Summaries [PDF - 1.3 MB]
August 7, 2025
The IHS Acting Director writes to Tribal Leaders and Urban Indian Organization Leaders to request your assistance in identifying priority health professions for inclusion into categories eligible for the IHS Scholarship Program (SP) in academic year 2026-2027 and the IHS Loan Repayment Program (LRP) in fiscal year (FY) 2026. [PDF - 204 KB]- Enclosure: 2026 Priority Chart – Loan Repayment Program Survey [PDF - 107 KB]
- Enclosure: 2026 Priority Chart – Scholarship Program Survey [PDF - 124 KB]
August 6, 2025
The IHS Acting Director writes to Tribal Leaders and Urban Indian Organization Leaders in follow-up to the June 13 letter and to notify you of additional information available on the IHS website regarding the IHS Strategic Realignment. The letter also includes a reminder to Tribal Leaders about the opportunity to contribute to the IHS Hall of Tribal Nations display. [PDF - 176 KB]July 24, 2025
The IHS Acting Director writes to Tribal Leaders to follow up on the January 7, 2025-dated, letter to share the final funding allocations by the IHS for the Fiscal Year 2025 annual Sanitation Facilities Construction program appropriation. [PDF - 186 KB]June 23, 2025
The IHS Acting Director writes to Tribal Leaders in North Dakota and South Dakota to provide an update on a feasibility study regarding the potential designation of North Dakota and South Dakota as state-wide Purchase/Referred Care Delivery Areas (PRCDAs). [PDF - 207 KB]June 23, 2025
The IHS Acting Director writes to Tribal Leaders in Arizona to provide an update on developments with regard to the Purchased/Referred Care (PRC) program, and the possible need for an updated feasibility study to determine whether an Arizona state-wide PRCDA is possible, and to identify the potential impacts. [PDF - 199 KB]Search
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