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U.S. Department of Health and Human Services
Tribal Leader Letters

Tribal Leader Letters

May 4, 2026

The IHS Chief of Staff writes to inform you that the Indian Health Service Office of Environmental Health and Engineering, Division of Facilities Planning and Construction, is accepting applications for the fiscal years 2025 and 2026 Small Ambulatory Program. [PDF - 232 KB]

April 29, 2026

The IHS Chief of Staff writes to Tribal Leaders to announce the awards for the fiscal year 2025 IHS Joint Venture Construction Program for Long-Term Care. [PDF - 198 KB]

April 22, 2026

The IHS Chief of Staff writes to Tribal Leaders to announce Fiscal Year 2026 allocation decisions for the $700 million appropriated to the IHS in the Infrastructure Investment and Jobs Act for the IHS Sanitation Facilities Construction program. [PDF - 271 KB]

April 16, 2026

The IHS Chief of Staff writes to Tribal Leaders and Urban Indian Organization Leaders to announce the release of the IHS Phase II Action Plan to address the systemic conditions underlying the Government Accountability Office's high-risk designation. [PDF - 178 KB]

April 7, 2026

The IHS Chief of Staff writes to provide the final report on the IHS-HUD Tribal Consultation held on December 16, 2024, regarding housing-related water and sewer infrastructure needs and restrictions governing the use of Sanitation Facilities Construction Program funding for HUD-funded homes. [PDF - 198 KB]

March 25, 2026

The IHS Chief of Staff writes to Tribal Leaders to announce updates to the Catastrophic Health Emergency Fund (CHEF) threshold for Fiscal Year 2026. [PDF - 152 KB]

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]

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]

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]
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