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

Tribal Leader Letters

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]

June 13, 2025

The IHS Acting Director writes to Tribal Leaders and Urban Indian Organization Leaders to initiate Tribal Consultation and Urban Confer to seek your recommendations regarding the proposed realignment of the Indian Health Service. [PDF - 104 KB]

April 7, 2025

The IHS Acting Director writes to inform you that the IHS will continue to use the competitive grant funding distribution method for the seven behavioral health initiatives. [PDF - 197 KB]

April 3, 2025

The Acting Director writes to Tribal Leaders to provide the implementation plan for updating Agency procedures related to Tribal employees and Tribal contractors who require logical access to the IHS network systems or physical access to federally controlled facilities. [PDF - 243 KB]

March 6, 2025

The Acting Director writes to Tribal Leaders to share updates on enhancements to the process for requesting a Tribal Delegation Meeting (TDM) with the IHS Director. The IHS is also inviting Tribal Leaders to contribute to a display honoring Tribal Nations that will be installed at IHS Headquarters. [PDF - 229 KB]

January 17, 2025

The IHS Director writes to Tribal Leaders and Urban Indian Organization Leaders to express deep appreciation for the opportunity to serve as the Indian Health Service Director. [PDF - 175 KB]

January 16, 2025

The IHS Director writes to Tribal Leaders and Urban Indian Organization Leaders to share a vital resource developed by the IHS to help our patients overcome barriers when accessing cancer care services in our communities. We are building an interactive web map that provides our patients with a search tool to locate cancer services near home, and health care providers can use the map to plan appointments and referrals. [PDF - 203 KB]

January 16, 2025

The IHS Director writes to Tribal Leaders to express sincere gratitude to the Community Health Aide Program Tribal Advisory Group members for the continued support and valuable advisement in expanding the Community Health Aide Program in the lower 48 states. [PDF - 208 KB]

January 16, 2025

The IHS Director writes to Tribal Leaders to share resources in follow-up to the U.S. Department of Justice Office on Violence Against Women Government-to-Government Tribal Consultation, which was convened on November 19-21, 2024, in Santa Fe, New Mexico (Pueblo of Pojoaque). [PDF - 239 KB]

January 16, 2025

The IHS Director writes to Tribal Leaders and Urban Indian Organization Leaders to announce the appointment of Dr. Beverly Cotton as the Deputy Director for Field Operations at the Indian Health Service. [PDF - 168 KB]

January 15, 2025

The IHS Director writes to Tribal Leaders and Urban Indian Organization Leaders in follow-up to Tribal Consultation and Urban Confer on the IHS Headquarters reorganization of the offices that comprise the Deputy Director for Intergovernmental Affairs. Following the publication of our Federal Register Notice on January 8, 2025, we are pleased to announce the completion of this reorganization. [PDF - 218 KB]

January 13, 2025

The IHS Director writes to announce four upcoming information sessions in Calendar Year 2025 regarding the IHS Health Information Technology Modernization Program. In conjunction with ongoing Agency outreach, we will also be seeking your recommendations and feedback via Tribal Consultation and Urban Confer on these topics. [PDF - 238 KB]

January 10, 2025

The IHS Director writes to announce that the Federal Register Notice for the calendar year 2025 All-Inclusive Rates was published on December 16, 2024. This year's rates reflect measurable increases compared to CY 2024. [PDF - 187 KB]

January 7, 2025

The IHS Director writes to announce the Indian Health Service Fiscal Year 2025 allocation decisions for the $700 million appropriated to the IHS in the Infrastructure Investment and Jobs Act. [PDF - 267 KB]
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