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

2026 Letters

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]
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