Skip to site content

IHS Committees

Committees   Purpose and Membership
Direct Service Tribes Advisory Committee (DSTAC)  

The DSTAC is established to provide leadership, advocacy and policy guidance. The DSTAC will:

  • Assist and advise on the development of Indian health policy that impacts the delivery of health care for Indian Tribes with an emphasis on policies that impact the Direct Service Tribes
  • Actively participate, to the greatest extent possible, in IHS decision-making that affects the delivery of health care; and
  • Provide verbal and written recommendations to the Director, IHS.

Members: The DSTAC is comprised of elected/appointed Tribal Leaders from ten (10) IHS Areas with Direct Service Tribes. Technical assistance for the DSTAC is provided by IHS Headquarters and Area-level staff.

Meets: 4 times per year.

Contact: Office of Direct Service and Contracting Tribes
(301) 443-1104

More Information

Tribal Leaders Diabetes Committee (TLDC)  

The TLDC will make recommendations to establish broad-based policy and advocacy priorities for diabetes and related chronic disease activities to the Director, IHS. The TLDC will:

  • Make recommendations and provide advice on policy and advocacy issues concerning diabetes and related chronic diseases
  • Provide advice and guidance to ensure the incorporation of appropriate culture, traditions, and values in program development, research, and community-based activities
  • Provide broad-based guidance and assistance in defining how other Federal Agencies and organizations, States, Tribal epidemiology centers, institutions of higher learning and private health organizations can play a role in addressing diabetes and related chronic diseases and
  • Serve as a Tribal advisory committee to the Centers for Disease Control and Prevention’s Native Diabetes Wellness Program

Members: The Tribal Leaders Diabetes Committee includes 18 members:

  • One elected or appointed Tribal official (and alternate) from each of the 12 IHS administrative areas (voting members).
  • One IHS representative (voting member).
  • One representative (and alternate) from each of the following organizations (non-voting members):
    • National Indian Health Board
    • National Congress of American Indians
    • Tribal Self-Governance Advisory Committee
    • Direct Service Tribes
    • National Council of Urban Indian Health

Meets: Quarterly

Contact: Julie Lucero
Division of Diabetes Treatment and Prevention
(505) 248-4182

More Information

National Tribal Advisory Committee on Behavioral Health (NTACBH)  

The NTACBH helps guide the development of, and support for, behavioral health throughout the IHS/Tribal/Urban (I/T/U) systems, and work to ensure that services are as broadly integrated, available and culturally appropriate as possible. It serves as an advisory body to the IHS Director and to the DBH. The NTAC provides guidance and recommendations regarding behavioral health programmatic issues which affect the delivery of behavioral health care for AI/ANs served by the IHS and the entire Indian Healthcare System, including I/T/U systems of care.

Members: 12 elected tribal officials representing each IHS Area, and one senior agency representative as co-chair.

The NTAC and DBH are also supported by the Behavioral Health Working Group (BHWG) that is composed of Native behavioral health experts from across the country working primarily in tribal and urban clinical settings. They advise the Agency on technical aspects of behavioral health program development and management, act as subject matter experts to the NTAC, and report through them as well.

Meets: 3 times per year, and ad-hoc depending upon Agency needs.

Contact: Division of Behavioral Health
(301) 443-2038

More Information

Tribal Self-Governance Advisory Committee (TSGAC)  

The TSGAC provides advice to the IHS Director and assistance on issues and concerns pertaining to Tribal Self-Governance and the implementation of the Self-Governance within the IHS.

The TSGAC represents Self-Governance Tribes by acting on their behalf to clarify issues that affect all compacting tribes specific to issues affecting the delivery of health care of American Indian and Alaska Natives. On a quarterly basis, they meet to confer, discuss, and come to consensus on specific Self-Governance issues. Additionally, the TSGAC provides verbal and written advice about Self-Governance issues to the Director, IHS and the Director of the Office of Tribal Self-Governance.

Members: Delegates and alternates to the TSGAC are elected Tribal officials or their designee with written authority to represent their respective IHS Area.

The TSGAC is provided support from a Tribal/Federal Technical Workgroup whenever situations warrant further research and review to carry out a policy issue for the TSGAC.

Meets: 4 times per year.

Contact: P. Benjamin Smith
Office of Tribal Self-Governance
(301) 443-7821

More Information

IHS Information systems Advisory Committee (ISAC)  

Established to guide the development of a co-owned Indian health information infrastructure and information systems. The ISAC will assist in ensuring that the information systems are available, accessible, useful, cost effective, user-friendly, and secure for local-level providers, and that these systems continue to create standardized aggregate data that supports advocacy for the Indian health programs at the national level. Recognizing that the health care delivery environment and information technologies that support it are rapidly changing, the ISAC will be flexible in interpreting the roles and rules of this document and revise them as necessary to best meet its goal.


Ten Permanent Members from the following organizations:

  1. IHS Chief Information Officer
  2. National Indian Health Board Member
  3. IHS Tribal Self-Governance Advisory Committee Member
  4. National Council of Urban Indian Health Board Member
  5. IHS National Council of Chief Medical Officers Member
  6. IHS National Council of Executive Officers Member
  7. IHS National Clinical Councils Member
  8. IHS Office of Environmental Health and Engineering Representative
  9. IHS Information Systems Coordinator Committee Representative
  10. Direct Service Tribes (Note: Next Charter revision will officially add DST Rep per IHS Director’s instruction)

In addition, 8 members consisting of IHS staff, Tribal Leaders, and Urban program managers will be appointed to serve staggered 2-year terms. The ratio of Tribal to IHS representatives will match the current ratio of IHS direct-service delivery programs to tribally operated programs in federally appropriated budget dollars. At least one member will represent Tribes that are primarily receiving their health services through the IHS direct-service delivery program until such time as the Indian health program is fully compacted or contracted. An IHS and Tribal representative from the same service unit/facility location cannot serve at the same time on the ISAC.

Meets: At least twice annually either in person, by telephone, or through video-conference.

Contact: Christy Tayrien
IT Management Analyst
(918) 336-4181

More Information