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HR-741House2026-09-14Native Americans

Stronger Engagement for Indian Health Needs Act of 2025

YourVoice.Now Summary

Workers & Jobs

The Indian Health Service's leader would become an Assistant Secretary — day-to-day care would not change.

Workers & Jobs

Pay for the Indian Health Service's leader — one level higher

Federal executive pay runs from level one, the highest, down to level five. The job that runs the Indian Health Service would move from level five to level four, along with the new title.

New deputy job at the Indian Health Service — Secretary must approve

The new Assistant Secretary could pick a deputy, but only if the Health and Human Services Secretary approves. The same new paragraph would also let that official use other department staff to run the Service.

More about this bill

If you get care through the Indian Health Service, your care would not change. No clinic, benefit, or cost is touched. What changes is a job title inside the government. The head of the Indian Health Service would become an Assistant Secretary for Indian Health. That job would report straight to the head of Health and Human Services. The new post would sit one pay level higher than the director job it replaces. Whoever is running the Service the day before would step into the new title. No fresh Senate vote would be needed for that person. The Assistant Secretary could also name a deputy, if the Secretary agrees. Most people would see no change in daily life.

Congressional Summary

Congress's official summary of this bill still describes an earlier version of the text, so we have left it out here. You can read it on Congress.gov.

Congress.gov →

Legislative Subjects

Administrative remediesDepartment of Health and Human ServicesExecutive agency funding and structureFederal officialsGovernment employee pay, benefits, personnel management

Details

Congress
119th
Chamber
House
Status
summarized
Action
Passed House
Action Date
2026-09-14
Date Added
2026-09-09
Source
Congress.gov →

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