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Bill would elevate top Indian Health Service leader to Assistant Secretary

Passed one chamberH.R. 741Latest action

Sponsor: Greg Stanton · Representative · AZ

AIDecoded by AI · checked against the record
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Official title: Stronger Engagement for Indian Health Needs Act of 2025

119th Congress

Topics: Family & community

Introduced:

Read the official bill on Congress.gov

In plain words

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HR 741 would rename and elevate the IHS Director to Assistant Secretary for Indian Health within HHS.

40-second read · 4 questions answered below

What does this do?

This bill upgrades the top leadership position of the Indian Health Service from "Director" to "Assistant Secretary for Indian Health" within HHS, giving the role higher rank and direct reporting within HHS's chain of command. It also lets the new Assistant Secretary appoint a Deputy Assistant Secretary and other staff, updates pay to match other HHS Assistant Secretaries, and applies existing laws and references to the old title automatically to the new one.

Who does it affect?

IHS leadership and staff, tribal governments and communities relying on IHS services, and HHS's organizational structure are directly affected.

Why does it matter?

The change alters how much authority and visibility Indian health programs' leadership has within federal decision-making, without changing the agency's day-to-day functions.

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Read the official bill on Congress.gov

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Where does it stand?

  1. IntroducedJan 28, 2025
  2. House committee
  3. House vote
  4. SenateYou are here · Sep 15, 2026
  5. The president's desk

Right now: it passed the House, and the official record shows nothing new since. If the Senate changes it, it goes back to the House before reaching the president.

Latest action: — Received in the Senate and Read twice and referred to the Committee on Indian Affairs.

Data as of October 9, 2026
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