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House Bill 741
119th Congress(2025-2026)
Stronger Engagement for Indian Health Needs Act of 2025
Introduced
Introduced
Introduced in House on Jan 28, 2025
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H. R. 741 (Reported-in-House)

Union Calendar No. 668

119th CONGRESS
2d Session
H. R. 741

[Report No. 119–767, Part I]


To elevate the position of Director of the Indian Health Service within the Department of Health and Human Services to Assistant Secretary for Indian Health, and for other purposes.

IN THE HOUSE OF REPRESENTATIVES

January 28, 2025

Mr. Stanton (for himself and Mr. Joyce of Ohio) introduced the following bill; which was referred to the Committee on Natural Resources, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned

August 27, 2026

Additional sponsors: Mr. Fitzpatrick and Ms. Lofgren

August 27, 2026

Reported from the Committee on Natural Resources with amendments

[Strike out all after the enacting clause and insert the part printed in italic]

August 27, 2026

Committee on Energy and Commerce discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed

[For text of introduced bill, see copy of bill as introduced on January 28, 2025]

A BILL

To elevate the position of Director of the Indian Health Service within the Department of Health and Human Services to Assistant Secretary for Indian Health, and for other purposes.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. Short title.

This Act may be cited as the “Stronger Engagement for Indian Health Needs Act of 2025”.

SEC. 2. Assistant Secretary for Indian Health.

(a) Establishment.—Section 601(a) of the Indian Health Care Improvement Act (25 U.S.C. 1661(a)) is amended—

(1) in paragraph (1), by striking “tribes” and inserting “Tribes”;

(2) in paragraph (2)—

(A) by striking “a Director” and inserting “an Assistant Secretary for Indian Health (in this section referred to as the ‘Assistant Secretary’)”;

(B) by striking “The Director shall report” and inserting “The Assistant Secretary shall report directly”;

(C) by striking “the Director” and inserting “the Assistant Secretary”; and

(D) by striking “A Director” and inserting “An Assistant Secretary”;

(3) in paragraph (3), by striking “date of enactment of the Indian Health Care Improvement Reauthorization and Extension Act of 2009 shall serve as Director” and inserting “date of enactment of the Stronger Engagement for Indian Health Needs Act of 2025 shall serve as Assistant Secretary”;

(4) in paragraph (4), in the matter before subparagraph (A), by striking “Director” and inserting “Assistant Secretary”; and

(5) by adding at the end the following new paragraph:

“(5) DEPUTY ASSISTANT SECRETARY.—The Assistant Secretary may—

“(A) with the approval of the Secretary, appoint a Deputy Assistant Secretary; and

“(B) consistent with applicable law, utilize officers and employees of the Department as necessary to administer the activities of the Service.”.

(b) Duties.—Section 601(c) of the Indian Health Care Improvement Act (25 U.S.C. 1661(c)) is amended—

(1) in the matter before paragraph (1), by striking “Director” and inserting “Assistant Secretary”; and

(2) in paragraph (1), by striking “date of enactment of the Indian Health Care Improvement Reauthorization and Extension Act of 2009” and inserting “date of enactment of the Stronger Engagement for Indian Health Needs Act of 2025”.

(c) Authority.—Section 601(d)(1) of the Indian Health Care Improvement Act (25 U.S.C. 1661(d)(1)) is amended in the matter before subparagraph (A), by striking “Director” and inserting “Assistant Secretary”.

(d) References.—Section 601 of the Indian Health Care Improvement Act (25 U.S.C. 1661) is amended by adding at the end the following new subsection:

“(e) References.—Any reference to the Director of the Indian Health Service in any Federal law, Executive order, rule, regulation, or delegation of authority, or in any document of or relating to the Director of the Indian Health Service, shall be deemed to refer to the Assistant Secretary.”.

(e) Rate of basic pay.—

(1) POSITIONS AT LEVEL IV.—Section 5315 of title 5, United States Code, is amended by striking “Assistant Secretaries of Health and Human Services (6)” and inserting “Assistant Secretaries of Health and Human Services (7)”.

(2) POSITIONS AT LEVEL V.—Section 5316 of title 5, United States Code, is amended by striking “Director, Indian Health Service, Department of Health and Human Services.”.

Amend the title so as to read: “A bill to redesignate the position of Director of the Indian Health Service within the Department of Health and Human Services as Assistant Secretary for Indian Health, and for other purposes.”.

Union Calendar No. 668

119th CONGRESS
     2d Session
H. R. 741
[Report No. 119–767, Part I]
A BILL
To elevate the position of Director of the Indian Health Service within the Department of Health and Human Services to Assistant Secretary for Indian Health, and for other purposes.
August 27, 2026
Reported from the Committee on Natural Resources with amendments
August 27, 2026
Committee on Energy and Commerce discharged; committed to the Committee of the Whole House on the State of the Union and ordered to be printed