[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 741 Engrossed in House (EH)]

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119th CONGRESS
  2d Session
                                H. R. 741

_______________________________________________________________________

                                 AN ACT


 
 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.

    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.''.

            Passed the House of Representatives September 14, 2026.

            Attest:

                                                                 Clerk.
119th CONGRESS

  2d Session

                               H. R. 741

_______________________________________________________________________

                                 AN ACT

 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.