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<bill bill-stage="Engrossed-in-House" dms-id="HEB51B1196CA148D18B14F6AF3CC4B104" public-private="public" key="H" bill-type="olc" stage-count="1"> 
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<dublinCore>
<dc:title>119 HR 741 EH: Stronger Engagement for Indian Health Needs Act of 2025</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date></dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<form>
<distribution-code display="no">IB</distribution-code> 
<congress display="yes">119th CONGRESS</congress><session display="yes">2d Session</session> 
<legis-num display="yes">H. R. 741</legis-num> 
<current-chamber display="no">IN THE HOUSE OF REPRESENTATIVES</current-chamber> 
<legis-type>AN ACT</legis-type> 
<official-title display="yes">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.</official-title> 
</form> 
<legis-body display-enacting-clause="yes-display-enacting-clause" style="OLC" id="H3AC62129F0C74188A32158C524144CBA"> 
<section section-type="section-one" id="H90F31DC5269E4D29A1962E1B79F79463"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Stronger Engagement for Indian Health Needs Act of 2025</short-title></quote>. </text></section> <section id="H6AF82BCAE00940BA8EE07F0FAA9DD907"><enum>2.</enum><header>Assistant Secretary for Indian Health</header> <subsection id="H0DB4EF61B0E442DB8366FC8D8ADEAE14"><enum>(a)</enum><header>Establishment</header><text display-inline="yes-display-inline">Section 601(a) of the Indian Health Care Improvement Act (<external-xref legal-doc="usc" parsable-cite="usc/25/1661">25 U.S.C. 1661(a)</external-xref>) is amended—</text> 
<paragraph id="HA5D341A47FA24D6586DF0FC3C29FC4A1"><enum>(1)</enum><text>in paragraph (1), by striking <quote>tribes</quote> and inserting <quote>Tribes</quote>;</text></paragraph> <paragraph id="H965C9E0FD6B24C88AE947FCAE5B14CD0"><enum>(2)</enum><text display-inline="yes-display-inline">in paragraph (2)—</text> 
<subparagraph id="HF72EA71C2320420F91CCE51FAD6BDFA3"><enum>(A)</enum><text>by striking <quote>a Director</quote> and inserting <quote>an Assistant Secretary for Indian Health (in this section referred to as the <quote>Assistant Secretary</quote>)</quote>;</text></subparagraph> <subparagraph id="H2C38E9E12BC14EFE9A94B801A579F5B1"><enum>(B)</enum><text>by striking <quote>The Director shall report</quote> and inserting <quote>The Assistant Secretary shall report directly</quote>; </text></subparagraph> 
<subparagraph id="H7058D3783BE749D18B4DE9D781F6FDB6"><enum>(C)</enum><text>by striking <quote>the Director</quote> and inserting <quote>the Assistant Secretary</quote>; and</text></subparagraph> <subparagraph id="H2B486B6D81F54B95BEDB6E12E01D6BF9"><enum>(D)</enum><text>by striking <quote>A Director</quote> and inserting <quote>An Assistant Secretary</quote>;</text></subparagraph></paragraph> 
<paragraph id="H9ACFEFAB9BB2460DAA838FEB5C83E436"><enum>(3)</enum><text>in paragraph (3), by striking <quote>date of enactment of the Indian Health Care Improvement Reauthorization and Extension Act of 2009 shall serve as Director</quote> and inserting <quote>date of enactment of the <short-title>Stronger Engagement for Indian Health Needs Act of 2025</short-title> shall serve as Assistant Secretary</quote>;</text></paragraph> <paragraph id="HDCBCEEF3FA094FE693FEC68FD0BAF44B"><enum>(4)</enum><text>in paragraph (4), in the matter before subparagraph (A), by striking <quote>Director</quote> and inserting <quote>Assistant Secretary</quote>; and</text></paragraph> 
<paragraph id="H9EC8E973F7924FFAA98CC5A58CBF37CE"><enum>(5)</enum><text>by adding at the end the following new paragraph:</text> <quoted-block style="OLC" id="HC1F229B5ACE04A72949E2228EF6B3C45" display-inline="no-display-inline"> <paragraph id="HD28050DA1AAC4AC3B8958645E8908CAE"><enum>(5)</enum><header>Deputy Assistant Secretary</header><text display-inline="yes-display-inline">The Assistant Secretary may—</text> 
<subparagraph id="H4C94EC06EDF14CA1BE1BD70F46EE8020"><enum>(A)</enum><text>with the approval of the Secretary, appoint a Deputy Assistant Secretary; and</text></subparagraph> <subparagraph id="HD664186191BA4D96A086DA9C703B26C5"><enum>(B)</enum><text>consistent with applicable law, utilize officers and employees of the Department as necessary to administer the activities of the Service.</text></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block></paragraph></subsection> 
<subsection id="HEE06E112553240CFBF6A10CCE58B4923"><enum>(b)</enum><header>Duties</header><text display-inline="yes-display-inline">Section 601(c) of the Indian Health Care Improvement Act (<external-xref legal-doc="usc" parsable-cite="usc/25/1661">25 U.S.C. 1661(c)</external-xref>) is amended—</text> <paragraph id="H664E248FF2B04AFEBB3E41C7F2A17E42"><enum>(1)</enum><text>in the matter before paragraph (1), by striking <quote>Director</quote> and inserting <quote>Assistant Secretary</quote>; and</text></paragraph> 
<paragraph id="H6E826DC0056F4B4D9233BDDC62B1CF68"><enum>(2)</enum><text display-inline="yes-display-inline">in paragraph (1), by striking <quote>date of enactment of the Indian Health Care Improvement Reauthorization and Extension Act of 2009</quote> and inserting <quote>date of enactment of the <short-title>Stronger Engagement for Indian Health Needs Act of 2025</short-title></quote>.</text></paragraph></subsection> <subsection id="H8754A83DB4FF4128A835DE0A2B60DD5B"><enum>(c)</enum><header>Authority</header><text display-inline="yes-display-inline">Section 601(d)(1) of the Indian Health Care Improvement Act (<external-xref legal-doc="usc" parsable-cite="usc/25/1661">25 U.S.C. 1661(d)(1)</external-xref>) is amended in the matter before subparagraph (A), by striking <quote>Director</quote> and inserting <quote>Assistant Secretary</quote>.</text></subsection> 
<subsection id="H695DA9AF90E44A38946C3333B52D1763"><enum>(d)</enum><header>References</header><text display-inline="yes-display-inline">Section 601 of the Indian Health Care Improvement Act (<external-xref legal-doc="usc" parsable-cite="usc/25/1661">25 U.S.C. 1661</external-xref>) is amended by adding at the end the following new subsection:</text> <quoted-block style="OLC" id="HC80485B8BF844B8285B69249C171B6DB" display-inline="no-display-inline"> <subsection id="H05500872BAC943FDB7F1E9290BB144E5"><enum>(e)</enum><header>References</header><text display-inline="yes-display-inline">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.</text></subsection><after-quoted-block>.</after-quoted-block></quoted-block></subsection> 
<subsection id="H281B2CFF15E74C24B3A35E4E03805020"><enum>(e)</enum><header>Rate of basic pay</header> 
<paragraph id="H45E96ECC53484D209BC8C8AE66AA36C4"><enum>(1)</enum><header>Positions at level IV</header><text>Section 5315 of title 5, United States Code, is amended by striking <quote>Assistant Secretaries of Health and Human Services (6)</quote> and inserting <quote>Assistant Secretaries of Health and Human Services (7)</quote>.</text></paragraph> <paragraph id="HC12E6923EBF84ADB8DF54581C3894E56"><enum>(2)</enum><header>Positions at level V</header><text display-inline="yes-display-inline">Section 5316 of title 5, United States Code, is amended by striking <quote>Director, Indian Health Service, Department of Health and Human Services.</quote>. </text></paragraph></subsection></section> 
</legis-body><attestation><attestation-group><attestation-date date="20260914" chamber="House">Passed the House of Representatives September 14, 2026.</attestation-date><attestor display="no">Kevin F. McCumber,</attestor><role>Clerk.</role></attestation-group></attestation> 
<endorsement display="yes"></endorsement> 
</bill> 


