Indian Health Services

Congressional and Legislative Affairs reports directly to the Office of the Director and is responsible for: reviewing proposed and pending legislation for the impact it might have on IHS funded programs; acting as the point of contact for congressional offices and providing them with technical assistance; presenting briefings on IHS programs and issues facing the agency; overseeing the budget formulation process of the agency.

Division of Regulatory Affairs (DRA) has responsibility for legal issues and questions affecting policy, and regulatory matters as they affect implementation, management and administration of IHS programs. The DRA consists of the Regulations and Records, and also has responsibility for Freedom of Information Act (FOIA) functions, Privacy Act guidance, and Office of Management and Budget (OMB) Reports Clearance process.

Division of Program Statistics (DPS) produces the Indian Health Service’s statistical information and publications that measure and document the progress in assuring access to health care services and improving the health status of American Indian and Alaska Native populations.

Office of Tribal Programs (OTP)  is responsible for a wide range of agency functions that are critical to the IHS’ relationships with tribal leaders, organizations, and other American Indian and Alaska Native groups. OTP is a national program providing information, technical assistance, and policy coordination in support of Indian self-determination. OTP is the primary focal point for Title I, Indian Self-Determination and Education Assistance Act (ISDEAA) activities and implementation and direct service tribes.

Office of Tribal Self-Governance (OTSG) develops and oversees the implementation of Tribal Self-Governance legislation and authorities in the IHS, under Title V of the Indian Self-Determination and Education Assistance Act, Public Law 93-638, as amended. OTSG is a national program providing information, technical assistance, and policy coordination in support of IHS Self-Governance activities, with maximum input from IHS staff and workgroups, Tribes and Tribal organizations, and the Tribal Self-Governance Advisory Committee (TSGAC).

Tribal Self-Governance Advisory Committee (TSGAC) represents Self-Governance Tribes by acting on their behalf to clarify issues that affect all compacting tribes specific to issues affecting the delivery of health care of American Indian and Alaska Natives. On a quarterly basis, they meet to confer, discuss, and come to consensus on specific Self-Governance issues. Additionally, the TSGAC provides verbal and written advice about Self-Governance issues to the Director, IHS, and the Director, OTSG.
TSGAC Membership List
TSGAC Technical Workgroup

Urban Indian Health Program supports contracts and grants to 34 urban health programs funded under Title V of the Indian Health Care Improvement Act. Approximately 100,000 American Indians use 23 Title V Urban Indian health programs and are not able to access hospitals, health clinics, or contract health services administered by IHS and tribal health programs because they either do not meet IHS eligibility criteria or reside outside of IHS and tribal service areas.


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