H.R. 6406House117th Congress (2021-2023)In Committee

Stronger Engagement for Indian Health Needs Act of 2022

Introduced January 13, 2022

AI-Generated Summary

Updated February 8, 2026 at 8:53 AM UTC

The Stronger Engagement for Indian Health Needs Act of 2022 upgrades the head of the Indian Health Service from a Director to an Assistant Secretary for Indian Health within the Department of Health and Human Services. The change makes the new Assistant Secretary report directly to the HHS Secretary and allows the appointment of a Deputy Assistant Secretary. It also updates related statutes, references, and federal pay classifications to reflect the new title. The bill affects the leadership structure of the Indian Health Service and any laws or regulations that mention its director.

Key Provisions

  • Replaces the title “Director of the Indian Health Service” with “Assistant Secretary for Indian Health” and requires the Assistant Secretary to report directly to the HHS Secretary.
  • Authorizes the Assistant Secretary, with the Secretary’s approval, to appoint a Deputy Assistant Secretary and related staff.
  • Amends duties, authority, and reference language in the Indian Health Care Improvement Act and other federal documents to refer to the Assistant Secretary instead of the Director.
  • Updates federal pay‑scale classifications (GS levels) to place the Assistant Secretary in the appropriate salary band for senior HHS officials.

Legislative Activity

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3 earlier actions
HouseCommittee Latest Action

Referred to the Subcommittee for Indigenous Peoples of the United States.

January 20, 2022

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HouseIntro Referral

Introduced in House

January 13, 2022

HouseIntro Referral

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.

January 13, 2022

HouseCommittee

Referred to the Subcommittee on Health.

January 14, 2022

HouseCommittee

Referred to the Subcommittee for Indigenous Peoples of the United States.

January 20, 2022

Bill Text

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Introduced in HouseIssued January 13, 2022

I

117th CONGRESS

2d Session

H. R. 6406

IN THE HOUSE OF REPRESENTATIVES

January 13, 2022

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

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.

1.

Short title

This Act may be cited as the Stronger Engagement for Indian Health Needs Act of 2022.

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 2022 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, with the approval of the Secretary, may appoint a Deputy Assistant Secretary and may employ and prescribe the functions of such officers and employees, including attorneys, as are 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 2022.

(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 other 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..