Modernizing the Implementation of 638 Contracting at the Indian Health Service.

House Natural Resources Committee, Subcommittee on Indian and Insular Affairs · December 12, 2025

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Call to order and opening orders

7:28 → 8:06(39s)

Chair opens the subcommittee, establishes procedural rules including unanimous consent to allow the chair to declare recess and to include members' opening statements in the record.

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The House Natural Resources Subcommittee on Indian and Insular Affairs held an oversight hearing on modernizing implementation of PL 93-638 contracting and compacts at the Indian Health Service (IHS). Members and tribal witnesses focused on IHS realignment proposals, chronic staffing and IT gaps (including EHR modernization), inconsistent area office performance, and funding stability for tribes.

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