The civic record
Read. Follow. Verify.HR 741 elevates the Indian Health Service Director to an Assistant Secretary within HHS
Last action · September 15, 2026: Received in the Senate and Read twice and referred to the Committee on Indian Affairs.Sponsors: Greg Stanton and 3 others
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What This Bill Would Do
Federal legislation redesignates 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, directly updates executive pay levels, and allows the appointment of a Deputy Assistant Secretary.
Changes the formal administrative rank and leadership structure of the federal agency responsible for Native American healthcare, altering its direct reporting line to the HHS Secretary and shifting executive pay classifications.
- The Indian Health Service is an operating division within the U.S. Department of Health and Human Services responsible for providing federal health services to American Indians and Alaska Natives. context
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
Indian Health Service
The agency undergoes a formal leadership title change, an elevated reporting structure to the HHS Secretary, and adjustments to executive pay levels.
Department of Health and Human Services
The department gains an additional Assistant Secretary position on the Executive Schedule and absorbs direct reporting responsibilities for the Indian Health Service.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
What is the main organizational change made by HR 741?
Who does the new Assistant Secretary report to under this legislation?
Does the bill create any new leadership positions beneath the Assistant Secretary?
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News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently passed chamber. The next step in the legislative lifecycle is Law.
Procedural history
18 actions- Sep 15, 2026SenateCommitteeReceived in the Senate and Read twice and referred to the Committee on Indian Affairs.
- Sep 14, 2026HouseThe title of the measure was amended. Agreed to without objection.
- Sep 14, 2026HouseMotion to reconsider laid on the table Agreed to without objection.
- Sep 14, 2026HouseFloorOn motion to suspend the rules and pass the bill, as amended Agreed to by voice vote. (text: CR H5568)
- Sep 14, 2026HouseFloorPassed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by voice vote.
- Sep 14, 2026HouseDEBATE - The House proceeded with forty minutes of debate on H.R. 741.
Show 12 earlier actions
- Sep 14, 2026HouseConsidered under suspension of the rules. (consideration: CR H5568-5570)
- Sep 14, 2026HouseMr. Westerman moved to suspend the rules and pass the bill, as amended.
- Aug 27, 2026HousePlaced on the Union Calendar, Calendar No. 668.
- Aug 27, 2026HouseCommittee on Energy and Commerce discharged.
- Aug 27, 2026HouseReported (Amended) by the Committee on Natural Resources. H. Rept. 119-767, Part I.
- May 14, 2026HouseCommitteeOrdered to be Reported in the Nature of a Substitute (Amended) by Unanimous Consent.
- May 14, 2026HouseCommittee Consideration and Mark-up Session Held
- May 14, 2026HouseSubcommittee on Indian and Insular Affairs Discharged
- Feb 5, 2025HouseSubcommittee Hearings Held
- Jan 29, 2025HouseCommitteeReferred to the Subcommittee on Indian and Insular Affairs.
- Jan 28, 2025HouseCommitteeReferred 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.
- Jan 28, 2025HouseIntroducedIntroduced in House
Version history
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Sources
www.congress.gov
Analysis Score
0–100- Significance50How much this matters to a regular citizen
- Controversy10Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz15Current news / social attention level
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