12/16/2025
The first tribal consultation on the proposed Indian Health Service Realignment was held on December 15, 2025, in Durant, Oklahoma, bringing together tribal leaders, federal representatives, and IHS officials to discuss ongoing priorities and organizational updates.
Chief of Staff Clayton Fulton delivered a presentation on the IHS realignment initiative that provided an overview of the strategic goals, anticipated improvements, and organizational changes designed to enhance operational efficiency, streamline decision-making, and better support tribal communities. He outlined the proposed structure, discussed implementation timelines, and invited feedback to ensure that the realignment reflects tribal priorities and supports improved healthcare outcomes.
The tribal consultation provided an opportunity for open dialogue, allowing tribal leaders to share perspectives, raise concerns, and contribute recommendations that will inform IHS’s ongoing planning and implementation efforts. More sessions are scheduled to strengthen our partnership with tribal nations, ensure transparency, and provide meaningful opportunities for tribal leaders to help shape the future of healthcare delivery across Indian Country.
More information, including specific times and venues for consultation and confer sessions, how to register and submit comments, and details on the proposed realignment, are available here:https://www.ihs.gov/sites/newsroom/themes/responsive2017/display_objects/documents/2025_Letters/DTLL_DUIOLL_12052025.pdf
