#aaith ,,congress  #b;d ,session  ,h4   
,r4 #gda  ,,an ,,act  ,to redesignate   
the position of ,director of the ,indian
 ,health ,service within the ,department
 of ,health and ,human ,services as     
,assistant ,secretary for ,indian       
,health1 and for other purposes4  #a4   
,short title ,this ,act may be cited as 
the ,stronger ,engagement for ,indian   
,health ,needs ,act of #bjbe4  #b4      
,assistant ,secretary for ,indian       
,health  7a7 ,establishment ,section    
#fja7;a7 of the ,indian ,health ,care   
,improvement ,act 7#be ,u4,s4,c4        
#affa7;a77 is amended--  7#a7 in        
paragraph 7#a71 by striking tribes and  
inserting ,tribes2  7#b7 in paragraph   
7#b7--  7,a7 by striking a ,director and
 inserting an ,assistant ,secretary for 
,indian ,health 7in this section        
referred to as the ,assistant           
,secretary72  7,b7 by striking ,the     
,director shall report and inserting    
,the ,assistant ,secretary shall report 
directly2  7,c7 by striking the         

,director and inserting the ,assistant  
,secretary2 and  7,d7 by striking ,a    
,director and inserting ,an ,assistant  
,secretary2  7#c7 in paragraph 7#c71 by 
striking date of enactment of the       
,indian ,health ,care ,improvement      
,reauthorization and ,extension ,act of 
#bjji shall serve as ,director and      
inserting date of enactment of the      
,stronger ,engagement for ,indian       
,health ,needs ,act of #bjbe shall serve
 as ,assistant ,secretary2  7#d7 in     
paragraph 7#d71 in the matter before    
subparagraph 7,a71 by striking ,director
 and inserting ,assistant ,secretary2   
and  7#e7 by adding at the end the      
following new paragraph3  7#e7 ,deputy  
,assistant ,secretary ,the ,assistant   
,secretary may--  7,a7 with the approval
 of the ,secretary1 appoint a ,deputy   
,assistant ,secretary2 and  7,b7        
consistent with applicable law1 utilize 
officers and employees of the           
,department as necessary to administer  
the activities of the ,service4  4  7b7 

,duties ,section #fja7;c7 of the ,indian
 ,health ,care ,improvement ,act 7#be   
,u4,s4,c4 #affa7;c77 is amended-- 7#a7  
in the matter before paragraph 7#a71 by 
striking ,director and inserting        
,assistant ,secretary2 and  7#b7 in     
paragraph 7#a71 by striking date of     
enactment of the ,indian ,health ,care  
,improvement ,reauthorization and       
,extension ,act of #bjji and inserting  
date of enactment of the ,stronger      
,engagement for ,indian ,health ,needs  
,act of #bjbe4  7c7 ,authority ,section 
#fja7;d77#a7 of the ,indian ,health     
,care ,improvement ,act 7#be ,u4,s4,c4  
#affa7;d77#a77 is amended in the matter 
before subparagraph 7,a71 by striking   
,director and inserting ,assistant      
,secretary4  7d7 ,references ,section   
#fja of the ,indian ,health ,care       
,improvement ,act 7#be ,u4,s4,c4 #affa7 
is amended by adding at the end the     
following new subsection3  7e7          
,references ,any reference to the       
,director of the ,indian ,health        

,service in any ,federal law1 ,executive
 order1 rule1 regulation1 or delegation 
of authority1 or in any document of or  
relating to the ,director of the ,indian
 ,health ,service1 shall be deemed to   
refer to the ,assistant ,secretary4  4  
7e7 ,rate of basic pay  7#a7 ,positions 
at level ,,iv ,section #ecae of title   
#e1 ,united ,states ,code1 is amended by
 striking ,assistant ,secretaries of    
,health and ,human ,services 7#f7 and   
inserting ,assistant ,secretaries of    
,health and ,human ,services 7#g74  7#b7
 ,positions at level ,v ,section #ecaf  
of title #e1 ,united ,states ,code1 is  
amended by striking ,director1 ,indian  
,health ,service1 ,department of ,health
 and ,human ,services44  ,passed the    
,house of ,representatives ,september   
#ad1 #bjbf4;,clerk4