IHS Expands Health Coverage Zones for Iowa Tribe in Kansas, Missouri

2025-21314 — Catastrophic Health Emergency Fund (CHEF) Threshold

The Indian Health Service raised the Catastrophic Health Emergency Fund (CHEF) threshold to $19,095 for Fiscal Year 2025, up slightly from last year. This change affects healthcare providers treating disaster or serious illness victims under IHS care, meaning they need to meet this new cost level to request CHEF funds. The update reflects a small 0.5% rise in medical costs from last year, keeping support fair and ready for emergencies.

2025-11868 — Notice of Purchased/Referred Care Delivery Area Redesignation for the Sac and Fox Nation of Missouri in Kansas and Nebraska

The Indian Health Service is expanding the care area for the Sac and Fox Nation of Missouri in Kansas and Nebraska. This means more Tribal members in new counties can now get special health services paid for by the government. The change includes parts of Kansas, Missouri, and Nebraska and helps more people get the care they need without extra costs.

2025-11866 — Notice of Purchased/Referred Care Delivery Area Re-Designation for the Chippewa Cree Tribe of the Rocky Boy's Reservation

The Indian Health Service just expanded the area where the Chippewa Cree Tribe members can get special health care services. Now, folks in Cascade County, along with Choteau, Hill, and Liberty counties in Montana, can access these benefits. This change means more tribal members can get the care they need, with no extra cost changes announced.

2025-11747 — Notice of Purchased/Referred Care Delivery Area Redesignation for the Shoshone-Bannock Tribes of the Fort Hall Indian Reservation in Idaho

The Indian Health Service is expanding the area where Shoshone-Bannock Tribal members in Idaho can get special health care services paid for by the government. This means more counties are included, so more people can access care when they need it. The change starts now and helps make sure tribal members get the health support they deserve without extra costs.

2026-01178 — Reimbursement Rates for Calendar Year 2026

Starting in 2026, the Indian Health Service is updating how much it pays for hospital and clinic visits for Medicare, Medicaid, and other federal program patients. Inpatient and outpatient rates are set higher for both the Lower 48 States and Alaska, with special add-ons for costly drugs at IHS and Tribal hospitals. These changes mean better support for medical care costs, kicking in January 1, 2026.

2026-04827 — Catastrophic Health Emergency Fund (CHEF) Fiscal Year 2026 Threshold

The Indian Health Service raised the Catastrophic Health Emergency Fund (CHEF) threshold to $19,630 for Fiscal Year 2026. This means that medical costs from disasters or serious illnesses must exceed this amount before CHEF funds kick in. The increase reflects a 2.8% rise in medical care costs from last year, helping tribes and communities get the support they need on time and with enough money.

Previous: 2025-11888 — Self-Regulatory Organizations; MEMX LLC; Notice of Filing and Immediate Effectiveness of a Proposed Rule Change To Amend Rule 13.4(a) To Reflect the Name Change of NYSE Chicago, Inc. to NYSE Texas, Inc.

MEMX is updating its rules to swap out the old name NYSE Chicago for the new NYSE Texas. This change affects anyone using MEMX’s data feeds and order handling, but it won’t cost you extra or change how things work. The update is effective immediately, so everyone’s on the same page right away!

Next: 2025-11890 — Endangered Species; File No. 29010

The Caribbean Oceanic Restoration and Education Foundation wants permission to work with pillar coral to help it grow and thrive. This means they’ll be allowed to study and protect this endangered coral species. If approved, their efforts could boost coral health and support ocean life without costing taxpayers extra money.