Government Creates Fund Called CHEF for Health Emergencies

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.

2025-11868 — 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.

2025-11889 — Notice of Purchased/Referred Care Delivery Area Redesignation for the Iowa Tribe of Kansas and Nebraska

The Indian Health Service is expanding the care area for the Iowa Tribe of Kansas and Nebraska to include new counties in Kansas and Missouri. This means more tribal members can get health services paid for by the government. The change starts now, making it easier and better for the Tribe to access care without extra costs.

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: 2025-21313 — Information Collection: Collection of Research Code Non-Disclosure Agreement Information

The Nuclear Regulatory Commission is renewing its info collection about research code non-disclosure agreements, which affects researchers who handle sensitive nuclear data. They want your comments by January 26, 2026, to keep things clear and up-to-date. No new fees or big changes—just keeping the paperwork smooth and official.

Next: 2025-21315 — New Postal Products

The Postal Service wants to add or change some special mail deals called negotiated service agreements. This affects businesses using competitive mailing options and could change prices or services soon. If you want to share your thoughts, you have until December 3, 2025, to comment online.