Indian Health Service Raises Emergency Fund Limit Slightly

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.

2025-11866 — 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.

2025-11889 — 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.

2025-11868 — 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.

2025-11747 — 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.

Previous: 2026-04825 — Notice of Lodging of Proposed Consent Decree Under the Comprehensive Environmental Response, Compensation, and Liability Act

The government and the State of Washington are teaming up with Boeing, the City of Seattle, King County, and others to clean up pollution in Seattle’s Lower Duwamish Waterway. This big project will cost over $900 million, with different groups chipping in their share. People have 30 days to share their thoughts on this plan before it moves forward.

Next: 2026-04828 — Venture Global CP2 LNG, LLC; Application for Limited Amendment of Authorization To Export Liquefied Natural Gas to Non-Free Trade Agreement Nations

Venture Global CP2 LNG wants to export a lot more liquefied natural gas from their Louisiana terminal to countries without free trade deals. They’re asking the Department of Energy to approve an extra 427 billion cubic feet per year. If you have thoughts or concerns, you’ve got until May 11, 2026, to speak up!