The Indian Health Service (IHS) operates as an agency within the federal government, focusing on delivering healthcare services to American Indians and Alaska Natives. This service provision stems from a unique government-to-government relationship between the U.S. government and Indian tribes, which was established in 1787. This connection is grounded in Article I, Section 8 of the Constitution and has been shaped over time by various treaties, laws, Supreme Court rulings, and Executive Orders. As the main federal health care provider and advocate for Indian communities, the IHS aims to elevate their health standards to the highest possible level. The IHS manages a comprehensive health service delivery system for around 1.9 million American Indians and Alaska Natives across 564 federally recognized tribes in 35 states.Healthcare is delivered directly by the IHS, through tribally-managed programs, or through private provider services. The federal health system includes 29 hospitals, 68 health centers, and 41 health stations. Additionally, 33 urban Indian health projects offer a range of health and related services. All 29 IHS-operated hospitals have received accreditation from the Joint Commission or certification from the Centers for Medicare and Medicaid Services.For more details about the IHS, visit their website at http://www.ihs.gov or http://www.ihs.gov/index.cfm?module=About, or contact the IHS Public Affairs Staff at 301-443-3593.
