Navajo Nation President Buu Nygren joined tribal leaders from across Indian Country, on December 23, for a second round of consultation meetings on the proposed Indian Health Service (IHS) Realignment Initiative. The discussions focused on potential organizational changes and their long-term impact on healthcare delivery for Tribal Nations.
President Nygren, alongside Navajo Department of Health Executive Director Sherylene Yazzie, highlighted key priorities for the Navajo Nation, including the construction of the new Gallup Indian Medical Center, stronger accountability within IHS operations, and more efficient federal processes that respect Tribal voices.
The consultation provided an opportunity for Navajo leadership to stress the importance of transparency, clear timelines, and meaningful engagement as IHS considers significant structural changes. President Nygren emphasized that modernization efforts must remove barriers rather than create new ones, and that Tribal consultation must be genuine and ongoing, not symbolic.
Tribal leaders from several states echoed concerns about maintaining strong communication, protecting Tribal sovereignty, and ensuring improvements in patient-centered care. Additional issues raised included the need to fill critical IHS vacancies, safeguard Tribal data, support veterans’ healthcare, and appoint permanent leadership before implementing major changes.
Executive Director Sherylene Yazzie cautioned that proposed changes affecting regional representation could limit the Navajo Nation’s ability to participate fully in federal decision-making, underscoring the need for Tribal consent when actions directly impact their communities.
IHS officials reaffirmed their commitment to continued consultation, with more sessions planned as the process moves forward. Tribal Nations may submit written comments on the proposed realignment through February 9, 2026.
