The Indian Health Service (IHS) is an Operating Division (OPDIV) within the
U.S. Department of Health and Human Services responsible for providing federal health services to
American Indians and
Alaska Natives. The Indian Health Service was established in 1955 to take over health care of American Indian and Alaska Natives from the Bureau of Indian Affairs. The provision of health services to members of federally recognized
tribes grew out of the special government-to-government relationship between the federal government and Indian tribes. This relationship, established in
1787, is based on Article I, Section 8 of the
Constitution, and has been given form and substance by numerous treaties, laws,
Supreme Court decisions, and
Executive Orders. The IHS is the principal federal health care provider and health advocate for Indian people, and its goal is to raise their health status to the highest possible level. The IHS currently provides health services to approximately 1.8 million of the 3.3 million American Indians and Alaska Natives who belong to more than 557 federally recognized tribes in 35 states. The agency's annual budget is about US$3 billion.
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