Establishment of the Indian Health Service as an agency of the Public Health Service

In order to more effectively and efficiently carry out the responsibilities, authorities, and functions of the United States to provide health care services to Indians and Indian tribes, as are or may be on and after November 23, 1988, provided by Federal statute or treaties, there is established within the Public Health Service of the Department the Indian Health Service. The Service shall be administered by a Director, who shall be appointed by the President, by and with the advice and consent of the Senate. The Director shall report to the Secretary. Effective with respect to an individual appointed by the President, by and with the advice and consent of the Senate, after January 1, 2008, the term of service of the Director shall be 4 years. A Director may serve more than 1 term. The individual serving in the position of Director of the Service on the day before March 23, 2010, shall serve as Director. The position of Director is established to, in a manner consistent with the government-to-government relationship between the United States and Indian Tribes— The Service shall be an agency within the Public Health Service of the Department, and shall not be an office, component, or unit of any other agency of the Department. The Director shall— administer all health programs under which health care is provided to Indians based upon their status as Indians which are administered by the Secretary, including programs under— The Secretary, acting through the Director, shall have the authority— Notwithstanding any other provision of law, the provisions of section 5116 of this title,22 So in original. The comma probably should not appear. shall apply to all personnel actions taken with respect to new positions created within the Service as a result of its establishment under subsection (a).