August 8, 2023

Dear Tribal Leader and Urban Indian Organization Leader:

I am writing to invite you to participate in Agency-sponsored Listening Sessions to share information and solicit your input on advance appropriations implementation. We will host two identical Listening Sessions on August 17, 2023, and September 6, 2023.

Congress enacted the first ever advance appropriations for the IHS in fiscal year (FY) 2023, providing $5.1 billion in FY 2024 resources that will become available on October 1, 2023. The advance appropriations provides the full-year FY 2023 funding level for nearly all IHS funding in the Services and Facilities accounts. Congress will determine a final appropriations level for the Agency in the FY 2024 appropriations process.

During the Listening Sessions, the IHS will share additional information on implementation plans and strategies for advance appropriations, and seek input from Tribal and Urban Indian Organization Leaders. The information discussed in these sessions will be used to prepare public facing Frequently Asked Questions and other helpful materials.

Information to Attend Our Virtual Listening Sessions

Please make plans to attend a virtual listening session. Session details follow:

• Thursday, August 17, 2023, 12:00-1:30 p.m., Eastern Time
  https://ihs-gov.zoomgov.com/j/1610168198
• Wednesday, September 6, 2023, 3:00-4:30 p.m., Eastern Time
  https://ihs-gov.zoomgov.com/j/1608717068

We appreciate your feedback and insight on advance appropriations implementation. If you have
questions, please contact Ms. Jillian Curtis, Chief Financial Officer, IHS, by e-mail at
jillian.curtis@ihs.gov.

Sincerely,

Roselyn Tso
IHS Director