The "Stronger Engagement for Indian Health Needs Act of 2025" elevates the Director of the Indian Health Service to Assistant Secretary for Indian Health within the Department of Health and Human Services. This change aims to enhance the leadership and focus on Native American healthcare needs. The Act also allows the Assistant Secretary to appoint a Deputy Assistant Secretary and necessary staff to manage the Service's activities effectively. Finally, the bill updates relevant sections of the U.S. Code to reflect this change in title and reporting structure.