Mark Cruz to Lead Indian Health Service Amid Staffing and Infrastructure Challenges
ALBUQUERQUE, N.M. (AP) — The U.S. Senate voted Friday to confirm Mark Cruz, a citizen of the Klamath Tribes, to lead the federal agency that provides healthcare for some 2.8 million Native American and Alaska Native patients. Cruz was confirmed to serve a four-year term as director of the Indian Health Service, a position that has sat vacant since late 2025. At his July confirmation hearing, Cruz said he would advocate “ferociously” to improve health outcomes in Indian Country and bring lived experience to the role. “My family, my friends and my tribal community will live with the consequences of the work I do for decades to come,” Cruz told the Senate Indian Affairs Committee. Cruz was confirmed by a 51-47 vote along with more than 70 other nominees of President Donald Trump — one of the Senate’s last actions before taking an August recess. Cruz is a senior adviser on tribal health to Health Secretary Robert F. Kennedy Jr. and will retain that newly created role while leading the IHS. In Trump’s first administration, …








