1. Short title This Act may be cited as the Stronger Engagement for Indian Health Needs Act of 2023 . 2. Assistant Secretary for Indian Health (a) Establishment Section 601(a) of the Indian Health Care Improvement Act ( 25 U.S.C. 1661(a) ) is amended— (1) in paragraph (1), by striking tribes and inserting Tribes ; (2) in paragraph (2)— (A) by striking a Director and inserting an Assistant Secretary for Indian Health (in this section referred to as the Assistant Secretary ) ; (B) by striking The Director shall report and inserting The Assistant Secretary shall report directly ; (C) by striking the Director and inserting the Assistant Secretary ; and (D) by striking A Director and inserting An Assistant Secretary ; (3) in paragraph (3), by striking date of enactment of the Indian Health Care Improvement Reauthorization and Extension Act of 2009 shall serve as Director and inserting date of enactment of the Stronger Engagement for Indian Health Needs Act of 2023 shall serve as Assistant Secretary ; (4) in paragraph (4), in the matter before subparagraph (A), by striking Director and inserting Assistant Secretary ; and (5) by adding at the end the following new paragraph: (5) Deputy Assistant Secretary The Assistant Secretary, with the approval of the Secretary, may appoint a Deputy Assistant Secretary and may employ and prescribe the functions of such officers and employees, including attorneys, as are necessary to administer the activities of the Service. . (b) Duties Section 601(c) of the Indian Health Care Improvement Act ( 25 U.S.C. 1661(c) ) is amended— (1) in the matter before paragraph (1), by striking Director and inserting Assistant Secretary