The text contains a response from the Oklahoma City Area Indian Health Service to a letter from Jan Chalepah regarding the latter's concerns about the Service's policies on emergency care and payment for outside medical bills. The response explains that the Service does pay for emergency care provided to patients who are unable to go to an Indian Health Service facility, and that the 24 hour and 72 hour time limits for notification of the Service are not hard and fast rules. The response also states that the Service is working to improve its policies and procedures in order to reduce the number of problems experienced by patients.