The letter addresses lapses in communication regarding eligibility for health services for Native Americans. It clarifies that services are available to those of Indian descent and their non-Indian spouses, regardless of residency. Blood quantum is a factor for members of the Five Civilized Tribes. Income is no longer used to establish priority for services, and emergencies will always be prioritized. Only the Service Unit Director or their designee can deny services, and appeals can be made to the Indian Health Area Director. The letter urges cooperation in spreading this information and offers support for further discussion on the topic.