The Indian Health Service (IHS) is offering a funding opportunity through the Tribal Self-Governance Planning (TSGP) cooperative agreement aimed at supporting Tribes in negotiating to assume control over health care programs and services. This initiative allows Tribes to manage and tailor health care programs to meet their community needs, providing them with the flexibility to choose between direct services from IHS, contracting for specific programs, or compacting for broader control over health care services. The total estimated funding for this program is $540,000, with three awards expected to be granted, and interested applicants, particularly Urban Indian organizations, can find more information and contact the Division of Grants Management at DGM@ihs.gov or by phone at 301-443-5204. The application process is anticipated to open in early 2026, with a projected award date of July 31, 2026.

The TSGP allows Tribes to negotiate with the IHS to assume Programs, Services, Functions, and Activities (PSFAs), in whole or in part. This gives Tribes the authority to manage and tailor health care programs to best suit the needs of their communities.Participation in the TSGP gives Tribes flexibility to tailor their health care needs by choosing one of three ways to get health care from the Federal Government for their citizens.Tribes can choose to:Get health care services directly from the IHS.Contract with the IHS to administer individual programs and services the IHS would otherwise provide (referred to as Title I Self-Determination Contracting).Compact with the IHS to assume control over health care programs the IHS would otherwise provide (referred to as Title V Self-Governance Compacting or the TSGP).These options are not exclusive. Tribes may choose to combine options based on their individual needs and circumstances.This Planning Cooperative Agreement&#8217;s purpose is to provide resources to:Tribes interested in entering the TSGP.Existing Self-Governance Tribes interested in assuming new or expanded PSFAs

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