The Indian Health Service (IHS) is offering a cooperative agreement opportunity titled "Tribal Self-Governance Negotiation" aimed at supporting Tribes in negotiating with the IHS to manage health care programs tailored to their community needs. This initiative allows Tribes to assume control over Programs, Services, Functions, and Activities (PSFAs) either directly from the IHS or through contracts and compacts, providing them with the flexibility to choose the best approach for their health care delivery. The estimated total program funding for this opportunity is $252,000, with three awards expected to be granted. 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 period is anticipated to open in early February 2026, with a projected close date in May 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 Negotiation Cooperative Agreement&#8217;s purpose is to help Tribes cover the costs associated with preparing for and participating these negotiations.

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