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Assistance Listings
Tribal Self-Governance Program: IHS Compacts/Funding Agreements

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Note: This Assistance Listing was not updated by the issuing agency in 2025. Please contact the issuing agency listed under "Contact Information" for more information.

Assistance Listing
Popular Name
(OTSG Compacts )
Sub-tier
INDIAN HEALTH SERVICE
Assistance Listing Number
93.210

Overview

Objectives

To allow Federally recognized Indian Tribes to enter into an agreement with the Indian Health Service (IHS) to assume full funding and control over programs, services, functions and activities (PSFA) (or portions thereof) that the IHS would otherwise provide for Indians because of their status as Indians. Such assumptions shall be through compact and funding agreement or construction project agreement under Title V of the ISDEAA.

Examples of Funded Projects

Not Applicable.

Authorizations

Indian Self-Determination and Education Assistance Act (ISDEAA), 25 US Code 458aaa

Tribal Self-Governance Amendments of 2000, 42 US Code 137.1-450

Financial Information

These funding amounts do not reflect the award amounts that are displayed on USASpending.gov
Obligation(s)FY 23FY 24 (est.)FY 25 (est.)
Direct Payments for Specified Use Total$2,875,661,400$2,900,662,000$2,925,662,000
Totals$2,875,661,400$2,900,662,000$2,925,662,000

Range and Average of Financial Assistance

Range $79,000 to $153,000,000; Average $16,563,000

Accomplishments

Not Applicable.

Account Identification

75-0390-0-1-551

Criteria for Applying

Types of Assistance

C - Direct Payments for Specified Use

Credentials and Documentation

No Credentials or Documentation are required.
2 CFR 200, Subpart E - Cost Principles applies to this program.

Applicant Eligibility

Designations

Federally Recognized lndian Tribal Governments, U.S. Territories and possessions (includes institutions of higher education and hospitals)

Per 42 CFR § 137.18, to be eligible to participate in the IHS Tribal Self-Governance Program (Program), any Federally recognized Indian tribe must: (a) successfully complete the planning phase described in 42 CFR § 137.20; (b) request participation in the Program by resolution or other official action by the governing body of each Indian tribe to be served; and (c) demonstrate financial stability and financial management capability for three fiscal years. Per 42 CFR § 137.21, the Indian tribe provides evidence that, for the three years prior to participation in the Program, the Indian tribe has had no uncorrected significant and material audit exceptions in the required annual audit of the Indian tribe's self-determination contracts or self-governance funding agreements with any federal agency. Per 42 CFR § 137.22, if the Indian Tribe chooses to centralize its self-determination or self-governance financial and administrative functions with non-self-determination or non-self-governance financial and administrative functions, such as personnel, payroll, property management, etc., the Secretary may consider uncorrected significant and material audit exceptions related to the integrity of a cross-cutting centralized function in determining the Indian Tribe's eligibility for participation in the self-governance program. Per 42 CFR § 137.26, an Indian tribe does not need to receive a planning or negotiation cooperative agreement to be eligible to participate in the IHS Tribal Self-Governance Program. An Indian tribe may use other resources to meet the planning requirement and to negotiate. Under 25 U.S.C. § 458aaa-2(b)(1), each year, an additional 50 Indian tribes that meet the eligibility criteria are entitled to participate in the IHS Tribal Self-Governance Program.

Beneficiary Eligibility

Designations

Specialized group (e.g. health professionals, students, veterans), Native American Organizations, American Indian, Federally Recognized Indian Tribal Governments

Federally-recognized Indian tribes and tribal organizations (as defined in 25 U.S.C. § 458aaa-(b)) may benefit.

Length and Time Phasing of Assistance

Not applicable. Method of awarding/releasing assistance: lump sum

Use of Assistance

Designations

Health/Medical

Funds must be spent in accordance with the Indian Self-Determination and Education Assistance Act (ISDEAA), applicable regulations and terms of the negotiated compact, funding agreement, or construction project agreement. Per 42 CFR §§ 137.167-168, a Tribe participating in the IHS Self-Governance Program (Self-Governance Tribe) must apply the cost principles of the applicable OMB Circular, except as modified by: (a) 25 U.S.C. § 450j-1, (b) other provisions of law, or (c) any exemptions to applicable, subsequent OMB circulars. No other audit or accounting standards shall be required by the Secretary. Per 25 U.S.C § 458aaa-7(h) and 42 CFR § 137.100, a Self-Governance Tribe may retain and spend interest earned on any funds paid under a compact or funding agreement. Per 42 CFR § 137.101, a Self-Governance Tribe must invest and manage the funds as a prudent investor would, in light of the purpose, terms, distribution requirements, and provisions in the compact or funding agreement and ISDEAA Title V. This duty requires the exercise of reasonable care, skill, and caution, and is to be applied to investments not in isolation, but in the context of the investment portfolio and as a part of an overall investment strategy that should incorporate risk and return objectives reasonably suitable to the Self-Governance Tribe. In making and implementing investment decisions, the Self-Governance Tribe must diversify the investments, unless it is imprudent under the circumstances. In addition, the Self-Governance Tribe must: (a) conform to fundamental fiduciary duties of loyalty and impartiality; (b) act with prudence in deciding whether and how to delegate authority and in the selection and supervision of agents; and (c) incur only costs that are reasonable in amount and appropriate to the investment responsibilities of the Self-Governance Tribe.

Applying for Assistance

Deadlines

Preapplication Coordination

Preapplication coordination is not applicable. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.

Application Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program.

Per 42 CFR § 137.18, to be eligible to participate in the IHS Tribal Self-Governance Program, any Federally recognized Indian tribe must: (a) successfully complete the planning phase described in 42 CFR § 137.20; (b) request participation in the IHS Tribal Self-Governance Program by resolution or other official action by the governing body of each Indian tribe to be served; and (c) demonstrate financial stability and financial management capability for three fiscal years. Per 42 CFR § 137.21, the Indian tribe provides evidence that, for the three years prior to participation in the IHS Tribal Self-Governance Program, the Indian tribe has had no uncorrected significant and material audit exceptions in the required annual audit of the Indian tribe's self-determination contracts or self-governance funding agreements with any federal agency. Per 42 CFR § 137.22, if the Indian Tribe chooses to centralize its self-determination or self-governance financial and administrative functions with non-self-determination or non-self-governance financial and administrative functions, such as personnel, payroll, property management, etc., the Secretary may consider uncorrected significant and material audit exceptions related to the integrity of a cross-cutting centralized function in determining the Indian Tribe's eligibility for participation in the self-governance program. Per 42 CFR § 137.26, an Indian tribe does not need to receive a planning or negotiation cooperative agreement to be eligible to participate in the IHS Tribal Self-Governance Program. An Indian tribe may use other resources to meet the planning requirement and to negotiate. Under 25 U.S.C. § 458aaa-2(b)(1), each year, an additional 50 Indian tribes that meet the eligibility criteria shall be entitled to participate in the IHS Tribal Self-Governance Program.

Criteria for Selecting Proposals

Not Applicable.

Award Procedure

Funds are transferred to Indian tribes who have successfully negotiated (1) a compact and funding agreement or (2) a compact, funding agreement, and construction project agreement entered into under ISDEAA Title V.

Date Range for Approval/Disapproval

Not Applicable. Not applicable.

Renewals

Per 42 CFR § 137.35, upon approval and execution of an ISDEAA Title V compact, the compact remains in effect for so long as permitted by Federal law or until terminated by mutual written agreement or retrocession or reassumption of all PSFAs. Per 42 CFR § 137.55, a funding agreement shall have the term mutually agreed to by the parties. Under 25 U.S.C. § 458aaa-4(e), absent notification from an Indian tribe that it is withdrawing or retroceding the operation of one or more PSFA identified in the funding agreement, the funding agreement shall remain in full force and effect until a subsequent funding agreement is executed.

Appeals

Not Applicable. See 42 CFR §§ 137.410-445 for regulations governing compacts, funding agreements, and construction project agreements entered into under ISDEAA Title V.

Compliance Requirements

Policy Requirements

The following 2CFR policy requirements apply to this assistance listing:

Subpart E, Cost Principles

Subpart F, Audit Requirements

The following 2CFR policy requirements are excluded from coverage under this assistance listing:

Subpart B, General provisions

Subpart C, Pre-Federal Award Requirements and Contents of Federal Awards

Subpart D, Post Federal; Award Requirements

Additional Information:

Reports

Program Reports: See 42 CFR §§ 137.200-207 for reporting requirements for Self-Governance Tribes under ISDEAA Title V. Per 25 U.S.C. § 458aaa-6(a)(1) and 42 CFR § 137.200, compacts or funding agreements negotiated between the Secretary and a Self-Governance Tribe must include a provision that requires the Self-Governance Tribe to report on health status and services delivery. These reports may only impose minimal burdens on the Self-Governance Tribes; cash reports, progress reports, expenditure reports, and performance monitoring are not applicable; see 42 CFR§ 137.351 for reporting requirements for construction project agreements.

Audits

Refer to the link below for 2 CFR Subpart F Audit Requirements.
https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200/subpart-F

Additional audit requirements:

Per 25 U.S.C. § 458aaa-5(c) and 42 CFR § 137.165, Self-Governance Tribes must undertake annual audits pursuant to the Single Audit Act, 31 U.S.C. § 7501 et seq. Per 42 CFR § 137.166, exceptions are described in 31 U.S.C. § 7502 of the Single Audit Act.

Records

See 42 CFR §§ 137.175-180 for regulations governing records under ISDEAA Title V.

Regulations, Guidelines, and Literature

Indian Self-Determination and Education Assistance Act (ISDEAA), 25 U.S.C. § 458aaa; 42 CFR §§ 137,1-150. According to 25 U.S.C. § 458aaa-16(e), “unless expressly agreed to by the participating Indian tribe in the compact or funding agreement, the participating Indian tribe shall not be subject to any agency circular, policy, manual, guidance, or rule adopted by the Indian Health Service, except for the eligibility provisions of section 105(g) and regulations promulgated under section 517.”

Formula and Matching Requirements

Statutory formula is not applicable to this assistance listing.
Matching requirements are not applicable to this assistance listing.
MOE requirements are not applicable to this assistance listing.

Contact Information

Regional or Local Locations:

None. Program Contact: Ms. Rena Macy, Director, Office of Tribal Self-Governance, Indian Health Service, 5600 Fishers Lane, Mail Stop: 08E02, Rockville, MD 20857. Phone: (301) 443-7821 Fax: (301) 443-1050. Grants Management Contact: Ms. Marsha Brookins, Director, Division of Grants Management, Indian Health Service, 5600 Fishers Lane, Mail Stop 09E70, Rockville, MD 20857. Telephone: (301) 443-5204.

Headquarters Office:

Division of Grants Management
5600 Fishers Lane, Mail Stop: 09E70,
Rockville, MD 20857
DGM@ihs.gov
301-443-5204
Website: http://www.ihs.gov/DGM

History

  • 2024Published

    Tribal Self-Governance Program: IHS Compacts/Funding Agreements

  • 2023Published

    Tribal Self-Governance Program: IHS Compacts/Funding Agreements

  • 2023Published

    Tribal Self-Governance Program: IHS Compacts/Funding Agreements

  • 2022Published

    Tribal Self-Governance Program: IHS Compacts/Funding Agreements

  • 2021Published

    Tribal Self-Governance Program: IHS Compacts/Funding Agreements

  • 2020Published

    Tribal Self-Governance Program: IHS Compacts/Funding Agreements

  • 2019Published

    Tribal Self-Governance Program: IHS Compacts/Funding Agreements

  • 2019Published

    Tribal Self-Governance Program: IHS Compacts/Funding Agreements

  • 2008Title Changed

    Tribal Self-Governance Program: IHS Compacts/Funding Agreements

  • 2004Title Changed

    Tribal Self-Governance Program: Planning and Negotiation Cooperative Agreements and IHS Compacts/Funding Agreements

  • 1994Published

    Tribal Self-Governance Demonstration Program: Planning and Negotiation Cooperative Agreements and IHS Compacts