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Assistance Listings
Demonstration Projects for Indian Health

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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

Overview

Objectives

To promote improved health care among American Indians and Alaska Natives through research studies and demonstration projects, addressing such issues as, but not limited to Women's Health Care, National Indian Health Outreach and Education I, II & III, Tribal Dental Clinical and Preventive Support Centers, National HIV Program, Healthy Lifestyles in Youth, and Native Public Health Resilience.

Examples of Funded Projects

Not Applicable.

Authorizations

Snyder Act, 25 US Code 13

Public Health Service Act

Public Health Service Act, Section 103 (B)(1), Public Law 93-638

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.)
Cooperative Agreements Total$8,132,117$21,540,054$21,200,456
Obligations for Healthy Lifestyles in Youth $1,250,000$1,562,500$1,562,500
Obligations for National Indian Health Outreach and Education I $846,777$1,268,246$900,000
Obligations for Addressing Dementia in Indian Country: Models of Care$2,177,681$2,562,792$3,949,099
Obligations for Ending the HIV/HCV Epidemics in Indian Country$1,357,659$13,646,516$12,288,857
Obligations for the Produce Prescription Pilot Program$2,500,000$2,500,000$2,500,000
Project Grants Total$18,896,112$2,666,664$2,666,664
Obligation for Tribal Dental Preventive and Clinical Support Centers Program$2,666,664$2,666,664$2,666,664
Obligations for Community Opioid Intervention Pilot Projects. This program was moved to 93.654 in FY 2024.$16,229,448$0$0
Totals$27,028,229$24,206,718$23,867,120

Range and Average of Financial Assistance

Accomplishments

Not Applicable.

Account Identification

75-0390-0-1-551

Criteria for Applying

Types of Assistance

B - Cooperative Agreements, B - Project Grants

Credentials and Documentation

Costs will be determined in accordance with the applicable OMB Circular: OMB Circular No. A-87 (State, local, and Indian tribal governments); OMB Circular No. A-21 (institutions of higher education); and OMB Circular No. A-122 (nonprofit organizations). Depending upon the nature of the project, letters of support or tribal resolutions may be required. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Applicant Eligibility

Designations

Local (includes State-designated lndian Tribes, excludes institutions of higher education and hospitals, Public nonprofit institution/organization (includes institutions of higher education and hospitals), Federally Recognized lndian Tribal Governments, Private nonprofit institution/organization (includes institutions of higher education and hospitals)

Federally recognized Indian tribes; tribal organizations; nonprofit inter-tribal organizations; nonprofit urban Indian organizations contracting with the Indian Health Service under Title V of the Indian Health Care Improvement Act; public or private nonprofit health and education entities; and State and local government health agencies.

Beneficiary Eligibility

Designations

American Indian, Federally Recognized Indian Tribal Governments

American Indians/Alaska Natives will be the ultimate beneficiaries of the funded projects either directly or indirectly depending upon the nature of the project. For example, those individuals who participate in research studies and receive services will be direct beneficiaries while those impacted by policy changes resulting from analyses of Indian health care issues will be indirect beneficiaries.

Length and Time Phasing of Assistance

The project period is limited to 5 years or less. Within the project period, a continuation application must be submitted annually on a noncompetitive basis for each year of support. Method of awarding/releasing assistance: Funding is released to the recipient on an annual basis.

Use of Assistance

Designations

Health/Medical

Federal assistance is to be used for the following purposes: (1) Research, analysis, and investigation of a broad range of issues affecting the health of American Indians and Alaska Natives; and (2) demonstration projects and studies that provide American Indians/Alaska Natives with impetus and involvement in their health care and that promote improved health care to Indian people.All IHS Grants Funds are for discretionary grant activities.

Applying for Assistance

Deadlines

Contact the headquarters or regional location, as appropriate for application 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.

Notice of Funding Opportunities (NOFO) for this listing will be posted on Grants.gov (opens in new window) (opens in new window).

This program is subject to the provisions of 45 CFR 75. The application package may be found in Grants.gov. You may not e-mail an electronic copy of a grant application to IHS.

Criteria for Selecting Proposals

The selection criteria are: Statement of problem(s) requiring solution; need for assistance; results or benefits expected from the project; approach or soundness of the applicant's plan for conducting the project; key personnel and their capability to carry out the project; and adequacy of management controls. Consideration will be given to the demonstrative aspects of the project and the compatibility of the project with the overall goals and objectives of the Indian Health Service.

Award Procedure

After review and approval, a notice of award is prepared and processed, along with appropriate notification to the public.

Date Range for Approval/Disapproval

From 30 to 60 days.

Renewals

Initial project period of up to 5 years, usually 3 years, with competitive renewals for periods not to exceed a total project period of 5 years.

Appeals

From 30 to 60 days. Grant appeals will follow PHS appeals procedures: 42 CFR, Part 50, Subpart D and DHHS appeals procedures: 45 CFR 16.

Compliance Requirements

Policy Requirements

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

Subpart B, General provisions

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

Subpart D, Post Federal; Award Requirements

Subpart E, Cost Principles

Subpart F, Audit Requirements

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

Not Applicable

Additional Information:

Reports

Progress Reports: Progress Reports are due 90 days after the end of each budget period, or more frequently if stated in the terms and conditions of the IHS grant award. Reports should be sent to the attention of the Grants Management Specialist at the Division of Grants Management.

Expenditure Reports: Grantees will be required to submit annual Federal Financial Report (SF-425 or FFR) to the Payment Management Services.

Performance Reports: All IHS grant awards are monitored for Financial compliance by the Division of Grants Management and for Programmatic Compliance by the IHS Program Staff. NIHA - other reports as required and specified in the program announcement.

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:

In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.

Records

DHHS and the Comptroller General of the United States or any of their authorized representatives shall have the right of access to any books, documents, paper, or other records of the grantee, contractor, or subcontractor, which are pertinent to the DHHS grant, in order to make audits, examinations, excerpts and transcripts. In accordance with 45 CFR 75.361, grantees are required to maintain grant records 3 years after they submit their final expenditure report. If any litigation, claim, negotiation, audit, or other action involving the records has been started before the end of the 3-year period, the records must be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.

Regulations, Guidelines, and Literature

45 CFR 75, Health and Human Services Grants Policy Statement, January 2007.

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: For Addressing Dementia in Indian Country, contact: Dr. Jolie Crowder, National Elder Services Consultant, Office of Clinical and Preventive Services, 5600 Fishers Ln, Rockville, MD 20857. E-mail jolie.crowder@ihs.gov. For Clinical and Preventive Dental Support Centers contact: IHS HQ, 5600 Fishers Lane, Mail Stop: 08N34A, Rockville, MD 20857. Dr. Christopher Halliday, Telephone 301-443-4323, E-mail Christopher.Halliday@ihs.gov, or Dr. Cheryl Sixkiller, Telephone 301-443-8812, E-mail Cheryl.Sixkiller@ihs.gov. For Community Opioid Intervention Pilot Projects contact: Kateri Fletcher-Sahmaunt, Division of Behavioral Health, Indian Health Service, 5600 Fishers Lane, Mail Stop: 08N34A, Rockville, MD 20857. For Healthy Lifestyles in Youth, contact: Division of Diabetes Treatment and Prevention, Indian Health Service, 5600 Fishers Lane, Rockville, MD 20857. For National Indian Health Outreach and Education Programs I, contact: Ken Coriz, Office of Direct Service and Contracting Tribes, 5600 Fishers Lane, Mail Stop: 09E37, Rockville, MD 20857. Telephone: (301) 443-1104. For Native Public Health Resilience, contact: Lisa Neel, Public Health Advisor, Office of Public Health Support, 5600 Fishers Lane, Rockville, MD 20857. E-mail lisa.neel@ihs.gov. For Ending the HIV/HCV Epidemics in Indian Country, contact: Mr. Rick Haverkate, Public Health Advisor, Office of Clinical and Preventive Services, 5600 Fishers Ln, Rockville, MD 20857. E-mail: richard.haverkate@ihs.gov. Grants Management Contact: Marsha Brookins, Director, Division of Grants Management, Indian Health Service, 5600 Fishers Lane, Mail Stop 09E70, Rockville, MD 20857. Telephone: (301) 443-4750.

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