Tribal Self-Governance Negotiation
This grant helps Tribes cover costs to negotiate with the Indian Health Service so they can manage and customize health care programs for their communities.
Funder: Indian Health Service
Due Dates: May 21, 2026 (forecasted)
Funding Amounts: Estimated total: $252,000 | ~3 awards anticipated | Cooperative agreement, typically 1 year
Summary: Supports Tribes and eligible organizations in negotiating with IHS to assume control of health care programs and services for their communities.
Key Information: Forecasted opportunity; dates and details subject to change—check program page for updates.
Description
This opportunity provides support for Tribes and eligible organizations to negotiate with the Indian Health Service (IHS) to assume Programs, Services, Functions, and Activities (PSFAs) under the Tribal Self-Governance Program (TSGP). The goal is to empower Tribes to manage and tailor health care programs to meet the specific needs of their communities. Participation options include receiving services directly from IHS, contracting to administer specific programs (Title I Self-Determination Contracting), or compacting to assume full control over health care programs (Title V Self-Governance Compacting). The cooperative agreement is intended to help cover costs associated with preparing for and participating in these negotiations.
