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HCN Grants Est. 2026
No. HHS-2026-IHS-TSGN-0001 · Indian Health Service
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A Tribal Self-Governance Negotiation Cooperative Agreement Program

Dealbreakers No cost share required
Audit required
“See the audit documentation attachment.” — From the announcement
Reimbursement-only: not stated

At a glance

This program provides cooperative agreement funding to help federally recognized Indian Tribes and eligible Tribal organizations prepare for and take part in negotiations to enter or expand the Tribal Self-Governance Program with the Indian Health Service. It expects to make 3 awards, with a total of $252,000 available and up to $84,000 for the first budget period for each applicant. There is no cost-share requirement. Applicants must be federally recognized Indian Tribes or Tribal organizations, and tribes prohibited under the Alaska Moratorium may not apply.

AI-generated summary — verify against the announcement

What it funds

  • Health
  • Capacity Building & Technical Assistance
  • Planning & Coordination
  • Tribal & Indigenous Communities
  • Health Care Delivery, Access & Workforce
Official description from grants.gov

The Tribal Self-Governance Program (TSGP) allows Tribes to negotiate with the Indian Health Service (IHS) to start operating programs, services, functions, and activities (PSFAs). This gives Tribes the authority to manage and tailor health care programs to best suit the needs of their communities. Participating in the TSGP gives your Tribe flexibility to tailor your health care needs by choosing one of three ways to get health care from the Federal Government for your 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. This is referred to as Title I Self-Determination Contracting.Compact with the IHS to assume control over health care programs the IHS would otherwise provide. This is referred to as Title V Self-Governance Compacting or the TSGP. These options are not exclusive. You may choose to combine options based on your Tribe's needs and circumstances. The purpose of this negotiation cooperative agreement is to help Tribes cover the costs of preparing for and participating in these negotiations.

Who can apply

  • Native American tribal governments (Federally recognized)
  • Native American tribal organizations (other than Federally recognized)
Geographic restriction None found in the announcement — likely nationwide