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Tribal Self-Governance Program: IHS Compacts/Funding Agreements

Program Information

Popular name

(OTSG Compacts )

Program Number

93.210

Agency

Department of Health and Human Services

Sub-agency

Indian Health Service

Program objective

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.

Program expenditures, by FY (2023 - 2025)

This chart shows obligations for the program by fiscal year. All data for this chart was provided by the administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.

For more information on each of these data sources, please see the About the data page.

Additional program information

Single Audit Applies (2 CFR Part 200 Subpart F):

For additional information on single audit requirements for this program, review the current Compliance Supplement.

OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.

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.”

  1. Indian Self-Determination and Education Assistance Act (ISDEAA). 25 U.S.C. § 458aaa.
  2. Tribal Self-Governance Amendments of 2000. 42 U.S.C. § 137.1-450.

Program details

Categories & sub-categories

Health
Income Security and Social Services

Program types

Eligible applicants

Eligible beneficiaries

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

Additional resources

View this program's awards and recipients at USASpending.gov
View this program's assistance listing at SAM.gov
View this program's available grant opportunities at Grants.gov
View this program's single audits at FAC.gov