Opportunity Information: Apply for HHS 2022 IHS TSGP 0001

The Tribal Self-Governance Planning Cooperative Agreement is a discretionary funding opportunity from the U.S. Department of Health and Human Services, Indian Health Service (IHS), designed to help federally recognized Tribal governments prepare for participation in the Tribal Self-Governance Program (TSGP) or to help current Self-Governance Tribes plan to take on additional or expanded health-related responsibilities. The core intent is to provide practical planning resources so Tribes can make informed, Tribe-driven decisions about whether to enter self-governance under Title V of the Indian Self-Determination and Education Assistance Act (ISDEAA), and if so, which IHS programs, services, functions, and activities (PSFAs) they may want to assume and how to structure their systems to manage them effectively.

A central feature of this opportunity is its focus on the required "planning phase" described in Title V (25 U.S.C. 5383(d)). That planning phase must be completed to the satisfaction of the Tribe and must include legal and budgetary research along with internal Tribal government planning and organizational preparation related to administering health care programs. In practice, this means funding can support activities such as evaluating the legal framework for assuming PSFAs, reviewing financial and budget implications, assessing administrative capacity, identifying staffing and governance needs, and preparing internal policies, procedures, and organizational structures that would be needed to operate health programs that may transfer from IHS to a Tribal health program.

The opportunity emphasizes that strong planning directly improves later negotiations and implementation. A thorough planning phase helps Tribes identify which PSFAs are a good fit, anticipate operational and compliance requirements, and understand what organizational changes or investments are needed to successfully manage those responsibilities. By doing this work up front, Tribes can enter negotiations more prepared, which can improve the speed and efficiency of discussions and reduce surprises during the transfer process. The overall goal is to ensure a Tribe is truly ready to assume IHS PSFAs in a way that supports stable and effective health care administration.

Importantly, this Planning Cooperative Agreement is not a required gateway into the TSGP. Tribes can meet the Title V planning requirement using other resources, and receiving this award does not commit a Tribe to join the TSGP. A Tribe may complete the funded planning work and then decide to proceed, delay participation, scale back what it plans to assume, or decline to participate entirely based on what the planning process reveals. The same flexibility applies to existing Self-Governance Tribes that are considering expanding their current PSFAs or adding new ones: the funding supports exploration and preparation, not a mandated expansion.

From an administrative standpoint, the opportunity is issued as a Cooperative Agreement, meaning IHS expects an active federal role typical of that instrument type (for example, collaboration, guidance, or other substantial involvement consistent with cooperative agreements). It falls under the health funding activity category and is associated with CFDA number 93.444. Eligible applicants are federally recognized Native American Tribal governments. The funding opportunity number is HHS 2022 IHS TSGP 0001. It was created on November 15, 2021, with an original application closing date of February 10, 2022. The award ceiling is $120,000, and IHS anticipated making about 5 awards.

Taken together, this grant is best understood as capacity-building support for Tribal decision-making and readiness. It is meant to strengthen the groundwork that precedes self-governance participation or expansion by funding the research, internal planning, and organizational preparation that Tribes need to confidently evaluate and, if they choose, negotiate the assumption of health care PSFAs from IHS.

  • The Department of Health and Human Services, Indian Health Service in the health sector is offering a public funding opportunity titled "Tribal Self-Governance Planning Cooperative Agreement" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.444.
  • This funding opportunity was created on Nov 15, 2021.
  • Applicants must submit their applications by Feb 10, 2022. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $120,000.00 in funding.
  • The number of recipients for this funding is limited to 5 candidate(s).
  • Eligible applicants include: Native American tribal governments (Federally recognized).
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