Tribal Self-Governance Program: IHS Compacts/Funding Agreements

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Benefit program

Tribal Self-Governance Program: IHS Compacts/Funding Agreements

Federal · INDIAN HEALTH SERVICE · #93.210

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.

Also known as

OTSG Compacts

About this program

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.

Who can apply

Federally Recognized lndian Tribal GovernmentsU.S. Territories and possessions (includes institutions of higher education and hospitals)

Categories

DIRECT PAYMENTS FOR A SPECIFIED USEDirect Payments for Specified Use

Source: SAM.gov Assistance Listings ↗ · 2026

Informational only — official eligibility is determined by the administering agency.

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