Skip to site content

Indian Health Service The Federal Health Program for American Indians and Alaska Natives

Office of Tribal Self-Governance (OTSG)

Eligibility and Funding

mountain scene

Eligibility for the IHS Tribal Self-Governance Program

To be eligible to participate in the Tribal Self-Governance Program (TSGP), a Tribe must:
  1. Complete a Planning Phase
    Each Tribe is required to complete a planning phase to the satisfaction of the Tribe. This planning phase must include legal and budgetary research and internal Tribal government planning and organizational preparation relating to the administration of health care programs.
  2. Request Participation in the IHS Tribal Self-Governance Program
    Each Tribe to be served must submit a Tribal resolution or other official action by the governing body of the Tribe requesting participation in the TSGP.
  3. Demonstrate Three Years of Financial Stability and Financial Management Capability
    For the three years prior to participation in the TSGP, the Tribe must show evidence that there have been no uncorrected significant and material audit exceptions in the required annual audit of the Tribe's Self-Determination Contracts or Self-Governance Funding Agreements with any Federal agency.

A Tribe may also choose to authorize another Indian Tribe, an inter-Tribal consortium, or a Tribal Organization to participate in the TSGP on its behalf (see 25 U.S.C. §458aaa(b)). For additional information on eligibility for the TSGP, please see Section 503 of the Indian Self-Determination and Education Assistance Act (ISDEAA), 25 U.S.C. §458aaa-2, and the accompanying regulations found at 42 C.F.R. §137.15-26.

Funding Opportunities - Cooperative Agreements

Title V of the ISDEAA provides the OTSG statutory authority to offer Planning and Negotiation Cooperative Agreements to assist Tribes in planning and negotiations activities associated with the IHS TSGP. A Cooperative Agreement is a form of grant, in that all of the same requirements and procedures apply. However, the main difference between the two award instruments is the degree of Federal programmatic involvement. Cooperative Agreement awards involve much more substantive Federal program specific involvement than a grant.

The Fiscal Year 2013 TSGP Planning and Negotiation Cooperative Agreement Funding Opportunities are closed. Please visit this site for more information regarding the FY 2014 grant cycle.

Planning Cooperative Agreement Purpose: Provides resources to Tribes interested in entering the TSGP and existing Self-Governance Tribes interested in expanding their current Programs, Services, Functions and Activities (PSFAs). Title V of the ISDEAA requires that a Tribe or Tribal Organization complete a planning phase to the satisfaction of the Tribe. The planning phase must include legal and budgetary research and internal Tribal government planning and organization preparation relating to the administration of health care programs. The planning phase helps Tribes to make informed decisions about which PSFAs to assume and what organizational changes will be necessary to support those PSFAs.
Negotiation Cooperative Agreement Purpose: Provides resources to Tribes to help defray the costs related to preparing for and conducting TSGP negotiations. The design of the negotiation process: 1) enables a Tribe to set its own priorities when assuming responsibility for IHS PSFAs, 2) observes the government-to-government relationship between the United States and each Tribe, and 3) involves the active participation of both Tribal and IHS representatives, including the OTSG. Negotiations provide an opportunity for the Tribal and Federal negotiation teams to work together in good faith to enhance each Self-Governance agreement.
Project Period: One year.

Eligibility: Meeting the eligibility criteria for a Cooperative Agreement does not mean that a Tribe or Tribal organization is eligible for participation in the IHS TSGP under Title V of the ISDEAA, 25 U.S.C. § 458aaa-2; 42 C.F.R. §§ 137.15-23. To be eligible for this Limited Competition Planning and Negotiation Cooperative Agreements, an applicant must:
  1. Be an "Indian Tribe" as defined in 25 U.S.C. § 450b(e); a "Tribal Organization" as defined in 25 U.S.C. § 450b(l); or an "Inter-Tribal Consortium" as defined at 42 C.F.R. § 137.10. However, Alaska Native Villages or Alaska Native Village Corporations are not eligible if they are located within the area served by an Alaska Native regional health entity already participating in the Alaska Trial Health Compact of 1998. See Consolidated Appropriations Act, 2012, Pub. L. No. 112-74. By statue, the Native Village of Eyak, Eastern Aleutian Tribes, and the Council for Athabascan Tribal Governments have also been deemed Alaska Native regional health entities. Those Alaska Tribes not represented by a Self-Governance Tribal consortium Funding Agreement within their area may still be considered to participate in the TSGP.
  2. Submit a Tribal resolution from the appropriate governing body of each Indian Tribe to be served by the ISDEAA Compact authorizing the submission of the Planning or Negotiation Cooperative Agreement application. Tribal consortia applying for a TSGP Planning or Negotiation Cooperative Agreement shall submit Tribal Council resolutions from each Tribe in the consortium.
  3. Demonstrate, for three fiscal years, financial stability and financial management capability. The Indian Tribe must provide evidence that, for the three years prior to participation in Self-Governance, the Indian Tribe has had no significant and material audit exceptions in the required annual audit of the Indian Tribe's Self-Determination Contracts or Self-Governance Funding Agreements with any Federal agency. See 25 U.S.C. § 458aaa-2; 42 C.F.R. §§ 137.15-23.

Limited Competition Justification: There is limited competition under the Cooperative Agreement funding announcements because the authorizing legislation restricts eligibility to Tribes that meet specific eligibility criteria. Tribes eligible to compete for the Planning and Negotiation Cooperative Agreements include: any Indian Tribe that has not previously received a Cooperative Agreement; any Indian Tribe that has previously received a Cooperative Agreement but chose not to enter the TSGP; and those Indian Tribes that received Cooperative Agreements, entered the TSGP, and would like to plan for the assumption of new or expanded PSFAs.

Review & Selection: Applications are reviewed for merit by the Objective Review Committee (ORC) based on the evaluation criteria (identified below for each funding opportunity). The ORC is composed of both Tribal and Federal reviewers appointed by the OTSG to review and make recommendations on these applications. The technical review process ensures selection of quality projects in a national competition for limited funding.

  • The OTSG is looking for Tribal representatives to participate on the ORC. If interested in participating, please submit your resume highlighting your qualifications as a reviewer to Anna Johnson.

Note: The receipt of a Cooperative Agreement is not a prerequisite to enter the TSGP; a Tribe may use its own resources. Tribes that receive Cooperative Agreements are not obligated to enter the TSGP and may choose to delay or decline participation in the TSGP.

Program Official: Anna W. Johnson Program Analyst Office of Tribal Self-Governance 801 Thompson Avenue, Suite 240 Rockville, MD 20852 Phone: (301) 443-7821
CPU: 30ms Clock: 0s