Opportunity Information: Apply for HHS 2023 IHS TSGP 0001
The Tribal Self-Governance Planning Cooperative Agreement Program is a discretionary funding opportunity from the U.S. Department of Health and Human Services, Indian Health Service (IHS), designed to help Tribes and Tribal organizations prepare to take on greater control over IHS-related health care programs. The core goal is to fund the "planning phase" required under Title V of the Indian Self-Determination and Education Assistance Act (ISDEAA) for participation in the Tribal Self-Governance Program (TSGP). This planning phase is meant to be completed to the Tribe's satisfaction and serves as a practical runway for making informed decisions about whether, and how, to assume responsibility for specific Programs, Services, Functions, and Activities (PSFAs) currently administered by IHS, or for expanding PSFAs already managed by a Self-Governance Tribe.
A major emphasis of the program is readiness and due diligence. The planning work is expected to include legal and budgetary research along with internal Tribal government planning and organizational preparation tied directly to administering health care programs, as referenced in 25 U.S.C. 5383(d). In plain terms, the cooperative agreement supports the behind-the-scenes work that has to happen before a Tribe can confidently negotiate and manage a transfer of PSFAs. This can involve analyzing authorities and liabilities, understanding funding streams and historical expenditures, evaluating operational requirements, and determining what internal governance structures, staffing, policies, financial systems, and oversight mechanisms may need to be built or adjusted to successfully operate the health programs under Tribal control.
The opportunity also frames planning as a way to improve the quality and speed of future negotiations. By investing in a thorough planning process up front, Tribes are better positioned to identify which PSFAs make sense to assume, what resources are needed to support them, and what organizational changes are necessary to sustain them. The intended outcome is more timely and efficient negotiations with IHS and a smoother transition if a Tribe decides to move forward, reducing the risk of surprises during implementation and helping ensure the Tribal health program is prepared for the operational, financial, and administrative responsibilities that come with managing transferred functions.
Importantly, the award is described as a Planning Cooperative Agreement rather than a standard grant, which generally signals that IHS may have an ongoing, supportive role during the project period (for example, through technical assistance or collaboration), while the Tribe leads the planning work. Even so, receiving one of these awards does not commit a Tribe to entering the Tribal Self-Governance Program. The notice is explicit that the cooperative agreement is not a prerequisite for participation in TSGP: a Tribe may meet the planning requirement using other resources. Likewise, Tribes that do receive planning funds are not obligated to proceed into TSGP or to expand their current PSFAs. If the planning results suggest that participation should be delayed or declined, the Tribe is free to make that decision. The same flexibility applies to existing Self-Governance Tribes that are simply exploring expansion or the assumption of additional PSFAs.
Key details from the published opportunity include: Funding Opportunity Title, "Tribal Self-Governance Planning Cooperative Agreement Program"; Funding Opportunity Number, HHS 2023 IHS TSGP 0001; funding instrument type, Cooperative Agreement; funding activity category, Health; and CFDA number 93.444. Eligible applicants include federally recognized Native American tribal governments and Native American tribal organizations, with an additional eligibility category noted as "Others" subject to the specific clarification in the full notice. The opportunity was posted April 19, 2023, with an original closing date of June 20, 2023. The award ceiling is listed at $180,000, and IHS anticipated making about 5 awards.Apply for HHS 2023 IHS TSGP 0001
- 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 Program" 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 Apr 19, 2023.
- Applicants must submit their applications by Jun 20, 2023. (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 $180,000.00 in funding.
- The number of recipients for this funding is limited to 5 candidate(s).
- Eligible applicants include: Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Others (see text field entitled Additional Information on Eligibility for clarification).
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Frequently Asked Questions (FAQs)
What is the Tribal Self-Governance Planning Cooperative Agreement Program?
The Tribal Self-Governance Planning Cooperative Agreement Program is a discretionary funding opportunity from the U.S. Department of Health and Human Services (HHS), Indian Health Service (IHS). It is designed to help Tribes and Tribal organizations complete the planning work needed to decide whether, and how, to assume greater control over IHS-related health care programs and activities.
What is the main purpose of this funding opportunity?
The core purpose is to fund the "planning phase" required under Title V of the Indian Self-Determination and Education Assistance Act (ISDEAA) for participation in the Tribal Self-Governance Program (TSGP). The planning phase is intended to be completed to the Tribe's satisfaction and to serve as a practical runway for informed decision-making about taking on IHS Programs, Services, Functions, and Activities (PSFAs), or expanding PSFAs already managed by a Self-Governance Tribe.
What is meant by the "planning phase" under Title V of ISDEAA?
In this opportunity, the planning phase refers to the internal research and organizational preparation a Tribe undertakes before negotiating to assume IHS PSFAs under Title V. The planning is tied directly to administering health care programs and includes due diligence activities referenced in 25 U.S.C. 5383(d).
What are PSFAs?
PSFAs stands for Programs, Services, Functions, and Activities. In this context, PSFAs are the specific components of IHS-administered health care programs that a Tribe may evaluate for potential transfer to Tribal administration, or for expansion if the Tribe is already participating in self-governance.
Who is the federal agency offering this opportunity?
The opportunity is offered by the U.S. Department of Health and Human Services (HHS), through the Indian Health Service (IHS).
What type of funding instrument is this?
The funding instrument type is a Cooperative Agreement. The opportunity is described as a Planning Cooperative Agreement rather than a standard grant.
How is a cooperative agreement described in this opportunity?
The notice describes it as a Planning Cooperative Agreement, which generally signals that IHS may have an ongoing, supportive role during the project period (for example, through technical assistance or collaboration), while the Tribe leads the planning work.
What kinds of activities are expected to be part of the planning work?
The planning work is expected to focus on readiness and due diligence. The opportunity describes planning activities that include legal and budgetary research and internal Tribal government planning and organizational preparation tied to administering health care programs. Examples described include analyzing authorities and liabilities, understanding funding streams and historical expenditures, evaluating operational requirements, and determining what governance structures, staffing, policies, financial systems, and oversight mechanisms may need to be built or adjusted to operate the health programs under Tribal control.
Why does the opportunity emphasize readiness and due diligence?
The program places major emphasis on readiness because the planning phase is intended to help Tribes make informed decisions and reduce surprises later. By investing in a thorough planning process up front, Tribes can better identify which PSFAs make sense to assume, what resources are needed, and what organizational changes are necessary to sustain the programs.
What outcomes does the program aim to support?
The intended outcomes include improving the quality and speed of future negotiations with IHS and supporting a smoother transition if the Tribe decides to move forward. The opportunity highlights reducing implementation risk by preparing for the operational, financial, and administrative responsibilities associated with managing transferred functions.
Does receiving a planning cooperative agreement require a Tribe to join the Tribal Self-Governance Program (TSGP)?
No. The notice is explicit that receiving a planning cooperative agreement does not commit a Tribe to entering the Tribal Self-Governance Program.
Is the cooperative agreement a prerequisite for participation in TSGP?
No. The opportunity states that the cooperative agreement is not a prerequisite for participation in TSGP. A Tribe may meet the planning requirement using other resources.
If a Tribe receives planning funds, is it obligated to proceed into TSGP or expand PSFAs?
No. Tribes that receive planning funds are not obligated to proceed into TSGP or to expand their current PSFAs. If the planning results suggest participation should be delayed or declined, the Tribe is free to make that decision.
Can existing Self-Governance Tribes apply if they are considering expansion?
Yes. The opportunity indicates the same flexibility applies to existing Self-Governance Tribes that are exploring expansion or the assumption of additional PSFAs.
What is the Funding Opportunity Title?
The Funding Opportunity Title is "Tribal Self-Governance Planning Cooperative Agreement Program."
What is the Funding Opportunity Number?
The Funding Opportunity Number is HHS 2023 IHS TSGP 0001.
What is the CFDA number listed for this opportunity?
The CFDA number listed is 93.444.
What is the funding activity category?
The funding activity category is Health.
Who is eligible to apply?
Eligible applicants include federally recognized Native American tribal governments and Native American tribal organizations. The eligibility section also notes an additional category, "Others," subject to specific clarification in the full notice.
When was the opportunity posted?
The opportunity was posted on April 19, 2023.
What was the original closing date?
The original closing date was June 20, 2023.
What is the maximum award amount (ceiling)?
The award ceiling is listed at $180,000.
How many awards did IHS anticipate making?
IHS anticipated making about 5 awards.
What is the broader context or authority referenced for planning activities?
The opportunity references planning and preparation tied directly to administering health care programs as described in 25 U.S.C. 5383(d), within the broader framework of Title V of the Indian Self-Determination and Education Assistance Act (ISDEAA).
What decisions can the planning process help a Tribe make?
Based on the opportunity description, the planning process is meant to help a Tribe decide whether to assume responsibility for certain IHS-administered PSFAs, whether to expand PSFAs already managed by a Self-Governance Tribe, what resources and internal changes would be needed, and whether participation should proceed, be delayed, or be declined.
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