Tribal Self-Governance - Negotiation

The Indian Health Service is forecasting the availability of cooperative agreements to support tribal nations and tribal organizations in planning and negotiating their transition to self-governance under the Tribal Self-Governance Program, specifically for the purpose of assuming responsibility for delivering health care services to their members. Three awards are anticipated under this initiative, each designed to provide funding and technical assistance to help tribes develop the necessary infrastructure, capacity, and strategic frameworks required to successfully assume control of federal health programs. The effort is part of a broader commitment to tribal autonomy and improved health outcomes through self-determination. The solicitation falls under NAICS code 923120, aligning with federal administrative functions related to health and human services, and is managed by the Division of Grants Management within the Department of Health and Human Services. Interested parties can direct inquiries to the designated point of contact at dgm@ihs.gov or via phone at 301-443-5204. Although the announcement is currently listed as a forecast and no formal solicitation number has been issued, the posted date of August 6, 2026, indicates the anticipated timeline for next steps, with performance expected to occur across tribal locations nationwide. The opportunity is open to eligible tribes and tribal organizations seeking to advance their self-governance objectives in health care delivery.