Tribal Self-Governance - Planning

The Indian Health Service is preparing to issue cooperative agreements to support tribes and tribal organizations in planning and negotiating their transition to self-governance under the Tribal Self-Governance Program, specifically focusing on the assumption of responsibility for delivering health care services to their members. Three awards are anticipated under this initiative, designed to strengthen tribal capacity through structured planning and preparation activities necessary for successful program implementation. The opportunity is forecasted for release with a posted date of August 6, 2026, and is intended to foster tribal sovereignty and self-determination in health care delivery. All applications and inquiries should be directed to the Division of Grants Management at the Department of Health and Human Services, with point of contact information provided via email at dgm@ihs.gov or phone at 301-443-5204. The agreements will be administered federally, with no specified place of performance or set-aside designation, and the solicitation is accessible through the Grants.gov portal under the provided UI link. This initiative reflects a broader federal commitment to empowering tribal communities to tailor and manage their own health care systems in alignment with their cultural values and community needs.