Mitzi Horn

Mitzi Horn supports the procurement mission of the Billings Area Indian Health Service, ensuring the acquisition of critical health care infrastructure and support services for American Indian and Alaska Native communities across the Northern Plains. Though her official title is not listed, her role centers on managing contract actions that align with the agency’s mandate to deliver equitable, culturally competent care. She handles a diverse range of acquisitions—including medical equipment, IT infrastructure, and facility-related services—often navigating the unique regulatory framework of the Indian Health Service to meet tribal health needs efficiently and in compliance with federal procurement standards. Her primary contractor relationship is with Prairie Band Health Services Inc., a trusted partner delivering culturally appropriate health care solutions. Horn’s contracting patterns reflect a preference for long-term, mission-aligned vendor partnerships, particularly with organizations that demonstrate deep experience serving tribal populations. She frequently collaborates with contractors capable of integrating clinical services with community-based health delivery models, emphasizing sustainability and tribal sovereignty in service provision. Set-aside preferences reveal a strong emphasis on broad-based small business participation, with nearly 29% of awards designated as total small business set-asides under FAR 19.5, and a notable 7.1% utilizing the Buy Indian Act set-aside—a specialized authority unique to the Indian Health Service. This reflects a deliberate commitment to socioeconomic inclusion, prioritizing Native-owned and small businesses while maintaining flexibility through non-set-aside acquisitions that ensure timely access to essential goods and services. Her procurement focus is concentrated in NAICS categories related to electromedical equipment manufacturing, computing infrastructure, and office equipment leasing, indicating expertise in acquiring diagnostic tools, data systems, and operational technology vital to rural health delivery. She consistently sources specialized medical devices and digital health platforms tailored to low-resource settings, demonstrating technical fluency in health IT and clinical equipment procurement within federally recognized tribal health systems.