Opportunity Information: Apply for HHS 2020 IHS TSGN 0001

The Office of Tribal Self-Governance Negotiation Cooperative Agreement is a discretionary funding opportunity from the U.S. Department of Health and Human Services, Indian Health Service (IHS), designed to help Tribes cover the real, practical costs of getting ready for and participating in Tribal Self-Governance Program (TSGP) negotiations. At its core, this award recognizes that entering self-governance or expanding an existing self-governance arrangement is not a one-size-fits-all administrative step. Each Tribe brings its own health system priorities, community needs, governance structure, and operational realities, and the negotiation process requires time, expertise, and solid information on both the Tribal and Federal sides. The cooperative agreement is meant to reduce the financial burden associated with that work so Tribes can participate fully and effectively.

The TSGP negotiation process is described as Tribally driven and collaborative, with the goal of supporting Tribal decision-making and honoring the government-to-government relationship between the United States and each Tribe. Negotiations are the structured way the parties determine and agree to the terms that will govern how a Tribe assumes responsibility for IHS Programs, Services, Functions, and Activities (PSFAs). A key purpose of the process is to ensure that the Tribe can set its own priorities for how health care programs will be administered when those PSFAs move from IHS to the Tribal health program, and to ensure that both Tribal and IHS representatives, including the Office of Tribal Self-Governance (OTSG), are actively involved in developing accurate, current, and mutually understood terms.

A major focus of the negotiations is the development and finalization of two required, legally binding documents: the Compact and the Funding Agreement (FA). The Compact establishes the broad, overarching terms of the government-to-government relationship between the Tribe and the Secretary of HHS for self-governance purposes. The Funding Agreement is more operational and specific. It lays out how long the agreement will last (for example, annual versus multi-year), which PSFAs (or portions of PSFAs) the Tribe will assume, the associated funding amounts tied to that assumption, and the terms required by federal law along with any additional terms mutually agreed upon. Once signed by both parties, these documents become legally binding and mutually enforceable, and they can be renegotiated at the Tribe's request, reflecting the living nature of self-governance and the ability to adjust as Tribal programs evolve.

The opportunity emphasizes that successful negotiations depend heavily on preparation, and it breaks the overall process into four stages: planning, pre-negotiations, negotiations, and post-negotiations. The planning phase is singled out as especially critical and is also grounded in Title V of the Indian Self-Determination and Education Assistance Act (ISDEAA). Under Title V, a Tribe or Tribal organization must complete a planning phase to the satisfaction of the Tribe, and that planning must include legal and budgetary research as well as internal Tribal government planning and organizational preparation related to administering health care programs (referenced at 25 U.S.C. 5383(d)). In practical terms, that means doing the internal homework needed to choose which PSFAs to assume, understand the funding and compliance implications, assess administrative capacity, and determine what organizational changes, staffing, policies, systems, or governance adjustments may be required to run those programs well. The notice underscores that a thorough planning phase supports timely, efficient negotiations and helps ensure the Tribe is truly ready for the transfer of IHS PSFAs into Tribal management.

In terms of who can apply and what the funding looks like, the opportunity (Funding Opportunity Number HHS-2020-IHS-TSGN-0001; CFDA 93.444) lists eligible applicants as federally recognized Native American tribal governments, Native American tribal organizations (including those other than federally recognized tribal governments), and other entities as described in the opportunity's additional eligibility information. The funding instrument is a cooperative agreement, which typically indicates substantial federal involvement compared to a standard grant, consistent with the collaborative negotiation framework described in the announcement. The award ceiling is listed as $48,000, with an expected five awards. The opportunity was posted on July 30, 2020, and had an original application closing date of October 28, 2020.

Overall, this cooperative agreement is best understood as targeted support for the negotiation and readiness work that must happen before a Tribe can enter the IHS Tribal Self-Governance Program or expand its current self-governance footprint. It funds the preparatory and engagement efforts that help Tribes bring strong legal, financial, and programmatic analysis to the table, participate on equal footing in detailed negotiations, and put the Compact and Funding Agreement in place in a way that reflects Tribal priorities and positions the Tribal health program for a stable, well-planned assumption of responsibilities.

  • The Department of Health and Human Services, Indian Health Service in the health sector is offering a public funding opportunity titled "Office of Tribal Self-Governance Negotiation Cooperative Agreement" 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 Jul 30, 2020.
  • Applicants must submit their applications by Oct 28, 2020. (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 $48,000.00 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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