Urban Indian Health Services
Active
- Assistance listing
- 93.193
- Agency
-
Indian Health Service
Department of Health and Human Services
- Grant awards
- 120 $300,301,850 in federal obligations
Program facts
- Also known as
- Urban Indian Health Services (4-in-1)
- Assistance types
-
- Project Grant
- Cooperative Agreement
- Block Grant
- Treasury account
-
- 75-0390-0-1-551
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Department of Health and Human Services Indian Health Service funds health services for Urban Indians through Assistance Listing 93.193, with the most recent grant award dated June 1, 2022, and two forecasted opportunities posted August 6, 2026. The program disburses grants and cooperative agreements to urban Indian organizations operating under Title V of the Indian Health Care Improvement Act to deliver comprehensive culturally appropriate health services across four mandated areas: health promotion and disease prevention, immunization, alcohol and substance abuse prevention and treatment, and mental health services. Grant awards extend for up to three years, with multi-year cooperative agreements available on year-to-year renewal.
The portfolio reflects 120 total awards since 1995 spanning $300.3 million in combined federal obligation. Recent award activity has slowed notably, with only two awards in 2022 and one each in 2019, 2017, 2016, and 2013, reflecting a roughly 2–4 award per year cadence in recent years after higher activity in 2019 (4 awards). The assistance-type distribution consists of 52 Project Grants (43 percent), 49 Block Grants (41 percent), and 19 Cooperative Agreements (16 percent). A single funding agency—the Department of Health and Human Services Indian Health Service—accounts for all 120 awards, with $273.6 million obligated across 35 awards and $26.7 million across 85 awards.
Representative recent awards include a $21.35 million Cooperative Agreement for the Urban Indian Education and Research Program (June 2022), a $4.28 million Project Grant to Butte Native Wellness Center in Montana for integrated health promotion, immunization, and substance abuse initiatives (April 2022), and Project Grants ranging from $1.5 to $4.5 million to organizations in Baltimore, Boston, Phoenix, New York, and Billings for culturally tailored 4-in-1 programming addressing local tribal populations. Eligible applicants are established urban Indian organizations operating contracted Title V programs; current awardees are typically nonprofits designated as Federally Qualified Health Center Look-Alikes or equivalents serving multi-tribal urban populations across 6–22 states.
Two forecasted opportunities posted August 6, 2026 signal renewed solicitation activity: HHS-2027-IHS-UIHP2-0001 for the Urban Indian Health 4-in-1 Program targeting IHS-contracted UIOs, and HHS-2027-IHS-UIHP3-0001 for a national Urban Indian Health Program Education & Research Cooperative Agreement targeting American Indian/Alaska Native national organizations. The last active 4-in-1 grant opportunity closed February 2023 under HHS-2023-IHS-UIHP2-0001; the last education and research cooperative opportunity closed April 2022.
Objective and description
- Objective
Grants provide health-related services to Urban Indians including: (1) Alcohol and substance abuse prevention, treatment, rehabilitation, and education; (2) Mental health needs assessment and services; (3) Health promotion and disease prevention serv
- Description
Grants provide health-related services to Urban Indians including: (1) Alcohol and substance abuse prevention, treatment, rehabilitation, and education; (2) Mental health needs assessment and services; (3) Health promotion and disease prevention services; (4) Immunization services; and (5) HIV/AIDS prevention and care. Cooperative Agreement provides services and advocacy for Urban Indian Organizations including: (1) Public policy; (2) Research and data; (3) training and technical assistance; (4) Education, public relations and marketing.
Eligibility
- Applicant eligibility
Urban Indian organizations, as defined by 25 U.S.C. 1603(29), operating a Title V Urban Indian Health Program that currently has a grant or contract with the IHS under Title V of the Indian Health Care Improvement Act, (Pub. L. 93-437).
- Beneficiary eligibility
Urban Indians residing in the urban centers in which the organization is located.
- Uses of assistance
These grants are limited to established urban Indian health services. The recipient organization must be an urban Indian organization with whom the Secretary has entered into a contract or grant under Title V of the Indian Health Care Improvement Act (25 U.S.C. 1651 et seq).
- Length and time phasing of assistance
Grants will be awarded for project periods of up to 3 years.
How to apply
- Criteria for selecting proposals
Proposals will be reviewed by staff of the Indian Health Service to ensure compliance with the following: (1) Size of the urban Indian population; (2) accessibility to, and utilization of, other health resources available to such population; (3) duplication of existing Indian Health Service or other Federal grants or contracts; (4) capability of the organization to adequately perform the activities required under the grant; (5) satisfactory performance standards for the organization in meeting the goals; (6) identification of need for services; and (7) proposed methodology for accomplishing the stated goals of the program.
- Award procedure
Grants are awarded to all eligible organizations based on a competitive grant process. Applications are processed and grants are awarded by Indian Health Service Headquarters. Funding level available to an organization is based on specific criteria in the Indian Health Care Improvement Act to include size of urban Indian population, accessibility to, and utilization of, other health resources available to that population and identification of need for services.
- Time to approval or disapproval
Grants are approved or disapproved within 90 days of receipt of grant applications by the Indian Health Service, Division of Grants Management.
- Renewals
Renewal of multi-year cooperative agreements is on a year-to-year basis and requires the submission of continuation applications.
Grant opportunities
| Opportunity | Status | Posted | Applications due |
|---|---|---|---|
| Urban Indian Health 4-in-1 Program | Forecasted | — | |
| Urban Indian Health Program - Education & Research | Forecasted | — | |
| Urban Indian 4-in-1 Grant Program | Closed | ||
| Urban Indian Education and Research Program | Closed | ||
| Urban Indian 4-in-1 Grant Program | Closed | ||
| Urban Indian Education and Research Program, Competing Supplement | Closed | ||
| National Urban Indian Behavioral Health Awareness | Closed | ||
| Urban Indian Education and Research Program | Closed | ||
| Office of Urban Indian Health Programs 4-in-1 Grants, second opportunity | Closed | ||
| Office of Urban Indian Health Programs 4-in-1 Grants | Closed | ||
| National Urban Indian Behavioral Health Awareness | Closed | ||
| Urban Indian Health Program | Closed |
Show all 12
Grant awards
Latest 10 of 120 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | National Council Of Urban Indian Health | $31,544,013 | 11% |
| 2 | Seattle Indian Health Board | $22,099,296 | 7% |
| 3 | Indian Health Board Of Minneapolis, Inc. | $17,792,722 | 6% |
| 4 | Native Health | $14,945,652 | 5% |
| 5 | United American Indian Involvement Inc. | $14,036,208 | 5% |
| 6 | First Nations Community Health Source Inc. | $10,366,017 | 3% |
| 7 | The Native Project | $9,824,227 | 3% |
| 8 | The Native American Rehabilitation Association Of The Northwest, Incorporated | $9,742,260 | 3% |
| 9 | Native American Health Center, Inc. | $9,231,687 | 3% |
| 10 | Texas Native Health | $8,614,144 | 3% |
10 of 43 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $11,739,041 |
| FY2025 | $35,546,011 |
| FY2024 | $27,622,726 |
| FY2023 | $42,136,203 |
| FY2022 | $48,822,141 |
| FY2021 | $18,937,222 |
| FY2020 | $9,558,341 |
| FY2019 | $9,727,153 |
| FY2018 | $8,902,670 |
| FY2017 | $8,812,666 |
| FY2016 | $8,627,021 |
| FY2015 | $9,611,550 |
| FY2014 | $9,832,106 |
| FY2013 | $9,496,223 |
| FY2012 | $10,497,872 |
| FY2011 | $10,461,012 |
| FY2010 | $9,986,874 |
| FY2009 | $11,325,494 |
| FY2008 | $9,022,075 |
| FY2007 | $851,155 |
Show all 20
Quick answers
What is Assistance Listing 93.193?
Assistance Listing 93.193 is Urban Indian Health Services, a federal grant program run by Indian Health Service (Department of Health and Human Services).
What is the CFDA number for Urban Indian Health Services?
Its CFDA number is 93.193: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.193 awarded?
120 grant awards under 93.193 have obligated $300,301,850 in federal funds to 43 recipients.
Who receives the most funding from 93.193?
The recipients obligated the most under Urban Indian Health Services are National Council Of Urban Indian Health ($31,544,013), Seattle Indian Health Board ($22,099,296) and Indian Health Board Of Minneapolis, Inc. ($17,792,722).
How much did 93.193 obligate in fiscal year 2025?
Grants under 93.193 obligated $35,546,011 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.193?
2 listed opportunities under 93.193 are open or forecasted. The latest, Urban Indian Health 4-in-1 Program, was posted on August 6, 2026.
On GovTribe
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