Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects
Active
- Assistance listing
- 93.237
- Agency
-
Indian Health Service
Department of Health and Human Services
- Grant awards
- 1,510 $4,216,976,709 in federal obligations
Program facts
- Also known as
- (Indian Health)
- Assistance types
-
- Cooperative Agreement
- Project Grant
- 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 diabetes prevention and treatment services for American Indians and Alaska Natives under Assistance Listing 93.237, with the most recent grant award disbursed on August 1, 2026.
The program supports community-directed and tribal health clinic-based diabetes prevention and treatment activities tailored to local needs. Funded activities span clinical services—diabetes screening, patient registries, continuous glucose monitoring devices, foot exams, eye exams, and medication management—alongside community prevention programs including nutrition education, cooking demonstrations, physical activity classes, fitness center access, health fairs, and culturally integrated wellness initiatives. Recipients implement one designated diabetes best practice (such as diabetes-related education, physical activity education, or improved glycemic control) and report required key measures; additional activities address local priorities including tobacco cessation, hypertension management, and complications prevention.
The portfolio is predominantly Cooperative Agreements (38% of 1,510 total awards), with smaller shares of Project Grants (36%) and Block Grants (25%). All awards originate from the Department of Health and Human Services Indian Health Service. Combined federal dollars obligated total $4.22 billion across the awards. Recent award magnitudes range widely: the Navajo Area IHS program received $99.4 million; the Phoenix Indian Medical Center Diabetes Center of Excellence received $23.6 million; the Eastern Band of Cherokee received $17.9 million; and numerous tribal programs received between $1 million and $11 million. Smaller awards below $1 million support community health programs in remote or rural service areas.
Grant activity accelerated significantly in 2023, when 305 awards were issued, compared to 3 in 2022 and 9 in 2024. Two awards were made as recently as August 2026. The program has operated since 1998 and awards are made for up to five years with renewal possible through annual noncompeting continuation applications. Funds are expected to be awarded within 45 days after receipt of complete applications.
Two active grant opportunities are open: HS-H1D1I-24-001 (Special Diabetes Program for Indians Community Directed, due November 29, 2023) and HHS-2024-IHS-SDPI-0001 (Special Diabetes Program for Indians, posted September 15, 2023, due November 29, 2023). Eligible applicants include federally recognized Indian tribes, tribal organizations, urban Indian organizations, and 501(c)(3) nonprofits operating Indian health programs under the Indian Self-Determination Act or Title V of the Indian Health Care Improvement Act. Applications are submitted electronically through Grants.gov.
Objective and description
- Objective
To promote improved health care among American Indians/Alaska Natives through special diabetes prevention and treatment services with objectives and priorities determined at the local level. Since FY 2016, this program includes a new grant applicatio
Eligibility
- Applicant eligibility
The Public Health Service Act, as amended, states that the following groups are eligible to apply for grants: Indian Health Service (IHS) entities: Indian tribes or tribal organizations who operate an Indian Health program. This includes program under a contract, grant, cooperative agreement or compact with the IHS under the Indian Self-Determination Act; and Urban Indian organizations that operate an urban Indian Health program. This includes programs under a grant or contract with the IHS under Title V of the Indian Health Care Improvement Act.
- Beneficiary eligibility
American Indians/Alaskan Natives will be the ultimate beneficiaries of the funded projects through either prevention or direct treatment services.
- Credentials and documentation
Costs will be determined in accordance with 2 CFR 200 Cost Principles.
- Uses of assistance
The SDPI program funds competitive grant programs to implement primary, secondary, and tertiary diabetic prevention and treatment and related data collection. The award amount will include both direct and indirect costs. Grant funds may not be used for any other purpose. Funding may not be used as matching funds for other Federal programs.
- Length and time phasing of assistance
Awards are made for up to five years.
How to apply
- Application procedure
The preferred method for receipt of applications is electronic submission through Grants.gov. However, should any technical problems arise regarding the submission, please contact Grants.gov Customer Support at 1-800-518-4726 or support@grants.gov. The Contact Center is open 24 hours a day, 7 days a week (except for Federal holidays). To submit an application electronically, please use the http://www.Grants.gov apply site. You may not e-mail an electronic copy of a grant application to us. This program is subject to the provisions of either 45 CFR 75. Grant applications will be reviewed under an Objective Review process. Applications will be ranked. Grants will be awarded based on the results of the Objective Review process.
- Award procedure
After review and approval, a notice of this grant award is prepared and processed along with the appropriate notification to the public.
- Time to approval or disapproval
Funds are expected to be awarded no later than 45 days after complete applications are received. Awards could be delayed for applications not meeting initial approval.
- Renewals
Renewal of grants is on a year-to-year basis and requires the submission of annual noncompeting continuation applications.
Grant opportunities
Grant awards
Latest 10 of 1,510 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | Indian Health Service | $211,802,268 | 5% |
| 2 | Cherokee Nation | $205,528,539 | 5% |
| 3 | Navajo Nation Tribal Government | $159,695,872 | 4% |
| 4 | Gila River Healthcare Corporation | $115,515,902 | 3% |
| 5 | Choctaw Nation Of Oklahoma | $88,898,329 | 2% |
| 6 | United South & Eastern Tribes Inc. | $70,494,784 | 2% |
| 7 | Tohono O'odham Nation | $60,705,076 | 1% |
| 8 | Southcentral Foundation | $55,161,658 | 1% |
| 9 | San Carlos Apache Healthcare Corporation | $53,093,229 | 1% |
| 10 | Phoenix Area Indian Health SVC | $50,764,140 | 1% |
10 of 463 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $430,215,758 |
| FY2025 | $318,156,754 |
| FY2024 | $892,047,651 |
| FY2023 | $376,579,945 |
| FY2022 | $384,867,514 |
| FY2021 | $104,318,138 |
| FY2020 | $113,931,310 |
| FY2019 | $133,718,708 |
| FY2018 | $136,049,689 |
| FY2017 | $127,666,749 |
| FY2016 | $136,127,763 |
| FY2015 | $116,954,066 |
| FY2014 | $113,312,140 |
| FY2013 | $109,748,713 |
| FY2012 | $112,778,021 |
| FY2011 | $113,232,005 |
| FY2010 | $134,341,714 |
| FY2009 | $135,205,270 |
| FY2008 | $93,203,023 |
| FY2007 | $42,464,020 |
| FY2006 | $9,935,538 |
| FY2005 | $10,149,762 |
| FY2004 | $13,726,415 |
| FY2003 | $24,335,896 |
Show all 24
Quick answers
What is Assistance Listing 93.237?
Assistance Listing 93.237 is Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects, a federal grant program run by Indian Health Service (Department of Health and Human Services).
What is the CFDA number for Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects?
Its CFDA number is 93.237: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.237 awarded?
1,510 grant awards under 93.237 have obligated $4,216,976,709 in federal funds to 463 recipients.
Who receives the most funding from 93.237?
The recipients obligated the most under Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects are Indian Health Service ($211,802,268), Cherokee Nation ($205,528,539) and Navajo Nation Tribal Government ($159,695,872).
How much did 93.237 obligate in fiscal year 2025?
Grants under 93.237 obligated $318,156,754 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.237?
No opportunity listed under 93.237 is open now. The latest, Special Diabetes Program for Indians, Community Directed, was posted on October 23, 2023.
On GovTribe
See this program's full record
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