Injury Prevention Program for American Indians and Alaskan Natives Cooperative Agreements
Active
- Assistance listing
- 93.284
- Agency
-
Indian Health Service
Department of Health and Human Services
- Grant awards
- 196 $49,572,001 in federal obligations
Program facts
- 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 awards Cooperative Agreements under CFDA 93.284 to develop tribal capacity in injury prevention for American Indian and Alaska Native communities, with 25 awards obligating $49.6 million in federal dollars as of January 2026.
The program funds community-based injury prevention initiatives addressing leading causes of preventable harm: elder fall prevention through home safety assessments, exercise programming, and environmental modifications; child passenger safety through car seat distribution, installation training, and technician certification; motor vehicle crash prevention via occupant restraint education and enforcement; and emerging priorities including suicide prevention, firearm safety, traumatic brain injury reduction, water safety, and substance misuse harm reduction. Recent awards show recipients implementing culturally grounded strategies combining traditional practices with evidence-based interventions endorsed by CDC and IHS.
The portfolio is dominated by Cooperative Agreements (124 awards, 63 percent), with smaller shares of Project Grants (38 awards, 19 percent) and Block Grants (34 awards, 17 percent). The Department of Health and Human Services Indian Health Service funds the entire program across 196 historical awards dating to 1998, with increased activity in recent years—25 awards in 2026 and 27 in 2021 compared to 1 in 2014. The most recent awards were issued January 1, 2026 with project completion dates of December 31, 2030.
Recent recipients include Winnebago Comprehensive Healthcare System ($299,998 for senior fall prevention and child passenger safety), Tuba City Regional Health Care Corporation ($150,000 for motor vehicle crash, substance misuse, elder fall, and suicide prevention), and Southcentral Foundation serving Alaska Native populations ($300,000 for ATV safety and traumatic brain injury initiatives). Awards range from $40,000 to $450,000 annually across five-year periods. The California Rural Indian Health Board received $450,000 for child passenger safety and wildfire-related injury prevention.
A Notice of Funding Opportunity HHS-2026-IHS-IPP-0001 is currently open with a due date of November 13, 2025. The program has two competitive parts: Part I funds full-time injury prevention coordinators for applicants with an IHS user population of at least 2,500; Part II funds injury prevention projects or innovative strategies with no population minimum. Eligible applicants include federally recognized tribes, tribal organizations, 501(c)(3) nonprofits serving primarily American Indian and Alaska Native populations, and urban Indian organizations. Grants are approved or disapproved within 90 days of receipt; renewals of multi-year agreements require annual continuation applications on a year-to-year basis.
Objective and description
- Objective
To improve the quality of the health of American Indians and Alaskan Natives by developing the capacity of tribes to address their injury problems.
Eligibility
- Applicant eligibility
Federally-recognized tribes, tribal organizations, non-profit organizations serving primarily American Indians and Alaska Natives, and urban Indian organizations may apply.
- Beneficiary eligibility
Individuals who are members of an eligible applicant tribe, band, or group or village and who may be regarded as within the scope of the Indian health and medical service program and who are regarded as an Indian by the community in which he lives as evidenced by such factors as tribal membership, enrollment, residence on tax exempt land, ownership or restricted property, active participation in tribal affairs or other relevant factors in keeping with general Bureau of Indian Affairs practices in the jurisdiction.
- Credentials and documentation
Certification of American Indian or Alaska descent is required for direct services. Provisions of cooperative agreement require tribal endorsement in the form of Resolution to sanction tribal participation. Costs will be determined in accordance with 2 CFR 200.
- Uses of assistance
The assistance is used for three types of injury prevention related projects: (1) Part I Basic: Build or enhance local injury prevention capacity; and (2) Part II Intervention: Implement a proven or promising injury prevention intervention. This assistance is available to federally-recognized Indian tribes, tribal organizations, and urban Indian organizations.
- Length and time phasing of assistance
IHS Grants are usually 3 to 5 years for a project period.
How to apply
- Criteria for selecting proposals
(1) The apparent capability of the applicant to organize and manage the proposed project successfully considering the adequacy of staff, management systems, equipment and facilities; (2) the soundness of the applicant's plan for conducting the project and for assuring effective utilization of grant funds; (3) the adequacy of the budget in relation to the scope of the project and available funds; and (4) the relative effectiveness of the applicant's plan to carry out each of the requirements as set forth in the application.
- Award procedure
Cooperative agreements are awarded on a competitive basis with processing and final approved by Indian Health Service Headquarters.
- Time to approval or disapproval
Grants are approved or disapproved within 90 days of receipt of grant applications by the Indian Health Service, program office.
- Renewals
Renewal of multi-year cooperative agreements is on a year-to-year basis and requires the submission of continuation applications.
- Appeals
Cooperative agreement appeals will follow PHS appeals procedures: 42 CFR, Part 50 Subpart D and DHHS appeals procedures: 45 CFR, Part 16.
Grant opportunities
| Opportunity | Status | Posted | Applications due |
|---|---|---|---|
| Tribal Injury Prevention Cooperative Agreement Program | Closed | ||
| Tribal Injury Prevention Cooperative Agreement Program | Closed | ||
| Injury Prevention Program | Closed | ||
| Injury Prevention Program for American Indians and Alaska Natives | Closed |
Grant awards
Latest 10 of 196 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | Choctaw Nation Of Oklahoma | $2,478,094 | 5% |
| 2 | Northwest Portland Area Indian Health Board | $2,356,734 | 5% |
| 3 | KAW Nation | $2,300,780 | 5% |
| 4 | Indian Health Council Inc. | $2,096,000 | 4% |
| 5 | Tuba City Regional Health Care Corporation | $1,986,750 | 4% |
| 6 | Great Plains Tribal Leaders Health Board | $1,788,449 | 4% |
| 7 | Salt River Pima-Maricopa Indian Community | $1,775,000 | 4% |
| 8 | Norton Sound Health Corp | $1,742,689 | 4% |
| 9 | Maniilaq Association | $1,735,964 | 4% |
| 10 | Winnebago Tribe Of Nebraska | $1,674,998 | 3% |
10 of 113 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $3,969,574 |
| FY2025 | $3,848,223 |
| FY2024 | $6,446,348 |
| FY2023 | $5,071,438 |
| FY2022 | $7,250,565 |
| FY2021 | $1,576,556 |
| FY2019 | $1,285,000 |
| FY2018 | $1,295,000 |
| FY2017 | $1,514,999 |
| FY2016 | $880,000 |
| FY2015 | $1,242,398 |
| FY2014 | $2,187,897 |
| FY2013 | $2,128,342 |
| FY2012 | $2,264,675 |
| FY2011 | $2,830,033 |
| FY2010 | $2,490,000 |
| FY2009 | $1,622,533 |
| FY2008 | $824,988 |
| FY2007 | $843,432 |
Show all 19
Quick answers
What is Assistance Listing 93.284?
Assistance Listing 93.284 is Injury Prevention Program for American Indians and Alaskan Natives Cooperative Agreements, a federal grant program run by Indian Health Service (Department of Health and Human Services).
What is the CFDA number for Injury Prevention Program for American Indians and Alaskan Natives Cooperative Agreements?
Its CFDA number is 93.284: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.284 awarded?
196 grant awards under 93.284 have obligated $49,572,001 in federal funds to 113 recipients.
Who receives the most funding from 93.284?
The recipients obligated the most under Injury Prevention Program for American Indians and Alaskan Natives Cooperative Agreements are Choctaw Nation Of Oklahoma ($2,478,094), Northwest Portland Area Indian Health Board ($2,356,734) and KAW Nation ($2,300,780).
How much did 93.284 obligate in fiscal year 2025?
Grants under 93.284 obligated $3,848,223 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.284?
No opportunity listed under 93.284 is open now. The latest, Tribal Injury Prevention Cooperative Agreement Program, was posted on July 21, 2025.
On GovTribe
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