Demonstration Projects for Indian Health

Active

Assistance listing
93.933
Agency
Grant awards
570 $519,320,244 in federal obligations

Program facts

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 demonstration projects that address health care challenges among American Indians and Alaska Natives, with the most recent grant award on December 1, 2025, under CFDA 93.933.

The program funds research studies and demonstration projects addressing specific health issues including women's health care, national Indian health outreach and education, opioid intervention and prevention, dental support services, food security and nutrition, behavioral health integration, dementia care, and domestic violence prevention. Recent awards reflect two dominant themes: Community Opioid Intervention Pilot Projects (COIPP) that expand medication-assisted treatment, harm reduction, prevention education, and family support services in tribal communities; and Produce Prescription Pilot Programs (P4) that distribute fruit and vegetable vouchers to reduce food insecurity and improve dietary health for individuals with diabetes, hypertension, and obesity. Representative recent awards include the Northwest Tribal Dental Support Center ($1.845 million for five years, December 2025) supporting oral health promotion and continuing dental education across 43 federally recognized tribes in the Portland area; the Pascua Yaqui Produce Prescription Pilot Project ($2.275 million for five years, July 2023) providing fresh produce access and nutrition education; and the Albuquerque Area Indian Health Board Community Opioid Intervention Prevention Project ($3.5 million, February 2025) implementing culturally appropriate substance abuse prevention and treatment across the Albuquerque service area.

The program is predominantly Project Grants (69% of 570 awards, 394 total), with smaller shares of Cooperative Agreements (20%, 114 awards) and Block Grants (11%, 62 awards). Award activity has been recent and variable: 25 awards in 2025, 36 in 2021, 5 in 2023, declining from earlier years. The Indian Health Service has obligated $519.3 million in federal dollars across all awards since 1997, with non-federal cost-share contributing an additional $17.5 million. Typical individual award magnitudes range from $1.4 million to $5.5 million for five-year project periods, though smaller three-year awards at $500 thousand to $1 million also appear in the portfolio. Eligible applicants include federally recognized Indian tribes, tribal organizations, nonprofit inter-tribal organizations, nonprofit urban Indian organizations under Title V, and state and local government health agencies. Initial project periods run up to five years, usually three years, with competitive renewals not to exceed five years total. Two opportunities are currently open: HHS-2026-IHS-PPPP-0001 (Phase 2 Produce Prescription Pilot Program, due June 22, 2026) and HHS-2026-IHS-TDCP-0001 (Dental Preventive Clinical Support, due October 10, 2025).

Objective and description

Objective

To promote improved health care among American Indians and Alaska Natives through research studies and demonstration projects, addressing such issues as, but not limited to Women's Health Care, National Indian Health Outreach and Education I, II & II

Eligibility

Applicant eligibility

Federally recognized Indian tribes; tribal organizations; nonprofit inter-tribal organizations; nonprofit urban Indian organizations contracting with the Indian Health Service under Title V of the Indian Health Care Improvement Act; public or private nonprofit health and education entities; and State and local government health agencies.

Beneficiary eligibility

American Indians/Alaska Natives will be the ultimate beneficiaries of the funded projects either directly or indirectly depending upon the nature of the project. For example, those individuals who participate in research studies and receive services will be direct beneficiaries while those impacted by policy changes resulting from analyses of Indian health care issues will be indirect beneficiaries.

Credentials and documentation

Costs will be determined in accordance with the applicable OMB Circular: OMB Circular No. A-87 (State, local, and Indian tribal governments); OMB Circular No. A-21 (institutions of higher education); and OMB Circular No. A-122 (nonprofit organizations). Depending upon the nature of the project, letters of support or tribal resolutions may be required.

Uses of assistance

Federal assistance is to be used for the following purposes: (1) Research, analysis, and investigation of a broad range of issues affecting the health of American Indians and Alaska Natives; and (2) demonstration projects and studies that provide American Indians/Alaska Natives with impetus and involvement in their health care and that promote improved health care to Indian people.

Length and time phasing of assistance

The project period is limited to 5 years or less. Within the project period, a continuation application must be submitted annually on a noncompetitive basis for each year of support.

How to apply

Application procedure

This program is subject to the provisions of 45 CFR 75. The application package may be found in Grants.gov. You may not e-mail an electronic copy of a grant application to IHS.

Criteria for selecting proposals

The selection criteria are: Statement of problem(s) requiring solution; need for assistance; results or benefits expected from the project; approach or soundness of the applicant's plan for conducting the project; key personnel and their capability to carry out the project; and adequacy of management controls. Consideration will be given to the demonstrative aspects of the project and the compatibility of the project with the overall goals and objectives of the Indian Health Service.

Award procedure

After review and approval, a notice of award is prepared and processed, along with appropriate notification to the public.

Renewals

Initial project period of up to 5 years, usually 3 years, with competitive renewals for periods not to exceed a total project period of 5 years.

Appeals

Grant appeals will follow PHS appeals procedures: 42 CFR, Part 50, Subpart D and DHHS appeals procedures: 45 CFR 16.

Grant opportunities

Opportunity Status Posted Applications due
Phase 2 Produce Prescription Pilot Program HHS-2026-IHS-PPPP-0001 Closed
Dental Preventive Clinical Support HHS-2026-IHS-TDCP-0001 Closed
Addressing Dementia in Tribal and Urban Indian Communities: Enhancing Sustainable Models of Care HHS-2025-IHS-ALZ-0002 Closed
Addressing Dementia in Indian Country: Enhancing Sustainable Models of Care HHS-2024-IHS-ALZ-0001 Closed
Native Public Health Resilience Planning HHS-2024-IHS-NPHRP-0001 Forecasted —
Native Public Health Resilience HHS-2024-IHS-NPHR-0001 Forecasted —
Produce Prescription Pilot Program HHS-2023-IHS-PPPP-0001 Closed
Indian Health Service National Indian Health Outreach and Education HHS-2023-IHS-NIHOE-0001 Closed
Addressing Dementia in Indian Country: Models of Care HHS-2023-IHS-ALZ-0001 Closed
Healthy Lifestyles in Youth HHS-2022-IHS-HLY-0001 Closed
Ending the HIV/HCV Epidemics in Indian Country HHS-2022-IHS-ETHIC-0001 Closed
Addressing Dementia in Indian Country: Models of Care HHS-2022-IHS-ALZ-0001 Closed
Community Opioid Intervention Pilot Projects HHS-2021-IHS-COIPP-0001 Closed
National Indian Health Outreach and Education HHS-2020-IHS-NIHOE-0001 Closed
Dental Preventive Clinical Support Program HHS-2020-IHS-TDCP-0001 Closed
2018 09 MSPI Puyallup change of Grantee HS-BH16I-18-001 Closed
Youth Regional Treatment Center Aftercare Pilot Project HHS-2018-IHS-YRTC-0001 Closed
Zero Suicide Initiative HHS-2018-IHS-ZSI-0001 Closed
Behavioral Health Integration Initiative HHS-2017-IHS-BH2I-0001 Closed
Preventing Alcohol-Related Deaths through Social Detoxification HHS-2017-IHS-PARD-0001 Closed
Domestic Violence Prevention Initiative HHS-2017-IHS-DVPI-0001 Closed
Public Health Nursing HHS-2017-IHS-PHN-0001 Closed
Healthy Lifestyles in Youth Project HHS-2017-IHS-HLY-0001 Closed
Methamphetamine and Suicide Prevention Initiative HHS-2015-IHS-MSPI-0001 Closed
Domestic Violence Prevention Initiative HHS-2015-IHS-DVPI-0001 Closed
National Indian Health Outreach and Education, Policy/Budget/Diabetes HHS-2015-IHS-NIHOE-1-PBD-0003 Closed
HHS-2015-IHS-NIHOE-3-Health-Reform-0002 HHS-2015-IHS-NIHOE-3-HEALTH-REFORM-0002 Closed
National Indian Health Outreach and Education II - MSPI and HIV/AIDS HHS-2015-IHS-NIHOE-2-MSPI-0001 Closed
National Indian Health Outreach and Education III HHS-2014-IHS-NIHOE-0003 Closed
Show all 29

Grant awards

Award Recipient Federal obligations Awarded
Alaska dental preventive and clinical support program - the alaska dental preventive and clinical support center is a… U3D2IHS0033 Alaska Native Tribal Health Consortium $2,275,554
Northwest tribal dental support center - the northwest portland area indian health board (npaihb), a non-profit… U3D2IHS0032 Northwest Portland Area Indian Health Board $1,845,554
Albuquerque area dental support center - the albuquerque area dental support center (aadsc), operated by native… U3D2IHS0031 Native American Professional Parent Resources, Inc. $2,275,554
Uset dental preventive clinical support - since 2005, the united south and eastern tribes (uset) has operated its… U3D2IHS0030 United South & Eastern Tribes Inc. $1,845,554
Montana/wyoming dental support center (DSC)DSC will provide support, guidance, and resources to dental programs that… U3D2IHS0029 Confederated Salish And Kootenai Tribes Of The Flathead Reservation $1,845,554
CA dental support center - the california dental support center (cadsc), housed at the california rural indian health… U3D2IHS0028 California Rural Indian Health Board, Inc. $2,275,554
Native core program H1H5IHS0054 Native Directions, Inc. $2,000,000
Anishnaabek community opioid intervention prevention program (acoipp) - the inter-tribal council of michigan, INC… H1H5IHS0053 Inter-Tribal Council Of Michigan Inc. $1,500,000
Modoc nation coip grant - the community opioid intervention prevention program will develop partnerships that provide… H1H5IHS0052 Modoc Nation $1,500,000
Community opioid intervention prevention program - indian health council, INC. (IHC) is a nonprofit federally qualified… H1H5IHS0051 Indian Health Council Inc. $2,000,000

Latest 10 of 570 listed here. See the rest on GovTribe.

Top recipients by federal obligations

10 of 250 recipients listed here. See the rest on GovTribe.

Federal obligations by fiscal year

Fiscal year Federal obligations
FY2026 $19,008,598
FY2025 $26,196,754
FY2024 $17,521,958
FY2023 $45,085,893
FY2022 $58,809,390
FY2021 $27,347,601
FY2020 $42,349,788
FY2019 $40,731,278
FY2018 $49,832,384
FY2017 $56,852,941
FY2016 $41,830,552
FY2015 $33,373,960
FY2014 $17,150,212
FY2013 $16,237,441
FY2012 $17,216,011
FY2011 $19,533,894
FY2010 $20,335,692
FY2009 $6,264,470
FY2008 $3,701,062
FY2007 $3,079,802
FY2006 $52,667
Show all 21

Quick answers

What is Assistance Listing 93.933?

Assistance Listing 93.933 is Demonstration Projects for Indian Health, a federal grant program run by Indian Health Service (Department of Health and Human Services).

What is the CFDA number for Demonstration Projects for Indian Health?

Its CFDA number is 93.933: Assistance Listing numbers were called CFDA numbers before 2018.

How much funding has Assistance Listing 93.933 awarded?

570 grant awards under 93.933 have obligated $519,320,244 in federal funds to 250 recipients.

Who receives the most funding from 93.933?

The recipients obligated the most under Demonstration Projects for Indian Health are National Indian Health Board ($16,779,868), Northwest Portland Area Indian Health Board ($14,562,944) and Albuquerque Area Indian Health Board Inc. ($13,118,097).

How much did 93.933 obligate in fiscal year 2025?

Grants under 93.933 obligated $26,196,754 in federal funds in fiscal year 2025.

Are there open grant opportunities under 93.933?

2 listed opportunities under 93.933 are open or forecasted. The latest, Phase 2 Produce Prescription Pilot Program, was posted on May 19, 2026.

On GovTribe

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