California Rural Indian Health Board, Inc.

California Rural Indian Health Board, Inc., doing business as California Rural Indian Health Board, is a tribally-owned, Native American-owned nonprofit 501(c)(3) organization operating since 1969 under the Indian Self-Determination Act that serves as a federal grant recipient (93% of recent awards) delivering health workforce training, behavioral health services, child care administration, and public health infrastructure support to American Indian and Alaska Native communities across California's 109 federally recognized tribes. CRIHB is headquartered in Roseville, California and holds no federal contracts but operates exclusively under federal grant awards, predominantly from the Department of Health and Human Services.

CRIHB's capability portfolio centers on community health workforce development, substance abuse and mental health treatment, injury prevention, dental professional support, and tribal early childhood care administration. Recent representative awards include a $1.333 million Community Health Aide Program grant from the Indian Health Service (CFDA 93.228) running through June 2029 that establishes training infrastructure and pathways for tribal community members to become culturally responsive health care providers in medical, behavioral health, and dental services; a $2.275 million Demonstration Projects for Indian Health grant (CFDA 93.933) awarded December 2025 funding the California Dental Support Center, which delivers training, technical assistance, and education to tribal and urban Indian dental professionals across 34 tribal dental clinics operating 67 sites statewide; and a $450,000 cooperative agreement under the Injury Prevention Program for American Indians and Alaska Natives (CFDA 93.284) running through December 2030 that funds two coordinated injury prevention strategies addressing child passenger safety and wildfire-related ecological and disaster injury prevention. CRIHB also administers child care subsidies and quality improvement activities as the lead agency under the Child Care and Development Block Grant Discretionary (CFDA 93.575) and Child Care and Development Fund programs (CFDA 93.596), with a combined $7.68 million in awards from the Administration for Children and Families, and operates the California Tribal Epidemiology Center, which conducts disease surveillance and builds public health infrastructure for tribal health programs under cooperative agreements with the Centers for Disease Control and Prevention and the National Center for Chronic Disease Prevention and Health Promotion.

The Department of Health and Human Services dominates CRIHB's customer base, with 98 awards (counting subdepartment-specific breakdowns from the Indian Health Service, Public Health Service, Administration for Children and Families, and SAMHSA) representing substantially all identified funding, covering 60% of total awards in the source. The top five HHS subdepartment customers by award count are the Indian Health Service (49 awards, $3 million combined potential value), the Public Health Service (19 awards), the Administration for Children and Families (18 awards), SAMHSA (16 awards), and another Indian Health Service tranche (16 awards). Within the next twenty-four months, ten awards carrying combined potential value of $611 thousand reach ultimate completion date, creating recompete exposure tied principally to formula-grant recertifications and cooperative agreement renewals rather than competitive solicitations.

CRIHB's prime award footprint runs across professional and management development training (14 awards), administration of public health programs (9 awards), all other miscellaneous ambulatory health care services (8 awards), exam preparation and tutoring (7 awards), and all other support services (6 awards), with medical-managed healthcare (27 awards) and support-professional services (15 awards) dominating the PSC landscape. Activity has moderated from a peak of sixteen awards in 2023 to two awards year-to-date in 2026, though the source captures only two months of 2026 performance. In its sub-recipient capacity, CRIHB receives pass-through funding from the California Department of Health Care Services (tribal medication-assisted treatment projects and state opioid response), the California Department of Social Services (Child and Adult Care Food Program reimbursement), and the University of Colorado (tribal epidemiology center coordination). CRIHB operates the network through subawards to approximately 15 to 20 tribal health programs, urban Indian organizations, and tribal Head Start and childcare facilities annually, establishing CRIHB as a pass-through administrator and capacity-builder rather than a direct service delivery organization for most health programs.