Rocky Boy Health Center

Rocky Boy Health Center, a tribally owned firm and federally recognized Indian tribe based in Box Elder, Montana, receives federal grant funding as a prime recipient focused on behavioral health, substance abuse prevention and treatment, injury prevention, and integrated primary care delivery for the Chippewa Cree Tribe on Rocky Boy's Indian Reservation. The organization operates exclusively as a grant recipient; it holds no federal contracts and does not compete for contract work.

Rocky Boy Health Center's federal footprint centers on the Department of Health and Human Services, which accounts for the majority of recent grant activity. The Department of Health and Human Services Public Health Service, Indian Health Service (IHS), and Substance Abuse and Mental Health Services Administration (SAMHSA) fund the bulk of Rocky Boy Health Center's federal work. Recent prime grants include a $150,000 five-year Cooperative Agreement from IHS under the Injury Prevention Program for American Indians and Alaskan Natives (CFDA 93.284), awarded January 1, 2026, to develop and implement a comprehensive fall-prevention program through home assessments and modifications, with deliverables including hiring a full-time Public Health Injury Prevention Coordinator and conducting at least 150 home safety assessments and 75 home modifications over the five-year period. Rocky Boy Health Center also received a $686,868 three-year Project Grant from SAMHSA's Center for Substance Abuse Treatment under the Substance Abuse and Mental Health Services Projects of Regional and National Significance program (CFDA 93.243), awarded September 30, 2025, to pilot an integrated Hepatitis C elimination initiative with same-day screening, testing, and treatment for individuals with co-occurring substance abuse disorder or severe mental illness, targeting at least 600 individuals screened annually and 25 to 50 individuals treated and cured per year through September 29, 2027. Additional active grants include a five-year behavioral health integration enhancement project from IHS (awarded April 1, 2022, through March 31, 2027) focused on transforming primary care through integrated behavioral health service delivery, a five-year Zero Suicide Initiative grant from IHS (April 1, 2022, through March 31, 2027) implementing a comprehensive suicide prevention system, a five-year Tribal Opioid Response project from SAMHSA (awarded September 30, 2024, through September 29, 2029) providing opioid prevention, treatment, and recovery support services, a five-year Native Connections project from SAMHSA (awarded September 30, 2024, through September 29, 2029) delivering culturally adapted youth mental health and substance abuse prevention services, and a five-year Produce Prescription Pilot Program from IHS (awarded July 1, 2023, through June 30, 2028) addressing food insecurity among individuals with diabetes or pre-diabetes. Rocky Boy Health Center also functions as a sub-recipient on four federal grants: a Johns Hopkins University research award (January 5, 2026) where Rocky Boy Health Center serves as community consultant to the Miyo Youth programming initiative, a Montana State University REACH (Racial and Ethnic Approaches to Community Health) award (October 1, 2023), and two State of Montana Department of Health and Human Services sub-awards for PHSI and PFS programming (March 1, 2023, and September 30, 2023).

Recent award activity reflects declining volume — three awards in 2022, five in 2023, two in 2024, one in 2025, and two in 2026 year to date — with five awards reaching ultimate completion inside the next twenty-four months, presenting recompete opportunity. Rocky Boy Health Center's grant portfolio is almost entirely HHS-funded, with 88% operating as a prime recipient and 12% as a sub-recipient, reflecting its role as a tribally operated health services provider rather than a federal contractor or consulting firm.