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IHS Facility Construction Grant Opportunities. 2008 Annual Self-Governance Conference. IHS Grant Programs. Joint Venture Small Ambulatory Dental Tribal Equipment Area Distribution (under development). Joint Venture Grants. Eligibility – Any Federally Recognized AI/AN Tribe

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IHS Facility Construction

Grant Opportunities

2008 Annual Self-Governance Conference


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IHS Grant Programs

  • Joint Venture

  • Small Ambulatory

  • Dental

  • Tribal Equipment

  • Area Distribution (under development)


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Joint Venture Grants

  • Eligibility – Any Federally Recognized AI/AN Tribe

    • Eligible to Build or Acquire an Outpatient or Inpatient Facility

  • Tribe Commits To Build (or expand) The Proposed Healthcare Facility With Non-IHS Funds

  • Funding Subject To Congressional Appropriation

    • Funds For Medical Equipment (17-20% of Construction Cost)

    • Typical $5M Funding Level (but not funded every year)

  • At Project Completion Congress Funds The Approved Staffing Package At 85% Level.


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Joint VentureApplication / Selection Process

  • Two Step Process

    • Pre-application determines if project is eligible for consideration

    • Final Application Determines Ability of Applicant to Administer and Finance Project

  • Selection Process

    • Applicant Prepares IHS Planning Documents (PJD/POR)

    • Successful Applicants Will Enter Into JV Agreements with IHS


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Joint VentureGrant Success

  • Historical Funding of $17.4 million

  • First Funding in FY 2001 ($5 million)

  • 7 Projects Funded Since FY 1998

  • No Funding In FY 2008


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Small Ambulatory Program

  • Applicant Eligibility –

    • Any Federally Recognized AI/AN Tribe Operating An IHS Healthcare Program Under P.L. 93-638.

    • Facility Is Not Owned Or Constructed By IHS Or Transferred To The Tribe By IHS.

    • Upon Completion Of The Proposed Project, The Health Facility Will: (unless the tribal government is located on an island)

      • Serve No Less Than 500 Eligible Indians Annually

      • Be Located In A Service Area Of Not Less Than 2000 Eligible AI/AN Beneficiaries


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Small Ambulatory Program

  • Project Eligibility

    • Must Be An Ambulatory Healthcare Facility

    • Located Apart From A Hospital

    • Located On Municipal, Private, Or Tribal Land

  • Funds May Be Used For

    • Construction Of A New Or Replacement Facility

    • Expansion Or Modernization Of An Existing Facility

  • Other Federal Or Grant Funds May Be Used

  • No Other Source Of IHS Funding May Be Used

    • Except Tribal Equipment Replacement Funds For Non-IHS Funded Portion Of Project.


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Small Ambulatory Program

  • Funding Subject To Congressional Appropriation

    • Funds For Construction Cost Up To $2 million

    • Typical $2.5 - $5M Funding Level (but not funded every year)

  • Funds For Construction Only

  • Facility Is Eligible For M&I & Medical Equipment Replacement Funds When Completed


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Small Ambulatory ProgramGrant Success

  • Historical Funding of $39.3 million

  • 27 Projects Funded Since FY 1998

  • $2.5 million Appropriated In FY 2008


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Dental Facilities Program

  • Funds New Or Replacement Dental Facilities

  • Three Year Application Cycle (the 2007 applications cover 2008-2010)

  • Dental Facility Must Be A 40 hr/week Service

  • Limited To 3, 4, or 5 Chair Operatories

  • One Step Application Process

  • $13.4 million Appropriated To Date

  • 33 Facilities Funded To Date

  • $2 million Appropriated in FY 2008


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Tribal Equipment Fund

  • Provides Equipment Funds For A New Health Facility Operated By A Federally Recognized Tribe Under A

    P.L. 93-638 Agreement With IHS

  • The New Facility Must Be Built With Non-IHS Funds

  • Funding Amount Is Up To 20% Of The Project Construction Cost (Award Not To Exceed $300,000)

  • Approximately $5 million Appropriated By Congress Annually

  • Additional Info On IHS Website www.dfo.ihs.gov


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Area Distribution(Under Development)

  • Facilities Appropriation Advisory Board (FAAB) Developed Concept As Part Of Their Recommended New Health Facility Construction Priority System Methodology

  • Senate Included In IHCIA By Amendment

  • House Working To Add By Amendment

  • FAAB Meets In June To Develop A Detailed Draft Process

  • IHS Will Seek Formal Tribal Consultation


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Area Distribution(Under Development)

  • Proposed As A New Authorization Under The IHS Facility Appropriation

  • Appropriated Funds Provided To Each IHS Area Based On A Formula Distribution

  • Distributed Funds Would Be Used To Fund Area Priority Projects From The National Unmet Needs List

  • A 40-50% Staffing Package Would Be Provided By Congress At Project Completion


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For Further Information

  • For Health Facility Construction www.dfpc.ihs.gov

  • For Tribal Equipment Fund www.dfo.ihs.gov

  • Contact The IHS Dept. Facilities Planning and Construction Office @

    (301) 443-1851

  • Your IHS Area Office


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