Indian Self-Determination
CFDA 93.441 · Federal Grants & Funding
Total Funding
$6.17B
Awards
415
Recipients
207
States
29
Last Updated
Mar 20, 2026
Yearly Funding Trend
| Fiscal Year | Obligations | Awards | YoY Change |
|---|---|---|---|
| 2024 | $5.29B | 253 | |
| 2025 | $593.4M | 93 | -88.8% |
| 2026 | $292.7M | 69 | -50.7% |
Award Type Mix
| Type | Obligations | Awards |
|---|---|---|
| $0 | 0 |
Top 50 Awards under CFDA 93.441
Largest individual obligations for Indian Self-Determination.
| Award | Recipient | Awarding Agency | Place | FY | Obligation |
|---|---|---|---|---|---|
ASST_NON_24522FD01_075 COMBINED HEALTH SERVICES | FORT DEFIANCE INDIAN HOSPITAL BOARD INC Arizona | Department of Health and Human Services Indian Health Service | AZ-90 | 2024 | $430,496,183 |
ASST_NON_235180004_075 COMBINED HEALTH SERVICES | CALIFORNIA RURAL INDIAN HEALTH BOARD, INC. California | Department of Health and Human Services Indian Health Service | CA-90 | 2024 | $416,681,971 |
ASST_NON_239100016_075 COMBINED HEALTH SERVICES | RED LAKE COMPREHENSIVE HEALTH SERVICES Minnesota | Department of Health and Human Services Indian Health Service | MN-90 | 2024 | $266,339,648 |
ASST_NON_285000002_075 COMBINED HEALTH SERVICES | SENECA NATION OF INDIANS New York | Department of Health and Human Services Indian Health Service | NY-90 | 2024 | $262,297,691 |
ASST_NON_248960016_075 COMBINED HEALTH SERVICES | CONFEDERATED TRIBES AND BANDS OF THE YAKAMA NATION Washington | Department of Health and Human Services Indian Health Service | WA-90 | 2024 | $246,927,746 |
ASST_NON_248960012_075 COMBINED HEALTH SERVICES | PUYALLUP TRIBAL HEALTH AUTHORITY Washington | Department of Health and Human Services Indian Health Service | WA-90 | 2024 | $228,751,016 |
ASST_NON_2412301111_075 ALCOHOL / SUBSTANCE ABUSE PROGRAM | GREAT PLAINS TRIBAL LEADERS HEALTH BOARD South Dakota | Department of Health and Human Services Indian Health Service | SD-00 | 2024 | $177,095,433 |
ASST_NON_248950012_075 COMBINED HEALTH SERVICES | CONFEDERATED TRIBES OF WARM SPRINGS RESERVATION OF OREGON Oregon | Department of Health and Human Services Indian Health Service | OR-90 | 2024 | $145,886,436 |
ASST_NON_247202520006C_075 COMBINED HEALTH SERVICES | SAN CARLOS APACHE TRIBAL COUNCIL Arizona | Department of Health and Human Services Indian Health Service | AZ-90 | 2025 | $145,059,689 |
ASST_NON_248110004_075 COMBINED HEALTH SERVICES | SHOSHONE BANNOCK TRIBES Idaho | Department of Health and Human Services Indian Health Service | ID-90 | 2024 | $141,304,745 |
ASST_NON_235170007_075 COMBINED HEALTH SERVICES | CENTRAL VALLEY INDIAN HEALTH, INC. California | Department of Health and Human Services Indian Health Service | CA-90 | 2024 | $123,422,918 |
ASST_NON_24521SM01_075 COMBINED HEALTH SERVICES | NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC Arizona | Department of Health and Human Services Indian Health Service | AZ-90 | 2024 | $116,700,230 |
ASST_NON_239150004_075 COMBINED HEALTH SERVICES | LAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS Wisconsin | Department of Health and Human Services Indian Health Service | WI-90 | 2024 | $108,930,692 |
ASST_NON_248960022_075 COMBINED HEALTH SERVICES | KLAMATH TRIBAL HEALTH & FAMILY SERVICES Oregon | Department of Health and Human Services Indian Health Service | OR-90 | 2024 | $99,256,723 |
ASST_NON_241202000010_075 COMBINED HEALTH SERVICES | THREE AFFILIATED TRIBES North Dakota | Department of Health and Human Services Indian Health Service | ND-00 | 2024 | $94,151,261 |
ASST_NON_245201400004C_075 COMBINED HEALTH SERVICES | NAVAJO NATION TRIBAL GOVERNMENT Arizona | Department of Health and Human Services Indian Health Service | AZ-90 | 2024 | $88,363,062 |
ASST_NON_24525HM01_075 COMBINED HEALTH SERVICES | NAVAJO NATION TRIBAL GOVERNMENT Arizona | Department of Health and Human Services Indian Health Service | AZ-90 | 2025 | $82,122,991 |
ASST_NON_24525SM02_075 COMBINED HEALTH SERVICES | NAVAJO HEALTH FOUNDATION-SAGE MEMORIAL HOSPITAL INC Arizona | Department of Health and Human Services Indian Health Service | AZ-90 | 2025 | $81,130,901 |
ASST_NON_239100007_075 COMBINED HEALTH SERVICES | ST CROIX CHIPPEWA INDIANS OF WISCONSIN Wisconsin | Department of Health and Human Services Indian Health Service | WI-90 | 2024 | $80,069,940 |
ASST_NON_248960001_075 COMBINED HEALTH SERVICES | CONFEDERATED TRIBES OF COLVILLE RESERVATION Washington | Department of Health and Human Services Indian Health Service | WA-90 | 2024 | $70,967,851 |
ASST_NON_24420NC01_075 COMBINED HEALTH SERVICES | NORTHERN CHEYENNE TRIBE Montana | Department of Health and Human Services Indian Health Service | MT-90 | 2024 | $69,387,972 |
ASST_NON_247202220002C_075 COMBINED HEALTH SERVICES | SAN CARLOS APACHE TRIBAL COUNCIL Arizona | Department of Health and Human Services Indian Health Service | AZ-90 | 2024 | $65,713,073 |
ASST_NON_285090002_075 COMBINED HEALTH SERVICES | ONEIDA INDIAN NATION New York | Department of Health and Human Services Indian Health Service | NY-90 | 2024 | $59,016,456 |
ASST_NON_248260001_075 COMBINED HEALTH SERVICES | CONFEDERATED TRIBES OF COLVILLE RESERVATION Washington | Department of Health and Human Services Indian Health Service | WA-90 | 2026 | $56,242,939 |
ASST_NON_248960011_075 COMBINED HEALTH SERVICES | NORTHWEST PORTLAND AREA INDIAN HEALTH BOARD Oregon | Department of Health and Human Services Indian Health Service | OR-90 | 2024 | $55,773,601 |
ASST_NON_2412300006_075 COMBINED HEALTH SERVICES | OMAHA TRIBE OF NE Nebraska | Department of Health and Human Services Indian Health Service | NE-90 | 2024 | $55,435,039 |
ASST_NON_239190003_075 COMBINED HEALTH SERVICES | SAGINAW CHIPPEWA INDIAN TRIBE Michigan | Department of Health and Human Services Indian Health Service | MI-90 | 2024 | $45,954,081 |
ASST_NON_235160007_075 COMBINED HEALTH SERVICES | M.A.C.T. HEALTH BOARD, INCORPORATED California | Department of Health and Human Services Indian Health Service | CA-90 | 2024 | $44,087,038 |
ASST_NON_239120012_075 ALCOHOL / SUBSTANCE ABUSE PROGRAM | BAY MILLS INDIAN COMMUNITY Michigan | Department of Health and Human Services Indian Health Service | MI-90 | 2024 | $41,980,038 |
ASST_NON_239200007_075 COMBINED HEALTH SERVICES | BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS Wisconsin | Department of Health and Human Services Indian Health Service | WI-90 | 2024 | $41,357,886 |
ASST_NON_239220007_075 COMBINED HEALTH SERVICES | LAC COURTE OREILLES BAND OF LAKE SUPERIOR CHIPPEWA INDIANS OF WISCONSIN Wisconsin | Department of Health and Human Services Indian Health Service | WI-90 | 2024 | $40,922,090 |
ASST_NON_241230010_075 COMBINED HEALTH SERVICES | FLANDREAU SANTEE SIOUX TRIBE South Dakota | Department of Health and Human Services Indian Health Service | SD-00 | 2024 | $39,554,487 |
ASST_NON_247030009_075 COMBINED HEALTH SERVICES | WALKER RIVER PAIUTE TRIBE Nevada | Department of Health and Human Services Indian Health Service | NV-90 | 2024 | $39,084,191 |
ASST_NON_24421BF01_075 COMBINED HEALTH SERVICES | BLACKFEET TRIBE OF THE BLACKFEET INDIAN RESERVATION MONTANA Montana | Department of Health and Human Services Indian Health Service | MT-90 | 2024 | $37,654,764 |
ASST_NON_248960020_075 COMBINED HEALTH SERVICES | THE HEALING LODGE OF THE SEVEN NATIONS Washington | Department of Health and Human Services Indian Health Service | WA-90 | 2024 | $37,364,976 |
ASST_NON_24423FP01C_075 COMBINED HEALTH SERVICES | FORT PECK ASSINIBOINE & SIOUX TRIBES Montana | Department of Health and Human Services Indian Health Service | MT-90 | 2024 | $35,987,505 |
ASST_NON_242202310012C_075 COMBINED HEALTH SERVICES | PUEBLO OF ISLETA New Mexico | Department of Health and Human Services Indian Health Service | NM-90 | 2024 | $35,919,371 |
ASST_NON_242202310001C_075 COMBINED HEALTH SERVICES | THE ALAMO NAVAJO SCHOOL BOARD INC New Mexico | Department of Health and Human Services Indian Health Service | NM-90 | 2024 | $34,826,179 |
ASST_NON_248960018_075 COMBINED HEALTH SERVICES | CONFEDERATED TRIBES OF THE CHEHALIS RESERVATION Washington | Department of Health and Human Services Indian Health Service | WA-90 | 2024 | $33,902,304 |
ASST_NON_24120200010L_075 COMBINED HEALTH SERVICES | THREE AFFILIATED TRIBES North Dakota | Department of Health and Human Services Indian Health Service | ND-00 | 2025 | $33,417,816 |
ASST_NON_239150001_075 COMBINED HEALTH SERVICES | HANNAHVILLE INDIAN COMMUNITY Michigan | Department of Health and Human Services Indian Health Service | MI-90 | 2024 | $32,555,143 |
ASST_NON_24524EM01_075 COMBINED HEALTH SERVICES | NAVAJO NATION TRIBAL GOVERNMENT Arizona | Department of Health and Human Services Indian Health Service | AZ-90 | 2024 | $31,251,331 |
ASST_NON_242202410010C_075 COMBINED HEALTH SERVICES | LAGUNA HEALTHCARE CORP New Mexico | Department of Health and Human Services Indian Health Service | NM-90 | 2024 | $30,951,234 |
ASST_NON_2412500001_075 COMBINED HEALTH SERVICES | CHEYENNE RIVER SIOUX TRIBE South Dakota | Department of Health and Human Services Indian Health Service | SD-00 | 2025 | $30,876,698 |
ASST_NON_242202510021C_075 COMBINED HEALTH SERVICES | ACOMA HEALTH BOARD New Mexico | Department of Health and Human Services Indian Health Service | NM-90 | 2026 | $30,594,781 |
ASST_NON_2412200001_075 COMBINED HEALTH SERVICES | CHEYENNE RIVER SIOUX TRIBE South Dakota | Department of Health and Human Services Indian Health Service | SD-00 | 2024 | $29,329,142 |
ASST_NON_247030019_075 COMBINED HEALTH SERVICES | FALLON PAIUTE SHOSHONE TRIBE Nevada | Department of Health and Human Services Indian Health Service | NV-90 | 2024 | $27,613,744 |
ASST_NON_242202410001C_075 COMBINED HEALTH SERVICES | KEWA PUEBLO HEALTH CORPORATION (KPHC) New Mexico | Department of Health and Human Services Indian Health Service | NM-90 | 2024 | $27,351,642 |
ASST_NON_248180001_075 COMBINED HEALTH SERVICES | NOOKSACK INDIAN TRIBE Washington | Department of Health and Human Services Indian Health Service | WA-90 | 2024 | $27,293,873 |
ASST_NON_248960013_075 COMBINED HEALTH SERVICES | QUILEUTE INDIAN TRIBE OF THE QUILEUTE INDIAN RESERVATION Washington | Department of Health and Human Services Indian Health Service | WA-90 | 2024 | $26,257,745 |
Top 50 awards shown, ranked by obligated amount. Dates reflect performance period; last-modified dates match USAspending.gov. Complete listings include all transaction history going back to FY2024.
Spending by State
| State | Funding | Awards |
|---|---|---|
| Arizona | $1.16B | 40 |
| Washington | $818.1M | 23 |
| California | $744.6M | 49 |
| South Dakota | $395.8M | 26 |
| Minnesota | $390.7M | 18 |
| Wisconsin | $380.4M | 24 |
| New York | $348.7M | 5 |
| Oregon | $339.8M | 6 |
| New Mexico | $326.0M | 76 |
| Michigan | $208.2M | 17 |
| Montana | $198.4M | 7 |
| North Dakota | $186.9M | 12 |
| Idaho | $148.8M | 2 |
| Nebraska | $147.9M | 6 |
| Nevada | $88.5M | 14 |
| Alaska | $78.2M | 13 |
| Oklahoma | $42.9M | 33 |
| Colorado | $38.5M | 10 |
| Maine | $29.5M | 3 |
| Iowa | $21.4M | 2 |
| Florida | $20.0M | 2 |
| Louisiana | $13.1M | 3 |
| Texas | $12.1M | 3 |
| Wyoming | $9.0M | 1 |
| Utah | $7.5M | 11 |
| Rhode Island | $7.2M | 1 |
| Kansas | $5.8M | 2 |
| Virginia | $5.1M | 5 |
| Tennessee | $4.2M | 1 |
Top Recipients
Agencies Administering This Program
Source: USAspending.gov · All Programs