HHS-2026-IHS-TSGN-0001 A Tribal Self-Governance Negotiation Cooperative Agreement Program

The Tribal Self-Governance Program (TSGP) allows Tribes to negotiate with the Indian Health Service (IHS) to start operating programs, services, functions, and activities (PSFAs). This gives Tribes the authority to manage and tailor health care programs to best suit the needs of their communities. Participating in the TSGP gives your Tribe flexibility to tailor your health care needs by choosing one of three ways to get health care from the Federal Government for your citizens. Tribes can choose to: Get health care services directly from the IHS.Contract with the IHS to administer individual programs and services the IHS would otherwise provide. This is referred to as Title I Self-Determination Contracting.Compact with the IHS to assume control over health care programs the IHS would otherwise provide. This is referred to as Title V Self-Governance Compacting or the TSGP. These options are not exclusive. You may choose to combine options based on your Tribe's needs and circumstances. The purpose of this negotiation cooperative agreement is to help Tribes cover the costs of preparing for and participating in these negotiations.

to negotiate with the Indian Health Service (IHS) to start operating programs, services, functions, and activities (PSFAs), in whole or in part. This gives Tribes the authority to manage and tailor health care programs to best suit the needs of their communities. Participating in the TSGP gives your Tribe flexibility to tailor your health care needs by choosing one of three ways to get health care from the federal government for your citizens. Tribes can choose to: Get health care services directly from the IHS.Contract with the IHS to administer individual programs and services the IHS would otherwise provide. This is referred to as Title I Self-Determination Contracting.Compact with the IHS to assume control over health care programs the IHS would otherwise provide. This is referred to as Title V Self-Governance Compacting or the TSGP.These options are not exclusive. Tribes may choose to combine options based on their needs and circumstances. The purpose of this planning cooperative agreement is to provide resources to: Tribes interested in entering the TSGP.Tribes that are currently part of the program and are interested in assuming new or expanded PSFAs.

This program supports Tribes, Tribal organizations, and Urban Indian organizations in implementing produce prescription models that increase access to nutritious and community relevant foods and promote whole-person health and well-being.