Self-Governance Communication & Education Tribal Consortium

IHS Joint Venture Construction Program Pre-Applications Due by October 11, 2019

Section 818 of the Indian Health Care Improvement Act, P.L. 94-437, authorizes the IHS to establish joint venture projects under which Tribes or Tribal organizations would acquire, construct, or renovate a health care facility and lease it to the IHS, at no cost, for a period of 20 years. Participants in this competitive program are selected from among eligible applicants who agree to provide an appropriate facility to IHS. The facility may be an inpatient or outpatient facility. The Tribe must use Tribal, private or other available (non-IHS) funds to design and construct the facility. In return the IHS will submit requests to Congress for funding for the staff, operations, and maintenance of the facility per the Joint Venture Agreement.

Proposals considered under this program are evaluated against the following criteria:

  • The need for space at the location is verifiable when evaluated by using the criteria in the
    IHS planning methodologies;
  • The Tribe is able to fund and manage the proposed project using its own (non-IHS)
  • The project is consistent with the IHS Health Systems Planning program; and
  • The project is consistent with the IHS Area Health Facilities Master Plan.

Additional consideration is given to Tribes that elect to fully fund the equipment for the facility.

The Pre-Application Kit, FAQs, and Program Award History can be found at: