IHS Ambulatory Program Awards $25M to Eight Tribes

WASHINGTON, D.C. – The Indian Health Service (IHS) has announced $25 million in fiscal year (FY) 2024 funding to eight tribes and tribal organizations as part of the competitive Small Ambulatory Program to invest in the construction, expansion, or modernization of small ambulatory healthcare facilities.

“Since the program began in 2001, more than 91 projects have been funded, totaling more than $203 million,” said IHS Acting Director Benjamin Smith. “The Indian Health Service is committed to strengthening tribal health infrastructure through strategic investments like the Small Ambulatory Program.”

The Small Ambulatory Program is expanding access to various outpatient services for patients, including offering new services, building on existing services, and upgrading outdated facilities. Ninety-five percent of tribally operated healthcare facilities provide primarily ambulatory services. These services include preventative services for chronic diseases such as diabetes. Ambulatory care settings operated by tribes and tribal organizations also provide increased access to culturally appropriate, quality healthcare.

The following tribes and tribal organizations received FY 2024 funding:

RecipientLocationAmountType of Project
Coyote Valley 
Band of Pomo Indians
Redwood Valley, CA$2,951,030Expansion of 
an existing facility
Eastern Shoshone TribeFort Washakie, WY$594,771Expansion of 
an existing facility
Indian Township 
Tribal Government
Indian Township, ME$418,507Construction of 
a replacement facility
Kickapoo Tribe of KansasHorton, KS$2,835,463Expansion of 
an existing facility
Mashantucket 
Pequot Tribal Nation
Ledyard, CT$3,560,000Construction of 
a replacement facility
Omaha TribeMacy, NE$3,512,000Construction of a 
replacement behavioral 
health facility
Omaha TribeMacy, NE$552,000Modernization of 
an existing facility
(EMT renovation)
Omaha TribeMacy, NE$1,227,000Construction of
a new EMT facility
Omaha TribeMacy, NE$2,912,000Renovation of a 
specialty clinic facility
Omaha TribeWalthill, NE$807,000Construction of a 
new satellite facility
Three Affiliated TribesParshall, ND$3,527,000Construction of a 
replacement facility
Yukon Kuskokwim 
Health Corporation (YKHC)
Mertarvik, AK$2,148,229Construction of a 
replacement facility

The IHS Office of Environmental Health and Engineering supports IHS and tribal communities by providing functional, well maintained healthcare facilities and staff housing, technical, and financial assistance to tribes on safe water and wastewater systems, and a broad range of environmental health and injury prevention activities throughout Indian Country.