Opportunity Information: Apply for HHS 2015 IHS NIHOE 3 HEALTH REFORM 0002

  • The Indian Health Service in the health sector is offering a public funding opportunity titled "HHS 2015 IHS NIHOE 3 Health Reform 0002" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.933 Demonstration Projects for Indian Health.
  • This funding opportunity was created on Jun 24, 2015 and posted on Jun 24, 2015.
  • Applicants must submit their applications by Aug 19, 2015. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $500,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $300,000.00 in funding.
  • The number of recipients for this funding is limited to 2 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification) Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education.
  • To be eligible for this New Limited competition Announcement, an applicant must be a 501(c)(3) non profit entity who meets the following criteria Eligible applicants that can apply for this funding opportunity are national Indian organizations. The national Indian organizations must have the infrastructure in place to accomplish the work under the proposed program. Eligible entities must have demonstrated expertise in the following areas Representing all Tribal governments and providing a variety of services to Tribes, area health boards, Tribal organizations, and Federal agencies, and playing a major role in focusing attention on Indian health care needs, resulting in improved health outcomes for AI/ANs. Promoting and supporting Indian health care education and coordinating efforts to inform AI/AN of Federal decisions that affect Tribal government interests including the improvement of Indian health care. Administering national health policy and health programs. Maintaining a national AI/AN constituency and clearly supporting critical services and activities within the IHS mission of improving the quality of health care for AI/AN people. Supporting improved health care in Indian Country. Providing education and outreach on a national scale (the applicant must provide evidence of at least ten years of experience in this area).
Apply for HHS 2015 IHS NIHOE 3 HEALTH REFORM 0002

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Opportunity Summary:

HHS 2015 IHS NIHOE 3 Health Reform 0002 is an Indian Health Service (IHS) discretionary cooperative agreement designed to strengthen Affordable Care Act (ACA) and Indian Health Care Improvement Act (IHCIA) knowledge and readiness across Indian Country. The core idea is coordination: IHS wants national Indian organizations to work alongside IHS and Tribal partners to deliver consistent, high-quality training and hands-on technical assistance so that American Indian and Alaska Native (AI/AN) people, Tribes, and Tribal organizations can better understand and use new or expanded health coverage options. By improving understanding of these laws and related insurance pathways, the program aims to increase access to care, improve quality of services, and bring more resources into the Indian health care system through appropriate coverage enrollment and utilization.

The program sits under the Limited Competition National Indian Health Outreach and Education (NIHOE) Health Reform Cooperative Agreement framework. Its overall objective is broad, national-scale capacity building for the Indian health system, with a practical emphasis on making sure the system and the people it serves are prepared to take advantage of health insurance coverage options, especially those available through the Health Insurance Marketplace. In plain terms, the opportunity is focused on helping Tribal communities navigate health reform changes, understand what the ACA and IHCIA mean in real operational and consumer terms, and apply that knowledge to improve coverage, care access, and the financial stability of Indian health programs.

This is a cooperative agreement, which generally means substantial involvement by the federal agency is expected during the project. Rather than simply awarding funds and stepping back, IHS typically collaborates with awardees on implementation, coordination, and sometimes alignment of training messages, priorities, and deliverables. The intent is to run outreach and education in a way that is nationally coordinated but still responsive to the needs of Tribes and Tribal organizations across many regions.

Funding is relatively targeted and limited. IHS anticipated making 2 awards with an estimated total funding amount of $500,000. Individual awards were expected to range from a floor of $200,000 to a ceiling of $300,000. There is no cost-sharing or matching requirement, reducing barriers for eligible organizations that may not have flexible funds to meet match expectations. The program is associated with CFDA number 93.933, Demonstration Projects for Indian Health.

Eligibility is restricted by design. The announcement is a new limited competition in which applicants must be 501(c)(3) nonprofit entities and, more specifically, national Indian organizations with the infrastructure to carry out nationwide training and technical assistance. The eligibility requirements emphasize proven national reach and credibility: applicants must demonstrate expertise in representing Tribal governments and providing services to Tribes, area health boards, Tribal organizations, and federal agencies; promoting Indian health education and informing AI/AN communities about federal decisions affecting Tribal interests; administering national health policy and health programs; maintaining a national AI/AN constituency aligned with the IHS mission; and supporting improved health care across Indian Country. A notable requirement is evidence of at least ten years of experience providing education and outreach on a national scale, signaling that IHS is looking for organizations with established capacity, networks, and demonstrated performance rather than newer or regionally focused groups.

Key content areas for training and technical assistance include the changes and authorities created or updated by the ACA and IHCIA, as well as practical guidance on health insurance options for AI/AN individuals and families through the Marketplace. While the announcement text does not list specific curricula, the described focus implies activities like developing and delivering trainings, producing outreach materials, providing direct technical assistance to Tribal programs, and coordinating information dissemination so that policies translate into on-the-ground improvements in coverage literacy and enrollment readiness. The target audience is national in scope, covering the 566 federally recognized Tribes and Tribal organizations, which underscores the need for scalable delivery methods and strong coordination.

Administratively, the opportunity was posted and created on June 24, 2015, with an original and current closing date of August 19, 2015, and an archive date of September 18, 2015. The sponsoring agency is the Indian Health Service. For applicants who had trouble accessing the full announcement, the listed contact was Paul Gettys, Grant Systems Coordinator, at 301-443-2114 or 301-443-5204 through the Grants Policy Office.

Frequently Asked Questions (FAQs)

1) What is the HHS 2015 IHS NIHOE 3 Health Reform 0002 opportunity?

This opportunity is an Indian Health Service (IHS) discretionary cooperative agreement under the Limited Competition National Indian Health Outreach and Education (NIHOE) Health Reform framework. It is designed to strengthen knowledge and readiness related to the Affordable Care Act (ACA) and the Indian Health Care Improvement Act (IHCIA) across Indian Country through coordinated, national-scale training and hands-on technical assistance.

2) What is the main goal of the program?

The program aims to improve understanding and practical use of new or expanded health coverage options (especially Health Insurance Marketplace pathways) for American Indian and Alaska Native (AI/AN) people, Tribes, and Tribal organizations. By increasing coverage literacy and readiness, the program is intended to help increase access to care, improve service quality, and bring more resources into the Indian health care system through appropriate coverage enrollment and utilization.

3) What does NIHOE mean in this context?

NIHOE refers to the National Indian Health Outreach and Education Health Reform Cooperative Agreement framework. In this announcement, NIHOE is the structure IHS is using to support broad, national-scale outreach, education, training, and technical assistance related to health reform in Indian Country.

4) Who is the sponsoring agency for this opportunity?

The sponsoring agency is the Indian Health Service (IHS), within the U.S. Department of Health and Human Services (HHS).

5) Is this a grant or a cooperative agreement, and why does that matter?

This is a cooperative agreement. That generally means IHS expects substantial involvement during the project period. Instead of funding an organization and stepping back, IHS typically collaborates with awardees on implementation, coordination, and potentially alignment of training messages, priorities, and deliverables so efforts are nationally coordinated while still responsive to Tribal needs.

6) What kinds of activities are supported under this program?

Based on the description provided, supported activities center on coordinated national training and hands-on technical assistance. The focus implies work such as developing and delivering trainings, producing outreach and education materials, providing direct technical assistance to Tribal programs, and coordinating information dissemination so policy changes under the ACA and IHCIA translate into practical improvements in coverage literacy and enrollment readiness.

7) What are the key content areas that trainings and technical assistance should cover?

Key content areas include changes and authorities created or updated by the Affordable Care Act (ACA) and the Indian Health Care Improvement Act (IHCIA), along with practical guidance on health insurance options for AI/AN individuals and families through the Health Insurance Marketplace.

8) Who is the intended audience or beneficiaries?

The effort is national in scope and is meant to support AI/AN people, Tribes, and Tribal organizations across Indian Country. The description references the 566 federally recognized Tribes and Tribal organizations as part of the national-scale target audience, underscoring the need for scalable delivery methods and strong coordination.

9) Why is the program emphasizing coordination and consistency?

The core idea is coordination: IHS wants national Indian organizations to work alongside IHS and Tribal partners to deliver consistent, high-quality training and technical assistance. The intent is to ensure health reform information is accurate, aligned, and effectively delivered across many regions while still being responsive to local and Tribal contexts.

10) How many awards did IHS anticipate making?

IHS anticipated making 2 awards under this opportunity.

11) What is the estimated total funding amount for the opportunity?

The estimated total funding amount was $500,000.

12) What is the expected award size for individual awards?

Individual awards were expected to range from $200,000 (floor) to $300,000 (ceiling).

13) Is cost sharing or matching required?

No. The opportunity specifies there is no cost-sharing or matching requirement.

14) What CFDA number is associated with this program?

The program is associated with CFDA number 93.933, titled Demonstration Projects for Indian Health.

15) Who is eligible to apply?

Eligibility is restricted. Applicants must be 501(c)(3) nonprofit entities and, more specifically, national Indian organizations with the infrastructure to deliver nationwide training and technical assistance.

16) What makes this a "limited competition" opportunity?

The announcement describes the opportunity as a new limited competition, meaning it is intentionally restricted to a narrow set of eligible applicants. In this case, it is limited to qualified national Indian organizations that meet the specified nonprofit and experience criteria.

17) What experience and capabilities must an applicant demonstrate?

Applicants must demonstrate national reach and credibility, including expertise in representing Tribal governments and providing services to Tribes, area health boards, Tribal organizations, and federal agencies; promoting Indian health education and informing AI/AN communities about federal decisions affecting Tribal interests; administering national health policy and health programs; maintaining a national AI/AN constituency aligned with the IHS mission; and supporting improved health care across Indian Country.

18) Is there a minimum experience requirement?

Yes. A notable eligibility requirement is evidence of at least ten years of experience providing education and outreach on a national scale.

19) Does the opportunity prioritize newer organizations or established organizations?

Based on the stated requirements (including at least ten years of national-scale experience), the opportunity is clearly oriented toward established national organizations with demonstrated capacity, networks, and performance rather than newer or primarily regional groups.

20) What health coverage options are emphasized in the program description?

The description places particular emphasis on coverage options available through the Health Insurance Marketplace, along with broader understanding and use of coverage pathways influenced by the ACA and IHCIA.

21) What outcomes is IHS trying to achieve through this work?

The described outcomes include improved understanding of the ACA and IHCIA, increased readiness to use relevant coverage options, increased access to care, improved quality of services, and increased resources flowing into the Indian health care system through appropriate coverage enrollment and utilization.

22) When was this opportunity posted and created?

The opportunity was posted and created on June 24, 2015.

23) What was the closing date for applications?

The original and current closing date listed was August 19, 2015.

24) When was the archive date?

The archive date listed was September 18, 2015.

25) Who can applicants contact if they had trouble accessing the full announcement?

The listed contact was Paul Gettys, Grant Systems Coordinator, through the Grants Policy Office. Phone numbers provided were 301-443-2114 and 301-443-5204.

26) What is the program trying to improve in terms of system readiness?

It is focused on improving practical, operational readiness across the Indian health system so Tribes, Tribal organizations, and the people they serve can navigate health reform changes, understand what the ACA and IHCIA mean in real operational and consumer terms, and apply that knowledge to coverage and care decisions.

27) How broad is the geographic or community scope of the work?

The scope is national, spanning Indian Country and referencing service to the 566 federally recognized Tribes and Tribal organizations. This implies the project design must be scalable and capable of consistent delivery across multiple regions.

28) What is the core strategy IHS is using to meet the program objectives?

The core strategy described is coordinated outreach, education, training, and technical assistance delivered by national Indian organizations working alongside IHS and Tribal partners, with an emphasis on consistent, high-quality messaging and practical support.

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