Small Ambulatory Program for American Indians and Alaska Natives

CDR Omobogie Amadasu
Omobogie.amadasu@ihs.gov
301.443.4751

The Small Ambulatory Program (SAP) provides grants for ambulatory healthcare facilities, on municipal, private, or tribal land, and that provide healthcare services to eligible American Indian and Alaska Native (AI/AN) people.

Funding may be used for:

• Construction of a new satellite facility
• Construction of a replacement facility
• Expansion of an existing facility
• Modernization of an existing facility

The completed facility should:

• Have sufficient capacity to provide the required services
• Serve at least 500 eligible AI/AN people annually
• Provide care for a service area with a population of at least 2,000 eligible AI/AN people

Only federally recognized tribes that operate non-IHS outpatient facilities under P.L. 93-638 contracts are eligible to apply for this program. Priority will be given to tribes that can demonstrate a need for increased ambulatory healthcare services and insufficient capacity to deliver such services.

The completed facility must be available to eligible AI/AN people without regard to ability to pay or source of payment, and the applicant must demonstrate the ability to financially support services at the completed facility.

Up to $3,500,000

A total of $25 million of funding is available.

After the awarding for each application from an IHS Area the remainder of the funding will be split. Applications that are classified as small will have 75% of the funds set-aside. For projects classified as large the set-aside amount is 25%. Projects will be awarded until funding is exhausted.

Links to additional guidance and the application kit are available on the program website.

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