ARRA IHS Tribal Agreements

$500 Million in Recovery Act Funds to Improve Health Care and Boost Economy in Indian Country.

These funds will be obligated both through tribal agreements and under contracts subject to the Federal Acquisition Regulation, as summarized in the Agency implementation plans.



The Recovery Act health facility construction funds will be used to complete the construction of the new IHS Eagle Butte Health Center in Eagle Butte, South Dakota and the Norton Sound Regional Hospital in Nome, Alaska.

The Eagle Butte Health Center will serve approximately 9,300 American Indians residing on the Cheyenne River Reservation.

The facility will replace the existing Eagle Butte IHS Hospital which, at approximately one-third the size of the new facility, is stressed to meet the needs of the entire service population.

The new Norton Sound facility replaces a 61-year-old hospital that is stretched to serve an estimated 10,000 users.

The project will create a substantial number of new jobs in construction, transportation, and other professions and help fight unemployment in Nome.

Sanitation facilities funds will be used to complete 169 sanitation facilities projects constructed in 24 states.

These projects will provide potable water, wastewater disposal and solid waste systems to American Indian and Alaska Native homes and communities.

An estimated 16,000 homes will be served by these projects, which will also help foster economic growth and create jobs.

The ARRA will also fund 302 maintenance and improvement projects.

Many IHS and tribal facilities require structural renovations, additional space, and design updates to accommodate modern health care delivery practices.

These projects will help maintain and improve facilities, which will improve patient care.

These projects will also result in enhanced energy conservation and provide local jobs and economic stimulus.

Finally, Recovery Act funds will be used to purchase over 200 pieces of medical equipment, including 35 ambulances and 10 Computed Tomography (CT) scanners, all of which will contribute substantially to patient care.

Other equipment to be purchased includes cardiac monitoring equipment, equipment for integration of electronic patient records, blood chemistry analyzers, dental equipment, emergency defibrillators, x-ray systems, among other items.

The equipment will be distributed across 24 states.

Related Programs

Examples of Funded Projects

Fiscal Year 2008: Equipment, Health facilities construction, Sanitation facilities projects, Maintenance and improvements.

Fiscal Year 2009: No Current Data Available Fiscal Year 2010: No Current Data Available


Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Office - See Regional Agency Offices.


Program Accomplishments

Not Applicable.

Uses and Use Restrictions

ARRA funds must be expended for the specific purpose outlined in the ARRA Agreement.

The recipient understands it is not authorized to rebudget, redesign, reallocate, or reprogram ARRA funds without written authorization from the Awarding Agency.

All IHS Funds are discretionary funds.



Eligibility Requirements

Applicant Eligibility

Federally Recognized lndian Tribal Governments: Health/Medical

Beneficiary Eligibility

Federally Recognized Indian Tribal Governments; Specialized group (e.g. health professionals, students, veterans); Native American Organizations; American Indian

Credentials/Documentation

No Credentials or documentation are required. This program is excluded from coverage under OMB Circular No. A-87.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.

12372.

Application Procedures

This program is excluded from coverage under OMB Circular No. A-102. This program is excluded from coverage under OMB Circular No. A-110.

Award Procedures

Contract agreements are submitted to the Office of Tribal Self Governance and approved by the Director and then forwarded to the Area Offices for payment.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

American Recovery and Reinvestment Act of 2009 (ARRA), Public Law 111-5; Indian Self-Determination and Education Assistance Act, Title 1, Section 102, Public Law 93-638, Title 1, Section 102, Public Law 93-638.

Range of Approval/Disapproval Time

Not Applicable.

Appeals

Not Applicable.

Renewals

Not Applicable.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program.

Matching requirements are not applicable to this program.

MOE requirements are not applicable to this program.

Length and Time Phasing of Assistance

The parties agree that the Awarding Agency s authority to obligate funds related to this contract expires on September 30, 2010 and that any contractual conditions placed on receipt of payments under this addendum/contract must be met to ensure obligation by that date at the latest or earlier as agreed to in this contract/addendum or in the associated contractual documents. Delay or failure to meet conditions placed on receipt of funds (e.g., completion of specific stage of construction) may place the project or activity at risk of losing ARRA funds. The ARRA funds provided for in this agreement are one-time only, non-recurring funds. By providing ARRA funds, the Awarding Agency is not obligated to provide funding for this project or activity from future appropriations. Method of awarding/releasing assistance: quarterly.

Post Assistance Requirements

Reports

Pursuant to section 1512(c) of ARRA, the Contractor shall provide a report on a Quarterly Basis, not later than 10 days after the end of each calendar quarter.

The information referenced in this section will be posted by the Contractor online at http://FederalReporting.gov.

The Contractor shall use the reporting instructions and data elements that will be provided on this website and ensure that any information that is pre-filled is corrected or updated as needed.

The information referenced in this section may also be posted by the Awarding Agency to Recovery.gov.

The total amount of ARRA funds received from the Awarding Agency.

The amount of ARRA funds received that were expended or obligated to projects or activities.

A detailed list of all projects or activities for which ARRA funds were expended or obligated, including: a.

the name of the project or activity; b.

a description of the project or activity; c.

an evaluation of the completion status of the project or activity; and d.

an estimate of the number of jobs created and the number of jobs retained by the project or activity.

The total amount of ARRA funds received from the Awarding Agency.

The amount of ARRA funds received that were expended or obligated to projects or activities.

Detailed information on any subcontracts awarded by the Tribe to include the data elements required to comply with the Federal Funding Accountability and Transparency Act of 2006 (Public Law 109-282), allowing aggregate reporting on awards below $25,000 or to individuals, as prescribed by the Director, Office of Management and Budget.

Audits

In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133.

Records

DHHS and the Comptroller General of the United States or any of their authorized representatives, shall have the right of access to any books, documents, papers, or other records of a grantee, subgrantee, contractor, or subcontractor, which are pertinent to the grant in order to make audits, examinations, excerpts, and transcripts. Grantees are required to maintain grant accounting records for 3 years after the end of a budget period. If any litigation, claim, negotiation, audit or other action involving the records has been started before the expiration of the 3 year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3 year period, whichever is later.

Financial Information

Account Identification

75-0392-2-0-099 - 75-0389 20092010.

Obigations

(Project Grants (Contracts)) FY 08 not reported.; FY 09 est $80,000,000; FY 10 est not reported. - The IHS s authority to obligate funds related to ARRA contracts expires on September 30, 2010 and any contractual conditions placed on receipt of payments under the ARRA addendum/contract must be met to ensure obligation by that date at the latest or earlier as agreed to in this contract/addendum or in the associated contractual documents.

Range and Average of Financial Assistance

$0 - $80 Million.

Regulations, Guidelines, and Literature

ARRA, Public Law 111-5, ARRA OMB Guidance ; Public Law 93-638, as amended, Public Law 106-206; Internal Agency Procedures Manual for Contracting Under Title I of the Indian Self Determination and Education Assistance Act; Indian Health Circular No. 2000-01; 25 CFR 900; 42 CFR 36; and the terms and conditions on the HHS website at: Http://www.hhs.gov/recovery/grantscontracts/recoverytermsconditions.html

Information Contacts

Regional or Local Office

See Regional Agency Offices.

Headquarters Office

: CAPT Randall J.F. Gardner, P.E., USPHS 12300 Twinbrook Parkway, Suite 600A
, Rockville , Maryland 20852 Email: Randall.Gardner@ihs.gov Phone: (301) 443-1247.

Criteria for Selecting Proposals

Not Applicable.



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