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Small Ambulatory Program for American Indians and Alaska Natives

This funding record is inactive. Please see the program website or contact the program sponsor to determine if this program is currently accepting applications or will open again in the future.

Indian Health Service, U.S. Department of Health and Human Services
Jun 28, 2019

LCDR Omobogie Amadasu

A list of IHS area points-of-contact is provided in Appendix 1 of the application kit.


The Small Ambulatory Program (SAP) provides grants for ambulatory healthcare facilities, on municipal, private, or Tribal land, and that provide health care services to eligible Indians. 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

Eligible applicants are federally recognized Indian Tribes and Tribal Organizations, which, prior to submitting a FY 2019 SAP Application, operate an Indian healthcare facility pursuant to a healthcare services contract or compact under The Indian Self-Determination and Education Assistance Act (P.L. 93-638).

Other eligibility requirements include:

  • The facility may not be owned or constructed by the IHS.
  • The facility was not originally owned or constructed by the IHS and transferred to the Tribe.
  • On-site construction cannot have already begun.
  • If the ambulatory healthcare facility has an emergency room, hospital, and/or urgent care in the proposed project, it must be located apart from a hospital.
Geographic coverage
Amount of funding

A SAP contract award cannot exceed $2,000,000. Awards will be made through hybrid construction contracts.

Application process

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

Applications must have an approval letter from the applicable IHS Area. It is suggested that applications are submitted to the applicable IHS Area by May 31, 2019. Complete applications must be submitted to the Division of Facilities Planning and Construction (DFPC) by June 28, 2019.

The preferred submission method is by email to

Applications may also be mailed to:

Division of Facilities Planning and Construction
Indian Health Service
5600 Fishers Lane
Mailstop: 10N14C
Rockville, MD 20857

Tagged as
American Indian or Alaska Native · Capital funding · Healthcare facilities · Surgery

For complete information about funding programs, including your application status, please contact funders directly. Summaries are provided for your convenience only. RHIhub does not take part in application processes or monitor application status.