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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
Nov 10, 2023

CDR Omobogie Amadasu


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 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.

Geographic coverage
Amount of funding

Up to $3,500,000

A total of $50 million of funding is available.

One award will be made in each IHS Area to the highest scoring application in that Area, and then the remaining funds be awarded to the next highest scoring application nationally, without regard to Area, until all funds are exhausted.

Application process

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

Dear Tribal Leader letter

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

Organizations (2)

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.