Tribal Self-Governance Program: IHS Compacts — CFDA 93.210

What $46.65 billion on 225 awards records

Assistance listing 93.210 is titled TRIBAL SELF-GOVERNANCE PROGRAM: IHS COMPACTS/FUNDING AGREEMENTS in the USAspending.gov files this site indexes. The obligation total on that code is $46,649,757,595.32. An obligation is a recorded federal commitment on an award. It is not an outlay. Treating $46,649,757,595.32 as cash already drawn by compacting Tribes mixes two series. SpendingVault keeps the label as obligations.

225 awards sit under that dollar book. Dividing $46,649,757,595.32 by 225 produces a mean near $207 million per award record. That quotient is derived from the two packet totals. It is not a typical clinic budget and not a per-user IHS cost. Compact and funding-agreement dollars often sit on a limited set of large assistance actions, which is why 225 records can carry $46,649,757,595.32.

151 recipients and 29 states

CFDA 93.210 lists 151 recipients and 29 states against 225 awards. Recipient count is organizational recipients stored on assistance rows—compacting Tribes and related organizations in the file—not a census of patients. 151 is not a headcount of IHS users. The 29-state span is a coded-jurisdiction count, narrower than many national listings, and not a map of every service unit.

Because 225 awards sit close to 151 recipients, many rows look like compact-level actions rather than a high-volume project file. Extra modifications can still lift award volume while $46,649,757,595.32 barely moves. The IHS compact hub keeps dollars, awards, recipients, and states visible so one statistic is not inferred from another. Twenty-nine states is geography coding, not a statement about Tribal sovereignty.

Obligations versus IHS outlays

USAspending.gov publishes obligations on assistance awards. The $46,649,757,595.32 figure for CFDA 93.210 can include multi-year compact commitments that will disburse later. IHS budget justification tables and a single fiscal year’s Indian Health Service appropriation are different publications. This page does not translate the obligation total into those series.

If a number you expected is missing, the usual cause is a different reporting concept. Start from the obligation definition, then open the 93.210 program page. Do not stretch 225 awards or 151 recipients into a patient census or a quality score.

What the 93.210 tables omit

The Tribal Self-Governance IHS compact hub lists award-backed obligations from USAspending.gov. It is not a clinic-visit file, not a user-population table, and not a compact text archive. Series that never appear as assistance awards will not show up in the $46,649,757,595.32. That omission is definitional rather than a gap in the 225 award rows.

Place-of-performance on 29 states is a coding field. A compact coded to one cell can dominate geography while facilities sit in several jurisdictions. Read the program page before any state split.

How to cite CFDA 93.210

A complete citation is $46,649,757,595.32 in obligations for CFDA 93.210, covering 225 awards, 151 recipients, and 29 states, drawn from USAspending.gov assistance awards on SpendingVault. Name the series as obligations. If the question is compact volume rather than dollars, lead with 151 recipients and 225 awards, then the dollar total.

Start with the Tribal Self-Governance IHS Compacts program page, then the all-programs index. Agency pages show awarding organizations; they do not replace this listing’s obligation total. Nothing here is compact-negotiation advice.

A worked reading of the 93.210 extract

Start from the four packet facts: $46,649,757,595.32, 225 awards, 151 recipients, and 29 states under CFDA 93.210. The mean near $207 million is a quotient from a modest award count, not a typical clinic budget. If a later USAspending.gov file adds compact modifications, 225 can rise while 151 recipients barely move. If a few large funding agreements post, $46,649,757,595.32 can jump without a matching jump in the 29-state count.

Nothing in the extract splits compact funding from other IHS mechanisms, or hospitals from clinics. Those cuts live in IHS publications. Treat CFDA 93.210 as an assistance-listing tag on USAspending.gov award files. Open the Tribal Self-Governance IHS Compacts program page, then the all-programs index, for a same-series ranking. Cite 151 recipients and 29 states next to the dollars so geography coding is not mistaken for a Tribal census.

Questions

How much is obligated under IHS Tribal Self-Governance CFDA 93.210?

USAspending.gov assistance awards indexed on SpendingVault show $46,649,757,595.32 in obligations for CFDA 93.210. That sum is an obligation total, not a Treasury outlay total and not a count of clinic visits. The same extract lists 225 awards, 151 recipients, and 29 states.

Are the 151 recipients IHS patients?

No. The 151 figure is organizational recipients stored on USAspending.gov assistance rows for CFDA 93.210, not a patient headcount. Award volume is 225 records. The $46,649,757,595.32 total is still an obligation sum, not a per-user cost published on this page.

Why does CFDA 93.210 show only 29 states?

The extract codes 29 states for this listing. That count is place-of-performance geography in USAspending.gov assistance files, not a statement about every Tribal nation. Those rows still sit under the $46,649,757,595.32 obligation total, 225 awards, and 151 recipients. Cite CFDA 93.210 with the obligation total from USAspending.gov assistance awards, not an outlay series.

Does the compact total include money already drawn down?

Not as a cash-paid sum. USAspending reports obligations—commitments to pay—rather than outlays. The $46,649,757,595.32 figure can include amounts that will disburse later. The 225-award count is a record tally, not a count of drawdowns. Cite CFDA 93.210 with the obligation total from USAspending.gov assistance awards, not an outlay series.