Indian Self-Determination in South Dakota

South Dakota x 93.441 is a self-determination join, not a tribal census

This page pairs CFDA 93.441, INDIAN SELF-DETERMINATION, with South Dakota place of performance. The listing, in program language, funds Indian Health Service compact and contract activity under the Indian Self-Determination and Education Assistance Act. SpendingVault sums tagged obligations: $395,804,571 on 26 awards. The extract does not list tribes, clinics, or patient encounters. Treat the pair as a catalog intersection, not a ranking of which state has more tribal health need, and not a claim that 26 awards equal 26 tribes.

Other HHS listings — Medicaid, different IHS codes, or Public Health Service grants — sit outside $395,804,571 unless they also carry 93.441. Impact Aid on 84.041 in South Dakota is an Education overlay, not an IHS subset. Mixing self-determination with Impact Aid would invent a combined state figure the packet never computed. Correlation between this obligation sum and reservation population is not causation. Population figures are not in the packet. Place of performance as South Dakota locates the tagged awards; it does not deposit $395,804,571 in the state treasury, and it does not prove every dollar stayed on a particular reservation after compact transfers.

26 awards behind $395.8 million

Mean obligation is about $15,223,252.73 if $395,804,571 were divided evenly across 26 lines. That ratio is not a published compact size and not a cost per patient. Award count is a row count, including possible continuations and modifications. It is not a count of tribes, clinics, or service units.

Twenty-six lines are scannable on the overlay. This page will not invent tribe or clinic names. Open Indian Self-Determination in South Dakota for the stored table. Do not convert 26 into a map of South Dakota tribal health programs. The $395,804,571 total remains an obligation rollup on tagged awards, not encounters already billed. Inspect named lines rather than inferring a patient census.

Questions

How much Indian Self-Determination funding is obligated in South Dakota?

USAspending.gov shows $395,804,571 in obligations for CFDA 93.441 with South Dakota as place of performance, across 26 awards. The sum is a commitment total on assistance awards, not outlays and not South Dakota’s full health budget. Other HHS listings are outside this join unless they also carry 93.441.

Do 26 awards mean 26 South Dakota tribes received compact funds?

No. Award count is a row count of assistance awards and can include continuations. It is not a tribe or clinic census. The packet does not name recipients. See the South Dakota 93.441 overlay for named lines as USAspending stored them.

Is this South Dakota’s entire IHS funding?

No. The join is CFDA 93.441, Indian Self-Determination, crossed with South Dakota place of performance. Other IHS and Public Health Service codes use different listings. Those dollars are not inside $395,804,571 unless the award also carries 93.441. The extract has no encounter table.

Is $396 million already spent in South Dakota tribal clinics?

Not on this metric. Obligations are recorded commitments on assistance awards. Outlays are payments from the Treasury. The $395,804,571 headline is the obligation rollup in SpendingVault’s extract. Compact draws and remaining balances are not published in this packet.