Indian Self-Determination federal funding in North Dakota

North Dakota x 93.441 is an IHS compact join, not a tribe census

This page pairs CFDA 93.441, INDIAN SELF-DETERMINATION, with North Dakota place of performance. The join is an Indian Health Service self-determination listing crossed with a state location field, not North Dakota’s entire health budget and not a census of tribes. SpendingVault sums tagged obligations: $186,941,576 on 12 awards. The extract does not list tribes, clinics, or compact names. Treat the pair as a catalog intersection, not a ranking of which state has more need, and not a claim that 12 awards equal 12 tribes or 12 clinics.

Other IHS or BIA listings — contract-support, law-enforcement, or different compact codes — sit outside this total unless they also carry 93.441. Mixing those listings into $186,941,576 would invent a combined figure the packet never computed. Correlation between this obligation sum and tribal population is not causation. Population figures are not in the packet. Place of performance as North Dakota locates the tagged awards; it does not deposit $186,941,576 in the state treasury. Fargo-versus-Bismarck or reservation-boundary folklore is not a geography split in this packet. Idaho’s 93.441 overlay on this slice is a separate pair; do not add the two state totals.

12 awards behind $186.9 million

Mean obligation is about $15,578,464.67 if $186,941,576 were divided evenly across 12 lines. That ratio is not a published compact size and not a per-patient cost. Award count is a row count, including possible continuations and modifications. It is not a count of tribes, clinics, or beneficiaries.

Twelve lines are scannable on the overlay. This page will not invent recipient names. Open Indian Self-Determination in North Dakota for the stored table. Do not convert 12 into a map of North Dakota reservations. The $186,941,576 total remains an obligation rollup on tagged awards. Inspect named lines rather than inferring a tribe census.

Self-Determination obligations are not clinic visits already billed

Self-determination awards often obligate as annual compact or contract rows and draw as tribes operate health programs. The $186,941,576 headline is the obligation sum, not a punch-list of encounters completed and not a Treasury outlay total. No fiscal year is attached. A IHS allocation table dated to a particular year is not automatically this join unless it uses CFDA 93.441, North Dakota geography, and the obligation metric.

The listing title is Indian Self-Determination. This extract does not split Title I contracts from Title V compacts, and it does not split hospitals from clinics. Those cuts would require award documentation beyond dollars, 12 awards, CFDA 93.441, and North Dakota. This page will not invent a share. Idaho’s Indian Self-Determination join uses the same CFDA and a different geography key.

What the North Dakota 93.441 table omits

The extract has no tribes, clinics, or compact names. Facts remain $186,941,576, 12 awards, CFDA 93.441, and North Dakota. This page will not invent a ranking against other states’ 93.441 joins. Clinic names belong on the overlay if they appear as recipients; they are not extra packet dollars.

North Dakota federal spending and North Dakota programs place 93.441 among other listings. CFDA 93.441 is the national catalog line. All spending ties indexes other CFDA x state pairs. Mixing those shelves would invent a share of federal spending the packet never computed. The $186,941,576 figure is the tagged pair only. Campaign-finance filings are a different public-record system; this join does not claim donations funded these obligations.

Where the 93.441 x North Dakota overlay lives

Start with Indian Self-Determination in North Dakota for the 12-award table behind $186,941,576. CFDA 93.441 is the nationwide listing. North Dakota federal spending and North Dakota programs give state context. All spending ties is the shelf for other program-by-state joins on the same obligation metric. Twelve awards totaling $186,941,576 remain a compact-style administrative file, not a tribe census. Tribe names and encounter counts are not in this packet. The $186,941,576 total is the tagged pair only. USAspending.gov remains the source; SpendingVault republishes the join. If a later extract revises the rollup, this page’s facts will be stale until the packet is rebuilt. Do not annualize $186,941,576: no fiscal year is in the facts.

How to read the North Dakota × CFDA 93.441 pair

A ties page exists because two tables meet. One table is the assistance listing (CFDA 93.441). The other is place of performance as North Dakota. The headline $186,941,576 is the obligation sum on that intersection. It is not a forecast, not a budget request, and not an outlay. It is also not a claim that CFDA 93.441 caused North Dakota’s economy to grow. Correlation between geography and a catalog code is the join — nothing more. Use the internal links to step off this pair. If you need award-level names, open the overlay rather than treating this narrative as a recipient directory.

Questions

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

USAspending.gov shows $186,941,576 in obligations for CFDA 93.441 with North Dakota as place of performance, across 12 awards. The sum is a commitment total on assistance awards, not outlays and not North Dakota’s full health budget. Other listings are outside this join unless they also carry 93.441.

Do 12 awards mean 12 North Dakota tribes?

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 compactors. See the North Dakota 93.441 overlay for named lines as USAspending stored them.

Is this North Dakota’s entire IHS funding?

No. The join is CFDA 93.441, Indian Self-Determination, crossed with North Dakota place of performance. Other IHS and BIA codes use different listings. Those dollars are not inside $186,941,576 unless the award also carries 93.441.

Is $187 million already spent on North Dakota tribal clinics?

Not on this metric. Obligations are recorded commitments on assistance awards. Outlays are payments from the Treasury. The $186,941,576 headline is the obligation rollup in SpendingVault’s extract. Encounter counts and remaining balances are not published in this packet.