Indian Self-Determination federal funding 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.

Self-determination obligations are not clinic bills already paid

Compact and contract awards often obligate by funding agreement and draw as the tribal operator runs services. The $395,804,571 headline is the obligation sum, not a punch-list of visits delivered and not a Treasury outlay total. No fiscal year is attached. An IHS compact table dated to a particular year is not automatically this join unless it uses CFDA 93.441, South 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, 26 awards, CFDA 93.441, and South Dakota. This page will not invent a compact-type share. BIA facilities and Indian education operations sit on Interior CFDA numbers, not 93.441.

What the South Dakota 93.441 table omits

The extract has no tribe list, no encounter count, and no clinic inventory. Facts remain $395,804,571, 26 awards, CFDA 93.441, and South Dakota. This page will not invent a ranking against other states’ 93.441 joins, including New Mexico’s separate overlay. Lewis and Clark rural water on 15.520 is an Interior listing, not an IHS subset.

South Dakota federal spending and South 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 HHS spending the packet never computed. The $395,804,571 figure is the tagged pair only.

Where the 93.441 x South Dakota overlay lives

Start with Indian Self-Determination in South Dakota for the 26-award table behind $395,804,571. CFDA 93.441 is the nationwide listing. South Dakota federal spending and South Dakota programs give state context. All spending ties is the shelf for other program-by-state joins on the same obligation metric. Twenty-six awards totaling $395,804,571 remain a compact-style administrative file, not a tribal census. Clinic names and encounter counts are not in this packet. Per-patient amounts are omitted because they are not in the facts.

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.