IHS Tribal Self-Governance obligations in Montana

What the 93.210–Montana join is

CFDA 93.210 is titled TRIBAL SELF-GOVERNANCE PROGRAM: IHS COMPACTS/FUNDING AGREEMENTS. Crossed with Montana place of performance, obligations sum to $765,370,104 on 5 awards. The national IHS compact hub includes other states. Montana’s spending hub includes other programs. Only this intersection is reported here. $765,370,104 is an obligation aggregate from USAspending.gov, not an outlay and not a count of tribal health facilities on the Hi-Line or in western Montana.

Five awards is a concentrated compact pattern: IHS self-governance funding often posts as a small number of large assistance instruments to compacting tribes. The join does not name those tribes, list clinics, or count patients. Packet facts stop at $765,370,104, 5 awards, MT, and 93.210. Correlation is not causation.

93.210 is not High Cost USF in Montana

Universal Service Fund High Cost (CFDA 32.002) is a different catalog on this same slice. Mixing USF into $765,370,104 would invent a broader Montana total than this cell contains. Facts available: Montana, CFDA 93.210, $765,370,104, 5 awards. Compact documents and encounter counts are not in the facts.

The catalog title names Tribal Self-Governance IHS Compacts/Funding Agreements, not a ranking of health status. Dividing $765,370,104 by 5 yields about $153.07 million per award—a compact scale. Unique recipients are unpublished. 5 is not a count of tribes or clinics.

Montana geography on the IHS compact tag

MT is the place-of-performance code. Awards billed to Helena, Billings, or another in-state address can share the tag. Awards coded to Idaho, Wyoming, North Dakota, or South Dakota stay outside $765,370,104 even when a tribal service area crosses those borders. The code does not convert $765.4 million into a reservation map.

Montana federal spending is the all-program parent. 93.210 is one row on Montana programs. $765.4 million is not the state’s complete federal footprint. Open Tribal Self-Governance Program: Ihs Compacts/Funding Agreements in Montana for the filtered table, CFDA 93.210 for 93.210 without a Montana filter, and All spending ties for other pairs. Do not add those parents into $765,370,104.

Reading 5 awards under $765.4 million

$765,370,104 ÷ 5 is about $153.07 million per award. That average is a compact scale, not a typical visit cost. It is not a median. Net obligations can include downward modifications; the total shown is the aggregate in the facts. Treat 5 as a record count, not as 5 finished clinics.

USAspending obligations can be positive new awards or net of downward modifications; $765,370,104 is the net total supplied in the facts. Without a transaction register, you cannot see how many of the 5 rows are continuations, renewals, or corrections. Later ingests can restate $765,370,104 without changing the join key of 93.210 and MT.

What the IHS compact–Montana pair does not prove

A large 93.210 total tagged to Montana does not measure whether access improved, and it does not equal visits delivered. FEC donations do not fund this USAspending cell. Correlation is not causation. The headline remains $765,370,104 on 5 awards for IHS Tribal Self-Governance in Montana.

Keep both sides of the join: Tribal Self-Governance IHS Compacts and Montana, obligations only. Do not annualize $765,370,104 without a year field—this packet publishes none. Do not treat 5 as a tribe census. Quote USAspending.gov and the overlay path rather than an access story.

Using the IHS compact–Montana overlay

The overlay target is the Montana × CFDA 93.210 table. Open Tribal Self-Governance Program: Ihs Compacts/Funding Agreements in Montana when you want the same $765,370,104 / 5-award cell in the site’s data chrome. CFDA 93.210 drops the Montana filter. Montana federal spending drops the CFDA filter. Montana programs lists other catalogs beside 93.210. All spending ties indexes other pairs.

This page exists because two tables meet: a CFDA program and a place-of-performance state. It does not exist to argue that Montana won or lost federal money, that donations paid for the awards, or that obligations equal cash. The pair is 93.210 plus MT. Obligations of $765,370,104 are not outlays.

Questions

How much IHS compact funding is obligated in Montana?

USAspending records $765,370,104 in CFDA 93.210 obligations with Montana place of performance on 5 awards. That is the pair total, not an outlay and not High Cost USF. Keep Tribal Self-Governance Program: Ihs Compacts/Funding Agreements and Montana together when citing $765,370,104.

Does 5 awards mean 5 tribes?

5 is a USAspending award-record count, not a tribe or clinic census. The implied mean is about $153.07 million per award. Unique recipients are unpublished. 5 is a record count, not a person or facility census. The overlay is the live Tribal Self-Governance Program: Ihs Compacts/Funding Agreements–Montana table.

Is this Montana’s total federal tribal-health spend?

No. $765,370,104 is only the 93.210 × Montana cell. Other HHS catalogs appear on separate Montana program pages. Nationwide 93.210 is not limited to Montana. Obligations of $765,370,104 are not outlays. The overlay is the live Tribal Self-Governance Program: Ihs Compacts/Funding Agreements–Montana table.

Do these obligations equal patient visits delivered?

No. $765,370,104 is an obligation sum. Outlays are a different USAspending series. Encounter counts are not in the packet facts. Original filings remain on USAspending.gov for this 93.210 × MT pair. The overlay is the live Tribal Self-Governance Program: Ihs Compacts/Funding Agreements–Montana table.