Tribal Self-Governance IHS Compacts obligations in Washington

Twenty-one IHS compact records, one HHS cell

This tie keeps USAspending assistance where CFDA 93.210 meets Washington place of performance. The dollar book is $1,410,325,330. The award count is 21. IHS self-governance compact funding typically posts as a modest number of awards to participating tribes and tribal organizations. Twenty-one records do not equal 21 clinics; annual funding agreements and modifications can share the tape.

The join does not prove that Washington’s tribal citizen counts, clinic-visit volume, or a particular compact election caused $1,410,325,330. Those are other series. This packet does not split hospital operations from public-health programs inside the compact. Correlation is not causation.

A reader who treats the cell as Washington’s full HHS obligation book has left the CFDA-by-state definition. Head Start and TANF are different catalog numbers on the same statewide stack. The 21 figure is a record count, not a patient headcount.

Twenty-one awards and a blended mean

Twenty-one awards under $1,410,325,330 imply a mean near $67,158,349 per award. Larger compact packages can sit well above that average; smaller amendments can sit below it. The packet has no median and no share on the largest award.

Cite both columns without converting the mean into a typical clinic budget. USAspending.gov is the source; SpendingVault does not recast $67,158,349 as a per-tribe operating cost.

Washington’s 93.210 cell versus Interior self-governance

Washington’s state hub stacks every CFDA with performance coded to the state. CFDA 93.210 is an IHS/HHS compact line. Interior Tribal Self-Governance (CFDA 15.022) is a different agency’s catalog number and is not this cell. $1,410,325,330 is not Washington’s all-program total. The nationwide CFDA 93.210 page includes every state, so it is not this cell.

Place-of-performance for an IHS compact can sit on Washington even when a tribe’s service area crosses state lines. This packet does not reallocate compact dollars. Read the overlay as a coding view of 21 awards.

Obligations versus clinic spending

The $1,410,325,330 figure is an obligation sum. Compact drawdowns can trail the federal obligation. SpendingVault does not publish a 93.210-in-Washington outlay total in this packet. Mixing encounter or uninsured-rate statistics with this award file leaves the USAspending series.

Cite the join as CFDA 93.210 × Washington, $1,410,325,330, 21 awards, obligations only.

Parent hubs

The Washington × Tribal Self-Governance Program IHS Compacts overlay is the table view. Recipient slices on that hub still sum toward $1,410,325,330 on 21 awards. The Washington spending page and the CFDA 93.210 program page are the parents. The Washington programs index and the ties index list other pairs.

None of those links convert the cell into a clinic count or into outlays this packet omits.

What Washington IHS compact funds are not

Tribal Self-Governance Program IHS Compacts in Washington are not a ranking of tribes and not a count of clinics. The $1,410,325,330 figure is the CFDA 93.210 × Washington cell. Twenty-one awards describe IHS compact filing, including annual funding agreements, not 21 clinics. Hospital operations and public-health programs inside the compact are not split here.

Interior Tribal Self-Governance (CFDA 15.022) is a different agency. Head Start and TANF are different HHS catalog numbers. Cite 93.210 and Washington together, keep the obligation label, and keep the 21-award count. Compact drawdowns can lag the federal obligation. Later bulk files can revise both dollars and the record count.

Washington’s IHS compact cell also does not include clinic-visit totals, hospital-versus-public-health splits, or tribal-citizen counts. Those series live with IHS and the compacting tribes. SpendingVault cites USAspending.gov obligations only: CFDA 93.210 × Washington, $1,410,325,330, 21 awards. If a later extract revises the 21-row tape, the implied mean near $67,158,349 moves with it. Quote the packet facts and the overlay path rather than a clinic-ranking story.

Keep both sides of the join in any citation: IHS Compacts/Funding Agreements and Washington, obligations only, 21 awards on $1,410,325,330.

Questions

How much IHS compact spending is in Washington?

USAspending.gov shows $1,410,325,330 in CFDA 93.210 obligations coded to Washington across 21 awards. The join uses the program number and Washington place of performance. The total is obligations, not outlays.

Does 21 awards mean 21 tribes received IHS compacts?

No. The extract counts 21 award records tagged to CFDA 93.210 and Washington. Annual funding agreements and modifications can appear as separate records. The implied mean is about $67,158,349 per award from the two packet facts.

Is $1.41 billion Washington’s full federal health spending?

No. $1,410,325,330 is only the Tribal Self-Governance Program IHS Compacts cell. Other CFDA programs with Washington place of performance sit on the statewide hub. Nationwide 93.210 is not limited to Washington.

Do these obligations equal cash spent in clinics?

No. $1,410,325,330 is an obligation sum. Outlays are a different USAspending series. Compact drawdowns can lag the federal obligation.