Photo of Administrator Yvette Roubideaux

Dr. Yvette Roubideaux

Acting Director


To raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level.


The Indian Health Service (IHS) provides a comprehensive health services delivery system for American Indians and Alaska Natives with opportunity for maximum tribal involvement in developing and managing programs to meet their health needs. IHS serves a population of approximately 2.2 million American Indians and Alaska Natives.

Photo of a woman in an exam room with two military doctors.

Photo courtesy of the IHS.

The IHS goal is to ensure that comprehensive, culturally acceptable personal and public health services are available and accessible to American Indian and Alaska Native people. The foundation of IHS is to uphold the federal government's obligation to promote healthy American Indian and Alaska Native people, communities, and cultures and to honor and protect the inherent sovereign rights of Tribes.

The IHS manages Discretionary and “Compact” awards. Compacts are written agreements consistent with the federal government’s trust responsibility, treaty obligations, and the government-to-government relationship between Indian Tribes and the United States and may only be amended by mutual agreement of the parties. Compacts are usually awarded with an “indefinite term” per the Indian Self-Determination and Education Assistance Act under Title V of the statute and therefore intended to be in place in perpetuity. Funding Agreements associated with Title V compacts identify the Programs, Functions, Services, and Activities (PFSAs) or portions thereof that will be assumed by a Tribe or tribal organization and the funding that is related to those PFSAs. Each Tribe has a sole right to its share of IHS PFSAs. Each Tribe chooses whether to receive the funding and each Tribe controls the timing of the funding agreement and the retention of the ongoing responsibility for so long as permitted by federal law or until terminated by mutual written agreement, retrocession, or resumption.

IHS Award History

The Total Award Amounts and Award Number chart shows the number of awards and the amount of award dollars in billions that IHS granted during the current and previous 5 fiscal years. The number of awards is shown in the blue bars. The award dollars are represented as gold bars. Data for the current fiscal year, at the far right of the chart, are depicted in brighter colors.

Hover over any bar to see a tool tip that shows award or dollar data.

In the legend, click on Number of Awards to see only the gold bars display in the chart. Click on Total Award Amount to see only the blue bars.

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IHS Total Awards

The interactive pie charts compare IHS total award dollars in billions, and IHS total number of awards, with the award dollars and number of awards of all other granting HHS agencies. Mouse over any pie segment to see the percentage that segment represents.

The charts' segments can be rearranged. Click on and hold a segment and move the mouse in a circular motion.

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Awards by U.S. Location

The map below shows IHS's total or discretionary total awards and award dollars granted by state for FY 2014, including U.S. Territories. for FY 2014, including U.S. Territories. Mouse over a location to view award data. Hide or restore a location within a range of dollars by clicking on the colored boxes in the legend.

United States Territories: American Samoa (AS), Federal States Micronesia (FM), Guam (GU), Northern Mariana Islands (MH), Puerto Rico (PR), Republic of the Marshall Islands (MP), Republic of Palau (PW), Virgin Islands (VI).

Top 20 Discretionary Award Recipients

The map below uses a range of blue circles to show the top 20 national recipients of IHS discretionary awards ranked by dollar amount. Larger, darker circles indicate higher rank and amount (see legend). States without a circle did not have a recipient in the top 20. Mouse over a colored circle to view recipient and award data.

United States Territories: American Samoa (AS), Federal States Micronesia (FM), Guam (GU), Northern Mariana Islands (MH), Puerto Rico (PR), Republic of the Marshall Islands (MP), Republic of Palau (PW), Virgin Islands (VI).

Treemap - Non-discretionary Grant Program Awards

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