Tuesday, November 4, 2025 11/4/2025

Mobile Medical Dental Exams

Award Number: H1D1IHS1080
ORGANIZATION: INDIAN HEALTH SERVICE
OPDIV: IHS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: DEMONSTRATION
PERIOD OF PERFORMANCE START DATE: 01/01/2023
PERIOD OF PERFORMANCE END DATE: 12/31/2027

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Mobile Medical Dental Exams - The prevalence of diabetes is two- to threefold higher in American Indians in Montana compared with the non-Indian population. High rates of diabetes have also been described in Canadian aboriginal populations closely related to tribes in Montana. Diabetes in pregnancy has increased among Native American mothers and high-birth-weight babies are increasingly likely to be born to Indian mothers with diabetes in pregnancy. As a previously unrecognized tribe, the Little Shell Tribe has little access to tribally specific health data and must instead rely largely on anecdotal or derivative data to describe its health status and need for health services. American Indians/Alaska Natives (AI/AN) experience the worst health of any population in the United States, including the highest rates of death from cirrhosis and diabetes. Life expectancy at birth is less than 74 years but is significantly lower in the Billings Area where AI/AN men are not expected to live past 62 years of age.1 The Billings Area, in which the Little Shell Tribe is located, suffers the most significant number of years of lost life of any of the eleven IHS Service Areas. The 6,294 members enrolled members of the Little Shell Tribe live throughout the United States and in three foreign countries. The Little Shell Tribe’s service area is a four county, non-contiguous are roughly the size of Rhode Island, spanning over hundreds of miles. While we have been disadvantaged by the failure of the federal government to recognize the Little Shell people as Indians for 140 years, we have been advantaged in starting to develop a health care delivery system on our own. Upon Federal Recognition, the Little Shell Tribal Council met with Indian Health Services who stated given the current resources, the Little Tribe may be eligible for funding for a clinic in approximately 40 years. The Little Shell Tribal Council recognized the need to provide services to members and took it upon themselves to find necessary resources to construct a clinic for their people. The Little Shell Tribe has forged a unique relationship with the Billings Area Indian Health Services to provide care to Little Shell members and members of federally recognized tribes, recognizing that together great things can be accomplished. The Little Shell Tribal Health Clinic is operated by IHS and provides, primary care, behavioral health, dental, lab, pharmacy and vision services. The Little Shell Tribe has also entered into their first Title I contract with IHS to provide COVID-19 vaccinations and testing via mobile units. With these mobile units, the Little Shell Tribe can provide much needed care to members and American Indian people in the service area and beyond. With our mobile unit team, the Little Shell Tribe will also provide diabetes education to members in order to help reduce the risk for developing diabetes and its complications. Through a partnership with Indian Family Health Services in Great Falls, MT, this team will work to deepen community health impact by providing American Indian people with an opportunity to address diabetes health issues for a variety of urban and rural populations. Little Shell Tribe members continue to face disproportionately negative health outcomes. To combat these disparities, we have increased access to affordable, equitable, culturally sensitive health services via our mobile medical unit. Our mobile health units will also connect patients to wider community resources. By collaborating with local agencies such as IHS Service Units, community health centers, churches, social services and other hospitals and clinics, we can effectively address diabetes prevention and treatment and overcome these challenges for the Little Shell Tribe.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2025	Little Shell Tribe of Chippewa Indians of Montana	511 CENTRAL AVE W	GREAT FALLS	MT	59404	CASCADE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	02	3	10/22/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $148,030 )
2025	2025	Little Shell Tribe of Chippewa Indians of Montana	511 CENTRAL AVE W	GREAT FALLS	MT	59404	CASCADE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	3	3/31/2025	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$111,023
2025	2025	LITTLE SHELL TRIBE OF CHIPPEWA INDIANS OF MONTANA	511 CENTRAL AVE W	GREAT FALLS	MT	59404	CASCADE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	3	12/17/2024	NON-COMPETING CONTINUATION	$37,007
2025	2024	Little Shell Tribe of Chippewa Indians of Montana	511 CENTRAL AVE W	GREAT FALLS	MT	59404	CASCADE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	04	2	12/4/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2025	2024	Little Shell Tribe of Chippewa Indians of Montana	511 CENTRAL AVE W	GREAT FALLS	MT	59404	CASCADE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	03	2	11/6/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $148,030

Issue Date FY: 2024 ( Subtotal = $185,038 )
2024	2024	Little Shell Tribe of Chippewa Indians of Montana	511 CENTRAL AVE W	GREAT FALLS	MT	59404	CASCADE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	2	12/11/2023	NON-COMPETING CONTINUATION	$74,015
2024	2024	LITTLE SHELL TRIBE OF CHIPPEWA INDIANS OF MONTANA	511 CENTRAL AVE W	GREAT FALLS	MT	59404	CASCADE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	2	5/1/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$74,015
2024	2024	LITTLE SHELL TRIBE OF CHIPPEWA INDIANS OF MONTANA	511 CENTRAL AVE W	GREAT FALLS	MT	59404	CASCADE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	02	2	9/6/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$37,008
														Subtotal = $185,038

Issue Date FY: 2023 ( Subtotal = $148,030 )
2023	2023	Little Shell Tribe of Chippewa Indians of Montana	511 CENTRAL AVE W	GREAT FALLS	MT	59404	CASCADE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	02	1	3/7/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	LITTLE SHELL TRIBE OF CHIPPEWA INDIANS OF MONTANA	511 CENTRAL AVE W	GREAT FALLS	MT	59404	CASCADE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	03	1	5/16/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2023	2023	LITTLE SHELL TRIBE OF CHIPPEWA INDIANS OF MONTANA	615 Central Ave W	Great Falls	MT	59404	CASCADE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	00	1	12/19/2022	NEW	$12,500
2023	2023	LITTLE SHELL TRIBE OF CHIPPEWA INDIANS OF MONTANA	511 CENTRAL AVE W	GREAT FALLS	MT	59404	CASCADE	USA	Special Diabetes Program for Indians Diabetes Prevention and Treatment Projects	01	1	2/2/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$135,530
														Subtotal = $148,030

Grand Total All Awards = $481,098

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Mobile Medical Dental Exams

Award Number: H1D1IHS1080

ORGANIZATION: INDIAN HEALTH SERVICE

OPDIV: IHS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: DEMONSTRATION

PERIOD OF PERFORMANCE START DATE: 01/01/2023

PERIOD OF PERFORMANCE END DATE: 12/31/2027

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