Friday, March 20, 2026 3/20/2026

Medication Assisted Treatment Grant

Award Number: H79TI085435
ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT
OPDIV: SAMHSA
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2022
PERIOD OF PERFORMANCE END DATE: 09/29/2027

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Medication Assisted Treatment Grant - Indian Health Council, Inc. (IHC) is a healthcare consortium of nine federally-recognized tribes located in north San Diego County, a 1,500 square mile service area. The majority of American Indian/Alaskan Native (AI/AN) residents speak English as their primary language. IHC’s primary and satellite clinic facilities deliver culturally appropriate health care and related services to 12,598 registered and 6,830 active clients who account for about 31,000 visits yearly. The annual household income of at least 60% of clients is within 200% of the federal poverty level. Within IHC’s client population, youth under age 18 comprise 34% of all patients. The population of focus for the MAT PDOA program is primarily tribal members and their spouses residing in the north San Diego County catchment area. Induction into the treatment program will target individuals aged 16 and older with a diagnosis of opioid dependence/abuse. According to the California Department of Public Health, San Diego County experienced 528 opioid-related overdose deaths in 2020, the most recent calendar year of data available and the annual crude mortality rate for 2020 was 15.77 per 100k residents. This represents a 97% increase from 2018. Notably, in 2020, Native American/Alaskan Native opioid-related death rates were the highest among all races/ethnicities, at 30 per 100k residents. From 2019 (Q2) to 2021(Q2)), synthetic opioid overdose death rates soared from 4 to over 16 per 100k residents, along with any opioid Emergency Department visits. In a scan of IHC’s client data from 2019 to current (4/2022) of patients with at least one clinic visit, 130 unique individuals with a diagnosis of opioid dependence/abuse were recorded by IHC Providers. Of these, 20 received MAT services, with one opioid-related death after prematurely leaving the treatment program. In the past, the tendency was to diagnose the underlying medical condition for which a patient sought treatment and not to add opioid dependence or abuse. However, with four years of MAT experience, IHC providers have improved screenings to minimize this issue. Stigma is a key barrier to accessing treatment and we believe the actual number of clients with opioid use disorder continues to be much higher. Another barrier to clients accessing services is IHC’s capacity to provide financial coverage for uninsured patients needing MAT services. The MAT-PDOA funding will allow IHC to address service delivery gaps and expand beyond our current level of services by allocating more resources to medication, laboratory expenses, and contracts with outside treatment organizations for induction and rehabilitative services. IHC’s overarching goal and objectives for the proposed MAT project are: GOAL: Reduce unmet treatment need and opioid overdose-related deaths through the provision of medication-assisted treatment (MAT) and recovery activities for opioid use disorder (OUD) OBJECTIVE 1: Increase participation in culturally appropriate and evidence-based treatment, including MAT using buprenorphine/naloxone for the treatment of opioid use disorder OBJECTIVE 2: Provide a robust suite of medication assisted treatment and Recovery Support Services (RSS) based on the HUB service delivery model to effectively identify, engage, and retain individuals in OUD treatment and facilitate long-term recovery


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	INDIAN HEALTH COUNCIL INC	50100 GOLSH RD	VALLEY CENTER	CA	92082	SAN DIEGO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	3	1/13/2026	TERMINATION	$0
2026	2025	INDIAN HEALTH COUNCIL INC	50100 GOLSH RD	VALLEY CENTER	CA	92082	SAN DIEGO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	3	1/15/2026	OTHER REVISION	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $1 )
2025	2025	INDIAN HEALTH COUNCIL INC	50100 GOLSH RD	VALLEY CENTER	CA	92082	SAN DIEGO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	3	9/23/2025	NON-COMPETING CONTINUATION	$1
2025	2024	INDIAN HEALTH COUNCIL INC	50100 GOLSH RD	VALLEY CENTER	CA	92082	SAN DIEGO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	2	7/28/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $1

Issue Date FY: 2024 ( Subtotal = $750,000 )
2024	2024	INDIAN HEALTH COUNCIL INC	50100 GOLSH RD	VALLEY CENTER	CA	92082	SAN DIEGO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	2	6/26/2024	NON-COMPETING CONTINUATION	$750,000
2024	2022	INDIAN HEALTH COUNCIL INC	50100 GOLSH RD	VALLEY CENTER	CA	92082	SAN DIEGO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	2/22/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
														Subtotal = $750,000

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2022	INDIAN HEALTH COUNCIL INC	50100 GOLSH RD	VALLEY CENTER	CA	92082	SAN DIEGO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	001	1	3/31/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2023	2022	INDIAN HEALTH COUNCIL INC	50100 GOLSH RD	VALLEY CENTER	CA	92082	SAN DIEGO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	1/4/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2023	2022	INDIAN HEALTH COUNCIL INC	50100 GOLSH RD	VALLEY CENTER	CA	92082	SAN DIEGO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	002	1	8/15/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $1,500,000 )
2022	2022	INDIAN HEALTH COUNCIL, INC.	50100 GOLSH RD	VALLEY CENTER	CA	92082	SAN DIEGO	USA	Substance Abuse and Mental Health Services Projects of Regional and National Significance	000	1	9/1/2022	NEW	$1,500,000
														Subtotal = $1,500,000

Grand Total All Awards = $2,250,001

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Medication Assisted Treatment Grant

Award Number: H79TI085435

ORGANIZATION: CENTER FOR SUBSTANCE ABUSE TREATMENT

OPDIV: SAMHSA

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2022

PERIOD OF PERFORMANCE END DATE: 09/29/2027

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