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Urban Indian Health Institute (UIHI) to continue serving as a Tribal Epidemiology Center (TEC) for the national network of Urban Indian Organizations (UIOs).

Award Number: U1B1IHS0072
ORGANIZATION: INDIAN HEALTH SERVICE
OPDIV: IHS
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: DEMONSTRATION
PERIOD OF PERFORMANCE START DATE: 09/01/2026
PERIOD OF PERFORMANCE END DATE: 08/31/2031

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Urban Indian Health Institute (UIHI) to continue serving as a Tribal Epidemiology Center (TEC) for the national network of Urban Indian Organizations (UIOs). - The Seattle Indian Health Board (SIHB) requests funding under NOFO HHS-2026-IHS-EPI-0001 for our Urban Indian Health Institute (UIHI) to continue serving as a Tribal Epidemiology Center (TEC) for the national network of Urban Indian Organizations (UIOs). We are located in Seattle, Washington. We are 1 of 12 TECs and the only one with a national focus. We serve 41 IHS-funded UIOs and 92 Urban Indian Health Network (UIHN) member organizations across 22 states, reaching approximately 5.7 million urban American Indians and Alaska Natives (AI/AN). Urban AI/AN populations face persistent public health disparities compounded by chronic underinvestment and incomplete surveillance data. More than 76% of AI/AN people in the United States live in urban areas, and urban AI/ANs are frequently absent or misidentified in public health data. This gap limits UIOs’ ability to document disease burden and design evidence-based interventions and contributes to pervasive undercounting as is evident in the crisis of Missing and Murdered Indigenous Women and Girls (MMIWG). Our project strengthens the data infrastructure, technical assistance, and disease surveillance capacity needed to close these gaps. Over a five-year period, we will carry out all seven required TEC functions: collect and monitor data on UIO health status objectives and produce a national Community Health Profile that covers all 41 UIO service areas (TEC Function 1); evaluate current health care delivery and data systems (TEC Function 2); assist UIOs to identify priority health objectives (TEC Function 3); make recommendations to IHS on service targets (TEC Function 4); make recommendations to improve health care delivery systems (TEC Function 5); deliver technical assistance and workshops to UIOs (TEC Function 6); and conduct disease surveillance and promote public health (TEC Function 7). We also propose six optional activities: technical assistance to UIOs to conduct their own community health needs assessments; elder health and dementia care delivery improvements; grantee technical assistance for the IHS Alzheimer’s Grant Program; annual behavioral health data reports; behavioral health communication and engagement; and technical assistance for diabetes prevention and treatment. All activities are guided by our standing advisory council, the monthly UIO Directors’ meeting of all 41 UIO chief executives, and are evaluated using a logic-model framework, disseminated through annual reports, data briefs, and national conference presentations. We request $3,500,000 in Year 1 funding for Required Activities and $805,000 for optional activities. Expected outcomes include sustainable national data infrastructure for urban AI/AN health monitoring; strengthened UIO capacity to act on priority health objectives; reduced health status disparities for urban AI/AN populations; improved disease surveillance and emergency response; expanded UIO partnerships with public health agencies; a strengthened public health workforce through our internship program; and evidence-based recommendations that inform IHS and UIO service-delivery decisions.


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 = $3,950,000 )
2026	2026	SEATTLE INDIAN HEALTH BOARD	611 12th Ave S	Seattle	WA	98144	KING	USA	Epidemiology Program	00	1	9/3/2026	NEW	$3,950,000
														Subtotal = $3,950,000

Grand Total All Awards = $3,950,000

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Urban Indian Health Institute (UIHI) to continue serving as a Tribal Epidemiology Center (TEC) for the national network of Urban Indian Organizations (UIOs).

Award Number: U1B1IHS0072

ORGANIZATION: INDIAN HEALTH SERVICE

OPDIV: IHS

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: DEMONSTRATION

PERIOD OF PERFORMANCE START DATE: 09/01/2026

PERIOD OF PERFORMANCE END DATE: 08/31/2031

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