**ACTIVITY / MECHANISM BUDGET SUMMARY**

**Department of Health and Human Services**

**Indian Health Services -- 75-0390-0-1-551**

**TRIBAL MANAGEMENT**

Program Authorization: Program authorized by Indian Self Determination
and Education Assistance Act, P.L. 93-638, as amended, Section 103(b)
(2) and 103(e), P.L. 100-472, and P.L. 100-413.

+-------------+-------------+-------------+-------------+-------------+
| (In         |             |             |             |             |
| Dollars)    |             |             |             |             |
+-------------+-------------+-------------+-------------+-------------+
|             | FY 2003     | FY 2004     | FY 2005     | Increase    |
|             |             |             |             |             |
|             | Actual      | Enacted     | Estimate    | or Decrease |
+-------------+-------------+-------------+-------------+-------------+
| BA          | \$2,390,000 | \$2,376,000 | \$2,376,000 | +\$0        |
+-------------+-------------+-------------+-------------+-------------+
| FTE         | 0           | 0           | 0           | 0           |
+-------------+-------------+-------------+-------------+-------------+

**[PURPOSE AND METHOD OF OPERATION]{.underline}**

The Tribal Management Grant Program awards grants annually to Tribes and
Tribal Organizations through a nationally competitive grant process. The
purpose of the Tribal Management Grant program is to assist Tribes and
Tribal Organizations in assuming all or part of existing IHS programs,
services, functions, and activities and improve existing Tribal program
operations.

Tribal Management Grant awards are used by Tribes and Tribal
Organizations to improve their management capabilities through various
projects. The types of projects completed through this grant program
include conducting feasibility studies, creating specific Tribal health
plans, evaluating Tribal health programs, and improving Tribal health
management structures such as correcting audit findings in financial
management systems.

**[ACCOMPLISHMENTS]{.underline}**

In Fiscal Year 2004, the Tribal Management Program will award
approximately 27 continuation and new grants. The following are the
grant awards for the past 5 years:

+--------+----------+----------+-------------+-----+-----------+------+
| Year   | Grant    | Program  | Total       | Gra |           |      |
|        |          | O        |             | nts |           |      |
|        | Funding  | peration | Funding     | A   |           |      |
|        |          |          |             | war |           |      |
|        |          |          |             | ded |           |      |
+--------+----------+----------+-------------+-----+-----------+------+
|        |          |          |             | New | Con       | T    |
|        |          |          |             |     | tinuation | otal |
+--------+----------+----------+-------------+-----+-----------+------+
| 2000   | \$2      | \$46,600 | \$2,411,000 | 25  | 6         | 31   |
|        | ,364,400 |          |             |     |           |      |
+--------+----------+----------+-------------+-----+-----------+------+
| 2001   | \$2      | \$69,000 | \$2,411,000 | 23  | 5         | 28   |
|        | ,342,000 |          |             |     |           |      |
+--------+----------+----------+-------------+-----+-----------+------+
| 2002   | \$2      | \$91,615 | \$2,406,000 | 13  | 12        | 25   |
|        | ,314,385 |          |             |     |           |      |
+--------+----------+----------+-------------+-----+-----------+------+
| 2003   | \$2      | \$62,796 | \$2,390,000 | 18  | 10        | 28   |
|        | ,327,565 |          |             |     |           |      |
+--------+----------+----------+-------------+-----+-----------+------+
| 2004   | \$2      | \        | \$2,376,000 | 20  | 7         | 27   |
| Est.   | ,276,000 | $100,000 |             |     |           |      |
+--------+----------+----------+-------------+-----+-----------+------+

##### 

##### RATIONALE FOR THE BUDGET REQUEST

##### 

**[TOTAL REQUEST]{.underline}** \-- The request of \$2,376,000 is the
same as the FY 2004 Enacted level of \$2,376,000 and no FTE.