Table 4F Funds Appropriated by Congress in Facilities Line Primarily distributed by program formulas Funds managed by the Office of Environmental Health and Engineering Services at IHS
PFSAs Included Includes funds for: M&I – Maintenance and Improvement Equipment Replacement Health Facility Planning and Construction- Health Facilities Operating and Maintenance ( Including facility support of maintenance, utilities, etc. Sanitation Facilities Design and Construction Environmental Health Services (Sanitarians and A&I prevention)
Maintenance and Improvement Funds (M&I) Funds are allocated according to the Oklahoma formula: Relies on amount of supported space on IHS Facility Inventory modified by intensity of use; type of construction; location index and replacement costs. Applies to both tribal and IHS owned facilities Facility must be on IHS inventory to qualify.
Maintenance and Improvement Funds (M&I) Funds may be divided into Routine and Pool M&I funds: Routine funds are provided to each tribe. Tribes may choose to participate in the M&I pool at the Area Office or receive the M&I pool funds directly. Pool funds are allocated to Area Projects thru an Area facilities M&I priority process.
Facilities Construction and Design (2200) Sanitation Project Specific funds which are not available unless the Tribe completes a construction agreement for a Sanitation Project (2300) Design and engineering services supporting new health facilities and new sanitation facilities. Are available along with new construction projects.
Facilities and Environmental Support (2401) Basic Environmental Health Services including Sanitarian and A&I control. (2402) Facilities support including maintenance and facility utility and operational support Real Property management
Equipment Funding for new and replacement equipment Allocated on the basis of Oklahoma formula as well. Special allocation for certain tribally constructed facilities by application
Key Negotiation Issues for Table 4F Funding Insure all tribal and federal facilities which are to be contracted for are on the IHS. Decide whether to participate in M&I pool at the Area Office Level. Participate nimbi pool project priority process at the Area Office Decide whether to participate in Equipment Replacement Pool at the Area Level.