Indian Health Service: Produce Prescription Pilot Program
Program Funding
Annual program obligations reported to SAM.gov.
Program Objective
The purpose of this program is to help establish Produce Prescription Programs through collaborations with stakeholders from various health care and food industries in Tribal communities. The P4 will help increase access to fruits, vegetables, and healthy traditional foods for AI/AN people by allowing eligible individuals to receive a fruit and vegetable voucher from a participating health care provider to redeem at a local market. The goal of this pilot is to demonstrate and evaluate the impact of Produce Prescription Programs on AI/AN people and their families, specifically by:
1. Reducing food insecurity;
2. Improving overall dietary health by increasing fruits, vegetables, and traditional food consumption; and
3. Improving health care outcomes.
Eligibility
Eligible Applicants
- Federally Recognized Tribal Government
- Nonprofit Organization
Federally recognized Indian tribes; tribal organizations; nonprofit inter-tribal organizations; nonprofit urban Indian organizations contracting with the Indian Health Service under Title V of the Indian Health Care Improvement Act; public or private nonprofit health and education entities; and State and local government health agencies.
Beneficiaries
- Federally Recognized Tribal Government
American Indians/Alaska Natives will be the ultimate beneficiaries of the funded projects either directly or indirectly depending upon the nature of the project. For example, those individuals who participate in research studies and receive services will be direct beneficiaries while those impacted by policy changes resulting from analyses of Indian health care issues will be indirect beneficiaries.
How to Apply
Award Procedure
After review and approval, a notice of award is prepared and processed, along with appropriate notification to the public.
Decision Timeline
- Approval: From 30 to 60 days
- Appeal: From 30 to 60 days
Program details & compliance
Description
Social determinants of health (SDOH) are the conditions in the environments where individuals are born, live, learn, work, play, worship, and age, that affect health and quality of life risks and outcomes. One of the SDOH that can contribute significantly to various health disparities and inequities is access to nutritious foods. If people or communities do not have nutrition security, they are less likely to have good nutrition, placing them at risk for health problems, such as heart disease, diabetes, and obesity (
https://health.gov/healthypeople/priority-areas/social-determinants-health). Studies have shown that people and communities of color, families with children, and people who live in remote areas, including Tribal communities, have a higher rate of diet-related chronic diseases (
https://www.usda.gov/media/press-releases/2022/03/17/usda-announces-actions-nutrition-security). For example, according to the 2022 Centers for Disease Control National Diabetes Statistics Report, the prevalence of diagnosed diabetes was highest among American Indians and Alaska Natives (14.5 percent), followed by non-Hispanic Blacks (12.1 percent), people of Hispanic origin (11.8 percent), non-Hispanic Asians (9.5 percent) and non-Hispanic Whites (7.4 percent), compared to 8.7 percent of the United States (U.S.) population (
https://www.cdc.gov/diabetes/data/statistics-report/index.html).
Mission Categories
Primary: American Indian or Alaskan Native Health
Other categories:
Prevention and Control (includes Suicide Prevention)
Use of Funds
Allowed Uses
Federal assistance is to be used for the following purposes: (1) Research, analysis, and investigation of a broad range of issues affecting the health of American Indians and Alaska Natives; and (2) demonstration projects and studies that provide American Indians/Alaska Natives with impetus and involvement in their health care and that promote improved health care to Indian people.
Restrictions
All IHS Grants Funds are for discretionary grant activities.
Required Documentation
Costs will be determined in accordance with the applicable OMB Circular: OMB Circular No. A-87 (State, local, and Indian tribal governments); OMB Circular No. A-21 (institutions of higher education); and OMB Circular No. A-122 (nonprofit organizations). Depending upon the nature of the project, letters of support or tribal resolutions may be required.
2 CFR 200, Subpart E - Cost Principles applies to this program.
Reporting & Compliance
Applicable 2 CFR 200 Subparts
- Subpart B — General Provisions
- Subpart C — Pre-Federal Award Requirements
- Subpart D — Post-Federal Award Requirements
- Subpart E — Cost Principles
- Subpart F — Audit Requirements