These tables accompany the report IHS Budget FY2021–FY2025: Five-Year Analysis and Section 105(l) Research (PDF, 13 pages). They are a transcription of selected tables in the report, not an independent audit of the source figures. Amounts are in millions of dollars unless a table shows percentages.
Read before comparing figures
- The report uses different comparison bases in different sections. Read each table’s note before comparing figures across tables.
- COVID-19 emergency appropriations and supplemental funding are not separately identified or analyzed.
- The FY2025 Section 105(l) figures of $149 million, $413 million, and $543 million are different measures (enacted-column figure, operating-plan estimate, and later-reported actuals). They are not interchangeable.
- The facilities-exclusion comparison is provisional. FY2021 account figures should be reconciled to the source Congressional Justification.
- Shares are nominal, not inflation-adjusted. FY2024 figures in the five-year share table use the continuing-resolution comparison basis.
- Sources are listed in the report’s Sources section (pages 10 and 13), including the IHS FY2026 and FY2027 draft Congressional Justifications.
1. Budget composition, FY2025
Report page 3. FY2025 enacted/account-comparison basis; the six categories sum to $7,146.883 million.
| Category | FY2025 amount ($m) | Share of total (%) |
|---|---|---|
| Health Services, excluding PRC/CHEF | 3,990.685 | 55.84 |
| PRC + CHEF | 996.755 | 13.95 |
| Facilities | 800.080 | 11.19 |
| Contract Support Costs (CSC) | 1,051.000 | 14.71 |
| Section 105(l) Tribal leases | 149.000 | 2.08 |
| Special Diabetes Program for Indians (SDPI) | 159.363 | 2.23 |
2. Five-year shares, FY2021–FY2025
Report pages 4–5. FY2024 uses the continuing-resolution comparison. Nominal shares, not inflation-adjusted. Change is in percentage points.
| Category | FY2021 (%) | FY2022 (%) | FY2023 (%) | FY2024 CR (%) | FY2025 (%) | Change FY2021–FY2025 (pts) |
|---|---|---|---|---|---|---|
| Health Services excl. PRC/CHEF | 52.07 | 54.03 | 55.21 | 55.19 | 55.84 | +3.76 |
| PRC + CHEF | 15.28 | 14.59 | 14.03 | 14.02 | 13.95 | −1.33 |
| Facilities | 14.37 | 13.93 | 13.49 | 13.49 | 11.19 | −3.18 |
| Contract Support Costs | 14.34 | 13.04 | 13.64 | 13.63 | 14.71 | +0.36 |
| Section 105(l) leases | 1.58 | 2.22 | 1.56 | 1.56 | 2.08 | +0.50 |
| SDPI | 2.35 | 2.18 | 2.07 | 2.11 | 2.23 | −0.12 |
3. Facilities account
Report page 5. Separate multiyear IIJA sanitation funding should be reported separately.
| Fiscal year | Approved Facilities account ($m) |
|---|---|
| FY2021 | 916.000 |
| FY2022 | 940.328 |
| FY2023 | 958.553 |
| FY2024 | 813.183 |
| FY2025 | 800.080 |
4. Contract Support Costs
Report page 7. The later FY2025 operating-plan estimated score of $1,708 million is a different measure.
| Fiscal year | Approved/account comparison amount ($m) |
|---|---|
| FY2021 | 917.888 |
| FY2022 | 880.000 |
| FY2023 | 969.000 |
| FY2024 | 1,051.000 |
| FY2025 | 1,051.000 |
5. Purchased/Referred Care and CHEF
Report page 8. PRC is within Clinical Services, not a separate top-level appropriation account. CHEF is shown separately and combined with PRC for these comparisons.
| Fiscal year | PRC only ($m) | CHEF ($m) | PRC + CHEF ($m) |
|---|---|---|---|
| FY2021 | 922.856 | 53.000 | 975.856 |
| FY2022 | 931.887 | 53.000 | 984.887 |
| FY2023 | 942.755 | 54.000 | 996.755 |
| FY2024 | 942.755 | 54.000 | 996.755 |
| FY2025 | 942.755 | 54.000 | 996.755 |
6. Section 105(l) Tribal leases
Report page 9. Amounts are the approved/enacted figures shown in the FY2026 IHS budget history. FY2025 later-reported actuals are $543 million; see table 7.
| Fiscal year | Approved/enacted amount ($m) |
|---|---|
| FY2022 | 150 |
| FY2023 | 111 |
| FY2024 | 149 |
| FY2025 | 149 |
7. Section 105(l) reconciliation, FY2025
Report pages 12–13. These are different stages and measures, not interchangeable versions of a fixed capped appropriation. The report treats the difference among them as a reconciliation question; it does not conclude that the difference alone proves a funding shortfall.
| FY2025 figure | Amount ($m) | What it represents |
|---|---|---|
| Enacted column, FY2026 IHS CJ | 149 | Amount displayed in the FY2025 enacted column; an estimate in an indefinite appropriation account. |
| Operating-plan estimate, FY2026 IHS CJ | 413 | Updated operating-plan estimate; not the same as the enacted-column figure. |
| Actuals, FY2027 draft IHS CJ | 543 | Later historical table labels FY2025 as actuals. |
| NIHB FY2025 estimate | 261 | Another point-in-time estimate; cited as an example of estimates changing. |
8. Shares excluding Facilities (provisional)
Report pages 11–12. Denominator is the total program-level IHS budget minus Facilities. The report marks this comparison provisional pending reconciliation of FY2021 figures to the source Congressional Justification.
| Category | FY2021 share (%) | FY2025 share (%) | Change (pts) |
|---|---|---|---|
| Health Services, excluding PRC/CHEF | 60.81 | 62.88 | +2.06 |
| PRC + CHEF | 17.85 | 15.70 | −2.14 |
| Contract Support Costs (CSC) | 16.75 | 16.56 | −0.19 |
| Section 105(l) Tribal leases | 1.85 | 2.35 | +0.50 |
| Special Diabetes Program for Indians | 2.74 | 2.51 | −0.23 |