Tribal Health Care Dialysis Outpatient Center

The Arizona Department of Administration, through its State Grants Office, has announced the availability of funding for the Tribal Health Care Dialysis Outpatient Center Grant. This grant program was authorized under S.B. 1741 and is intended to provide critical support for the establishment of a new outpatient dialysis treatment facility serving tribal communities in Arizona. The grant responds to the urgent need for increased dialysis services in rural and tribal areas, where access remains limited and travel burdensome for patients. The Arizona Department of Administration has received a waiver under A.R.S. § 41-2703 to narrow this competition given the highly specific eligibility requirements, which may limit the number of qualifying applicants to only one entity. The program will distribute a one-time grant award of $3,000,000 to a single eligible health care facility. Funds are to be used exclusively for the construction of an outpatient dialysis treatment center. The award term will span twelve consecutive months beginning on October 1, 2025. Funds must be expended within this period, unless the recipient obtains an approved written extension. Any unspent funds at the conclusion of the award period must be returned to the Arizona Department of Administration. Awardees will be required to submit an annual financial report and comply with additional reporting requirements, including a budget expenditure plan, performance metrics, and narrative project progression updates. Eligibility for this grant is highly restrictive. Applicants must operate pursuant to Public Law 93-638, function as a critical access hospital under the definitions set forth in federal regulations, and be located on unincorporated or tribal land in a county in Arizona with a population not exceeding 70,000 people. Facilities must demonstrate that they benefit tribal members in need of dialysis treatment, serve a patient population of at least 10,000 people, and be located at least 30 miles from the nearest outpatient dialysis treatment center licensed under Arizona statutes. These criteria ensure that the facility funded will address underserved populations without duplicating existing services. Applications must be submitted through the eCivis system. The application window opens on September 11, 2025, and closes on September 25, 2025, at 5:00 p.m. Mountain Standard Time. Paper submissions will not be accepted. Applicants are required to provide detailed responses including a scope of work, a project timeline, and an evaluation plan. The scope of work should summarize the need, objectives, and performance measures while demonstrating compliance with eligibility conditions. The project timeline must outline key objectives, activities, and milestones within the twelve-month period. The evaluation plan should describe how program success will be measured, who will provide oversight, and how issues will be addressed. In addition, applicants must provide a budget summary and narrative explaining the basis for each requested expense category and supporting documentation such as contractor quotes where applicable. Evaluation of applications will be based on four scored criteria. The scope of work will be reviewed for the quality of need assessment, objectives, and performance measures. The project timeline will be judged by the level of detail and feasibility for meeting grant requirements. The evaluation plan will be assessed on oversight capacity and issue resolution methods. Finally, budget alignment will be scored based on the clarity and justification of expenses and their alignment with the overall project. Only applications that present clear, convincing documentation of capability and alignment with program requirements will be considered. The grant program will follow a strict timeline. Applications are due by September 25, 2025, and awards will be announced by September 30, 2025. The funding period will begin on October 1, 2025, and end on September 30, 2026. Questions and technical issues with the eCivis platform should be directed to the designated grants administrator. The program contact is Mike Gurr, Grants Administrator with the Arizona Department of Administration, available via email at mike.gurr@azdoa.gov. This single-year opportunity is not recurring and will support the establishment of a facility expected to significantly expand dialysis care access for tribal members in Arizona.