Public beta© 2026 Adaptrex, LLC
Public beta© 2026 Adaptrex, LLC
Federal grant · cooperative agreement (b)
Diabetes Treatment & Prevention at Chapa-de Indian Health - Since at Least 1989, Chapa-de Indian Health Has Provided Culturally Appropriate Diabetes Treatment and Prevention Services to American Indian/alaska Native (AIAN) Patients Residing in Placer, Nevada, Sierra, and Surrounding Counties in California. Funding in the Amount of $329,591 Per Year for Five Years Is Requested to Fund the Comprehensive Services Provided by the Chapa-de Diabetes Department. Year One Activities Will Include a Special Focus on Improving Rates of Completion and Documentation of Tuberculosis Screening to Prevent Disease Amongst Aian Clients and the Wider Community. in Addition, the Chapa-de Diabetes Team Will Champion the Use of Continuous Glucose Monitoring to Help Empower Patients and Allow Providers to Make Customized Treatment Decisions for Optimal Diabetes Management, Partner With the Chapa-de Dental Department to Identify Aian Adult Patients at Risk for Diabetes Through Annual Screening and Offer Them Support and Services, Complete Retinopathy Screenings With Adult Aian Clients With a Diagnosis of Diabetes and Who Have a Primary Care Provider at Chapa-de to Prevent Vision Damage, and Deliver Medical Nutrition Therapy by Registered Dietitians to Support Aian Clients to Build Positive Health Behaviors and Improve Glycemic Control.
Committed
$1.4 Million
Paid out
$1.2M
84%
Committed, not yet paid
$230.2K
16%
Everything here is this single award's whole record — signed, amended, paid — not a fiscal-year slice. The by-year charts elsewhere split an award across the years it was committed; this page keeps it whole.
Committed is what the government has legally promised on this award so far. Contracts can also carry a ceiling — the maximum if every option is exercised. Unspent ceiling is headroom, not money owed.
The cash actually disbursed against this award. The gap from committed is the disbursement pipeline: promised, not yet cashed.
Each transaction is a signing event — an action that created or changed the award, dated the day it was signed — not a payment. Negative amounts are real: money de-committed at closeout or renegotiation.
One bar, the award’s whole arithmetic: paid out, then committed, not yet paid, then .
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