Policy Overview

The Northwest Portland Area Indian Health Board (NPAIHB) conducts health policy and legislative analysis on health care and budget issues affecting Indian health programs. The Board analyzes the Indian Health Service budget and other health care financing programs that impact Indian health care programs. NPAIHB also prepares Congressional testimony for health care financing and other important health policy issues at the federal and state levels. Click on the respective links to access detailed information about each aspect.

There is a “legal and political relationship” between the United States and Indian Tribes, which establishes a federal responsibility to provide health services to Indian people.  This federal obligation is established in the US Constitution, through treaties and Presidential Executive Orders entered into between the United States and Indian Tribes.  This obligation has been affirmed through numerous court decisions, legislation, and policy declarations by Presidential Administrations.  This federal relationship forms the legal and moral foundation for the creation of health policies between the United States and Indian Tribes.

The Northwest Portland Area Indian Health Board is dedicated to upholding the responsibility of the United States to provide health services to Indian people under the federal trust relationship by:

  • Advocating and educating Congressional representatives on treaty rights and how such rights relate to health care in Indian Country.
  • Developing an Annual Legislative plan to provide recommendations on the President’s annual budget and other health care financing programs like Medicare and Medicaid.
  • Tracking legislation and other important health policy issues that affect the delivery of health care to American Indian and Alaska Native people.
  • Finally, facilitating consultation between state and federal agencies and Tribal leaders on health policy issues in order to understand respective concerns to make important decisions on programs and services that effect Indian people.

To learn about Senate Bills and House Reports that may affect American Indian and Alaska Native people in the Northwest read on, or visit Resolutions.

See the Senate Indian Affairs Committee and the House Resources SubCommittee on Indian and alaska Native Affairs for a list of legislation that impacts Indian programs. Pending legislation can be tracked using the Floor Activity weekly feature of Thomas.

 

The most recent Federal policy updates:

Name Date Size Hits
DTLL VA Mission Act Roll Out June 19, 2019 0.4 MiB 1
NPAIHB Native Veterans Needs VA MISSION ACT June 13, 2019 0.3 MiB 1
NPAIHB CHAP Interim Policy Comment FINAL SUBMITTED June 13, 2019 0.1 MiB 8
Letter To Tribal Leaders April 19, 2019 59 KiB 4
DRAFT AGENDA TOPICS SG Conference Jan 30 February 4, 2019 0.9 MiB 8
SELFGOVERNANCE CONFERENCE 2019 February 4, 2019 0.1 MiB 7
SPONSOR PACKAGE 2019 February 4, 2019 0.5 MiB 6
NPAIHB ONC Health IT Strategy FINAL January 29, 2019 0.1 MiB 15
CMS Medicaid And CHIP Managed Care Proposed Rule Comments January 14- 2019 January 15, 2019 0.4 MiB 12
Enclosure FY18 IHCIF Allocations August 20, 2018 0.1 MiB 15
DTLL FY18 IHCIFAllocations 08172018 August 20, 2018 0.2 MiB 11
NPAIHB Comment SDPI FY 19 Funding Distribution Final May 23, 2018 0.2 MiB 22
Tribal Medicaid Meeting May 2018 Draft Agenda May 10, 2018 66 KiB 55
Joint Letter Requesting Tribal Consultation 4 May 1, 2018 0.5 MiB 33
DTLL CSC 04132018 April 20, 2018 0.1 MiB 23
DTLL SDPI 04132018 April 20, 2018 0.1 MiB 20
STAC January 2018 Meeting Memo For NW Tribes March 8, 2018 0.2 MiB 270
THP Training August2017 Final January 11, 2018 1.3 MiB 305
58862-1 Chairman Barton SIGNED 12-8-17 December 11, 2017 0.8 MiB 259
DSTAC TSGAC Sep 14 Letter Response 10 October 25, 2017 47 KiB 160
58580-1 DTLL SAP OEHE 08252017 August 28, 2017 92 KiB 353
AIHC Agenda August 24th 2017 Delegates Meeting August 22, 2017 0.2 MiB 458
Updating M&I Funding Allocation 62617 August 1, 2017 93 KiB 220
ISAC ACTIONS-RECOMMENDATIONS Jun 2017 FINAL-SIGNED 2017 07 11 July 24, 2017 0.2 MiB 390
CMS Emergency Preparedness Final Rule Webinar June 19, 2017 64 KiB 451

The Northwest Portland Area Indian Health Board (NPAIHB or Board) understands the significance of tracking appropriations for the Indian Health Service (IHS) budget.  The IHS budget is the most important source of funding for Indian health programs, and is a recognized obligation of the federal government to provide health services to Indian people.

NPAIHB continues a long-standing tradition of close scrutiny of the IHS budget that began in the 1980s.  The federal trust responsibility and the relationship between Tribes and the federal government, by definition, require a partnership in developing the IHS budget.  Northwest Tribes are dedicated to this partnership by creating an Annual Budget Analysis and Recommendations Report as well as tracking appropriations to IHS programs.

The most recent IHS Budget updates:

 

Name Date Size Hits
TAB 8 – FY 2020 National Tribal Budget Formulation Workgroup Recommendations October 24, 2018 1.3 MiB 18
TAB 7 – 2020 PAIHS Submission Hot Issues FY2020 FINAL October 24, 2018 93 KiB 9
TAB 6(B) 2020 PAIHS Submission National Budget Worksheet Without Negative October 24, 2018 0.1 MiB 7
TAB 6(A) – 2020 PAIHS Submission National Budget Worksheet With Negative October 24, 2018 0.1 MiB 6
TAB 5 – 2020 PAIHS Submission (Narrative) October 24, 2018 0.2 MiB 11
TAB 4 – 2021-Budget Formulation Support Docs October 24, 2018 0.7 MiB 8
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 10
TAB 2 – FY 2021 Area Instructions Package October 24, 2018 0.8 MiB 8
FY 2020 PA Budget Submission Summary HANDOUT October 24, 2018 53 KiB 9
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 10
Agenda – FY 2021 PAO IHS Budget Formulation Meeting October 24, 2018 2.4 MiB 14
NPAIHB Letter To IHS On 97-3 Option 5-18-18 Final May 23, 2018 0.3 MiB 30
DTLL Signed Letter February 16, 2018 0.2 MiB 250
2020-Budget Formulation Support Docs November 1, 2017 0.7 MiB 392
2020 Budget Formulation Deliverables November 1, 2017 0.1 MiB 400
Portland Area – FY2019 Final Budget Worksheet June 15, 2017 61 KiB 619
Portland Area – FY2019 Budget Narrative June 15, 2017 0.1 MiB 529
Portland Area – FY 2019 Budget Formulation Presentation HQ June 15, 2017 0.1 MiB 356
National Tribal Budget Workgroup Testimony – FY 2019 FINAL June 15, 2017 4.0 MiB 872
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 480
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 825
2004 Legislative Plan – FINAL On March 6, 2004 June 14, 2016 0.1 MiB 550
Final 15th Annual IHS Budget Analysis And Recommendations June 14, 2016 0.4 MiB 503
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 847
FY 2009 Budget Analysis – Final March 17, 2008 April 6, 2016 0.8 MiB 420

The most recent Portland Area Facilities (PAFAC) updates:

Name Date Size Hits
Regional Center Fact Sheet And FAQs – September 2, 2010 May 11, 2018 0.3 MiB 19
Pilot Study Interim PAFAC Report 30-Oct-09 May 11, 2018 5.5 MiB 32
9 RSRC – A Fact Sheet 2018 Update May 11, 2018 0.1 MiB 21

The most recent policy issues for Oregon:

Name Date Size Hits
333-010 Notice Of Rulemaking 09-25-18 September 27, 2018 0.1 MiB 21
Governor Brown’s Health Care Agenda September 25, 2018 0.2 MiB 14
Tele-dentistry Administrative Rules V5 9-12-18 KMS September 21, 2018 20 KiB 11
RAC Notification 10.4.18 Teledentistry September 21, 2018 28 KiB 10
FW CCO RAC Stakeholders List Update Request September 13, 2018 61 KiB 10
FW Oregon Health Authority To Present At OrOHC Fall Conference September 13, 2018 76 KiB 12
FW Oregon Dept Of Human Services – APD Rules Advisory Committee (RAC) Updates September 13, 2018 62 KiB 12
Health Care Agenda 9.7.18 FINAL September 13, 2018 0.2 MiB 14
Tribal Consultation And Urban Indian Health Program Confer Policy-Signed 3 March 2, 2018 3.5 MiB 211
Oregon Tribal Leaders Letter to ODA July 28, 2017 0.4 MiB 441
SB738 March 14, 2017 57 KiB 583
Oregon Access Monitoring Review Plan November 1, 2016 0.7 MiB 591
Copy Of OHA Contacts For Tribes 10-28-16 November 1, 2016 34 KiB 1210
Workgroups-external-roster-full June 9, 2016 0.1 MiB 998
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 606
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 607
Workgroup-global-budget-charter June 9, 2016 0.2 MiB 428
Workgroup-cco-charter June 9, 2016 79 KiB 642
Oregon Insurance Exchange Proposal Workplan – June 29 2011 June 9, 2016 69 KiB 326
OR HIX Board Packet 12 9 11 June 9, 2016 4.7 MiB 471
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 555
NPAIHB Comments On SB 99 – March 28 2011 (2) June 9, 2016 0.2 MiB 396
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 781
December 2011 June 9, 2016 0.2 MiB 424
Consultation Summary 11-30-11 June 9, 2016 98 KiB 447

The most recent policy issues for Idaho:

Name Date Size Hits
Full Public Notice 7-3-19 Coverage Choice Waiver Final July 8, 2019 0.2 MiB 1
Waiver Medicaid Expansion Tribal Notice Post July 8, 2019 0.2 MiB 0
Tribal Update Letter Coverage Choice Waiver 7-3-19 FINAL Sign July 8, 2019 1.7 MiB 0
19-0008T Healthy Connections Fixed Enrollment Tribal Notice Sign March 27, 2019 1.9 MiB 2
19-0009 4 Walls IHS Tribal Solicitation FINAL 031219 Sign March 14, 2019 1.6 MiB 2
Tribal Mtg Coordination 2019 February 15, 2019 92 KiB 5
18-0014 Medicaid Adult Expansion To ABP SPA Tribal Notice FINAL Sign December 19, 2018 1.9 MiB 10
Tribal Notice – SED Premiums SPA 09132018 September 20, 2018 91 KiB 39
2-22-2018 Idaho Tribes DRAFT Minutes May 10, 2018 46 KiB 60
18-001 Tribal Notice IDEA ITP SPA January 31, 2018 41 KiB 195
11-8-2017 Idaho Tribes DRAFT Minutes – Rfb January 29, 2018 0.3 MiB 244
17-255 Tribal Notice DME SPA January 2, 2018 33 KiB 200
HCBS AD And Adult DD Reshab Tribal Notice 2 November 28, 2017 1.0 MiB 208
A-D Waiver Amendment Tribal Notice November 3, 2017 0.6 MiB 195
Agenda Tribes Nov 2017 Draft October 31, 2017 67 KiB 229
17-230 Tribal Notice 1915c Adult DD & A&D Waiver Amendments Reshab October 30, 2017 0.5 MiB 126
17-229 Tribal Notice 1915i HCBS Adult DD SPA October 30, 2017 0.6 MiB 135
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 305
Adult DD 1915i HCBS Tribal Notice September 28, 2017 0.4 MiB 197
YHI Idaho Tribal Meeting Agenda August 2017 July 26, 2017 0.2 MiB 191
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 240
Draft TribesState Agenda August 2017 Fort Hall July 11, 2017 0.3 MiB 420
1915bIBHPWorkgroup Tribal Ltr MW May 24, 2017 0.3 MiB 180
MA1702 1915b Formal Policy Statement May 24, 2017 0.1 MiB 357
17-088 Tribal Notice For Childrens DD March 31, 2017 0.4 MiB 225

The most recent policy issues for Washington:

Name Date Size Hits
FAQ SSB 5079 Final March 16, 2017 0.4 MiB 1588
5079-S SL March 14, 2017 64 KiB 453
Final Washington Tribes SB 5079 Support Letter February 22, 2017 0.4 MiB 820
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 389
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 394
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 387
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 233
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 261
AIHC CR 102 Redline Changes (Final-04-10-14) April 5, 2016 34 KiB 492
Dear Interested Partners: April 5, 2016 0.6 MiB 1353
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 649
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 845
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 639
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 467
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 451

Coming soon!