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.

Everyone is welcome to join the online Policy Forum

This forum is a discussion space for our tribal communities to share questions, tips, and resources.

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
2007 Legislative Plan – February 14, 2007 April 5, 2016 69 KiB 223
u April 5, 2016 0.3 MiB 313
67249 April 5, 2016 0.1 MiB 230
Federal Register Updates April 5, 2016 34 KiB 264
NIHB HHS Budget Consultation Comments April 2012 FINAL April 5, 2016 1.0 MiB 341
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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 Portland Area Facilities (PAFAC) updates:

Name Date Size Hits
9 RSRC – A Fact Sheet 2018 Update May 11, 2018 0.1 MiB 10
Pilot Study Interim PAFAC Report 30-Oct-09 May 11, 2018 5.5 MiB 14
Regional Center Fact Sheet And FAQs – September 2, 2010 May 11, 2018 0.3 MiB 7

The most recent policy issues for Oregon:

Name Date Size Hits
1115 Renewal-Tribal Consultation Letter-March 16, 2016 April 6, 2016 1.5 MiB 329
Consultation Summary 11-30-11 June 9, 2016 98 KiB 298
December 2011 June 9, 2016 0.2 MiB 289
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 475
NPAIHB Comments On SB 99 – March 28 2011 (2) June 9, 2016 0.2 MiB 313

The most recent policy issues for Idaho:

Name Date Size Hits
ID State-tribe Memo To ID Tribal Leaders April 6, 2016 0.2 MiB 271
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 294
Letter To Debbie Field April 6, 2016 0.1 MiB 296
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 269
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 260

The most recent policy issues for Washington:

Name Date Size Hits
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 329
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 313
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 510
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 616
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 477