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
2007 Legislative Plan – February 14, 2007 April 5, 2016 69 KiB 270
u April 5, 2016 0.3 MiB 402
67249 April 5, 2016 0.1 MiB 279
Federal Register Updates April 5, 2016 34 KiB 304
NIHB HHS Budget Consultation Comments April 2012 FINAL April 5, 2016 1.0 MiB 436
Portland OR× the House Resources Committee introduced a bill yesterday to reauthorize the Indian April 5, 2016 89 KiB 289
Policy Brief No 8 – SCIA Views Estimates – March 7, 2007 April 5, 2016 2.0 MiB 288
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 829
Save The Date DST GPTCHB National Meeting & Health Summit June 13, 2016 0.3 MiB 442
Dear Tribal Leader Letter CHAP Expansion June 16, 2016 78 KiB 642
IHS Draft Policy Statement on the Expansion of CHAP June 16, 2016 34 KiB 555
NPAIHB Comments On MACRA QPR Rule 6 2016 June 24, 2016 0.8 MiB 275
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 801
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 464
Federal Register Notice 38 CFR Pt 14 Recognition Of Tribal Organizations For Representation Of VA Claimants July 22, 2016 0.3 MiB 490
NPAIHB IHS DHAT CHAP V2 7-25-16 July 25, 2016 0.6 MiB 719
DHAT Fact Sheets And Reports Links July 25, 2016 1.4 MiB 595
FINAL CHAP And CHRP Background July 25, 2016 0.7 MiB 460
TEMPLATE IHS DHAT CHAP Letter July 25, 2016 28 KiB 506
VA DTLL 9-12-16 September 15, 2016 1.5 MiB 331
NIHB Health Care Litigation Update (9-13-16) September 19, 2016 0.9 MiB 296
GM 16-058 Status Of FY 2017 Continuing Resolution September 26, 2016 29 KiB 576
IHS CHAP Letter Template October 19, 2016 28 KiB 265
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 207
Quality Framework Authored By QF Steering Committee FINAL October 2016 November 16, 2016 0.3 MiB 424

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
FY 2008 Budget Analysis – FINAL April 15, 2007 April 6, 2016 0.2 MiB 443
The HHS Region 10 April 6, 2016 0.1 MiB 452
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 305
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 284
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 414
NPAIHB POLICY BRIEF April 6, 2016 0.1 MiB 475
FY 2009 Budget Analysis – Final March 17, 2008 April 6, 2016 0.8 MiB 408
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 829
Final 15th Annual IHS Budget Analysis And Recommendations June 14, 2016 0.4 MiB 499
2004 Legislative Plan – FINAL On March 6, 2004 June 14, 2016 0.1 MiB 533
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 801
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 464
National Tribal Budget Workgroup Testimony – FY 2019 FINAL June 15, 2017 4.0 MiB 831
Portland Area – FY 2019 Budget Formulation Presentation HQ June 15, 2017 0.1 MiB 341
Portland Area – FY2019 Budget Narrative June 15, 2017 0.1 MiB 516
Portland Area – FY2019 Final Budget Worksheet June 15, 2017 61 KiB 600
2020 Budget Formulation Deliverables November 1, 2017 0.1 MiB 384
2020-Budget Formulation Support Docs November 1, 2017 0.7 MiB 377
DTLL Signed Letter February 16, 2018 0.2 MiB 244
NPAIHB Letter To IHS On 97-3 Option 5-18-18 Final May 23, 2018 0.3 MiB 29
Agenda – FY 2021 PAO IHS Budget Formulation Meeting October 24, 2018 2.4 MiB 14
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 9
FY 2020 PA Budget Submission Summary HANDOUT October 24, 2018 53 KiB 9
TAB 2 – FY 2021 Area Instructions Package October 24, 2018 0.8 MiB 7
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 10

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 20
Pilot Study Interim PAFAC Report 30-Oct-09 May 11, 2018 5.5 MiB 30
Regional Center Fact Sheet And FAQs – September 2, 2010 May 11, 2018 0.3 MiB 19

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 382
Consultation Summary 11-30-11 June 9, 2016 98 KiB 432
December 2011 June 9, 2016 0.2 MiB 414
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 740
NPAIHB Comments On SB 99 – March 28 2011 (2) June 9, 2016 0.2 MiB 387
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 536
OR HIX Board Packet 12 9 11 June 9, 2016 4.7 MiB 460
Oregon Insurance Exchange Proposal Workplan – June 29 2011 June 9, 2016 69 KiB 321
Workgroup-cco-charter June 9, 2016 79 KiB 621
Workgroup-global-budget-charter June 9, 2016 0.2 MiB 422
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 594
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 591
Workgroups-external-roster-full June 9, 2016 0.1 MiB 965
Copy Of OHA Contacts For Tribes 10-28-16 November 1, 2016 34 KiB 1178
Oregon Access Monitoring Review Plan November 1, 2016 0.7 MiB 576
SB738 March 14, 2017 57 KiB 558
Oregon Tribal Leaders Letter to ODA July 28, 2017 0.4 MiB 427
Tribal Consultation And Urban Indian Health Program Confer Policy-Signed 3 March 2, 2018 3.5 MiB 205
Health Care Agenda 9.7.18 FINAL September 13, 2018 0.2 MiB 14
FW Oregon Dept Of Human Services – APD Rules Advisory Committee (RAC) Updates September 13, 2018 62 KiB 12
FW Oregon Health Authority To Present At OrOHC Fall Conference September 13, 2018 76 KiB 12
FW CCO RAC Stakeholders List Update Request September 13, 2018 61 KiB 10
RAC Notification 10.4.18 Teledentistry September 21, 2018 28 KiB 10
Tele-dentistry Administrative Rules V5 9-12-18 KMS September 21, 2018 20 KiB 11
Governor Brown’s Health Care Agenda September 25, 2018 0.2 MiB 13

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 329
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 340
Letter To Debbie Field April 6, 2016 0.1 MiB 340
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 375
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 338
Save The Date FlyerNov April 6, 2016 0.1 MiB 317
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 276
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 471
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 213
Oregon Community Partner April 6, 2016 1.7 MiB 405
12-463 Tribal Soliciation – Primary Care Physician Codes April 6, 2016 0.4 MiB 276
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 354
13-123 1115 Demonstration Waiver Amendments April 6, 2016 0.4 MiB 257
ID13-006 Tribal Letter April 6, 2016 0.4 MiB 307
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 206
SPA 13-004 Incentive Payments For Primary Care Codes April 6, 2016 1.4 MiB 241
12-293 Tribal Solicitation Health Care Acquired Conditions April 6, 2016 0.5 MiB 288
IdahoInsuranceExchange April 6, 2016 0.1 MiB 202
12-476 Tribal Solicitation -School Based Services April 6, 2016 0.5 MiB 381
3 April 6, 2016 8.1 MiB 887
5 April 6, 2016 14.4 MiB 760
Wildhorse Resort April 6, 2016 56 KiB 514
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 469
16-167 Tribal Notice For RAC June 13, 2016 0.3 MiB 388
MMCP Servcie Area Reduction Tribal Notice October 28, 2016 0.3 MiB 288

The most recent policy issues for Washington:

Name Date Size Hits
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 436
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 454
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 627
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 823
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 630
Dear Interested Partners: April 5, 2016 0.6 MiB 1311
AIHC CR 102 Redline Changes (Final-04-10-14) April 5, 2016 34 KiB 489
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 256
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 228
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 379
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 379
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 379
Final Washington Tribes SB 5079 Support Letter February 22, 2017 0.4 MiB 801
5079-S SL March 14, 2017 64 KiB 437
FAQ SSB 5079 Final March 16, 2017 0.4 MiB 1537

Coming soon!