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 282
u April 5, 2016 0.3 MiB 422
67249 April 5, 2016 0.1 MiB 287
Federal Register Updates April 5, 2016 34 KiB 311
NIHB HHS Budget Consultation Comments April 2012 FINAL April 5, 2016 1.0 MiB 460
Portland OR× the House Resources Committee introduced a bill yesterday to reauthorize the Indian April 5, 2016 89 KiB 299
Policy Brief No 8 – SCIA Views Estimates – March 7, 2007 April 5, 2016 2.0 MiB 291
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 872
Save The Date DST GPTCHB National Meeting & Health Summit June 13, 2016 0.3 MiB 466
Dear Tribal Leader Letter CHAP Expansion June 16, 2016 78 KiB 665
IHS Draft Policy Statement on the Expansion of CHAP June 16, 2016 34 KiB 572
NPAIHB Comments On MACRA QPR Rule 6 2016 June 24, 2016 0.8 MiB 285
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 853
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 495
Federal Register Notice 38 CFR Pt 14 Recognition Of Tribal Organizations For Representation Of VA Claimants July 22, 2016 0.3 MiB 513
NPAIHB IHS DHAT CHAP V2 7-25-16 July 25, 2016 0.6 MiB 734
DHAT Fact Sheets And Reports Links July 25, 2016 1.4 MiB 631
FINAL CHAP And CHRP Background July 25, 2016 0.7 MiB 480
TEMPLATE IHS DHAT CHAP Letter July 25, 2016 28 KiB 533
VA DTLL 9-12-16 September 15, 2016 1.5 MiB 337
NIHB Health Care Litigation Update (9-13-16) September 19, 2016 0.9 MiB 314
GM 16-058 Status Of FY 2017 Continuing Resolution September 26, 2016 29 KiB 596
IHS CHAP Letter Template October 19, 2016 28 KiB 279
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 219
Quality Framework Authored By QF Steering Committee FINAL October 2016 November 16, 2016 0.3 MiB 452

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 463
The HHS Region 10 April 6, 2016 0.1 MiB 481
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 314
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 289
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 425
NPAIHB POLICY BRIEF April 6, 2016 0.1 MiB 507
FY 2009 Budget Analysis – Final March 17, 2008 April 6, 2016 0.8 MiB 432
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 872
Final 15th Annual IHS Budget Analysis And Recommendations June 14, 2016 0.4 MiB 513
2004 Legislative Plan – FINAL On March 6, 2004 June 14, 2016 0.1 MiB 563
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 853
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 495
National Tribal Budget Workgroup Testimony – FY 2019 FINAL June 15, 2017 4.0 MiB 914
Portland Area – FY 2019 Budget Formulation Presentation HQ June 15, 2017 0.1 MiB 366
Portland Area – FY2019 Budget Narrative June 15, 2017 0.1 MiB 544
Portland Area – FY2019 Final Budget Worksheet June 15, 2017 61 KiB 643
2020 Budget Formulation Deliverables November 1, 2017 0.1 MiB 418
2020-Budget Formulation Support Docs November 1, 2017 0.7 MiB 407
DTLL Signed Letter February 16, 2018 0.2 MiB 262
NPAIHB Letter To IHS On 97-3 Option 5-18-18 Final May 23, 2018 0.3 MiB 30
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 10
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 8
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 21
Pilot Study Interim PAFAC Report 30-Oct-09 May 11, 2018 5.5 MiB 32
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 396
Consultation Summary 11-30-11 June 9, 2016 98 KiB 462
December 2011 June 9, 2016 0.2 MiB 447
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 827
NPAIHB Comments On SB 99 – March 28 2011 (2) June 9, 2016 0.2 MiB 404
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 571
OR HIX Board Packet 12 9 11 June 9, 2016 4.7 MiB 480
Oregon Insurance Exchange Proposal Workplan – June 29 2011 June 9, 2016 69 KiB 334
Workgroup-cco-charter June 9, 2016 79 KiB 671
Workgroup-global-budget-charter June 9, 2016 0.2 MiB 434
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 624
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 622
Workgroups-external-roster-full June 9, 2016 0.1 MiB 1036
Copy Of OHA Contacts For Tribes 10-28-16 November 1, 2016 34 KiB 1253
Oregon Access Monitoring Review Plan November 1, 2016 0.7 MiB 607
SB738 March 14, 2017 57 KiB 606
Oregon Tribal Leaders Letter to ODA July 28, 2017 0.4 MiB 457
Tribal Consultation And Urban Indian Health Program Confer Policy-Signed 3 March 2, 2018 3.5 MiB 221
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 14

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 340
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 345
Letter To Debbie Field April 6, 2016 0.1 MiB 348
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 397
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 343
Save The Date FlyerNov April 6, 2016 0.1 MiB 335
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 291
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 503
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 229
Oregon Community Partner April 6, 2016 1.7 MiB 443
12-463 Tribal Soliciation – Primary Care Physician Codes April 6, 2016 0.4 MiB 284
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 369
13-123 1115 Demonstration Waiver Amendments April 6, 2016 0.4 MiB 261
ID13-006 Tribal Letter April 6, 2016 0.4 MiB 335
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 211
SPA 13-004 Incentive Payments For Primary Care Codes April 6, 2016 1.4 MiB 249
12-293 Tribal Solicitation Health Care Acquired Conditions April 6, 2016 0.5 MiB 294
IdahoInsuranceExchange April 6, 2016 0.1 MiB 209
12-476 Tribal Solicitation -School Based Services April 6, 2016 0.5 MiB 393
3 April 6, 2016 8.1 MiB 933
5 April 6, 2016 14.4 MiB 786
Wildhorse Resort April 6, 2016 56 KiB 534
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 478
16-167 Tribal Notice For RAC June 13, 2016 0.3 MiB 398
MMCP Servcie Area Reduction Tribal Notice October 28, 2016 0.3 MiB 295

The most recent policy issues for Washington:

Name Date Size Hits
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 468
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 481
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 659
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 869
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 673
Dear Interested Partners: April 5, 2016 0.6 MiB 1402
AIHC CR 102 Redline Changes (Final-04-10-14) April 5, 2016 34 KiB 502
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 268
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 244
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 396
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 407
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 401
Final Washington Tribes SB 5079 Support Letter February 22, 2017 0.4 MiB 835
5079-S SL March 14, 2017 64 KiB 464
FAQ SSB 5079 Final March 16, 2017 0.4 MiB 1639

Coming soon!