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 239
u April 5, 2016 0.3 MiB 349
67249 April 5, 2016 0.1 MiB 251
Federal Register Updates April 5, 2016 34 KiB 279
NIHB HHS Budget Consultation Comments April 2012 FINAL April 5, 2016 1.0 MiB 376
Portland OR× the House Resources Committee introduced a bill yesterday to reauthorize the Indian April 5, 2016 89 KiB 253
Policy Brief No 8 – SCIA Views Estimates – March 7, 2007 April 5, 2016 2.0 MiB 250
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 673
Save The Date DST GPTCHB National Meeting & Health Summit June 13, 2016 0.3 MiB 387
Dear Tribal Leader Letter CHAP Expansion June 16, 2016 78 KiB 563
IHS Draft Policy Statement on the Expansion of CHAP June 16, 2016 34 KiB 509
NPAIHB Comments On MACRA QPR Rule 6 2016 June 24, 2016 0.8 MiB 251
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 628
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 383
Federal Register Notice 38 CFR Pt 14 Recognition Of Tribal Organizations For Representation Of VA Claimants July 22, 2016 0.3 MiB 421
NPAIHB IHS DHAT CHAP V2 7-25-16 July 25, 2016 0.6 MiB 683
DHAT Fact Sheets And Reports Links July 25, 2016 1.4 MiB 474
FINAL CHAP And CHRP Background July 25, 2016 0.7 MiB 408
TEMPLATE IHS DHAT CHAP Letter July 25, 2016 28 KiB 447
VA DTLL 9-12-16 September 15, 2016 1.5 MiB 297
NIHB Health Care Litigation Update (9-13-16) September 19, 2016 0.9 MiB 263
GM 16-058 Status Of FY 2017 Continuing Resolution September 26, 2016 29 KiB 489
IHS CHAP Letter Template October 19, 2016 28 KiB 233
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 172
Quality Framework Authored By QF Steering Committee FINAL October 2016 November 16, 2016 0.3 MiB 331

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 357
The HHS Region 10 April 6, 2016 0.1 MiB 384
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 271
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 354
NPAIHB POLICY BRIEF April 6, 2016 0.1 MiB 421
FY 2009 Budget Analysis – Final March 17, 2008 April 6, 2016 0.8 MiB 346
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 673
Final 15th Annual IHS Budget Analysis And Recommendations June 14, 2016 0.4 MiB 444
2004 Legislative Plan – FINAL On March 6, 2004 June 14, 2016 0.1 MiB 485
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 628
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 383
National Tribal Budget Workgroup Testimony – FY 2019 FINAL June 15, 2017 4.0 MiB 588
Portland Area – FY 2019 Budget Formulation Presentation HQ June 15, 2017 0.1 MiB 248
Portland Area – FY2019 Budget Narrative June 15, 2017 0.1 MiB 388
Portland Area – FY2019 Final Budget Worksheet June 15, 2017 61 KiB 414
2020 Budget Formulation Deliverables November 1, 2017 0.1 MiB 274
2020-Budget Formulation Support Docs November 1, 2017 0.7 MiB 276
DTLL Signed Letter February 16, 2018 0.2 MiB 174
NPAIHB Letter To IHS On 97-3 Option 5-18-18 Final May 23, 2018 0.3 MiB 23
Agenda – FY 2021 PAO IHS Budget Formulation Meeting October 24, 2018 2.4 MiB 7
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 2
FY 2020 PA Budget Submission Summary HANDOUT October 24, 2018 53 KiB 3
TAB 2 – FY 2021 Area Instructions Package October 24, 2018 0.8 MiB 2
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 3

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 15
Pilot Study Interim PAFAC Report 30-Oct-09 May 11, 2018 5.5 MiB 23
Regional Center Fact Sheet And FAQs – September 2, 2010 May 11, 2018 0.3 MiB 13

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 347
Consultation Summary 11-30-11 June 9, 2016 98 KiB 341
December 2011 June 9, 2016 0.2 MiB 326
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 540
NPAIHB Comments On SB 99 – March 28 2011 (2) June 9, 2016 0.2 MiB 343
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 420
OR HIX Board Packet 12 9 11 June 9, 2016 4.7 MiB 399
Oregon Insurance Exchange Proposal Workplan – June 29 2011 June 9, 2016 69 KiB 257
Workgroup-cco-charter June 9, 2016 79 KiB 509
Workgroup-global-budget-charter June 9, 2016 0.2 MiB 384
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 494
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 506
Workgroups-external-roster-full June 9, 2016 0.1 MiB 762
Copy Of OHA Contacts For Tribes 10-28-16 November 1, 2016 34 KiB 954
Oregon Access Monitoring Review Plan November 1, 2016 0.7 MiB 492
SB738 March 14, 2017 57 KiB 425
Oregon Tribal Leaders Letter to ODA July 28, 2017 0.4 MiB 296
Tribal Consultation And Urban Indian Health Program Confer Policy-Signed 3 March 2, 2018 3.5 MiB 138
Health Care Agenda 9.7.18 FINAL September 13, 2018 0.2 MiB 6
FW Oregon Dept Of Human Services – APD Rules Advisory Committee (RAC) Updates September 13, 2018 62 KiB 7
FW Oregon Health Authority To Present At OrOHC Fall Conference September 13, 2018 76 KiB 6
FW CCO RAC Stakeholders List Update Request September 13, 2018 61 KiB 5
RAC Notification 10.4.18 Teledentistry September 21, 2018 28 KiB 5
Tele-dentistry Administrative Rules V5 9-12-18 KMS September 21, 2018 20 KiB 5
Governor Brown’s Health Care Agenda September 25, 2018 0.2 MiB 4

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 292
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 314
Letter To Debbie Field April 6, 2016 0.1 MiB 307
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 312
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 294
Save The Date FlyerNov April 6, 2016 0.1 MiB 249
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 241
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 375
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 191
Oregon Community Partner April 6, 2016 1.7 MiB 298
12-463 Tribal Soliciation – Primary Care Physician Codes April 6, 2016 0.4 MiB 245
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 319
13-123 1115 Demonstration Waiver Amendments April 6, 2016 0.4 MiB 228
ID13-006 Tribal Letter April 6, 2016 0.4 MiB 260
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 179
SPA 13-004 Incentive Payments For Primary Care Codes April 6, 2016 1.4 MiB 212
12-293 Tribal Solicitation Health Care Acquired Conditions April 6, 2016 0.5 MiB 259
IdahoInsuranceExchange April 6, 2016 0.1 MiB 170
12-476 Tribal Solicitation -School Based Services April 6, 2016 0.5 MiB 351
3 April 6, 2016 8.1 MiB 728
5 April 6, 2016 14.4 MiB 628
Wildhorse Resort April 6, 2016 56 KiB 455
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 426
16-167 Tribal Notice For RAC June 13, 2016 0.3 MiB 360
MMCP Servcie Area Reduction Tribal Notice October 28, 2016 0.3 MiB 247

The most recent policy issues for Washington:

Name Date Size Hits
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 367
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 351
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 552
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 665
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 515
Dear Interested Partners: April 5, 2016 0.6 MiB 1040
AIHC CR 102 Redline Changes (Final-04-10-14) April 5, 2016 34 KiB 424
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 211
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 187
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 322
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 311
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 317
Final Washington Tribes SB 5079 Support Letter February 22, 2017 0.4 MiB 378
5079-S SL March 14, 2017 64 KiB 354
FAQ SSB 5079 Final March 16, 2017 0.4 MiB 719

Coming soon!