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 233
u April 5, 2016 0.3 MiB 338
67249 April 5, 2016 0.1 MiB 244
Federal Register Updates April 5, 2016 34 KiB 273
NIHB HHS Budget Consultation Comments April 2012 FINAL April 5, 2016 1.0 MiB 363
Portland OR× the House Resources Committee introduced a bill yesterday to reauthorize the Indian April 5, 2016 89 KiB 246
Policy Brief No 8 – SCIA Views Estimates – March 7, 2007 April 5, 2016 2.0 MiB 244
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 634
Save The Date DST GPTCHB National Meeting & Health Summit June 13, 2016 0.3 MiB 377
Dear Tribal Leader Letter CHAP Expansion June 16, 2016 78 KiB 544
IHS Draft Policy Statement on the Expansion of CHAP June 16, 2016 34 KiB 497
NPAIHB Comments On MACRA QPR Rule 6 2016 June 24, 2016 0.8 MiB 247
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 611
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 375
Federal Register Notice 38 CFR Pt 14 Recognition Of Tribal Organizations For Representation Of VA Claimants July 22, 2016 0.3 MiB 409
NPAIHB IHS DHAT CHAP V2 7-25-16 July 25, 2016 0.6 MiB 678
DHAT Fact Sheets And Reports Links July 25, 2016 1.4 MiB 459
FINAL CHAP And CHRP Background July 25, 2016 0.7 MiB 396
TEMPLATE IHS DHAT CHAP Letter July 25, 2016 28 KiB 431
VA DTLL 9-12-16 September 15, 2016 1.5 MiB 292
NIHB Health Care Litigation Update (9-13-16) September 19, 2016 0.9 MiB 256
GM 16-058 Status Of FY 2017 Continuing Resolution September 26, 2016 29 KiB 478
IHS CHAP Letter Template October 19, 2016 28 KiB 223
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 166
Quality Framework Authored By QF Steering Committee FINAL October 2016 November 16, 2016 0.3 MiB 319

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 348
The HHS Region 10 April 6, 2016 0.1 MiB 374
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 279
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 269
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 344
NPAIHB POLICY BRIEF April 6, 2016 0.1 MiB 406
FY 2009 Budget Analysis – Final March 17, 2008 April 6, 2016 0.8 MiB 330
7 Jim Roberts Legislative Update – October 23 2015 May 23, 2016 0.2 MiB 634
Final 15th Annual IHS Budget Analysis And Recommendations June 14, 2016 0.4 MiB 441
2004 Legislative Plan – FINAL On March 6, 2004 June 14, 2016 0.1 MiB 474
55865-1 Draft IHSCircularNo2016-08 TribalPremiumSponsorship July 19, 2016 53 KiB 611
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 375
National Tribal Budget Workgroup Testimony – FY 2019 FINAL June 15, 2017 4.0 MiB 538
Portland Area – FY 2019 Budget Formulation Presentation HQ June 15, 2017 0.1 MiB 235
Portland Area – FY2019 Budget Narrative June 15, 2017 0.1 MiB 374
Portland Area – FY2019 Final Budget Worksheet June 15, 2017 61 KiB 392
2020 Budget Formulation Deliverables November 1, 2017 0.1 MiB 256
2020-Budget Formulation Support Docs November 1, 2017 0.7 MiB 259
DTLL Signed Letter February 16, 2018 0.2 MiB 162
NPAIHB Letter To IHS On 97-3 Option 5-18-18 Final May 23, 2018 0.3 MiB 22
Agenda – FY 2021 PAO IHS Budget Formulation Meeting October 24, 2018 2.4 MiB 2
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 1
FY 2020 PA Budget Submission Summary HANDOUT October 24, 2018 53 KiB 1
TAB 2 – FY 2021 Area Instructions Package October 24, 2018 0.8 MiB 1
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 1

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 13
Pilot Study Interim PAFAC Report 30-Oct-09 May 11, 2018 5.5 MiB 19
Regional Center Fact Sheet And FAQs – September 2, 2010 May 11, 2018 0.3 MiB 11

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 340
Consultation Summary 11-30-11 June 9, 2016 98 KiB 324
December 2011 June 9, 2016 0.2 MiB 312
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 518
NPAIHB Comments On SB 99 – March 28 2011 (2) June 9, 2016 0.2 MiB 336
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 403
OR HIX Board Packet 12 9 11 June 9, 2016 4.7 MiB 386
Oregon Insurance Exchange Proposal Workplan – June 29 2011 June 9, 2016 69 KiB 245
Workgroup-cco-charter June 9, 2016 79 KiB 496
Workgroup-global-budget-charter June 9, 2016 0.2 MiB 378
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 479
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 497
Workgroups-external-roster-full June 9, 2016 0.1 MiB 734
Copy Of OHA Contacts For Tribes 10-28-16 November 1, 2016 34 KiB 903
Oregon Access Monitoring Review Plan November 1, 2016 0.7 MiB 477
SB738 March 14, 2017 57 KiB 410
Oregon Tribal Leaders Letter to ODA July 28, 2017 0.4 MiB 269
Tribal Consultation And Urban Indian Health Program Confer Policy-Signed 3 March 2, 2018 3.5 MiB 125
Health Care Agenda 9.7.18 FINAL September 13, 2018 0.2 MiB 4
FW Oregon Dept Of Human Services – APD Rules Advisory Committee (RAC) Updates September 13, 2018 62 KiB 6
FW Oregon Health Authority To Present At OrOHC Fall Conference September 13, 2018 76 KiB 5
FW CCO RAC Stakeholders List Update Request September 13, 2018 61 KiB 4
RAC Notification 10.4.18 Teledentistry September 21, 2018 28 KiB 4
Tele-dentistry Administrative Rules V5 9-12-18 KMS September 21, 2018 20 KiB 4
Governor Brown’s Health Care Agenda September 25, 2018 0.2 MiB 3

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 287
Idaho February Draft Agenda – 2-8-12 April 6, 2016 0.2 MiB 306
Letter To Debbie Field April 6, 2016 0.1 MiB 304
Idaho Quarterly State August Flyer April 6, 2016 68 KiB 290
Save The Date Flyerfor 2008 April 6, 2016 0.1 MiB 282
Save The Date FlyerNov April 6, 2016 0.1 MiB 237
Agenda – July 31 2007 (2) April 6, 2016 68 KiB 233
Idaho State Tribes Meeting 6-15-07sb April 6, 2016 42 KiB 361
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 187
Oregon Community Partner April 6, 2016 1.7 MiB 282
12-463 Tribal Soliciation – Primary Care Physician Codes April 6, 2016 0.4 MiB 240
13-116 Tribal Notice PRTF SPA April 6, 2016 78 KiB 308
13-123 1115 Demonstration Waiver Amendments April 6, 2016 0.4 MiB 225
ID13-006 Tribal Letter April 6, 2016 0.4 MiB 249
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 174
SPA 13-004 Incentive Payments For Primary Care Codes April 6, 2016 1.4 MiB 209
12-293 Tribal Solicitation Health Care Acquired Conditions April 6, 2016 0.5 MiB 256
IdahoInsuranceExchange April 6, 2016 0.1 MiB 168
12-476 Tribal Solicitation -School Based Services April 6, 2016 0.5 MiB 346
3 April 6, 2016 8.1 MiB 698
5 April 6, 2016 14.4 MiB 601
Wildhorse Resort April 6, 2016 56 KiB 440
Yellowhawk Tribal Health Center April 6, 2016 40 KiB 416
16-167 Tribal Notice For RAC June 13, 2016 0.3 MiB 358
MMCP Servcie Area Reduction Tribal Notice October 28, 2016 0.3 MiB 241

The most recent policy issues for Washington:

Name Date Size Hits
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 351
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 333
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 535
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 648
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 501
Dear Interested Partners: April 5, 2016 0.6 MiB 998
AIHC CR 102 Redline Changes (Final-04-10-14) April 5, 2016 34 KiB 411
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 205
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 181
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 309
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 300
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 306
Final Washington Tribes SB 5079 Support Letter February 22, 2017 0.4 MiB 365
5079-S SL March 14, 2017 64 KiB 340
FAQ SSB 5079 Final March 16, 2017 0.4 MiB 673

Coming soon!