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
Letter To Tribal Leaders April 19, 2019 59 KiB 2
SPONSOR PACKAGE 2019 February 4, 2019 0.5 MiB 6
SELFGOVERNANCE CONFERENCE 2019 February 4, 2019 0.1 MiB 6
DRAFT AGENDA TOPICS SG Conference Jan 30 February 4, 2019 0.9 MiB 7
DTLL FY18 IHCIFAllocations 08172018 August 20, 2018 0.2 MiB 11
CMS Medicaid And CHIP Managed Care Proposed Rule Comments January 14- 2019 January 15, 2019 0.4 MiB 12
NPAIHB ONC Health IT Strategy FINAL January 29, 2019 0.1 MiB 13
Enclosure FY18 IHCIF Allocations August 20, 2018 0.1 MiB 15
DTLL SDPI 04132018 April 20, 2018 0.1 MiB 20
NPAIHB Comment SDPI FY 19 Funding Distribution Final May 23, 2018 0.2 MiB 22
DTLL CSC 04132018 April 20, 2018 0.1 MiB 23
Joint Letter Requesting Tribal Consultation 4 May 1, 2018 0.5 MiB 32
Tribal Medicaid Meeting May 2018 Draft Agenda May 10, 2018 66 KiB 53
O'Halleran Ltr To Leadership – ACA And IHCIA February 1, 2017 0.1 MiB 136
TSGAC – Timeline Of Key ACA-Related Congressional Activities 2017-02-13b .. February 28, 2017 0.3 MiB 144
TSGAC Memo – Applicable Percentages Thresholds And Payments For ACA Prov .. February 28, 2017 0.3 MiB 151
DSTAC TSGAC Sep 14 Letter Response 10 October 25, 2017 47 KiB 154
TSGAC Memo-Net Marketplace Premium Costs Hold Or Lower In 2017 2017-01-1 .. February 28, 2017 0.3 MiB 178
DTLL And UIO Leader Letter On IHS Funds Final 3-28-17 March 29, 2017 0.8 MiB 187
TSGAC Memo – IHS Reimbursement Rates For CY 2017 – 2016-02-06b February 28, 2017 0.2 MiB 193
2016 12 09 ACA Letter February 17, 2017 0.1 MiB 197
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 204
Updating M&I Funding Allocation 62617 August 1, 2017 93 KiB 204
TSGAC Memo-Tribal Sponsorship Of Medicare Part B D Premiums – 2016-11- . . February 28, 2017 0.3 MiB 207
CHAP DTLL 01042017 January 10, 2017 97 KiB 214

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
TAB 6(A) – 2020 PAIHS Submission National Budget Worksheet With Negative October 24, 2018 0.1 MiB 6
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 7
TAB 2 – FY 2021 Area Instructions Package October 24, 2018 0.8 MiB 7
TAB 4 – 2021-Budget Formulation Support Docs October 24, 2018 0.7 MiB 7
TAB 6(B) 2020 PAIHS Submission National Budget Worksheet Without Negative October 24, 2018 0.1 MiB 7
FY 2020 PA Budget Submission Summary HANDOUT October 24, 2018 53 KiB 9
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 9
TAB 7 – 2020 PAIHS Submission Hot Issues FY2020 FINAL October 24, 2018 93 KiB 9
TAB 5 – 2020 PAIHS Submission (Narrative) October 24, 2018 0.2 MiB 10
Agenda – FY 2021 PAO IHS Budget Formulation Meeting October 24, 2018 2.4 MiB 14
TAB 8 – FY 2020 National Tribal Budget Formulation Workgroup Recommendations October 24, 2018 1.3 MiB 15
NPAIHB Letter To IHS On 97-3 Option 5-18-18 Final May 23, 2018 0.3 MiB 29
DTLL Signed Letter February 16, 2018 0.2 MiB 234
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 282
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 301
Portland Area – FY 2019 Budget Formulation Presentation HQ June 15, 2017 0.1 MiB 326
2020-Budget Formulation Support Docs November 1, 2017 0.7 MiB 362
2020 Budget Formulation Deliverables November 1, 2017 0.1 MiB 367
FY 2009 Budget Analysis – Final March 17, 2008 April 6, 2016 0.8 MiB 399
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 405
FY 2008 Budget Analysis – FINAL April 15, 2007 April 6, 2016 0.2 MiB 429
The HHS Region 10 April 6, 2016 0.1 MiB 439
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 448
NPAIHB POLICY BRIEF April 6, 2016 0.1 MiB 463
Final 15th Annual IHS Budget Analysis And Recommendations June 14, 2016 0.4 MiB 492

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 19
Regional Center Fact Sheet And FAQs – September 2, 2010 May 11, 2018 0.3 MiB 19
Pilot Study Interim PAFAC Report 30-Oct-09 May 11, 2018 5.5 MiB 29

The most recent policy issues for Oregon:

Name Date Size Hits
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 10
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
Governor Brown’s Health Care Agenda September 25, 2018 0.2 MiB 12
Health Care Agenda 9.7.18 FINAL September 13, 2018 0.2 MiB 14
333-010 Notice Of Rulemaking 09-25-18 September 27, 2018 0.1 MiB 17
Tribal Consultation And Urban Indian Health Program Confer Policy-Signed 3 March 2, 2018 3.5 MiB 193
Oregon Insurance Exchange Proposal Workplan – June 29 2011 June 9, 2016 69 KiB 317
1115 Renewal-Tribal Consultation Letter-March 16, 2016 April 6, 2016 1.5 MiB 374
NPAIHB Comments On SB 99 – March 28 2011 (2) June 9, 2016 0.2 MiB 382
December 2011 June 9, 2016 0.2 MiB 401
Oregon Tribal Leaders Letter to ODA July 28, 2017 0.4 MiB 408
Workgroup-global-budget-charter June 9, 2016 0.2 MiB 416
Consultation Summary 11-30-11 June 9, 2016 98 KiB 422
OR HIX Board Packet 12 9 11 June 9, 2016 4.7 MiB 454
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 517
SB738 March 14, 2017 57 KiB 531
Oregon Access Monitoring Review Plan November 1, 2016 0.7 MiB 564
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 571
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 575
Workgroup-cco-charter June 9, 2016 79 KiB 598
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 700
Workgroups-external-roster-full June 9, 2016 0.1 MiB 919

The most recent policy issues for Idaho:

Name Date Size Hits
19-0009 4 Walls IHS Tribal Solicitation FINAL 031219 Sign March 14, 2019 1.6 MiB 1
19-0008T Healthy Connections Fixed Enrollment Tribal Notice Sign March 27, 2019 1.9 MiB 1
Tribal Mtg Coordination 2019 February 15, 2019 92 KiB 4
18-0014 Medicaid Adult Expansion To ABP SPA Tribal Notice FINAL Sign December 19, 2018 1.9 MiB 10
Tribal Notice – SED Premiums SPA 09132018 September 20, 2018 91 KiB 36
2-22-2018 Idaho Tribes DRAFT Minutes May 10, 2018 46 KiB 56
17-230 Tribal Notice 1915c Adult DD & A&D Waiver Amendments Reshab October 30, 2017 0.5 MiB 115
17-229 Tribal Notice 1915i HCBS Adult DD SPA October 30, 2017 0.6 MiB 122
1915bIBHPWorkgroup Tribal Ltr MW May 24, 2017 0.3 MiB 171
17-0001 Base Benchmark Plan Alignment Tribal Notice January 24, 2017 0.3 MiB 178
YHI Idaho Tribal Meeting Agenda August 2017 July 26, 2017 0.2 MiB 178
18-001 Tribal Notice IDEA ITP SPA January 31, 2018 41 KiB 183
Adult DD 1915i HCBS Tribal Notice September 28, 2017 0.4 MiB 184
A-D Waiver Amendment Tribal Notice November 3, 2017 0.6 MiB 184
17-0003 Tribal Notice For Covered Outpatient Drugs February 23, 2017 0.3 MiB 189
17-255 Tribal Notice DME SPA January 2, 2018 33 KiB 191
HCBS AD And Adult DD Reshab Tribal Notice 2 November 28, 2017 1.0 MiB 195
IdahoInsuranceExchange April 6, 2016 0.1 MiB 196
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 203
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 209
17-088 Tribal Notice For Childrens DD March 31, 2017 0.4 MiB 216
Agenda Tribes Nov 2017 Draft October 31, 2017 67 KiB 218
17-0002 Tribal Notice For 2017 COLA January 26, 2017 0.3 MiB 220
11-8-2017 Idaho Tribes DRAFT Minutes – Rfb January 29, 2018 0.3 MiB 223
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 225

The most recent policy issues for Washington:

Name Date Size Hits
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 225
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 250
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 368
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 368
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 369
5079-S SL March 14, 2017 64 KiB 424
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 429
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 438
AIHC CR 102 Redline Changes (Final-04-10-14) April 5, 2016 34 KiB 483
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 612
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 612
Final Washington Tribes SB 5079 Support Letter February 22, 2017 0.4 MiB 778
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 792
Dear Interested Partners: April 5, 2016 0.6 MiB 1257
FAQ SSB 5079 Final March 16, 2017 0.4 MiB 1412

Coming soon!