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
CMS Medicaid And CHIP Managed Care Proposed Rule Comments January 14- 2019 January 15, 2019 0.4 MiB 2
DTLL FY18 IHCIFAllocations 08172018 August 20, 2018 0.2 MiB 9
Enclosure FY18 IHCIF Allocations August 20, 2018 0.1 MiB 12
DTLL SDPI 04132018 April 20, 2018 0.1 MiB 18
NPAIHB Comment SDPI FY 19 Funding Distribution Final May 23, 2018 0.2 MiB 19
DTLL CSC 04132018 April 20, 2018 0.1 MiB 21
Joint Letter Requesting Tribal Consultation 4 May 1, 2018 0.5 MiB 26
Tribal Medicaid Meeting May 2018 Draft Agenda May 10, 2018 66 KiB 37
TSGAC – Timeline Of Key ACA-Related Congressional Activities 2017-02-13b .. February 28, 2017 0.3 MiB 127
O'Halleran Ltr To Leadership – ACA And IHCIA February 1, 2017 0.1 MiB 129
DSTAC TSGAC Sep 14 Letter Response 10 October 25, 2017 47 KiB 136
TSGAC Memo – Applicable Percentages Thresholds And Payments For ACA Prov .. February 28, 2017 0.3 MiB 138
TSGAC Memo-Net Marketplace Premium Costs Hold Or Lower In 2017 2017-01-1 .. February 28, 2017 0.3 MiB 156
DTLL And UIO Leader Letter On IHS Funds Final 3-28-17 March 29, 2017 0.8 MiB 163
Updating M&I Funding Allocation 62617 August 1, 2017 93 KiB 165
TSGAC Memo – IHS Reimbursement Rates For CY 2017 – 2016-02-06b February 28, 2017 0.2 MiB 174
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 180
TSGAC Memo-Tribal Sponsorship Of Medicare Part B D Premiums – 2016-11- . . February 28, 2017 0.3 MiB 181
2016 12 09 ACA Letter February 17, 2017 0.1 MiB 183
58862-1 Chairman Barton SIGNED 12-8-17 December 11, 2017 0.8 MiB 186
STAC January 2018 Meeting Memo For NW Tribes March 8, 2018 0.2 MiB 191
DSTAC Draft Agenda May 2017 April 11, 2017 42 KiB 193
CHAP DTLL 01042017 January 10, 2017 97 KiB 198
THP Training August2017 Final January 11, 2018 1.3 MiB 212
Quality Framework DTLL UIOLL Signed 11-16-16 November 16, 2016 0.7 MiB 216

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 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 4
TAB 6(A) – 2020 PAIHS Submission National Budget Worksheet With Negative October 24, 2018 0.1 MiB 4
TAB 6(B) 2020 PAIHS Submission National Budget Worksheet Without Negative October 24, 2018 0.1 MiB 4
TAB 7 – 2020 PAIHS Submission Hot Issues FY2020 FINAL October 24, 2018 93 KiB 4
FY 2020 PA Budget Submission Summary HANDOUT October 24, 2018 53 KiB 5
TAB 2 – FY 2021 Area Instructions Package October 24, 2018 0.8 MiB 5
TAB 3 -National Budget Worksheets Guidance And Budget Line Descriptions October 24, 2018 0.2 MiB 5
TAB 4 – 2021-Budget Formulation Support Docs October 24, 2018 0.7 MiB 5
TAB 5 – 2020 PAIHS Submission (Narrative) October 24, 2018 0.2 MiB 6
TAB 8 – FY 2020 National Tribal Budget Formulation Workgroup Recommendations October 24, 2018 1.3 MiB 6
Agenda – FY 2021 PAO IHS Budget Formulation Meeting October 24, 2018 2.4 MiB 11
NPAIHB Letter To IHS On 97-3 Option 5-18-18 Final May 23, 2018 0.3 MiB 25
DTLL Signed Letter February 16, 2018 0.2 MiB 189
Portland Area – FY 2019 Budget Formulation Presentation HQ June 15, 2017 0.1 MiB 265
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 274
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 287
2020 Budget Formulation Deliverables November 1, 2017 0.1 MiB 296
2020-Budget Formulation Support Docs November 1, 2017 0.7 MiB 300
FY 2009 Budget Analysis – Final March 17, 2008 April 6, 2016 0.8 MiB 361
tax cuts estimated at $900 billion over five years will remove resources available to fund government April 6, 2016 40 KiB 368
FY 2008 Budget Analysis – FINAL April 15, 2007 April 6, 2016 0.2 MiB 373
The HHS Region 10 April 6, 2016 0.1 MiB 397
55865-2 DTLLTribalPremiumSponsorship07182016 July 19, 2016 39 KiB 397
Portland Area – FY2019 Budget Narrative June 15, 2017 0.1 MiB 419
NPAIHB POLICY BRIEF April 6, 2016 0.1 MiB 430

The most recent Portland Area Facilities (PAFAC) updates:

Name Date Size Hits
Regional Center Fact Sheet And FAQs – September 2, 2010 May 11, 2018 0.3 MiB 16
9 RSRC – A Fact Sheet 2018 Update May 11, 2018 0.1 MiB 17
Pilot Study Interim PAFAC Report 30-Oct-09 May 11, 2018 5.5 MiB 26

The most recent policy issues for Oregon:

Name Date Size Hits
FW CCO RAC Stakeholders List Update Request September 13, 2018 61 KiB 8
RAC Notification 10.4.18 Teledentistry September 21, 2018 28 KiB 8
Tele-dentistry Administrative Rules V5 9-12-18 KMS September 21, 2018 20 KiB 8
Governor Brown’s Health Care Agenda September 25, 2018 0.2 MiB 8
FW Oregon Health Authority To Present At OrOHC Fall Conference September 13, 2018 76 KiB 9
Health Care Agenda 9.7.18 FINAL September 13, 2018 0.2 MiB 10
FW Oregon Dept Of Human Services – APD Rules Advisory Committee (RAC) Updates September 13, 2018 62 KiB 10
333-010 Notice Of Rulemaking 09-25-18 September 27, 2018 0.1 MiB 12
Tribal Consultation And Urban Indian Health Program Confer Policy-Signed 3 March 2, 2018 3.5 MiB 153
Oregon Insurance Exchange Proposal Workplan – June 29 2011 June 9, 2016 69 KiB 275
Oregon Tribal Leaders Letter to ODA July 28, 2017 0.4 MiB 329
December 2011 June 9, 2016 0.2 MiB 342
NPAIHB Comments On SB 99 – March 28 2011 (2) June 9, 2016 0.2 MiB 353
1115 Renewal-Tribal Consultation Letter-March 16, 2016 April 6, 2016 1.5 MiB 354
Consultation Summary 11-30-11 June 9, 2016 98 KiB 358
Workgroup-global-budget-charter June 9, 2016 0.2 MiB 394
OR HIX Board Packet 12 9 11 June 9, 2016 4.7 MiB 411
OHA Budget-reductions2011-13 June 9, 2016 57 KiB 446
SB738 March 14, 2017 57 KiB 451
Oregon Access Monitoring Review Plan November 1, 2016 0.7 MiB 510
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 512
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 522
Workgroup-cco-charter June 9, 2016 79 KiB 532
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 575
Workgroups-external-roster-full June 9, 2016 0.1 MiB 802

The most recent policy issues for Idaho:

Name Date Size Hits
18-0014 Medicaid Adult Expansion To ABP SPA Tribal Notice FINAL Sign December 19, 2018 1.9 MiB 4
Tribal Notice – SED Premiums SPA 09132018 September 20, 2018 91 KiB 18
2-22-2018 Idaho Tribes DRAFT Minutes May 10, 2018 46 KiB 39
17-229 Tribal Notice 1915i HCBS Adult DD SPA October 30, 2017 0.6 MiB 92
17-230 Tribal Notice 1915c Adult DD & A&D Waiver Amendments Reshab October 30, 2017 0.5 MiB 95
1915bIBHPWorkgroup Tribal Ltr MW May 24, 2017 0.3 MiB 146
17-0001 Base Benchmark Plan Alignment Tribal Notice January 24, 2017 0.3 MiB 150
Adult DD 1915i HCBS Tribal Notice September 28, 2017 0.4 MiB 153
A-D Waiver Amendment Tribal Notice November 3, 2017 0.6 MiB 154
YHI Idaho Tribal Meeting Agenda August 2017 July 26, 2017 0.2 MiB 156
18-001 Tribal Notice IDEA ITP SPA January 31, 2018 41 KiB 160
HCBS AD And Adult DD Reshab Tribal Notice 2 November 28, 2017 1.0 MiB 161
17-0003 Tribal Notice For Covered Outpatient Drugs February 23, 2017 0.3 MiB 163
17-255 Tribal Notice DME SPA January 2, 2018 33 KiB 166
Agenda Tribes Nov 2017 Draft October 31, 2017 67 KiB 175
IdahoInsuranceExchange April 6, 2016 0.1 MiB 178
17-088 Tribal Notice For Childrens DD March 31, 2017 0.4 MiB 178
11-8-2017 Idaho Tribes DRAFT Minutes – Rfb January 29, 2018 0.3 MiB 182
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 184
17-0002 Tribal Notice For 2017 COLA January 26, 2017 0.3 MiB 188
16-090 Tribal Letter SPA 16-0006 PCS April 6, 2016 0.3 MiB 198
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 204
17-066 Tribal Notice For A-D Adult DD Waiver Renewals March 9, 2017 0.4 MiB 209
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 212
SPA 13-004 Incentive Payments For Primary Care Codes April 6, 2016 1.4 MiB 221

The most recent policy issues for Washington:

Name Date Size Hits
Gov Inslee Finance Dem Medicaid Letter February 17, 2017 0.5 MiB 198
Dental Proviso Report Follow Up 122016 January 3, 2017 1.0 MiB 222
Senate Finance Attachment, 02152017 February 17, 2017 0.3 MiB 327
Senate Finance Committee, Response Letter, 02152017 February 17, 2017 57 KiB 332
Letter-to-Governors-and-Commissioners February 17, 2017 1.1 MiB 336
Sept 2007 MinutesDraft April 5, 2016 0.1 MiB 373
5079-S SL March 14, 2017 64 KiB 374
Nov 2007 AgendaDraft April 5, 2016 0.1 MiB 383
Final Washington Tribes SB 5079 Support Letter February 22, 2017 0.4 MiB 403
AIHC CR 102 Redline Changes (Final-04-10-14) April 5, 2016 34 KiB 438
American Indian Health Commission for Washington State April 5, 2016 0.1 MiB 543
16-087 HCBS Transition Plan Tribal Notice April 5, 2016 0.3 MiB 570
AIHC Dear Tribal Leaders OIC QHP Letter 4-10-14 April 5, 2016 0.4 MiB 698
FAQ SSB 5079 Final March 16, 2017 0.4 MiB 788
Dear Interested Partners: April 5, 2016 0.6 MiB 1093

Coming soon!