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
Updating M&I Funding Allocation 62617 August 1, 2017 93 KiB 135
TSGAC Memo – IHS Reimbursement Rates For CY 2017 – 2016-02-06b February 28, 2017 0.2 MiB 140
TSGAC Memo-Tribal Sponsorship Of Medicare Part B D Premiums – 2016-11- . . February 28, 2017 0.3 MiB 152
IHS Letter To Tribal Leaders – CSC Policy Update – 10-27-2016 October 27, 2016 0.6 MiB 160
2016 12 09 ACA Letter February 17, 2017 0.1 MiB 162

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 Portland Area Facilities (PAFAC) updates:

Name Date Size Hits

The most recent policy issues for Oregon:

Name Date Size Hits
Oregon Access Monitoring Review Plan November 1, 2016 0.7 MiB 450
Workgroup-medicare-medicaid-integration-charter June 9, 2016 78 KiB 456
Workgroup-cco-charter June 9, 2016 79 KiB 472
Draft CCO Implementation Plan 12-09-11 June 9, 2016 1.7 MiB 475
Workgroup-outcomes-quality-efficiency-charter June 9, 2016 0.1 MiB 475

The most recent policy issues for Idaho:

Name Date Size Hits
17-226 Tribal Notice For IHS Four Walls October 30, 2017 41 KiB 153
17-0002 Tribal Notice For 2017 COLA January 26, 2017 0.3 MiB 158
IdahoInsuranceExchange April 6, 2016 0.1 MiB 163
Legal Notices PC Physician Codes & Rates 1-1-13 April 6, 2016 0.4 MiB 166
Draft Agenda Tribal SR August 2017 July 11, 2017 0.1 MiB 176

The most recent policy issues for Washington:

Name Date Size Hits